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        <NamePerson>George J Childs</NamePerson>
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    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Dr John Lewis</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Former Board Member</Relationship>
        <AmountOfTransaction>94229</AmountOfTransaction>
        <DescriptionOfTransaction>John Lewis, owner of John B. Lewis, O.D., P.A., was a board member of Manatee County Rural Health Services through October, 2010. The P.A. was compensated on a per visit basis for providing all of the optometry services offered by Manatee County Rural Health Services, Inc. through March 4, 2011 when the contract was terminated. John B. Lewis, O.D.,P.A., through its licensed and credentialed optometrists, provided services to 1,758 patients of Manatee County Rural Health Services, Inc. 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>Wardell Jackson</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Officer</Relationship>
        <AmountOfTransaction>6500</AmountOfTransaction>
        <DescriptionOfTransaction>Wardell Jackson is an officer of Manatee County Rural Health Services, Inc. and the owner of Lawn Authority of Manatee, Inc. Lawn Authority of Manatee, Inc. provided landscaping, lawn mowing and tree trimming services for nine (9) locations of Manatee County Rural Health Services, Inc. through December 31, 2010, when the contract terminated.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Chris Mullinex</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Officer</Relationship>
        <AmountOfTransaction>18624</AmountOfTransaction>
        <DescriptionOfTransaction>Chris Mullinex is an officer of Manatee County Rural Health Services, Inc. and the owner of A to Z Complete Property Management, Inc. A to Z Complete Property Management, Inc. provided janitorial, cleaning,maintenance and floor waxing services for Manatee County Rural Health Services at nineteen (19) different locations in Manatee, Sarasota and DeSoto Counties through December 31, 2010, when the contract terminated.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Mark Lazarus</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Former Board Member</Relationship>
        <AmountOfTransaction>85000</AmountOfTransaction>
        <DescriptionOfTransaction>Mark Lazarus was a board member of Manatee County Rural Health Services through November, 2011, 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, LLC were provided to Manatee County Rural Health Services at rates lower than those charged to other clients of R&amp;L Healthcare Advisors, LLC.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Trina-Presha-Rosier</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Daughter of Officer</Relationship>
        <AmountOfTransaction>5508</AmountOfTransaction>
        <DescriptionOfTransaction>Officer of Manatee County Rural Health Services is father of the owner of The Pinnacle Group of West Coast Florida, Inc. The Pinnacle Group of West Coast Florida, Inc. provided repairs costing $5,508 to one of Manatee County Rural Health Services, Inc.'s facilities in this tax reporting year ended November 30, 2011. This was the last and final contract and it was completed on December 9, 2010.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Logan Wells</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Son of officer</Relationship>
        <AmountOfTransaction>21184</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 the Marketing departments of Manatee County Rural Health Services, Inc. The Marketing department was not the responsibility of or under the control of Charlie Wells. Logan Wells employment ended June 10, 2011. During this period of employment, Logan Wells earned $21,184 of wages.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <RealEstateCommercial>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>60000</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Market Rate</MethodOfDeterminingRevenues>
      </RealEstateCommercial>
      <DrugsAndMedicalSupplies>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>380263</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Cost</MethodOfDeterminingRevenues>
      </DrugsAndMedicalSupplies>
      <AnyPropertyThatMustBeHeld>0</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>0</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>0</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 4</Identifier>
        <Explanation>The by-laws were changed to reflect a change in the corporations's principal location, allow for emeritus board members(non-voting), revised the conflict of interest provisions and added a finance committee.</Explanation>
      </GeneralExplanation>
      <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 then is presented to the entire Board of Directors for approval.</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 governing documents, conflict of interest policy, and financial statements available to the public upon written request.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>