2014-07-28T07:51:27-07:00 2014-01-31 Terry Horne CPA & Associates PC 732 West Main Street Lebanon TN 37087 990 2013-02-01 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 2014-07-24 true TERRY HORNE 6154447293 2014-07-28 2013 2015-11-30 17:44:51Z GEROLDEAN DYSE 5488 US HWY 49 HATTIESBURG MS 39403 18086771 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 11 264 0 0 7780469 7983319 9447201 10056191 31179 15963 0 17258849 18055473 0 0 11085716 12404010 0 0 5361432 5799028 16447148 18203038 811701 -147565 11255394 12329990 4003416 4247006 7251978 8082984 THE ORGANIZATION PROVIDES HEALTH CARE false false 14524283 10056191 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 89,855 VISITS WERE PROVIDED DURING THE YEAR. 14524283 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 23 0 true 264 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 DESSIE WILLIAMS BOARD MEMBER 1.00 X 0 0 0 SHARENE CONERLY SECRETARY 1.00 X 0 0 0 HULDAH INGRAM BOARD MEMBER 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 165881 0 80537 JAMES GRIFFIN MEDICAL DIRECTOR 40.00 X 212201 0 48582 POLLY EUBANKS CHIEF FINANCIAL OFFICER 40.00 X 81824 0 45274 NATHANIEL SONES CHIEF INFORMATION OFFICER 40 X 75507 41939 JANICE ROBINSON CHIEF HUMAN RESOURCE OFFICER 40 X 96168 55623 HOPE THOMLEY FORMER CEO 40 X 114649 KEITH KERSTEN DO 40 X 208442 67269 QUENYATTA ECHOLS-WILLIAMS PHYSICIAN 40 X 182917 64482 STEPHEN WASCOMB DO 40 X 181158 58451 HOSSEIN BEHNIAYE PHYSICIAN 40 X 173131 70169 HASSAN BEHNIAY PHYSICIAN 40 X 172771 70217 1664649 602543 8 true true false LABCORP OF AMERICA 231 MAPLE AVENUE BURLINGTON NC 27215 LAB SERVICES 358975 ALLSCRIPTS 24630 NETWORK PLACE CHICAGO IL 606731246 COMPUTER SERVICES 300484 FORREST GENERAL HOSPITAL PO BOX 16389 HATTIESBURG MS 39404 CONTRACT PHYSICIAN 145154 REFLEC TECH 100 STREET A SUITE A PICAYUNE MS 39466 CONSTRUCTION 325859 HANCO CORP PO BOX 17678 HATTIESBURG MS 394047678 CONSTRUCTION 223588 5 6573736 1409583 645935 7983319 PATIENT FEES 621111 10056191 10056191 18030 18030 29231 31298 -2067 -2067 -2067 18055473 10056191 15963 746230 212201 534029 0 9070415 7981473 1088942 0 709854 589179 120675 0 1207871 1014694 193177 0 669640 555801 113839 0 4065 0 4065 0 58570 0 58570 0 1273890 761820 512070 0 2860162 2205496 654666 0 699983 660100 39883 0 260671 90794 169877 0 590176 443611 146565 0 51511 9114 42397 0 18203038 14524283 3678755 0 2764652 1961272 4993 3752 726103 1101827 478642 383191 75197 66894 12169317 5470392 6084717 6698925 1121090 2114129 11255394 12329990 1289510 1679592 2713906 2567414 4003416 4247006 X 7043656 7848366 208322 234618 7251978 8082984 11255394 12329990 -147565 978571 X X false true X true true true X 6324528 7178218 7099390 7780469 7983319 36365924 6324528 7178218 7099390 7780469 7983319 36365924 36365924 45373 55845 39763 31179 18030 190190 36556114 45906888 0.99480 0.99370 X 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 360525 360525 9796880 3833920 5962960 2011912 1636472 375440 6698925 INVESTMENT 1130062 DEPOSITS 5496 DEFERRED COMPENSATION 978571 2114129 18055473 18055473 18055473 18203038 18203038 18203038 X X false false false false false false false false false GEROLDEAN DYSE 165881 66203 14334 246418 JAMES GRIFFIN 212201 41891 6691 260783 JANICE ROBINSON 96168 47840 7783 151791 HOPE THOMLEY 114649 114649 KEITH KERSTEN 208442 11645 55624 275711 QUENYATTA ECHOLS-WILLIAMS 182917 10822 53659 247398 STEPHEN WASCOMB 181158 15422 43030 239610 HOSSEIN BEHNIAYE 173131 15364 54805 243300 HASSAN BEHNIAY 172771 15488 54728 242987 X 1 100000 false false false Pt VI, Line 12c CONFLICT OF INTEREST IS MONITORED THROUGH VARIOUS COMPANIES SUCH AS: Pt VI, Line 12c ACCOUNTING POLICIES, EMPLOYMENT POLICIES AND COMPLIANCE POLICIES. WE CONSTANTLY Pt VI, Line 12c MONITOR TO IDENTIFY CONFLICTS OF INTEREST AND ADDRESS THOSE Pt VI, Line 12c 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 Pt VI, Line 11b IS DISCUSSED DURING THE BOARD MEETING. THE CEO AND CFO PROVIDE THE Pt VI, Line 11b INFORMATION FOR THE 990 TO BE COMPLETED AND REVIEW THE 990. Pt VI, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST Pt VI, Line 19 POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST. Pt XII, Line 2c THE CEO AND CFO OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT.