2011-07-15T10:12:47-05:00 2010-12-31 CLIFTON GUNDERSON LLP 114 E EVERETT DIXON IL 61021 990 2010-01-01 550809159 THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK ILLI 8158752999 245 BACKBONE ROAD EAST PRINCETON IL 61356 PATRICIA SCHOU 8158752999 2011-06-30 1 TODD M ETHERIDGE 8152842285 2010 2016-02-24 21:20:13Z PATRICIA SCHOU 245 BACKBONE ROAD EAST PRINCETON IL 61356 2244862 0 X WWW.ICAHN.ORG X 2002 IL THE MISSION OF ICAHN IS TO STRENGTHEN ILLINOIS CRITICAL ACCESS HOSPITALS THROUGH COLLABORATION. 9 9 6 0 0 0 2111009 1316892 248917 914645 17250 13325 136283 0 2513459 2244862 1298410 1159916 0 0 589620 443471 0 0 0 535107 626935 2423137 2230322 90322 14540 687208 516737 262508 77497 424700 439240 THE MISSION OF ICAHN IS TO STRENGTHEN ILLINOIS CRITICAL ACCESS HOSPITALS THROUGH COLLABORATION. 0 0 1849205 1159916 640605 ICAHN PROVIDES TECHNICAL ASSISTANCE TO SMALL RURAL HOSPITALS1) TO HELP THEM WITH ADMINISTRATIVE PROCESSES FOR CRITICAL ACCESS HOSPITALS.2) SHARE RESOURCES WITH MEMBERS AND3) IMPLEMENT PROGRAMS TO IMPROVE QUALITY AND EFFICIENCES OF MEDICAL SERVICES PROVIDED BY RURAL HEALTH CARE FACILITIES. SERVES APPROXIMATELY 50 HOSPITALS. 77262 93743 ICAHN PROVIDES QUALITY EDUCATIONAL OPPORTUNITIES TO MEMBER HOSPITALS FOCUSING ON RURAL HEALTH ISSUES AND STRATEGIES FOR SUCCESS THROUGH ONSITE MEETINGS, VIDEOCONFERENCES, AND WEB-BASED TRAINING. 5820 180297 ICAN PROVIDES INFORMATION TECHNOLOGY ASSISTANCE TO SMALL RURAL HOSPITALS ACROSS THE STATE SERVING APPROXIMATELY 50 HOSPITALS. 1932287 1 1 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 17 0 1 6 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 0 1 1 1 0 0 1 1 1 0 1 1 0 0 IL X MATT COMERFORD 8158752999 245 BACKBONE ROAD EAST PRINCETON IL 61356 STEVEN HAYES 0.50 X 0 0 0 LYNN KLEIN 0.50 X X 0 0 0 HARRY WOLIN 0.50 X 0 0 0 RANDY DAUBY 0.50 X 0 0 0 HERVEY DAVIS 0.50 X 0 0 0 STEVE TENHOUSE 0.50 X 0 0 0 ROB SCHMITT 0.50 X X 0 0 0 SUSIE CAMPBELL 0.50 X X 0 0 0 ADA BAIR 0.50 X X 0 0 0 PATRICIA SCHOU 40.00 X 118180 0 7272 118180 0 7272 1 0 0 0 HART LLC 3001 MARKWOOD LANE SPRINGFIELD IL 62712 CONSULTING SERVICES 117253 1 1243350 73542 1316892 MEMBERSHIP DUES 900099 350000 350000 IT SERVICES 541519 180297 180297 CARS REVENUE 900099 109965 109965 WORKSHOP/MEETING FEES 900099 93743 93743 CONSULTING REVENUE 541610 70546 70546 110094 110094 914645 13325 13325 2244862 914645 0 13325 1159916 1159916 120000 84000 36000 260469 182328 78141 7682 5377 2305 26123 18286 7837 29197 20438 8759 3720 2232 1488 14196 14196 27353 27353 277469 277192 277 28171 16902 11269 15548 9329 6219 9700 5820 3880 36512 21907 14605 40647 24388 16259 128770 77262 51508 3400 2040 1360 14275 8565 5710 MEMBERSHIP DUES EXPENSE 13085 7851 5234 JOB POSTING EXPENSE 