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      <Form990PartVIISectionAGrp>
        <PersonNm>Becky B Cacciatore</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Shannon L Stewartson</PersonNm>
        <TitleTxt>VP/Chief Operating Officer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Wilfredo Rivera-Ortiz</PersonNm>
        <TitleTxt>Chief of OB/GYN</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jessica Capote-Dishaw</PersonNm>
        <TitleTxt>Chief of Pediatrics</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Linda A Snyder</PersonNm>
        <TitleTxt>Director of Specialized Programs</TitleTxt>
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        <ReportableCompFromOrgAmt>128693</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>George Childs</PersonNm>
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        <PersonNm>Abdullah Haider</PersonNm>
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        <PersonNm>Avani Shan</PersonNm>
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        <FormAndLineReferenceDesc>Part II-B, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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        <Desc>Deposits</Desc>
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        <Desc>Loan Costs - net of amortization</Desc>
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        <Desc>457(b) Salary Deferrals</Desc>
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        <PersonNm>Jeffery B McNeal</PersonNm>
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        <BaseCompensationFilingOrgAmt>134441</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>40000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>117</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5659</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>180217</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>Manatee County Rural Health Services, Inc. will make it's tax return available to the public upon written request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Manatee County Rural Health Services, Inc. makes its conflict of interest policy available to the public upon written request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Other professional fees: Program service expenses 13,093,159. Management and general expenses 2,419,904. Fundraising expenses 0. Total expenses 15,513,063.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Allcare Options LLC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>Post Office Box 2023</AddressLine1>
          <City>Palmetto</City>
          <State>FL</State>
          <ZIPCode>34220</ZIPCode>
        </USAddress>
        <EIN>453999046</EIN>
        <PrimaryActivitiesTxt>Allcare Options, LLC is an affordable care organization.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>Manatee County Rural Health Services Inc</BusinessNameLine1>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>