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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES UNDER THE AUTHORITATIVE GUIDANCE ISSUED BY FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB"). THE ORGANIZATION USES A THRESHOLD OF MORE-LIKELY THAN-NOT TO BE SUSTAINED UPON EXANIMATION TO ACCOUNT FOR UNCERTAINTY INCOME TAXES. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS NOT BEEN MET. THIS GUIDANCE ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE ORGANIZATION CONDUCTS BUSINESS SOLELY IN THE U.S. AND, AS A RESULT, FILES FEDERAL AND ILLINOIS TAX RETURNS. IN THE NORMAL COURSE OF BUSINESS THE ORGANIZATION IS SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. THE ORGANIZATION'S TAX RETURNS FOR YEARS SUBSEQUENT TO 2010 ARE OPEN, BY STATUTE, FOR REVIEW BY AUTHORITIES. HOWEVER, AT PRESENT, THERE ARE NO ONGOING INCOME TAX AUDITS OR UNRESOLVED DISPUTES WITH THE TAX AUTHORITIES THAT THE ORGANIZATION CURRENTLY FILES OR HAS FILED WITH.</ExplanationTxt>
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          <State>IL</State>
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          <State>IL</State>
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          <State>IL</State>
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          <State>IL</State>
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        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>701 EAST ORANGE ST</AddressLine1>
          <City>HOOPESTON</City>
          <State>IL</State>
          <ZIPCode>60942</ZIPCode>
        </USAddress>
        <RecipientEIN>363637465</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>8190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>HOPEDALE MEDICAL COMPLEX</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>107 TREMONT ST</AddressLine1>
          <City>HOPEDALE</City>
          <State>IL</State>
          <ZIPCode>61747</ZIPCode>
        </USAddress>
        <RecipientEIN>370808925</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>13190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, COMMUNITY DEVELOPMENT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>ILLINI COMMUNITY HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>640 WEST WASHINGTON ST</AddressLine1>
          <City>PITTSFIELD</City>
          <State>IL</State>
          <ZIPCode>62363</ZIPCode>
        </USAddress>
        <RecipientEIN>371396010</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15690</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, HOSPITAL SERVICES IMPROVEMENT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>ILLINOIS HOSPITAL ASSOCIATION</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1151 EAST WARRENVILLE ROAD</AddressLine1>
          <City>NAPERVILLE</City>
          <State>IL</State>
          <ZIPCode>60566</ZIPCode>
        </USAddress>
        <RecipientEIN>362352486</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>27500</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICARE RURAL HOSPITAL FLEX PROGRAM GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>IROQUOIS MEMORIAL HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>200 FAIRMAN</AddressLine1>
          <City>WATSEKA</City>
          <State>IL</State>
          <ZIPCode>60970</ZIPCode>
        </USAddress>
        <RecipientEIN>370673512</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>18181</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, EMS GRANT, COMMUNITY DEVELOPMENT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>JERSEY COMMUNITY HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>400 MAPLE SUMMIT</AddressLine1>
          <City>JERSEYVILLE</City>
          <State>IL</State>
          <ZIPCode>62052</ZIPCode>
        </USAddress>
        <RecipientEIN>376013958</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>8190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>KEWANEE HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1051 WEST SOUTH ST PO BOX 747</AddressLine1>
          <City>KEWANEE</City>
          <State>IL</State>
          <ZIPCode>61443</ZIPCode>
        </USAddress>
        <RecipientEIN>362167767</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15590</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, EMS GRANT, COMMUNITY DEVELOPMENT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>KIRBY MEDICAL CENTER</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1000 MEDICAL CENTER DRIVE</AddressLine1>
          <City>MONTICELLO</City>
          <State>IL</State>
          <ZIPCode>61856</ZIPCode>
        </USAddress>
        <RecipientEIN>370661215</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>8190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>LAWRENCE COUNTY MEMORIAL HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>2200 WEST STATE ST</AddressLine1>
          <City>LAWRENCEVILLE</City>
          <State>IL</State>
          <ZIPCode>62439</ZIPCode>
        </USAddress>
        <RecipientEIN>371080256</RecipientEIN>
        <IRCSectionDesc>GOVERNMENTAL UNIT</IRCSectionDesc>
        <CashGrantAmt>18190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, CUSTOMER SERVICES PROGRAM GRANT, COMMUNITY DEVLOPMENT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MARSHALL BROWNING HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>900 N WASHINGTON ST</AddressLine1>
          <City>DUQUOIN</City>
          <State>IL</State>
          <ZIPCode>62832</ZIPCode>
        </USAddress>
