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        <State>FL</State>
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        <NamePerson>Melvin B Price DPM</NamePerson>
        <Title>Chief of Med/Surg/Sub-Spec</Title>
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        <NamePerson>Christopher E Mullinex</NamePerson>
        <Title>Director of Facility Opera</Title>
        <BaseCompensationFilingOrg>117006</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <NamePerson>Jeffery B McNeal</NamePerson>
        <Title>Finance Director</Title>
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      <DrugsAndMedicalSupplies>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>143992</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Cost</MethodOfDeterminingRevenues>
      </DrugsAndMedicalSupplies>
      <AnyPropertyThatMustBeHeld>0</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>0</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>0</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>Manatee County Rural Health Services, Inc.'s governing body reviews each Form 990, before it is filed with the Internal Revenue Service. The tax preparer works closely with the Chief Finance Officer/Business Development Officer and Controller to prepare a draft of the Form 990. Once a draft of the Form 990 is prepared, it will go before the Finance Committee for approval. Once the Finance Committee approves the draft of the Form 990, it then is presented to the entire Board of Directors for approval.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>Manatee County Rural Health Services, Inc. has a conflict of interest policy and all employees and officers must sign in writing that they understand and will abide with the policy.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>The board of directors establishes goals and objectives for the CEO to achieve prior to the start of the fiscal year. A compensation committee is formed by the board of directors to evaluate the CEO's performance for the past year and make recommendations for the terms of the CEO's employment agreement for the next year. An independent compensation consultant is engaged to assist in the process and performs a compensation survey and study for the CEO and other top management officers and key employees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 18</ReturnReference>
        <Explanation>Manatee County Rural Health Services, Inc. will make it's tax return available to the public upon written request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>Manatee County Rural Health Services, Inc. makes its conflict of interest policy available to the public upon written request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other Fees</Identifier>
        <ReturnReference>Form 990, Part IX, line 11g</ReturnReference>
        <Explanation>Other professional fees: Program service expenses 10,316,632. Management and general expenses 2,099,954. Fundraising expenses 0. Total expenses 12,416,586.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Amended Return</Identifier>
        <ReturnReference>Form 990, Part X, Lines 4 and 27</ReturnReference>
        <Explanation>Based on changes in the healthcare arena, the Form 990 for the year ended November 30, 2012, was amended to reflect the uncollectibility of various medical service reimbursements. As a result, the beginning accounts receivable balance and the beginning fund balances of the tax return for the year ended November 30, 2013, have been changed. As Originally Filed As Amended Net Change ------------------- ---------- ---------- Accounts Receivable $ 10,363,181 $ 6,032,302 $ 4,330,879 December 1, 2012) - Part X, Line 1(A) Fund Balance $ 17,943,794 $ 13,612,915 $ 4,330,879 December 1, 2012 - Part X, Line 33(A)</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Allcare Options LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>Post Office Box 2023</AddressLine1>
          <City>Palmetto</City>
          <State>FL</State>
          <ZIPCode>34220</ZIPCode>
        </AddressUS>
        <EIN>453999046</EIN>
        <PrimaryActivities>Allcare Options, LLC is an affordable care organization.</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>Manatee County Rural Health Services Inc</BusinessNameLine1>
        </DirectControllingEntityName>
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