12378 7427 4951 MISCELLANEOUS EXPENSE 1711 1027 684 2230322 1932287 298035 0 15523 448644 415475 11397 57731 15894 15489 27880 15361 9484 12519 201789 0 687208 516737 62767 47914 199741 29583 262508 77497 X 0 0 0 0 424700 439240 424700 439240 687208 516737 14540 X X 0 1 1 X 1 1 X 1427245 3245683 4040008 2111009 1316892 12140837 1427245 3245683 4040008 2111009 1316892 12140837 12140837 38134 71852 46187 17250 13325 186748 2759 102155 108964 136283 350161 12677746 1729084 0.95760 0.95590 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 27880 15361 12519 12519 2244862 2230322 14540 0 14540 2244862 0 2244862 0 2244862 2230322 0 2230322 0 2230322 1 ABRAHAM LINCOLN MEMORIAL HOSPITAL 315 8TH ST LINCOLN IL 62656 370723793 501(C)(3) 10246 SHIP GRANT, HOSPITAL BOARD EDUCATION GRANT ADVOCATE EUREKA HOSPITAL 101 S MAJOR ST EUREKA IL 61530 370662542 501(C)(3) 5000 COMMUNITY DEVELOPMENT BOARD OF TRUSTEES OF THE UNIVERSITY OF IL 1901 S FIRST STREET SUITE A CHAMPAIGN IL 61820 376000511 GOVERNMENTAL UNIT 5000 4-H YOUTH PROJECT CARLINVILLE AREA HOSPITAL 1001 EAST MORGAN ST CARLINVILLE IL 62626 370645239 501(C)(3) 21646 SHIP GRANT, COMMUNITY DEVELOPMENT GRANT, HOSPITAL BOARD EDUCATION GRANT, RECRUITMENT AND RETENTION GRANT. CLAY COUNTY HOSPITAL 911 STACY BURK DRIVE FLORA IL 62839 371352599 GOVERNMENTAL UNIT 17646 SHIP GRANT, EMS GRANT, RECRUITMENT AND RETENTION GRANT COMMUNITY MEMORIAL HOSPITAL 400 CALDWELL ST STAUNTON IL 62088 370624255 501(C)(3) 13910 SHIP GRANT, COMMUNITY DEVELOPMENT GRANT, MEN'S HEALTH AWARNESS GRANT. CRAWFORD MEMORIAL HOSPITAL 1000 NORTH ALLEN ST ROBINSON IL 62454 370793762 GOVERNMENTAL UNIT 16296 VERIZON GRANT, SHIP GRANT, IT GRANT, MEN'S HEALTH AWARENESS GRANT CROSSROADS COMMUNITY HOSPITAL 8 DOCTORS PARK ROAD MT VERNON IL 62864 581622971 8646 SHIP GRANT DR JOHN WARNER HOSPITAL 422 WEST WHITE ST CLINTON IL 61727 366000695 GOVERNMENTAL UNIT 19646 SHIP GRANT, MEN'S HEALTH AWARENESS GRANT, SPECIAL PROJECTS EUREKA COMMUNITY HOSPITAL 101 S MAJOR ST EUREKA IL 61530 370662542 501(C)(3) 8646 SHIP GRANT FAIRFIELD MEMORIAL HOSPITAL 303 NW 11TH ST FAIRFIELD IL 62837 370661202 GOVERNMENTAL UNIT 8646 SHIP GRANT FAYETTE COUNTY HOSPITAL AND LONG TERM CARE 650 WEST TAYLOR ST VANDALIA IL 62471 431279063 GOVERNMENTAL UNIT 8646 SHIP GRANT FERRELL HOSPITAL 1201 PINE ST ELDORADO IL 62930 201244058 501(C)(3) 21646 SHIP GRANT, HOSPITAL BOARD EDUCATION GRANT, IT GRANT RECRUITMENT AND RETENTION GRANT. FRANKLIN HOSPITAL 201 BAILEY LANE BENTON IL 62812 376006885 GOVERNMENTAL UNIT 30267 SHIP GRANT, SIU TELEHEALTH, SPECIAL PROJECT, RECRUITMENT AND RETENTION GRANT. GIBSON AREA HOSPITAL & HEALTH SERVICES 1120 N MELVIN ST GIBSON CITY IL 60936 370647938 501(C)(3) 24646 SHIP GRANT, COMMUNITY DEVELOPMENT