        <RecipientEIN>370661218</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>11190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, HOSPITAL BOARD EDUCATION GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MASON DISTRICT HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>615 N PROMENADE ST</AddressLine1>
          <City>HAVANA</City>
          <State>IL</State>
          <ZIPCode>62644</ZIPCode>
        </USAddress>
        <RecipientEIN>376017857</RecipientEIN>
        <IRCSectionDesc>GOVERNMENTAL UNIT</IRCSectionDesc>
        <CashGrantAmt>8709</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, EMS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MASSAC MEMORIAL HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>28 CHICK ST PO BOX 850</AddressLine1>
          <City>METROPOLIS</City>
          <State>IL</State>
          <ZIPCode>62960</ZIPCode>
        </USAddress>
        <RecipientEIN>370857853</RecipientEIN>
        <IRCSectionDesc>GOVERNMENTAL UNIT</IRCSectionDesc>
        <CashGrantAmt>8190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MEMORIAL HOSPITAL CARTHAGE</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1454 N COUNTY ROAD 2050 PO BOX 160</AddressLine1>
          <City>CARTHAGE</City>
          <State>IL</State>
          <ZIPCode>62321</ZIPCode>
        </USAddress>
        <RecipientEIN>370662570</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>21190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, FINANCIAL ASSESSMENT GRANT, EMS GRANT, HOSPITAL BOARD EDUCATION GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MEMORIAL HOSPITAL CHESTER</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1900 STATE ST</AddressLine1>
          <City>CHESTER</City>
          <State>IL</State>
          <ZIPCode>62233</ZIPCode>
        </USAddress>
        <RecipientEIN>376020801</RecipientEIN>
        <IRCSectionDesc>GOVERNMENTAL UNIT</IRCSectionDesc>
        <CashGrantAmt>18190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, CUSTOMER SERVICES PROGRAM GRANT, COMMUNITY DEVELOPMENT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MENDOTA COMMUNITY HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1401 EAST 12TH ST</AddressLine1>
          <City>MENDOTA</City>
          <State>IL</State>
          <ZIPCode>61342</ZIPCode>
        </USAddress>
        <RecipientEIN>362167785</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>13190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, COMMUNITY DEVELOPMENT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MERCY HARVARD HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>901 GRANT STREET</AddressLine1>
          <City>HARVARD</City>
          <State>IL</State>
          <ZIPCode>60033</ZIPCode>
        </USAddress>
        <RecipientEIN>311551871</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>8190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MIDWEST MEDICAL CENTER</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1 MEDICAL CENTER DRIVE</AddressLine1>
          <City>GALENA</City>
          <State>IL</State>
          <ZIPCode>61036</ZIPCode>
        </USAddress>
        <RecipientEIN>204560540</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>18190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, EMS GRANT, COMMUNITY DEVELOPMENT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MORRISON COMMUNITY HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>303 N JACKSON ST</AddressLine1>
          <City>MORRISON</City>
          <State>IL</State>
          <ZIPCode>61270</ZIPCode>
        </USAddress>
        <RecipientEIN>366008167</RecipientEIN>
        <IRCSectionDesc>GOVERNMENTAL UNIT</IRCSectionDesc>
        <CashGrantAmt>18190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, EMS GRANT, FINANCIAL ASSESSMENT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>OSF HOLY FAMILY MEDICAL CENTER</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1000 W HARLEM AVE</AddressLine1>
          <City>MONMOUTH</City>
          <State>IL</State>
          <ZIPCode>61462</ZIPCode>
        </USAddress>
        <RecipientEIN>370813229</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>13190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, COMMUNITY DEVELOPMENT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>OSF ST JAMES W ALBRECHT MEDICAL CENTER</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>2500 W REYNOLDS ST</AddressLine1>
          <City>PONTIAC</City>
          <State>IL</State>
          <ZIPCode>61764</ZIPCode>
        </USAddress>
        <RecipientEIN>370662570</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>8190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>PANA COMMUNITY HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>101 EAST NINTH ST</AddressLine1>
          <City>PANA</City>
          <State>IL</State>
          <ZIPCode>62557</ZIPCode>
        </USAddress>
        <RecipientEIN>376062326</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15290</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, HOSPITAL SERVICES IMPROVEMENT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>PARIS COMMUNITY HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>721 EAST COURT ST</AddressLine1>
          <City>PARIS</City>
          <State>IL</State>
          <ZIPCode>61944</ZIPCode>
        </USAddress>
