CHIEF EXECUTIVE OFFICER

2012-06-04T13:47:19-07:00 2012-01-31 TERRY HORNE CPA & ASSOCIATES 732 WEST MAIN STREET LEBANON TN 37087 990 2011-02-01 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 2012-04-26 true TERRY HORNE 6154447293 2012-06-04 2011 2016-02-24 21:20:13Z GEROLDEAN DYSE 5488 US HWY 49 HATTIESBURG MS 39403 16317986 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. 10 10 261 0 0 7178218 7099390 8862196 9178833 35825 39763 20020 0 16096259 16317986 0 0 9609210 10401456 0 0 5229023 4840042 14838233 15241498 1258026 1076488 9876320 10811167 4512531 4370890 5363789 6440277 THE ORGANIZATION PROVIDES HEALTH CARE false false 12732674 9178833 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 91,100 VISITS WERE PROVIDED DURING THE YEAR. 12732674 true false 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 false false false false false false false false false true 28 0 true 261 true false false false false false false false false false false false false false X 10 10 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 GEROLDEAN DYSE CHIEF EXECUTIVE OFFICER 40.00 X 101875 0 68938 BRANDON COLEMAN MEDICAL DIRECTOR 40.00 X 230948 0 69915 POLLY EUBANKS CHIEF FINANCIAL OFFICER 40.00 X 65350 0 55135 NATHANIEL SONES CHIEF INFORMATION OFFICER 40.00 X 59943 0 26623 JANICE ROBINSON CHIEF HUMAN RESOURCE OFFICER 40 X 57835 28654 KEITH KERSTEN PHYSICIAN 40 X 175555 72143 JAMES GRIFFIN PHYSICIAN 40 X 160973 65103 QUENYATTA ECHOLS-WILLIAMS PHYSICIAN 40 X 148119 69438 HOSSEIN BEHNIAYE PHYSICIAN 40 X 154385 12108 HASSAN BEHNIAY PHYSICIAN 40 X 130049 10264 1285032 478321 7 false true false LABCORP OF AMERICA 231 MAPLE AVENUE BURLINGTON NC 27215 LAB SERVICES 328857 ALLSCRIPTS 24630 NETWORK PLACE CHICAGO IL 606731246 COMPUTER SERVICES 327250 MORGAN BUILDING SYSTEMS PO BOX 660280 DALLAS TX 752660280 CONTRACTUAL CONSTRUCTION SERVICES 254086 PIERCON 23 LIBERTY PLACE HATTIESBURG MS 39402 CONTRACTUAL CONSTRUCTION SERVICES 219905 CDW-G COMPUTER CENTERS INC 75 REMITTANCE DR SUITE 1515 CHICAGO IL 606751515 SOFTWARE SUPPORT 122061 5 6066245 1033145 7099390 PATIENT FEES 624100 9178833 9178833 39763 39763 16317986 9178833 39763 398173 230948 167225 0 7800479 7024960 775519 0 804596 716090 88506 0 895016 785551 109465 0 503192 447841 55351 0 3166 0 3166 0 33633 0 33633 0 1233817 827626 406191 0 1897855 1390436 507419 0 727157 642415 84742 0 233667 95229 138438 0 677260 541812 135448 0 33487 29766 3721 0 15241498 12732674 2508824 0 834141 1736222 734138 921355 363783 427617 113205 78262 10883009 4327029 6778105 6555980 1052948 1091731 9876320 10811167 859887 1179917 3652644 3190973 4512531 4370890 X 5208060 6258252 155729 182025 5363789 6440277 9876320 10811167 1076488 X X false true true X true true X 5273719 5611133 6324528 7178218 7099390 31486988 5273719 5611133 6324528 7178218 7099390 31486988 31486988 46294 44779 45373 55845 39763 232054 31719042 41889418 0.99270 0.99240 X 0 0 0 260525 260525 8778303 2925709 5852594 1844181 1401320 442861 6555980 INVESTMENT 1084003 DEPOSITS 7728 1091731 16317986 15241498 1076488 1076488 16317986 16317986 16317986 15241498 15241498 15241498 X X false false false false false false false false false GEROLDEAN DYSE 101875 57012 11925 170812 149282 BRANDON COLEMAN 230948 64034 5881 300863 316167 KEITH KERSTEN 175555 62906 9237 247698 237984 JAMES GRIFFIN 160973 59804 5298 226075 135263 QUENYATTA ECHOLS-WILLIAMS 148119 60818 8620 217557 208614 HOSSEIN BEHNIAYE 154385 492 11615 166492 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 15 SALARY SURVEYS SUCH AS NACHC's ANNUAL SALARY SURVEY, HORNE LLP SALARY SURVEY AND OTHER FQHC's HAVE BEEN CONTACTED FOR COMPARABLE SALARY INFORMATION. Pt VI, Line 11a 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.