GRANT, SPECIAL PROJECT GRANT, MEN'S HEALTH AWARENESS GRANT. GREENVILLE REGIONAL HOSPITAL 200 HEALTHCARE DR GREENVILLE IL 62246 370792770 501(C)(3) 12364 SHIP GRANT, EMS GRANT HAMILTON MEMORIAL HOSPITAL DISTRICT 611 S MARSHALL AVENUE PO BOX 429 MCLEANSBORO IL 62859 376019589 GOVERNMENTAL UNIT 85922 SHIP GRANT, IT GRANT, COMMUNITY DEVELOPMENT GRANT, WORKFORCE DEVELOPMENT GRANT. HAMMOND HENRY HOSPITAL 600 NORTH COLLEGE AVENEUE GENESEO IL 61254 366008003 GOVERNMENTAL UNIT 19646 SHIP GRANT, RECRUITMENT AND RETENTION GRANT, MEN'S HEALTH AWARENESS GRANT, COMMUNITY DEVELOPMENT GRANT. HARDIN COUNTY GENERAL HOSPITAL 6 FERRELL ROAD BOX 2467 ROSICLARE IL 62982 370702309 501(C)(3) 22602 SHIP GRANT, RECRUITMENT AND RETENTION GRANT, EMS GRANT, IT GRANT. HILLSBORO AREA HOSPITAL 1200 EAST TREMONT ST HILLSBORO IL 62049 370661208 501(C)(3) 18646 SHIP GRANT, IT GRANT, RECRUITMENT AND RETENTION. HOOPESTON REGIONAL HEALTH CENTER 701 EAST ORANGE ST HOOPESTON IL 60942 363637465 501(C)(3) 8646 SHIP GRANT HOPEDALE MEDICAL COMPLEX 107 TREMONT ST HOPEDALE IL 61747 370808925 501(C)(3) 13646 SHIP GRANT, COMMUNITY DEVELOPMENT GRANT. ILLINI COMMUNITY HOSPITAL 640 WEST WASHINGTON ST PITTSFIELD IL 62363 371396010 501(C)(3) 10196 SHIP GRANT, HOSPITAL BOARD EDUCATION GRANT. ILLINOIS HOSPITAL ASSOCIATION 151 EAST WARRENVILLE ROAD NAPERVILLE IL 60556 362352486 501(C)(3) 47000 FLEX GRANT. IROQUOIS MEMORIAL HOSPITAL 200 FAIRMAN WATSEKA IL 60970 370673512 501(C)(3) 8646 SHIP GRANT JERSEY COMMUNITY HOSPITAL 400 MAPLE SUMMIT JERSEYVILLE IL 62052 376013958 501(C)(3) 8646 SHIP GRANT JOHN AND MARY E KIRBY HOSPITAL 1111 N STATE ST PO BOX 20 MONTICELLO IL 61856 370661215 501(C)(3) 15296 VERIZON GRANT, SHIP GRANT, IT GRANT. KEWANEE HOSPITAL 1051 WEST SOUTH ST PO BOX 747 KEWANEE IL 61443 362167767 501(C)(3) 18646 SHIP GRANT, SPECIAL PROJECT GRANT. LAWRENCE COUNTY MEMORIAL HOSPITAL 2200 WEST STATE ST LAWRENCEVILLE IL 62439 371080256 GOVERNMENTAL UNIT 17347 SHIP GRANT, RECRUITMENT AND RETENTION GRANT. MARSHALL BROWNING HOSPITAL 900 N WASHINGTON ST DUQUOIN IL 62832 370661218 501(C)(3) 15296 VERIZON GRANT, SHIP GRANT, IT GRANT. MASON DISTRICT HOSPITAL 615 N PROMENADE ST HAVANA IL 62644 376017857 GOVERNMENTAL UNIT 12646 SHIP GRANT, EMS GRANT. MASSAC MEMORIAL HOSPITAL 28 CHICK ST PO BOX 850 METROPOLIS IL 62960 370857853 GOVERNMENTAL UNIT 17646 SHIP GRANT, IT GRANT, EMS GRANT. MEMORIAL HOSPITAL CARTHAGE 1454 N COUNTY ROAD 2050 PO BOX 160 CARTHAGE IL 62321 370662570 501(C)(3) 17646 SHIP GRANT, MEN'S HEALTH AWARENESS GRANT, HOSPITAL BOARD EDUCATION GRANT, COMMUNITY DEVELOPMENT GRANT. MEMORIAL HOSPITAL CHESTER 1900 STATE ST CHESTER IL 62233 376020801 GOVERNMENTAL UNIT 13646 SHIP GRANT, SPECIAL PROJECT GRANT. MENDOTA COMMUNITY HOSPITAL 