INTERIM CHIEF EXECUTIVE OFFICER

2011-06-02T09:33:43-07:00 2011-01-31 TERRY HORNE CPA & ASSOCIATES 732 WEST MAIN STREET LEBANON TN 37087 990 2010-02-01 640625076 SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE INC SOUT 6015458700 5488 US HWY 49/PO BOX 1729 HATTIESBURG MS 394031729 GEROLDEAN DYSE INTERIM CHIEF EXECUTIVE OFFICER 6015458700 2011-04-26 TERRY HORNE 6154447293 2011-06-02 2010 2016-02-24 21:20:13Z GEROLDEAN DYSE 5488 US HWY 49 HATTIESBURG MS 39403 16096259 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 11 223 0 0 6324528 7178218 8362467 8862196 23133 35825 21840 20020 14731968 16096259 0 0 9126350 9609210 0 0 4918393 5229023 14044743 14838233 687225 1258026 9562047 9876320 5456284 4512531 4105763 5363789 THE ORGANIZATION PROVIDES HEALTH CARE false false 12061714 8862196 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 88,100 VISITS WERE PROVIDED DURING THE YEAR. 12061714 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 false false false false false false false false false true 40 0 true 223 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 false true true true true true false MS X POLLY EUBANKS 6015458700 5488 US HWY 49 HATTIESBURG MS 39403 KERMIT RAYBORN BOARD PRESIDENT 1.00 X 0 0 0 BILL FOLKES BOARD VICE PRESIDENT 1.00 X 0 0 0 KAREN SPEED SECRETARY 1.00 X 0 0 0 JOYCE WOULLARD TREASURER 1.00 X 0 0 0 GINGER BURKS BOARD MEMBER 1.00 X 0 0 0 NANNI T FREEMAN BOARD MEMBER 1.00 X 0 0 0 ERIC J BRADLEY BOARD MEMBER 1.00 X 0 0 0 DESSIE WILLIAMS BOARD MEMBER 1.00 X 0 0 0 SHARENE CONERLY BOARD MEMBER 1.00 X 0 0 0 HULDAH INGRAM BOARD MEMBER 1.00 X 0 0 0 FRANKINE THOMAS BOARD MEMBER 1.00 X 0 0 0 HOPE THOMLEY CHIEF EXECUTIVE OFFICER 40.00 X 123713 0 61451 BRANDON COLEMAN MEDICAL DIRECTOR 40.00 X 244475 0 71692 MICAH POOLE CHIEF FINANCIAL OFFICER 40.00 X 83511 0 60486 GEROLDEAN DYSE CHIEF OPERATIONAL OFFICER 40.00 X 83263 0 66019 GRADY SWANN CHIEF INFORMATION OFFICER 40.00 X 73007 0 57126 CHRIS WOOTEN CHIEF HUMAN RESOURCE OFFICER 40.00 X 69016 0 56137 KEITH KERSTEN PHYSICIAN 40 X 168534 69450 QUENYATTA ECHOLS-WILLIAMS PHYSICIAN 40 X 142151 66463 LAWRENCE NAYLOR DENTIST 40 X 121108 65917 MICHELLE LAI-VELEZ PHYSICIAN 40 X 121825 26239 JAMES GRIFFIN PHYSICIAN 40 X 129370 5893 1359973 606873 7 false true false LABCORP OF AMERICA 231 MAPLE AVENUE BURLINGTON NC 27215 LAB SERVICES 360829 ALLSCRIPTS 24630 NETWORK PLACE CHICAGO IL 606731246 COMPUTER SERVICES 284655 FORREST GENERAL HOSPITAL PO BOX 16389 HATTIESBURG MS 39404 X-RAY & OB SERVICES 261049 PIERCON 23 LIBERTY PLACE HATTIESBURG MS 39402 CONTRACTUAL CONSTRUCTION SERVICES 523073 CDW-G COMPUTER CENTERS INC 75 REMITTANCE DR SUITE 1515 CHICAGO IL 606751515 SOFTWARE SUPPORT 160823 5 6683247 494971 7178218 PATIENT FEES 624100 8862196 8862196 35825 35825 20020 20020 20020 20020 16096259 8862196 55845 676985 244475 432510 0 6831138 6289197 541941 0 821736 714910 106826 0 793110 694001 99109 0 486241 423030 63211 0 3818 0 3818 0 23750 0 23750 0 1413251 995211 418040 0 2074422 1360115 714307 0 830105 738548 91557 0 200955 80728 120227 0 647336 489652 157684 0 35386 31847 3539 0 14838233 12061714 2776519 0 825100 834141 547516 734138 366674 363783 204390 113205 10446081 3667976 6601190 6778105 1017177 1052948 9562047 9876320 1278983 859887 4177301 3652644 5456284 4512531 X 3976330 5208060 129433 155729 4105763 5363789 9562047 9876320 1258026 X X false true true X true true X 4313255 5273719 5611133 6324528 7178218 28700853 4313255 5273719 5611133 6324528 7178218 28700853 28700853 26940 46294 44779 45373 55845 219231 28920084 39036801 0.99240 0.99160 X 0 0 0 260525 260525 8410521 2526344 5884177 1775035 1141632 633403 6778105 DEPOSITS 6653 INVESTMENTS 1046295 1052948 16096259 14838233 1258026 1258026 16096259 16096259 16096259 14838233 14838233 14838233 X X false false false false false false false false false HOPE THOMLEY 123713 54868 6583 185164 207486 BRANDON COLEMAN 244475 64529 7163 316167 280190 KEITH KERSTEN 168534 58454 10996 237984 234889 QUENYATTA ECHOLS-WILLIAMS 142151 56343 10120 208614 200682 LAWRENCE NAYLOR 121108 54660 11258 187026 201586 Pt VI-B, 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-B, 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-B, 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-C, 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.