2017-08-25T12:09:54-05:00 2016-12-31 271797701 Shinn & Company LLC 1001 3rd Avenue West Suite 500 Bradenton FL 34205 990 2016-01-01 591773262 Manatee County Rural Health Services Inc MANA 9417764000 700 8th Avenue West No 101 Palmetto FL 34221 Walter L Presha President and CEO 9417764000 2017-07-24 1 Byron E Shinn P00235828 9417470500 71.180.143.242 2017-07-24 13:36:21 ED P 1B069869937E3601ED22F32FEF489DF120290703 1B069869937E3601ED22F32FEF489DF120290703 2016 2021-01-29 14:40:06Z Walter L Presha 700 8th Avenue West No 101 Palmetto FL 34221 99025536 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. 9 9 835 0 -58960 -57073 773430 18409104 5609841 73619775 1954 1545 825316 6730157 7210541 98760581 0 0 0 0 4865096 48670259 0 0 0 3219348 48889834 8084444 97560093 -873903 1200488 50948282 47782318 29482859 31590134 21465423 16192184 To provide medical services to indigent and medically needy individuals in Manatee, DeSoto and Sarasota Counties, Florida. 0 0 74549471 Manatee County Rural Health Services, Inc., provided 111,978 patient visits to indigent and medically needy individuals in Manatee, DeSoto and Sarasota Counties, Florida, for the year ending December 31, 2016. 74549471 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 129 0 835 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X Mr Jeffrey McNeal 9417764000 700 8th Avenue West Suite 101 Palmetto FL 34221 Garry Lowe Chairman 1.00 X X 0 0 0 Dr Carlos Mendez Vice Chairman 1.00 X X 0 0 0 Livia Leyva Board Member 1.00 X 0 0 0 Juanine Lowery Board Member/Past Chairman 1.00 X 0 0 0 Dr Lynette Edwards Board Member 1.00 X 0 0 0 Esperanza Gamboa Board Member 1.00 X 0 0 0 Stephen Wicker Secretary/Treasurer 1.00 X X 0 0 0 Judge Thomas Gallen Board Member 1.00 X 0 0 0 Victor Young Board Member 1.00 X 0 0 0 Walter Lewis Presha President and CEO 1.00 X 794980 0 0 Jeffery B McNeal VP/Chief Financial Officer 40.00 X 350213 0 7028 Patrick Carnegie Executive VP 40.00 X 319222 0 0 George J Van Buren MD Senior VP Medical Affairs 40.00 X 388869 0 0 Timothy Hoffmeister Physician, OB/GYN 40.00 X 355848 0 6411 Wilfredo Rivera-Ortiz MD Chief of OB/GYN 40.00 X 416174 0 14510 Abdullah Haider Physician, Family Practice 40.00 X 399997 0 0 Carlos J Vazquez Physician, OB/GYN 40.00 X 393223 0 0 3418526 0 27949 93 0 1 0 Huntington Healthcare 43 Barkley Circle 201 Fort Myers FL 33907 Mental Health Provider 8252591 PsychCare Services PR LLC 86 Lakeside Villas AB-4 Vega Alta RQ 00692-8724 Mental Health Provider 5633660 Aetna Life Insurance Company PO Box 784836 Philadelphia PA 191784836 Insurance 4738859 McKesson PO Box 409521 Atlanta GA 303849521 Pharmacy Supplier 3304466 Barton Associates PO Box 417844 Boston MA 022417844 Locum Providers Staffing 1164207 11 18019629 389475 18409104 Patient Fees 621110 73619775 73619775 73619775 1545 1545 205995 264955 -58960 -58960 -58960 Miscellaneous 621110 4577928 4577928 Income from ACO 621110 2211189 2211189 6789117 98760581 80410437 -58960 0 X 4278446 3449935 828511 37397591 30193293 7204298 6994222 5611755 1382467 24845254 21602172 3243082 351923 24615 327308 384802 170477 214325 693793 693793 1559053 1559053 AllCare Support Service 4495721 4495721 Operating supplies 4087059 3168231 918828 Bad debt expense 3094513 3094513 Purchase for resale 2881984 2881984 0 6495732 2951288 3544444 97560093 74549471 23010622 0 1673940 982095 21558390 17987455 261782 285800 482457 492154 36719305 11964277 22777920 24755028 967634 1230458 3226159 2049328 50948282 47782318 5441745 7586879 23223862 23137680 817252 865575 29482859 31590134 X 21465423 16192184 21465423 16192184 50948282 47782318 X 1200488 -7025362 551635 X 0 1 X 1 1 1 X 9159863 9970682 10228933 690785 18618799 48669062 9159863 9970682 10228933 690785 18618799 48669062 48669062 4975 6670 5735 376 1545 19301 48688363 270448442 0.99960 0.99930 X 0 0 0 0 0 1 149000 0 0 0 149000 0 Part II-B, Line 1: Lobbying activities are a contractual 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. 5759386 5759386 22235752 5798906 16436846 933653 723983 209670 7790514 5441388 2349126 24755028 457(b) Salary Deferrals 865575 865575 99581671 4500 816590 821090 98760581 0 98760581 97829548 4500 264955 269455 97560093 0 97560093 Part XI, Line 2d - Other Adjustments: Tax to GAAP adjustment for AllCare Options, LLC 551,635. Rental expenses - Bank of America Building 264,955. Part XII, Line 2d - Other Adjustments: Rental expenses - Bank of America Building 264,955. X X X X X X 0 0 0 0 0 0 0 0 0 Walter Lewis Presha President and CEO 451684 0 280000 0 63296 0 0 0 0 0 794980 0 0 0 Jeffery B McNeal VP/Chief Financial Officer 202083 0 147716 0 414 0 0 0 7028 0 357241 0 0 0 Patrick Carnegie Executive VP 233923 0 85000 0 299 0 0 0 0 0 319222 0 0 0 George J Van Buren MD Senior VP Medical Affairs 344653 0 35000 0 9216 0 0 0 0 0 388869 0 0 0 Timothy Hoffmeister Physician, OB/GYN 338899 0 16603 0 346 0 0 0 6411 0 362259 0 0 0 Wilfredo Rivera-Ortiz MD Chief of OB/GYN 385787 0 16603 0 13784 0 0 0 14510 0 430684 0 0 0 Abdullah Haider Physician, Family Practice 383413 0 10000 0 6584 0 0 0 0 0 399997 0 0 0 Carlos J Vazquez Physician, OB/GYN 375052 0 16603 0 1568 0 0 0 0 0 393223 0 0 0 Form 990, Part VI, Section B, line 11b 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. 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. Form 990, Part IX, line 11g Other professional fees: Program service expenses 21,602,172. Management and general expenses 3,243,082. Fundraising expenses 0. Total expenses 24,845,254. Form 990, Part XI, line 9: Tax to GAAP adjustment for AllCare Options LLC audited statements 551,635. AllCare Health Networks LLC 700 8th Avenue West Ste 101 Palmetto FL 34221 465223837 AllCare Health Networks, LLC is commercial provider network. FL 0 0 Manatee County Rural Health Services Inc Newcare LLC 700 8th Avenue West Ste 101 Palmetto FL 34221 465228449 Newcare, LLC is a pharmacy home delivery service. FL 0 0 Manatee County Rural Health Services Inc Affinity Doc LLC 700 8th Avenue West Ste 101 Palmetto FL 34221 352551744 Affinity Doc LLC is a chronic care management entity. FL 0 0 Manatee County Rural Health Services Inc AllCare Options LLC Post Office Box 2023 Palmetto FL 34220 453999046 AllCare Options, LLC is an affordable care organization. FL Manatee County Rural Health Services Inc 2211189 336908 0 1 0.80000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0