1315 MEMORIAL DR MENDOTA IL 61342 362167785 501(C)(3) 14183 SHIP GRANT, EMS GRANT, COMMUNITY DEVELOPMENT GRANT. MERCER COUNTY HOSPITAL 409 NW 9TH ST ALEDO IL 61231 366007544 GOVERNMENTAL UNIT 16646 SHIP GRANT, HOSPITAL BOARD EDUCATION GRANT, COMMUNITY DEVELOPMENT GRANT. MERCY HARVARD HOSPITAL 901 GRANT STREET HARVARD IL 60033 311551871 501(C)(3) 13646 SHIP GRANT, IT GRANT. MIDWEST MEDICAL CENTER 1 MEDICAL CENTER DRIVE GALENA IL 61036 204560540 501(C)(3) 14646 SHIP GRANT, MENS' HEALTH AWARENESS GRANT, IT GRANT. MORRISON COMMUNITY HOSPITAL 303 N JACKSON ST MORRISON IL 61270 366008167 GOVERNMENTAL UNIT 22650 SHIP GRANT, RECRUITMENT AND RETENTION GRANT, IT GRANT, COMMUNITY DEVELOPMENT GRANT. NORTHERN ILLINOIS UNIVERSITY 148 N 3RD ST DEKALB IL 60115 366008480 GOVERNMENTAL UNIT 20000 CAH ECONOMIC IMPACT STUDY OSF ST JAMES W ALBRECHT MEDICAL CENTER 2500 W REYNOLDS ST PONTIAC IL 61764 370662570 501(C)(3) 8646 SHIP GRANT. PANA COMMUNITY HOSPITAL 101 EAST NINTH ST PANA IL 62557 376062362 501(C)(3) 13385 SHIP GRANT, HOSPITAL BOARD EDUCATION GRANT, EMS GRANT. PARIS COMMUNITY HOSPITAL 721 EAST COURT ST PARIS IL 61944 370860281 501(C)(3) 18950 SHIP GRANT, SIU TELEHEALTH GRANT, EMS GRANT, IT GRANT. PERRY MEMORIAL HOSPITAL 530 PARK AVENUE EAST PRINCETON IL 61356 366006057 GOVERNMENTAL UNIT 17696 SHIP GRANT, EMS GRANT, MEN'S HEALTH AWARENESS GRANT, COMMUNITY DEVELOPMENT GRANT. PINCKNEYVILLE COMMUNITY HOSPITAL 101 NORTH WALNUT STREET PINCKNEYVILLE IL 62274 376006955 GOVERNMENTAL UNIT 14646 SHIP GRANT, MENS' HEALTH AWARENESS GRANT, IT GRANT. RED BUD REGIONAL HOSPITAL 325 SPRING ST RED BUD IL 62278 364443919 501(C)(3) 17346 SHIP GRANT, RECRUITMENT AND RETENTION, EMS GRANT. RICHLAND MEMORIAL HOSPITAL 800 EAST LOCUST OLNEY IL 62450 371363001 501(C)(3) 12381 SHIP GRANT, EMS GRANT. ROCHELLE COMMUNITY HOSPITAL 900 N SECOND ST ROCHELLE IL 61068 372548549 501(C)(3) 18096 SHIP GRANT, VERIZON GRANT, HOSPITAL BOARD EDUCATION GRANT, RECRUITMENT AND RETENTION GRANT. SALEM TOWNSHIP HOSPITAL 1201 RICKER DRIVE SALEM IL 62881 370925318 GOVERNMENTAL UNIT 16646 SHIP GRANT, HOSPITAL BOARD EDUCATION GRANT, RECRUITMENT AND RETENTION GRANT. SARAH D CULBERTSON MEMORIAL HOSPITAL 238 SOUTH CONGRESS AVE RUSHVILLE IL 62681 376006672 GOVERNMENTAL UNIT 17146 SHIP GRANT, EMS GRANT, COMMUNITY DEVELOPMENT GRANT. SHELBY MEMORIAL HOSPITAL 200 SOUTH CEDAR SHELBYVILLE IL 62565 370512290 501(C)(3) 8646 SHIP GRANT. SPARTA COMMUNITY HOSPITAL DISTRICT 818 EAST BROADWAY SPARTA IL 62286 376014817 GOVERNMENTAL UNIT 13646 SHIP GRANT, IT GRANT. ST FRANCIS HOSPITAL 1215 FRANCISCAN DRIVE LITCHFIELD IL 62056 370661236 501(C)(3) 30578 SHIP GRANT, SIU TELEHEALTH GRANT, RECRUITMENT AND RETENTION GRANT. ST JOSEPH MEMORIAL HOSPITAL 2 SOUTH HOSPITAL