        <RecipientEIN>370860281</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>21190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, FINANCIAL ASSESSMENT GRANT, HOSPITAL BOARD EDUCATION GRANT, COMMUNITY DEVELOPMENT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>PERRY MEMORIAL HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>530 PARK AVENUE EAST</AddressLine1>
          <City>PRINCETON</City>
          <State>IL</State>
          <ZIPCode>61356</ZIPCode>
        </USAddress>
        <RecipientEIN>366006057</RecipientEIN>
        <IRCSectionDesc>GOVERNMENTAL UNIT</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>FINANCIAL ASSESSMENT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>PINCKNEYVILLE COMMUNITY HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>101 NORTH WALNUT STREET</AddressLine1>
          <City>PINCKNEYVILLE</City>
          <State>IL</State>
          <ZIPCode>62274</ZIPCode>
        </USAddress>
        <RecipientEIN>376006955</RecipientEIN>
        <IRCSectionDesc>GOVERNMENTAL UNIT</IRCSectionDesc>
        <CashGrantAmt>21190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, FINANCIAL ASSESSMENT GRANT, HOSPITAL BOARD EDUCATION GRANT, CUSTOMER SERVICES PROGRAM GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>RED BUD REGIONAL HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>325 SPRING ST</AddressLine1>
          <City>RED BUD</City>
          <State>IL</State>
          <ZIPCode>62278</ZIPCode>
        </USAddress>
        <RecipientEIN>364443919</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15690</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, HOSPITAL SERVICES IMPROVEMENT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>RICHLAND MEMORIAL HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>800 EAST LOCUST</AddressLine1>
          <City>OLNEY</City>
          <State>IL</State>
          <ZIPCode>62450</ZIPCode>
        </USAddress>
        <RecipientEIN>371363001</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>12247</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, EMS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>ROCHELLE COMMUNITY HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>900 N SECOND ST</AddressLine1>
          <City>ROCHELLE</City>
          <State>IL</State>
          <ZIPCode>61068</ZIPCode>
        </USAddress>
        <RecipientEIN>362548549</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>13190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, FINANCIAL ASSESSMENT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>SALEM TOWNSHIP HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1201 RICKER DRIVE</AddressLine1>
          <City>SALEM</City>
          <State>IL</State>
          <ZIPCode>62881</ZIPCode>
        </USAddress>
        <RecipientEIN>370925318</RecipientEIN>
        <IRCSectionDesc>GOVERNMENTAL UNIT</IRCSectionDesc>
        <CashGrantAmt>11190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, HOSPITAL BOARD EDUCATION GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>SARAH D CULBERTSON MEMORIAL HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>238 SOUTH CONGRESS AVE</AddressLine1>
          <City>RUSHVILLE</City>
          <State>IL</State>
          <ZIPCode>62681</ZIPCode>
        </USAddress>
        <RecipientEIN>376006672</RecipientEIN>
        <IRCSectionDesc>GOVERNMENTAL UNIT</IRCSectionDesc>
        <CashGrantAmt>18190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, EMS GRANT, COMMUNITY DEVELOPMENT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>SHELBY MEMORIAL HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>200 SOUTH CEDAR</AddressLine1>
          <City>SHELBYVILLE</City>
          <State>IL</State>
          <ZIPCode>62565</ZIPCode>
        </USAddress>
        <RecipientEIN>370512290</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>8190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>SPARTA COMMUNITY HOSPITAL DISTRICT</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>818 EAST BROADWAY</AddressLine1>
          <City>SPARTA</City>
          <State>IL</State>
          <ZIPCode>62286</ZIPCode>
        </USAddress>
        <RecipientEIN>376014817</RecipientEIN>
        <IRCSectionDesc>GOVERNMENTAL UNIT</IRCSectionDesc>
        <CashGrantAmt>13190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, FINANCIAL ASSESSMENT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>ST FRANCIS HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1215 FRANCISCAN DRIVE</AddressLine1>
          <City>LITCHFIELD</City>
          <State>IL</State>
          <ZIPCode>62056</ZIPCode>
        </USAddress>
        <RecipientEIN>370661236</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>13190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, COMMUNITY DEVELOPMENT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>ST JOSEPH'S HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1515 MAIN ST</AddressLine1>
          <City>HIGHLAND</City>
          <State>IL</State>
          <ZIPCode>62249</ZIPCode>
        </USAddress>
        <RecipientEIN>370663568</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>17595</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, CUSTOMER SERVICES PROGRAM GRANT, COMMUNITY DEVELOPMENT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>ST JOSEPH MEMORIAL HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>2 SOUTH HOSPITAL DRIVE</AddressLine1>
          <City>MURPHYSBORO</City>
          <State>IL</State>
          <ZIPCode>62966</ZIPCode>
        </USAddress>
