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          <BusinessNameLine1>Dr Eric Mudafort</BusinessNameLine1>
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          <BusinessNameLine1>Dr George J Childs</BusinessNameLine1>
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          <BusinessNameLine1>Dr Abdullah Haider</BusinessNameLine1>
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          <BusinessNameLine1>Dr Tonantzin Matheus</BusinessNameLine1>
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          <BusinessNameLine1>Dr Joseph Walsh</BusinessNameLine1>
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          <BusinessNameLine1>Dr Elias Caltenco</BusinessNameLine1>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>John B Lewis OD PA</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Board Member of MCRHS is owner of John B. Lewis, O.D., P.A.</Relationship>
        <AmountOfTransaction>250502</AmountOfTransaction>
        <DescriptionOfTransaction>John Lewis is a board member of Manatee County Rural Health Services and the owner of John B. Lewis, O.D., P.A. John B. Lewis, O.D., P.A. was compensated on a per visit basis for providing all of the optometry services offered by Manatee County Rural Health Services. John B. Lewis, O.D., P.A., through its licensed and credentialed optometrists, provided 9,334 office visits to 5,187 patients of Manatee County Rural Health Services during the fiscal year. All licensed and credentialed optometrists were employed and compensated by John B. Lewis, O.D., P.A. directly.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Lawn Authority of Manatee Inc</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Officer of Manatee County Rural Health is owner of Lawn Authority</Relationship>
        <AmountOfTransaction>99050</AmountOfTransaction>
        <DescriptionOfTransaction>Wardell Jackson is an officer of Manatee County Rural Health Services and the owner of Lawn Authority of Manatee, Inc. Lawn Authority of Manatee, Inc. provided all of the landscaping services for nine (9) locations of Manatee Country Rural Health Services during the fiscal year, which included, but is not limited to, landscape maintenance, lawn mowing, and tree trimmings services. In addition, during the fiscal year Lawn Authority of Manatee, Inc. provided landscaping upgrades at several locations. Upon the Board's annual review, the Board elected not to renew this contract beyond the current term.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>A to Z Complete Property Management</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Officer of Manatee County Rural Health is owner of A to Z</Relationship>
        <AmountOfTransaction>253236</AmountOfTransaction>
        <DescriptionOfTransaction>Chris Mullinex is an officer of Manatee County Rural Health Services and the owner of A to Z Complete Property Management, Inc. A to Z Complete Property Management, Inc. provided janitorial services for Manatee County Rural Health Services at nineteen (19) different locations in Manatee, Sarasota and DeSoto Counties during the fiscal year, which included, but is not limited to, daily janitorial cleaning, maintenance, and floor waxing. In addition, A to Z Complete Property Management, Inc. provided secure and enclosed storage space for equipment to Manatee County Rural Health Services during the fiscal year. Upon the Board's annual review, the Board elected not to renew this contract beyond the current term.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>RL Healthcare Advisors LLC</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Board Member of Manatee County Rural Health is owner of R&amp;L Healthcare</Relationship>
        <AmountOfTransaction>74037</AmountOfTransaction>
        <DescriptionOfTransaction>Marc Lazarus is a board member of Manatee County Rural Health Services and the owner of R&amp;L Healthcare Advisors, LLC. R&amp;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&amp;L Healthcare Advisors were provided to Manatee County Rural Health Services at rates lower than those charged to other clients of R&amp;L Healthcare Advisors.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>The Pinnacle Group of West Coast Fl</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Officer of MCRHS is father of the owner of Pinnacle Group of West Coast Fl</Relationship>
        <AmountOfTransaction>1577970</AmountOfTransaction>
        <DescriptionOfTransaction>Walter Presha is an officer of Manatee County Rural Health Services. The owner of The Pinnacle Group of West Coast Florida, Inc. (PGWCF) is his daughter, Trina Presha-Rosier. The PGWCF provided construction, maintenance and repairs on Manatee County Rural Health Services' various facilities. $1,151,100 of these payments were for capital improvement and/or construction projects at 16 of Manatee County Rural Health Services' sites that increased patient access and expanded and enhanced the patient care space of its various medical and dental services. The remaining payments were for repairs and maintenance items that were required to maintain the MCRHS facilities in safe and efficient conditions. Payments made to The PGWCF include the aggregate cost of each project, including materials (at cost), subcontractor fees (at cost), plus a reasonable profit margin. Upon the Board's annual review, the Board elected not to renew this contract beyond the current term.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>More Power Properties and Investmen</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Board Member is majority owner of More Power Properties and Investments,LLC</Relationship>
        <AmountOfTransaction>13083</AmountOfTransaction>
        <DescriptionOfTransaction>J. Gary Lowe is a board member of Manatee County Rural Health Services and a majority owner of More Power Properties and Investments, LLC. More Power Properties and Investments, LLC provided a secure offsite storage building for Manatee County Rural Health Services for files and equipment retention at a below market rental rate. The lease was for 10 months of the fiscal year and was terminated in 2010. Upon the Board's annual review, the Board elected not to renew this contract beyond the current term.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Logan Wells</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Officer of Manatee County Rural Health is father of Logan Wells.</Relationship>
        <AmountOfTransaction>44977</AmountOfTransaction>
        <DescriptionOfTransaction>Charlie Wells, an officer of Manatee County Rural Heath Services, is the father of Logan Wells. Logan Wells served as an employee in several different departments of Manatee County Rural Health Services, none of which were the responsibility or under the control of Charlie Wells. Logan Wells earned $44,977 of wages during his employment this period.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <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 Vice President of Finance &amp; 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 is then presented to the entire Board of Directors for approval.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <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>
        <Identifier>Form 990, Part VI, Section C, line 18</Identifier>
        <Explanation>Manatee County Rural Health Services, Inc. will make it's tax return available to the public upon written request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>Manatee County Rural Health Services, Inc. makes its governing documents, conflict of interest policy, and financial statements available to the public upon written request.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>