DRIVE MURPHYSBORO IL 62966 370618939 501(C)(3) 15296 SHIP GRANT, VERIZON GRANT, IT GRANT. ST JOSEPH'S HOSPITAL 1515 MAIN ST HIGHLAND IL 62249 370663568 501(C)(3) 18646 SHIP GRANT, EMS GRANT, MEN'S HEALTH AWARENESS GRANT, IT GRANT. TAYLORVILLE MEMORIAL HOSPITAL 201 EAST PLEASANT ST TAYLORVILLE IL 62568 370661250 501(C)(3) 13646 SHIP GRANT, COMMUNITY DEVELOPMENT GRANT. THOMAS H BOYD MEMORIAL HOSPITAL 800 SCHOOL ST CARROLTON IL 62106 370673461 GOVERNMENTAL UNIT 8646 SHIP GRANT. UNION COUNTY HOSPITAL 517 NORTH MAIN ST ANNA IL 62906 364431843 GOVERNMENTAL UNIT 8646 SHIP GRANT. VALLEY WEST COMMUNITY HOSPITAL 11 E PLEASANT AVE SANDWICH IL 60548 364244337 501(C)(3) 13646 SHIP GRANT, IT GRANT. WABASH GENERAL HOSPITAL 1418 COLLEGE DR MT CARMEL IL 62863 376013625 GOVERNMENTAL UNIT 12646 SHIP GRANT, EMS GRANT. WASHINGTON COUNTY HOSPITAL 705 S GRAND NASHVILLE IL 62263 376020408 GOVERNMENTAL UNIT 17646 SHIP GRANT, MEN'S HEALTH AWARENESS GRANT, HOSPITAL BOARD EDUCATION GRANT, RECRUITMENT AND RETENTION GRANT. WESTERN ILLINOIS AHEC BROADWAY AT 14TH ST QUINCY IL 62305 262145452 501(C)(3) 14000 VERIZON GRANT, FLEX GRANT. 36 26 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 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. 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. 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 B, LINE 11 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. 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 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. 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 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 WICH IDENTIFIES THE SALARY INCREASES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC FORM 990, PART VII STEVEN HAYES - 1900 STATE STREET, BOX 609, CHESTER, IL 62233. LYNN KLEIN - 1315 MEMORIAL DRIVE, MENDOTA, IL 61342. HARRY WOLIN - 615 NORTH PROMENADE PO BOX 530, HAVANA, IL 62644. RANDY DAUBY - 611 SOUTH MARSHALL PO BOX 429, MCLEANSBORO, IL 62859. HERVEY DAVIS - 201 BAILEY LANE, BENTON, IL 62812. STEVE TENHOUSE - 1111 NORTH STATE STREET, MONTICELLO, IL 61856. ROB SCHMITT - 1120 NORTH MELVIN STREET PO BOX 429, GIBSON CITY, IL 60936. SUSIE CAMPBELL - 400 CALDWELL, STAUNTON, IL 62088. ADA BAIR - 1454 NORTH COUNTY ROAD 2050 PO BOX 160, CARTHAGE, IL 62321. FORM 990, PART XII, LINE 2C THE BOARD OF DIRECTORS FOR THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK ENGAGES THE INDEPENDENT ACCOUNTANTS TO PERFORM THE AUDIT. ONCE COMPLETE THE BOARD OF DIRECTORS MEET WITH THE AUDITORS TO REVIEW THE AUIDT REPORT AND MANAGEMENT LETTER. CRITICAL ACCESS RECRUITMENT SERVICES LLC 245 BACKBONE RD EAST PRINCETON IL 61356 208045884 RECRUITING SERVICES FOR MEMBER HOSPITALS IL 110147 82841 N/A