        <RecipientEIN>370618939</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15687</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, HOSPITAL SERVICES IMPROVEMENT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>TAYLORVILLE MEMORIAL HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>201 EAST PLEASANT ST</AddressLine1>
          <City>TAYLORVILLE</City>
          <State>IL</State>
          <ZIPCode>62568</ZIPCode>
        </USAddress>
        <RecipientEIN>370661250</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>8190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>809 S MARSHFIELD AVENUE</AddressLine1>
          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>60612</ZIPCode>
        </USAddress>
        <RecipientEIN>376000511</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>72322</CashGrantAmt>
        <PurposeOfGrantTxt>WORKFORCE DEVELOPMENT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>THOMAS H BOYD MEMORIAL HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>800 SCHOOL ST</AddressLine1>
          <City>CARROLTON</City>
          <State>IL</State>
          <ZIPCode>62016</ZIPCode>
        </USAddress>
        <RecipientEIN>370673461</RecipientEIN>
        <IRCSectionDesc>GOVERNMENTAL UNIT</IRCSectionDesc>
        <CashGrantAmt>8190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>UNION COUNTY HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>517 NORTH MAIN ST</AddressLine1>
          <City>ANNA</City>
          <State>IL</State>
          <ZIPCode>62906</ZIPCode>
        </USAddress>
        <RecipientEIN>364431843</RecipientEIN>
        <IRCSectionDesc>GOVERNMENTAL UNIT</IRCSectionDesc>
        <CashGrantAmt>8190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>VALLEY WEST COMMUNITY HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>11 E PLEASANT AVE</AddressLine1>
          <City>SANDWICH</City>
          <State>IL</State>
          <ZIPCode>60548</ZIPCode>
        </USAddress>
        <RecipientEIN>364244337</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20690</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, FINANCIAL ASSESSMENT GRANT, HOSPITAL SERVICES IMPROVEMENT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>WABASH GENERAL HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1418 COLLEGE DR</AddressLine1>
          <City>MT CARMEL</City>
          <State>IL</State>
          <ZIPCode>62863</ZIPCode>
        </USAddress>
        <RecipientEIN>376013625</RecipientEIN>
        <IRCSectionDesc>GOVERNMENTAL UNIT</IRCSectionDesc>
        <CashGrantAmt>13190</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, EMS GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>WASHINGTON COUNTY HOSPITAL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>705 S GRAND</AddressLine1>
          <City>NASHVILLE</City>
          <State>IL</State>
          <ZIPCode>62263</ZIPCode>
        </USAddress>
        <RecipientEIN>376020408</RecipientEIN>
        <IRCSectionDesc>GOVERNMENTAL UNIT</IRCSectionDesc>
        <CashGrantAmt>20690</CashGrantAmt>
        <PurposeOfGrantTxt>SHIP GRANT, FINANCIAL ASSESSMENT GRANT, HOSPITAL SERVICES IMPROVEMENT GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>WESTERN ILLINOIS AHEC</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>BROADWAY AT 14TH ST</AddressLine1>
          <City>QUINCY</City>
          <State>IL</State>
          <ZIPCode>62305</ZIPCode>
        </USAddress>
        <RecipientEIN>262145452</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>12000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICARE RURAL HOSPITAL FLEX PROGRAM GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>59</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 SIGNATURE. ICAHN THEN REVIEWS THE REPORT AND COMPARES IT TO THE AGREEMENT TO ENSURE GRANT FUNDS WERE SPENT AS OUTLINED. ON OCCASION, A RECIPIENT'S PROJECT WILL NEED TO CHANGE DUE TO UNFOESEEN CIRCUMSTANCES. IN THESE INSTANCES, THE GRANTEE IS INSTRUCTED TO REQUEST WRITTTEN 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 AS OUTLINED. THE OPERATIONS COORDINATOR PERFORMS ABOUT 12 ONSITE GRANT REVIEW VISITS PER YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATRICIA SCHOU</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>201550</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5626</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7470</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>214646</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>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 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK REQUIRES THEIR BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES TO COMPLETE A CONFLICT OF INTEREST ACTIVITY QUESTIONAIRE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>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 EXECTUVE 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 DIRECTORS' 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>ICAHN RURAL RECRUITMENT SERVICES LLC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>245 BACKBONE RD EAST</AddressLine1>
          <City>PRINCETON</City>
          <State>IL</State>
          <ZIPCode>61356</ZIPCode>
        </USAddress>
        <EIN>208045884</EIN>
        <PrimaryActivitiesTxt>RECRUITING SERVICES FOR MEMBER HOSPITALS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <TotalIncomeAmt>-38525</TotalIncomeAmt>
        <EndOfYearAssetsAmt>84359</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1>ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK</BusinessNameLine1>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>