2016-06-14T09:01:59-07:00 2016-01-31 Terry Horne CPA & Associates PC 732 West Main Street Lebanon TN 37087 990 2015-02-01 640625076 SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE INC SOUT 6015458700 5488 US HWY 49/PO BOX 1729 HATTIESBURG MS 394031729 GEROLDEAN DYSE CHIEF EXECUTIVE OFFICER 6015458700 2016-06-10 true TERRY HORNE CPA 6154447293 2016-06-14 2015 2016-09-27 15:27:22Z GEROLDEAN DYSE 5488 US HWY 49 HATTIESBURG MS 39403 19898749 false X N/A X 1979 MS THE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. 13 13 267 0 0 7286426 7308639 11447406 12607622 56923 -17512 0 18790755 19898749 0 0 12085414 12370526 0 0 6603687 7073678 18689101 19444204 101654 454545 14002452 14378879 5817814 5500682 8184638 8878197 THE ORGANIZATION PROVIDES HEALTH CARE false false 15684786 12607622 THE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. OVER 90,400 VISITS WERE PROVIDED DURING THE YEAR. 15684786 true true false false false false false false false false true false false true false false true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 30 0 true 267 true false false false false false false false false false false false false false X 13 13 false false false false false false false true true false false false true true true true true true true false MS X POLLY EUBANKS 6015458700 5488 US HWY 49 HATTIESBURG MS 39403 DERRICK AUTMON BOARD MEMBER 1.00 X 0 0 0 BILL FOLKES PRESIDENT 1.00 X 0 0 0 KAREN SPEED BOARD MEMBER 1.00 X 0 0 0 JOYCE WOULLARD TREASURER 1.00 X 0 0 0 GINGER BURKS VICE PRESIDENT 1.00 X 0 0 0 NANNI T FREEMAN BOARD MEMBER 1.00 X 0 0 0 SHARENE CONERLY BOARD MEMBER 1.00 X 0 0 0 TAMMY BOLTON BOARD MEMBER 1.00 X 0 0 0 HULDAH INGRAM SECRETARY 1.00 X 0 0 0 FRANKIE THOMAS BOARD MEMBER 1.00 X 0 0 0 KATHRYN GARNER BOARD MEMBER 1.00 X 0 0 0 KERMIT RAYBORN BOARD MEMBER 1.00 X 0 0 0 STEVEN G MILLER BOARD MEMBER 1.00 X 0 0 0 GEROLDEAN DYSE CHIEF EXECUTIVE OFFICER 40.00 X 115040 0 25064 JAMES GRIFFIN MEDICAL DIRECTOR 40 X X 205560 21462 POLLY EUBANKS CHIEF FINANCIAL OFFICER 40 X 77555 17638 NATHANIEL SONES CHIEF INFORMATION OFFICER 40 X 68818 14322 JANICE ROBINSON CHIEF HUMAN RESOURCE OFFICER 40 X 72357 13237 GEORGE APPLEWHITE PHYSICIAN 40 X 195872 19012 KEITH KERSTEN DO 40 X 224841 25346 QUENYATTA ECHOLS-WILLIAMS PHYSICIAN 40 X 186766 24124 GINGER PACE-HERNDON PHYSICIAN 40 X 194796 13083 HOSSEIN BEHNIAYE PHYSICIAN 40 X 179309 29413 1520914 202701 7 false true false LABCORP OF AMERICA 231 MAPLE AVENUE BURLINGTON NC 27215 LAB SERVICES 441838 ALLSCRIPTS 24630 NETWORK PLACE CHICAGO IL 606731246 COMPUTER SERVICES 334528 FORREST GENERAL HOSPITAL PO BOX 16389 HATTIESBURG MS 39404 CONTRACT PHYSICIAN 154440 HANCO CORP PO BOX 17678 HATTIESBURG MS 394047678 CONSTRUCTION 100976 4 6932667 375972 7308639 PATIENT FEES 621111 12607622 12607622 -17512 -17512 19898749 12607622 -17512 539330 205560 333770 0 9596092 8638515 957577 0 893358 777221 116137 0 608430 535125 73305 0 733316 637985 95331 0 6034 0 6034 0 56475 0 56475 0 2011853 1107261 904592 0 3142847 2389091 753756 0 1445643 1156514 289129 0 206870 76766 130104 0 147920 118336 29584 0 56036 42412 13624 0 19444204 15684786 3759418 0 1789602 2591216 3038 120460 1375547 1353646 430680 412800 88254 47243 14051094 6709238 7889888 7341856 2425443 2511658 14002452 14378879 1670728 1563781 4147086 3936901 5817814 5500682 X 7935325 8380682 249313 497515 8184638 8878197 14002452 14378879 454545 X X false true X true true true X 7099390 7780469 7983319 7286426 7308639 37458243 7099390 7780469 7983319 7286426 7308639 37458243 37458243 39763 31179 18030 18356 -17512 89816 37548059 52737253 0.99760 0.99560 X 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 360525 360525 11552455 4887151 6665304 2138114 1822087 316027 7341856 INVESTMENT 1164218 DEPOSITS 5381 DEFERRED COMPENSATION 1342059 2511658 19933661 34912 34912 19898749 19898749 19444204 19444204 19444204 X X false false false false false false false false false JAMES GRIFFIN 205560 15002 6460 227022 GEORGE APPLEWHITE 195872 7779 11233 214884 KEITH KERSTEN 224841 14923 10423 250187 QUENYATTA ECHOLS-WILLIAMS 186766 13631 10493 210890 GINGER PACE-HERNDON 194796 620 12463 207879 HOSSEIN BEHNIAYE 179309 14457 14957 208723 X 1647 82370 FAIR MARKET VALUE false true false Pt VI, Line 12c CONFLICT OF INTEREST IS MONITORED THROUGH VARIOUS COMPANIES SUCH AS: ACCOUNTING POLICIES, EMPLOYMENT POLICIES AND COMPLIANCE POLICIES. WE CONSTANTLY MONITOR TO IDENTIFY CONFLICTS OF INTEREST AND ADDRESS THOSE ISSUES AS THEY RISE. Pt VI, Line 15a SALARY SURVEYS SUCH AS NACHC's ANNUAL SALARY SURVEY, HORNE LLP SALARY SURVEY Pt VI, Line 15b AND OTHER FQHC's HAVE BEEN CONTACTED FOR COMPARABLE SALARY INFORMATION. Pt VI, Line 11b EACH BOARD MEMBER IS PROVIDED A COPY OF THE FINAL AUDIT REPORT AND THE REPORT IS DISCUSSED DURING THE BOARD MEETING. THE CEO AND CFO PROVIDE THE INFORMATION FOR THE 990 TO BE COMPLETED AND REVIEW THE 990. Pt VI, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST. Pt XII, Line 2c THE CEO AND CFO OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT.