2013-09-13T15:15:54-05:00 2012-11-30 271797701 Shinn & Company LLC 1001 3rd Avenue West Suite 500 Bradenton FL 34205 990 2011-12-01 591773262 Manatee County Rural Health Services Inc MANA 9417764000 PO Box 499 Parrish FL 34219 Walter L Presha 9417764000 2013-08-28 1 Byron E Shinn P00235828 9417470500 2011 2016-02-24 21:20:13Z Walter L Presha PO Box 499 Parrish FL 34219 62276604 0 X www.mcrhs.org X 1978 FL To provide medical services to indigent and medically needy individuals. See Schedule O.Our mission is to establish, maintain, and specialize in the delivery of primary healthcare service and preventative health education. The guiding principle underlining service provision at Manatee County Rural Health Services, Inc. is that every person residing in the service delivery area, regardless of race, sex, color, nationality, language, origin, economic status, or disability has a right to access primary health services and preventative health education. 10 10 629 0 -34306 0 11250373 10796572 44725598 48377662 10930 509186 1086500 859729 57073401 60543149 0 0 0 0 32400031 35711224 0 0 0 20930899 23075828 53330930 58787052 3742471 1756097 34542076 38041215 18225357 20097421 16316719 17943794 To provide medical services to indigent and medically needy individuals in Manatee, DeSoto and Sarasota Counties, Florida. 0 0 46212576 Manatee County Rural Health Services, Inc., provided 449,304 patient visits to indigent and medically needy individuals in Manatee, DeSoto and Sarasota Counties, Florida. 46212576 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 76 0 629 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X John Nash CFO 9417764000 12271 US Highway 301 North Parrish FL 342198410 Gary Lowe 1.00 X 0 0 0 Dr Carlos Mendez 1.00 X 0 0 0 Livia Leyva 1.00 X 0 0 0 Juanine Lowery 1.00 X 0 0 0 Reginaldo Orozco 1.00 X 0 0 0 Dr Lynette Edwards 1.00 X 0 0 0 Patrick Carnegie 1.00 X 0 0 0 Willie Weems 1.00 X 0 0 0 James Wallace Esq 1.00 X 0 0 0 Esperanza Gamboa 1.00 X 0 0 0 Walter Lewis Presha 40.00 X 569580 0 7817 Robert W Brochu DO 40.00 X 438460 0 7817 Dr George J Van Buren MD 40.00 X 342967 0 7817 Raymond A Fusco 40.00 X 216443 0 6275 Jeff Zimmerman CPA CFP 40.00 X 188316 0 5825 Ellen P Adams 40.00 X 171403 0 5215 Wardell D Jackson 40.00 X 153718 0 4652 Melvin B Price DPM 40.00 X 299159 0 16869 Christopher E Mullinex 40.00 X 131725 0 4008 Brian P Martin PH 40.00 X 125182 0 4339 Floyd A Hill 40.00 X 97559 0 2986 Jeffery B McNeal 40.00 X 136987 0 3799 Alphonso Smith 40.00 X 86539 0 3275 Xavier D Sevilla MD 40.00 X 246378 0 7713 Sharon L Wall 40.00 X 130506 0 2088 George Childs MD 40.00 X 427454 0 7817 Abdullah Haider MD 40.00 X 424013 0 7817 Wilfredo Rivera-Ortiz MD 40.00 X 268875 0 16869 Elias Caltenco MD 40.00 X 246311 0 7817 Pedro Briceno MD 40.00 X 264717 0 7817 4966292 0 138632 18 0 1 0 Huntingdon Healthcare 43 Barkley Circle 201 Fort Myers FL 33907 Medical Services 6779293 McKesson One Post Street San Francisco CA 94104 Pharmaceutical 2228499 Blue Cross Blue Shield of Florida Post Office Box 660299 Dallas TX 75266 Health Insurance 1664875 Community Health Centers Alliance 140 Fountain Parkway 210 St Petersburg FL 33716 IT Services 599190 McKesson Medical Surgical 8741 Landmark Road Richmond VA 23228 Medical Supplies 477014 5 10550255 246317 10796572 Patient Fees 621110 48377662 48377662 48377662 3348 3348 204987 239293 -34306 -34306 -34306 2000000 1494162 505838 505838 505838 Miscellaneous 621110 894035 894035 894035 60543149 49780883 -34306 0 30710237 26381621 4328616 5000987 4286457 714530 235565 197762 37803 67085 56319 10766 11060795 9339339 1721456 161761 8051 153710 348285 202795 145490 539948 539948 1221650 1221650 Operating supplies 2384349 1984942 399407 Purchase for resale 1972598 1972598 Data processing 1185985 834694 351291 Telephone 919579 59910 859669 2978228 888088 2090140 58787052 46212576 12574476 0 3469064 3738737 40418 40418 5922832 10363181 362634 390697 27785663 6046006 20660747 21739657 1500000 0 2586381 1768525 34542076 38041215 3454645 3290057 37500 37500 14157763 16089538 575449 680326 18225357 20097421 X 16316719 17943794 16316719 17943794 34542076 38041215 X 1756097 -129022 X 0 1 1 X 1 1 X 6956832 8630440 8630440 10869958 8998809 44086479 6956832 8630440 8630440 10869958 8998809 44086479 44086479 30359 19857 19857 10930 9186 90189 44176668 214097677 0.99800 0.99780 X 0 0 0 0 0 1 125000 0 0 0 125000 0 Explanation of Lobbying Activities: Part II-B, Line 1: Lobbying activities are a contractural agreement with a registered lobbyist to educate and inform government officials and their respective staffs of Manatee County Rural Health Services, Inc.'s mission. The lobbying efforts assist Manatee County Rural Health Services in its ability to provide primary and ancillary health care services, including its emergency room diversion programs, in Manatee, Sarasota and DeSoto counties. 5317316 5317316 17135927 4611105 12524822 933653 251237 682416 4398767 1183664 3215103 21739657 457(b) Salary Deferrals 680326 680326 60543149 58787052 1756097 -115076 -13946 -129022 1627075 60855027 311878 311878 60543149 0 60543149 59112876 311878 13946 325824 58787052 0 58787052 Part XI, Line 8 - Other Adjustments: Capitalized Start up Costs -13,946. X X X X X X 0 0 0 0 0 0 0 0 0 Walter Lewis Presha 358739 0 150000 0 60841 0 7817 0 0 0 577397 0 502032 0 Robert W Brochu DO 411019 0 0 0 27441 0 7817 0 0 0 446277 0 438309 0 Dr George J Van Buren MD 300000 0 35000 0 7967 0 7817 0 0 0 350784 0 334217 0 Raymond A Fusco 171932 0 35000 0 9511 0 6275 0 0 0 222718 0 186207 0 Jeff Zimmerman CPA CFP 157828 0 26250 0 4238 0 5825 0 0 0 194141 0 178916 0 Ellen P Adams 154442 0 15530 0 1431 0 5215 0 0 0 176618 0 132880 0 Wardell D Jackson 142529 0 10000 0 1189 0 4652 0 0 0 158370 0 115459 0 Melvin B Price DPM 265074 0 30281 0 3804 0 7817 0 9052 0 316028 0 259601 0 Christopher E Mullinex 120661 0 10000 0 1064 0 4008 0 0 0 135733 0 105532 0 Brian P Martin PH 115962 0 8000 0 1220 0 3739 0 600 0 129521 0 116677 0 Floyd A Hill 91782 0 5000 0 777 0 2986 0 0 0 100545 0 77865 0 Jeffery B McNeal 126060 0 10000 0 927 0 0 0 3799 0 140786 0 21846 0 Alphonso Smith 82309 0 3500 0 730 0 2675 0 600 0 89814 0 73332 0 Xavier D Sevilla MD 237052 0 6165 0 3161 0 7713 0 0 0 254091 0 217849 0 Sharon L Wall 119615 0 10000 0 891 0 2088 0 0 0 132594 0 87722 0 George Childs MD 398499 0 25000 0 3955 0 7817 0 0 0 435271 0 357872 0 Abdullah Haider MD 400758 0 18000 0 5255 0 7817 0 0 0 431830 0 418226 0 Wilfredo Rivera-Ortiz MD 236256 0 18839 0 13780 0 7817 0 9052 0 285744 0 272366 0 Elias Caltenco MD 210000 0 18839 0 17472 0 7817 0 0 0 254128 0 0 0 Pedro Briceno MD 249997 0 10890 0 3830 0 7817 0 0 0 272534 0 0 0 Mark Lazarus Former Board Member 120111 Mark Lazarus was a board member of Manatee County Rural Health Services through December, 2011, and the owner of R&L Healthcare Advisors, LLC. R&L Healthcare Advisors, LLC, an expert in the field of health care consulting, provided consulting services to Manatee County Rural Health Services to develop organizational structure and implement strategies to enhance and expand the ancillary medical services offered by Manatee County Health Care Services for its patients that otherwise would not have access to these vital and necessary services. The services of R&L Healthcare Advisors, LLC were provided to Manatee County Rural Health Services at rates lower than those charged to other clients of R&L Healthcare Advisors, LLC. 0 X 1 60000 Market Rate X 1 251878 Cost 0 0 0 Form 990, Part VI, Section B, line 11 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 Vice President of Finance & Chief Finance Officer 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. Form 990, Part VI, Section B, line 12c 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. Form 990, Part VI, Section B, line 15 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. Form 990, Part VI, Section C, line 18 Manatee County Rural Health Services, Inc. will make it's tax return available to the public upon written request. Form 990, Part VI, Section C, line 19 Manatee County Rural Health Services, Inc. makes its conflict of interest policy available to the public upon written request. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Prior period adjustments: -115,076. Capitalized Start up Costs -13,946. Total to Form 990, Part XI, Line 5: -129,022. Allcare Options LLC 12271 US Highway 301 N Parrish FL 34219 453999046 Allcare Options, LLC is an affordable care organization. FL 0 13946 Manatee County Rural Health Services Inc