2015-05-11T14:04:08-07:00 2015-01-31 Terry Horne CPA & Associates PC 732 West Main Street Lebanon TN 37087 990 2014-02-01 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 2015-05-11 true TERRY HORNE 6154447293 2015-05-11 2014 2016-03-07 17:11:31Z GEROLDEAN DYSE 5488 US HWY 49 HATTIESBURG MS 39403 18790755 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. 11 11 271 0 0 7983319 7286426 10056191 11447406 15963 56923 0 18055473 18790755 0 0 12404010 12085414 0 0 5799028 6603687 18203038 18689101 -147565 101654 12329990 14002452 4247006 5817814 8082984 8184638 THE ORGANIZATION PROVIDES HEALTH CARE false false 14930310 11447406 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 88,500 VISITS WERE PROVIDED DURING THE YEAR. 14930310 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 31 0 true 271 true false false false false false false false false false false false false false X 11 11 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 KERMIT RAYBORN 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 STEVEN G MILLER BOARD MEMBER 1.00 X 0 0 0 GEROLDEAN DYSE CHIEF EXECUTIVE OFFICER 40.00 X 118454 0 48563 JAMES GRIFFIN MEDICAL DIRECTOR 40.00 X 200601 0 43836 POLLY EUBANKS CHIEF FINANCIAL OFFICER 40.00 X 83330 0 41195 NATHANIEL SONES CHIEF INFORMATION OFFICER 40 X 75578 37669 JANICE ROBINSON CHIEF HUMAN RESOURCE OFFICER 40 X 77743 35912 GEORGE APPLEWHITE PHYSICIAN 40 X 178720 12297 KEITH KERSTEN DO 40 X 203282 48469 QUENYATTA ECHOLS-WILLIAMS PHYSICIAN 40 X 180159 44703 HASSAN BEHNIAY PHYSICIAN 40 X 174653 52401 HOSSEIN BEHNIAYE PHYSICIAN 40 X 175532 52477 1468052 417522 7 false true false LABCORP OF AMERICA 231 MAPLE AVENUE BURLINGTON NC 27215 LAB SERVICES 315901 ALLSCRIPTS 24630 NETWORK PLACE CHICAGO IL 606731246 COMPUTER SERVICES 198758 FORREST GENERAL HOSPITAL PO BOX 16389 HATTIESBURG MS 39404 CONTRACT PHYSICIAN 135660 REFLEC TECH 100 STREET A SUITE A PICAYUNE MS 39466 CONSTRUCTION 188199 HANCO CORP PO BOX 17678 HATTIESBURG MS 394047678 CONSTRUCTION 1508544 5 6680119 606307 147819 7286426 PATIENT FEES 621111 11447406 11447406 18356 18356 38567 38567 38567 38567 18790755 11447406 56923 555706 200601 355105 0 9313792 8327160 986632 0 893358 768288 125070 0 630404 551127 79277 0 692154 595252 96902 0 10096 0 10096 0 113630 0 113630 0 1717529 931214 786315 0 2851868 2010587 841281 0 961441 855570 105871 0 296708 96409 200299 0 605291 551690 53601 0 47124 42412 4712 0 18689101 14930310 3758791 0 1961272 1789602 3752 3038 1101827 1375547 383191 430680 66894 88254 13932297 6042409 6698925 7889888 2114129 2425443 12329990 14002452 1679592 1670728 2567414 4147086 4247006 5817814 X 7848366 7935325 234618 249313 8082984 8184638 12329990 14002452 101654 X X false true X true true true X 7178218 7099390 7780469 7983319 7286426 37327822 7178218 7099390 7780469 7983319 7286426 37327822 37327822 55845 39763 31179 18030 18356 163173 37490995 48991827 0.99560 0.99480 X 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 360525 360525 11486462 4310592 7175870 2085310 1731817 353493 7889888 INVESTMENT 1147013 DEPOSITS 5456 DEFERRED COMPENSATION 1272974 2425443 18790755 18790755 18790755 18689101 18689101 18689101 X false false false false false false false false false GEROLDEAN DYSE 118454 8623 39940 167017 JAMES GRIFFIN 200601 14310 29525 244436 GEORGE APPLEWHITE 178720 12297 191017 KEITH KERSTEN 203282 14400 34069 251751 QUENYATTA ECHOLS-WILLIAMS 180159 13540 31163 224862 HASSAN BEHNIAY 174653 13504 38896 227053 HOSSEIN BEHNIAYE 175532 13581 38896 228009 X 2956 147819 false false 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.