2013-06-14T09:01:40-05:00 2013-01-31 640736635 FRANKS FRANKS & JARRELL PA PO BOX 731 TUPELO MS 38802 990 2012-02-01 640612902 ACCESS FAMILY HEALTH SERVICES INC ACCE 6626514686 PO BOX 179 SMITHVILLE MS 38870 MARILYN SUMERFORD 6626514686 2013-06-14 1 BRYON WILEMON P00479223 6628445226 2013-06-13 2012 2016-02-24 21:20:13Z MARILYN SUMERFORD PO BOX 179 SMITHVILLE MS 38870 5338087 0 X WWW.ACCESSFAMILYHEALTH.COM X 1980 MS TO PROVIDE AFFORDABLE, COMPREHENSIVE HEALTH CARE AND EDUCATION TO COMMUNITIES IN NORTH MISSISSIPPI 12 12 62 0 0 0 1359456 1436654 3692673 3817806 484446 8562 75000 75000 5611575 5338022 0 0 0 0 3389587 3416391 0 0 0 1414896 1441466 4804483 4857857 807092 480165 3470799 3846031 470977 372640 2999822 3473391 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 4045892 3817806 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) 4045892 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 29 0 62 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 1.00 X 0 0 0 WILLIAM SHACK 1.00 X 0 0 0 INITA MCMULLAN 1.00 X 0 0 0 BRAD STEVENS 1.00 X 0 0 0 DON WHITEHEAD 1.00 X 0 0 0 MARLON SUMMERFORD 1.00 X 0 0 0 ROBERT WHITEHEAD 1.00 X 0 0 0 ANN SEALES 1.00 X 0 0 0 DARRELL HARP JR 1.00 X 0 0 0 RUBY HOLLIN 1.00 X 0 0 0 JERRY HALL 1.00 X 0 0 0 LASHUNDA BUGGS 1.00 X 0 0 0 MARILYN SUMERFORD 40.00 X 83977 0 20123 PATSY LYLE 40.00 X 62407 0 8661 DANA RAMEY 40.00 X 73726 0 4948 REBECCA CAGLE 40.00 X 97679 0 10776 STEPHEN HATHCOCK 40.00 X 114233 0 12141 JAMES MONROE 40.00 X 195085 0 23064 ANGELA FURR 40.00 X 104896 0 11210 KEVIN KOEHLER 40.00 X 204398 0 26721 BRIAN FRILLOUX 40.00 X 202406 0 12247 1138807 0 129891 5 0 1 0 ARCHITECTURE SOUTH 300 W JEFFERSON ST TUPELO MS 38804 ARCHITECTURE SERVICES 103436 IMAGING CENTER AT GLOSTER CREEK VILLAGE 499 GLOSTER CREEK VLG STE G1 TUPELO MS 38801 MEDICAL SERVICES 101316 2 1412654 24000 1436654 PATIENT SERVICES 621110 3817806 3817806 3817806 8627 8627 65 -65 -65 -65 INSURANCE PROCEEDS 900099 75000 75000 75000 5338022 3901368 0 0 362297 362297 2420385 2368385 52000 633709 524746 108963 140554 131680 8874 69436 26697 42739 5853 5853 58102 57859 243 13276 8715 4561 CONTRACTUAL SERVICES 580925 492348 88577 SUPPLIES 186107 157802 28305 TELEPHONE 80225 71817 8408 MISCELLANEOUS 57492 19921 37571 249496 180069 69427 4857857 4045892 811965 0 184387 205768 1409365 1773782 14027 18632 698391 471061 126000 109 35040 16938 1968722 734872 1129480 1233850 3470799 3846031 351902 280927 119075 91713 470977 372640 X 2522338 2597643 477484 875748 2999822 3473391 3470799 3846031 480165 -6596 0 X 0 1 X 0 1 1 X 171784 171784 937337 415084 522253 103935 46026 57909 618205 273762 344443 137461 137461 1233850 5331426 -6596 -6596 5338022 0 5338022 4857857 0 4857857 0 4857857 X 0 0 0 0 0 0 0 0 0 JAMES MONROE 195085 0 0 0 0 0 11675 0 11389 0 218149 0 0 0 KEVIN KOEHLER 204398 0 0 0 0 0 11605 0 15116 0 231119 0 0 0 BRIAN FRILLOUX 202406 0 0 0 0 0 11913 0 334 0 214653 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 INTERST 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.