2012-08-02T08:24:09-05:00 2012-01-31 640736635 FRANKS FRANKS & JARRELL PA PO BOX 731 TUPELO MS 38802 990 2011-02-01 640612902 ACCESS FAMILY HEALTH SERVICES INC ACCE 6626514637 PO BOX 179 SMITHVILLE MS 38870 MARILYN SUMERFORD 6626514685 2012-06-27 1 BRYON WILEMON P00479223 6628445226 2012-05-29 2011 2016-02-24 21:20:13Z MARILYN SUMERFORD PO BOX 179 SMITHVILLE MS 38870 5835427 0 X WWW.ACCESSFAMILYHEALTH.COM X 1980 MS TO PROVIDE AFFORDABLE, COMPREHENSIVE HEALTH CARE AND EDUCATION TO COMMUNITIES IN NORTH MISSISSIPPI 11 11 61 0 0 0 1874031 1359456 3145503 3692673 4495 484446 0 75000 5024029 5611575 0 0 0 0 3393611 3389587 0 0 0 1263694 1414896 4657305 4804483 366724 807092 2674310 3470799 481579 470977 2192731 2999822 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 3983221 1359456 3692673 PROVIDES RURAL HEALTH CARE SERVICES (DOCTORS, NURSES, PHARMACY FOR SMALL COMMUNITIES IN MISSISSIPPI IN EXCESS OF 3,000 PATIENTS AND 14,000 ENCOUNTERS PER YEAR) 3983221 1 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 0 1 37 0 61 1 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X CONNIE CAFFY 6626514637 63420 HWY 25 NORTH SMITHVILLE MS 38870 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 DON HUMPHRIES 1.00 X 0 0 0 RUBY HOLLIN 1.00 X 0 0 0 JERRY HALL 1.00 X 0 0 0 FLORENE HUMPHRIES 1.00 X 0 0 0 MARILYN SUMERFORD 40.00 X 76480 0 18853 CONNIE CAFFEY 40.00 X 39525 0 4784 PATSY LYLE 40.00 X 51582 0 7852 DANA RAMEY 40.00 X 17376 0 1188 REBECCA CAGLE 40.00 X 86039 0 9920 STEPHEN HATHCOCK 40.00 X 167091 0 24498 JAMES MONROE 40.00 X 180439 0 21692 VIVIAN DRAPER 40.00 X 107306 0 11196 KEVIN KOEHLER 40.00 X 171708 0 24728 BRIAN FRILLOUX 40.00 X 140183 0 28 1037729 0 124739 5 0 1 0 IMAGING CENTER AT GLOSTER CREEK VILLAGE 499 GLOSTER CREEK VLG STE G1 TUPELO MS 38801 MEDICAL SERVICES 105407 1 1324356 35100 1359456 PATIENT SERVICES 621110 3692673 3692673 3692673 2687 2687 705611 223852 481759 481759 481759 INSURANCE PROCEEDS 900099 75000 75000 75000 5611575 4252119 0 0 1038539 767537 271002 1721739 1585826 135913 629309 520590 108719 140155 132450 7705 62774 30934 31840 7640 7640 64018 64018 13672 9189 4483 CONTRACTUAL SERVICES 484054 403656 80398 SUPPLIES 211623 175403 36220 MISCELLANEOUS 102448 21395 81053 PHARMACEUTICALS 86722 86722 241790 177861 63929 4804483 3983221 821262 0 111320 184387 542264 1409365 31104 14027 594277 698391 109 109 7191 35040 1830449 700969 1388045 1129480 2674310 3470799 339606 351902 141973 119075 481579 470977 X 1628800 2522338 563931 477484 2192731 2999822 2674310 3470799 807092 0 X 0 1 0 X 1 1 X 151784 151784 937337 391409 545928 103935 43400 60535 637393 266160 371233 1129480 5611575 4804483 807092 807092 5611574 0 5611574 0 5611574 4804483 0 4804483 0 4804483 X 0 0 0 0 0 0 0 0 0 STEPHEN HATHCOCK 167091 0 0 0 0 0 10280 0 14218 0 191589 0 0 0 JAMES MONROE 180439 0 0 0 0 0 10799 0 10893 0 202131 0 0 0 KEVIN KOEHLER 171708 0 0 0 0 0 10435 0 14293 0 196436 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.