2015-09-15T17:35:39-05:00 2015-01-31 640736635 FRANKS FRANKS JARRELL & WILEMON PA PO BOX 731 TUPELO MS 38802 990 2014-02-01 640612902 ACCESS FAMILY HEALTH SERVICES INC ACCE 6626514686 PO BOX 179 SMITHVILLE MS 38870 MARILYN SUMERFORD EXECUTIVE DIRECTOR 6626514686 2015-09-15 1 BRYON WILEMON P00479223 6628445226 2015-09-14 2014 2016-02-25 16:41:14Z MARILYN SUMERFORD PO BOX 179 SMITHVILLE MS 38870 6874807 0 X WWW.ACCESSFAMILYHEALTH.COM X 1980 MS TO PROVIDE AFFORDABLE, COMPREHENSIVE HEALTH CARE AND EDUCATION TO COMMUNITIES IN NORTH MISSISSIPPI 12 12 67 0 0 0 2430153 2533488 3888967 4256025 4475 4724 0 0 6323595 6794237 0 0 0 0 3631992 4098764 0 0 0 1429619 1733936 5061611 5832700 1261984 961537 5139907 6156504 404532 459592 4735375 5696912 THE MISSION OF ACCESS FAMILY HEALTH SERVICES, INC. IS TO PROVIDE AFFORDABLE, COMPREHENSIVE HEALTH CARE AND EDUCATION TO OUR COMMUNITIES WITH SUPERIOR SERVICES. 0 0 4886098 4260749 PROVIDES RURAL HEALTH CARE SERVICES (DOCTORS, NURSES, PHARMACY FOR SMALL COMMUNITIES IN MISSISSIPPI IN EXCESS OF 9,000 PATIENTS AND 28,000 ENCOUNTERS PER YEAR) 4886098 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 38 0 1 67 1 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X DANA RAMEY 6626514686 PO BOX 179 SMITHVILLE MS 38870 NORMA DERRING MEMBER 1.00 X 0 0 0 WILLIAM SHACK MEMBER 1.00 X 0 0 0 DON WHITEHEAD SECRETARY 1.00 X 0 0 0 BRAD STEVENS TREASURER 1.00 X 0 0 0 MARLON SUMMERFORD MEMBER 1.00 X 0 0 0 ROBERT WHITEHEAD MEMBER 1.00 X 0 0 0 ANN SEALES MEMBER 1.00 X 0 0 0 DARRELL HARP JR MEMBER 1.00 X 0 0 0 RUBY HOLLIN EXEC COMMITTEE CHAIRMAN 1.00 X 0 0 0 JERRY HALL MEMBER 1.00 X 0 0 0 LASHUNDA BUGGS MEMBER 1.00 X 0 0 0 INITA MCMULLAN EXEC COMMITTEE VICE CHAIR 1.00 X 0 0 0 MARILYN SUMERFORD EXECUTIVE DIRECTOR 40.00 X 103324 0 23272 PATSY LYLE NURSING DIRECTOR 40.00 X 0 0 0 DANA RAMEY FINANCIAL DIRECTOR 40.00 X 0 0 11463 REBECCA CAGLE DIRECTOR OF CLINICAL QUALI 40.00 X 0 0 0 JAMES MONROE PHYSICIAN 40.00 X 182551 0 25531 KEVIN KOEHLER PHYSICIAN 40.00 X 214997 0 30244 BRIAN FRILOUX PHYSICIAN 40.00 X 202730 0 22311 VIVIAN DRAPER PHYSICIAN 40.00 X 100705 0 13154 RACHEL RISH PHYSICIAN 40.00 X 101236 0 0 905543 0 125975 6 0 1 0 IMAGING CENTER AT GLOSTER CREEK VILLAGE PO BOX 1937 NEW ALBANY MS 38652 MEDICAL SERVICES 113484 1 2533488 2533488 PATIENT SERVICES 621110 4250207 4250207 5818 5818 4256025 3136 3136 82158 80570 1588 1588 1588 6794237 4260749 0 0 3338349 2840910 497439 760415 624497 135918 204104 191958 12146 47821 25365 22456 2675 2675 159520 149445 10075 19884 15543 4341 CONTRACTUAL SERVICES 493398 391650 101748 SUPPLIES 229010 194127 34883 PHARMACEUTICALS 146709 146709 TELEPHONE 121982 106427 15555 308833 196792 112041 5832700 4886098 946602 0 862424 725199 744524 652268 20356 712510 650942 181207 91000 73000 13454 14280 4665930 867890 2757207 3798040 5139907 6156504 341736 427337 62796 32255 404532 459592 X 4291852 5372181 443523 324731 4735375 5696912 5139907 6156504 961537 0 X 0 1 X 0 1 1 X 175084 175084 3386556 256055 3130501 228516 85971 142545 875774 525864 349910 3798040 6794237 0 6794237 0 6794237 5832700 0 5832700 0 5832700 X 0 0 0 0 0 0 0 0 0 JAMES MONROE PHYSICIAN 182551 0 0 0 0 0 12347 0 13184 0 208082 0 0 0 KEVIN KOEHLER PHYSICIAN 214997 0 0 0 0 0 12338 0 17906 0 245241 0 0 0 BRIAN FRILOUX PHYSICIAN 202730 0 0 0 0 0 12088 0 10223 0 225041 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO AUXILLARY COMMITTEES FORM 990, PART VI, SECTION B, LINE 11 COPIES OF THE 990 ARE MADE AVAILABLE TO THE BOARD FOR REVIEW AND DISCUSSION FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY AT THE ANNUAL MEETING IN JUNE. WHEN A CONFLICT OF INTEREST IS DISCLOSED, THE BOARD MEMBER MUST RESIGN IF IT IS IN CONFLICT WITH THE BOARD'S BYLAWS. THE ORGANIZATION ALSO HAS A COMPLIANCE OFFICER THAT MONITORS COMPLIANCE WITH THE VARIOUS PROGRAMS. FORM 990, PART VI, SECTION C, LINE 19 THE PUBLIC DOCUMENTS OF THE ORGANIZATION ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.