2023-06-29T14:23:38-07:00 2023-01-31 621867889 Terry Horne CPA Inc 732 West Main Street Lebanon TN 37087 990 2022-02-01 640625076 SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE INC SOUT 6015458700 5488 US HWY 49/PO BOX 1729 HATTIESBURG MS 394031729 POLLY EUBANKS CHIEF FINANCIAL OFFICER 6015458700 2023-06-27 true POLLY EUBANKS XXX-XX-XXXX true TERRY HORNE CPA P00120946 6154447293 2023-06-29 3 AAL1 IAL1 FAL1 2022 2023-04-26 12:10:37Z POLLY EUBANKS 5488 US HWY 49 HATTIESBURG MS 39403 31559004 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. 13 13 334 0 0 0 12857690 11244960 19312988 20246698 5080 67346 0 32175758 31559004 0 0 17177603 17784493 0 10286 12925696 13988463 30103299 31772956 2072459 -213952 20381107 20468986 5837022 6121622 14544085 14347364 THE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. false false 26575320 0 20246698 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 101,700 VISITS WERE PROVIDED DURING THE YEAR. 26575320 true true false false false false false false false false true true false true true 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 false true 62 0 true 334 true false false false false false false false false false false false false false false false X 13 13 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 KAREN SPEED PRESIDENT 1.00 X 0 0 0 GINGER BURKS BOARD MEMBER 1.00 X 0 0 0 NANNI FREEMAN BOARD MEMBER 1.00 X 0 0 0 KERMIT RAYBORN BOARD MEMBER 1.00 X 0 0 0 JOYCE WOULLARD TREASURER 1.00 X 0 0 0 KATHRYN GARNER BOARD MEMBER 1.00 X 0 0 0 TAMMY BOLTON SECRETARY 1.00 X 0 0 0 FRANKIE THOMAS BOARD MEMBER 1.00 X 0 0 0 BILL FOLKES PRESIDENT 1.00 X 0 0 0 HULDAH INGRAM BOARD MEMBER 1.00 X 0 0 0 KAYE RAY BOARD MEMBER 1.00 X 0 0 0 DERRICK AUTMON VICE PRESIDENT 1.00 X 0 0 0 LARRY DAVIS BOARD MEMBER 1.00 X 0 0 0 KAYE RAY CHIEF EXECUTIVE OFFICER 40.00 X 116480 0 0 GEROLDEAN DYSE FORMER CHIEF EXECUTIVE OFFICER 40.00 X 125006 0 1373 POLLY EUBANKS CHIEF FINANCIAL OFFICER 40.00 X 155095 0 13606 JANICE ROBINSON CHIEF OPERATIONAL OFFICER 40.00 X 138190 0 13572 BRANDON COLEMAN CHIEF MEDICAL OFFICER 40.00 X 321343 0 19419 KEITH KERSTEN PHYSICIAN 40.00 X 272122 0 24529 JENNIFER ROBERTS PHYSICIAN 40.00 X 258388 0 5156 GINGER PACE-HERNDON PHYSICIAN 40.00 X 271258 0 29162 QUENYATTA ECHOLS-WILLIAMS PHYSICIAN 40.00 X 260026 0 23474 JAMES GRIFFIN JR PHYSICIAN 40.00 X 277803 0 17707 2195711 0 147998 10 false true false LABCORP OF AMERICA 231 MAPLE AVENUE BURLINGTON NC 27215 LAB SERVICES 520740 HATTIESBURG CLINIC PA 415 S 28TH AVENUE HATTIESBURG MS 39401 CONTRACT MEDICAL SERVICES 456354 JANI-KING OF SE MISSISSIPPI 22 MILLBRANCH RD 710 HATTIESBURG MS 39402 CLEANING SERVICES 124133 HATTIESBURG PUBLIC SCHOOL DISTRICT PO BOX 1569 HATTIESBURG MS 39403 CONTRACT RN SERVICES 112785 BETTER HOMES CONSTRUCTION 721 LUTHER CARTER ROAD PETAL MS 39465 CONTRACT CONSTRUCTION SERVICES 121964 5 10117912 1127048 689204 11244960 PATIENT FEES 621111 20246698 0 0 20246698 67346 0 67346 31559004 20246698 0 67346 863452 712895 150557 0 13867274 11449293 2417981 0 322188 266149 56039 0 1711835 1414088 297747 0 1019744 842376 177368 0 24180 0 24180 0 73483 0 73483 0 1990102 1714479 275623 0 286333 263923 19436 2974 1603214 1037321 558581 7312 914096 159776 754320 0 1220016 1061840 158176 0 144620 84717 59903 0 794383 663465 130918 0 115851 82813 33038 0 CONTRACT 340B ADMIN & DISPENSING FEES 1603440 1603440 0 0 DRUGS & MEDICAL SUPPLIES 5218745 5218745 0 0 31772956 26575320 5187350 10286 7065155 2069097 429377 4947686 1509846 2324031 2446458 1729244 491611 878493 553968 191134 16867485 11382177 5495893 5485308 1208378 1210949 70254 1180421 1562790 20381107 20468986 2146902 2296080 2532168 2249283 1157952 1576259 5837022 6121622 X 14391973 14215637 152112 131727 14544085 14347364 20381107 20468986 X -213952 52316 -35085 X X false true X true true true X 0 8329967 8314674 10276708 12857690 11244960 51023999 0 0 8329967 8314674 10276708 12857690 11244960 51023999 0 51023999 -6758 55734 13039 5080 67346 134441 0 0 51158440 88982228 0.99740 0.99580 X 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 440525 440525 13316665 9178992 4137673 2939060 2203185 735875 171235 171235 5485308 LONG-TERM CDS 977244 F SHORT-TERM CDS 233705 F 1210949 SECURITY DEPOSITS 4531 OPERATING LEASE RIGHT-OF-USE ASSETS 670784 DEFERRED COMPENSATION PLAN 887475 1562790 RETIREMENT PAYABLE-DEFERRED COMPENSATION PLAN 887475 OPERATING LEASE LIABILITIES 688784 1576259 31611320 52316 52316 31559004 31559004 31772956 31772956 31772956 X X false false false false false false false false false POLLY EUBANKS 155095 0 0 0 0 0 4599 0 9007 0 168701 0 0 0 JANICE ROBINSON 138190 0 0 0 0 0 4173 0 9399 0 151762 0 0 0 BRANDON COLEMAN 321343 0 0 0 0 0 10736 0 8683 0 340762 0 0 0 KEITH KERSTEN 272122 0 0 0 0 0 9354 0 15175 0 296651 0 0 0 JENNIFER ROBERTS 258388 0 0 0 0 0 0 0 5156 0 263544 0 0 0 GINGER PACE-HERNDON 271258 0 0 0 0 0 6947 0 22215 0 300420 0 0 0 QUENYATTA ECHOLS-WILLIAMS 260026 0 0 0 0 0 8800 0 14674 0 283500 0 0 0 JAMES GRIFFIN JR 277803 0 0 0 0 0 9040 0 8667 0 295510 0 0 0 X 45947 689204 FMV false true false 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 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 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. Pt XI LINE 9 REPRESENTS THE CHANGE IN NET ASSETS WITH Pt XI DONOR RESTRICTIONS FOR THE YEAR AND THE CUMULATIVE EFFECT Pt XI ADJUSTMENT TO NET ASSETS WITHOUT DONOR RESTRICTIONS AS A Pt XI RESULT OF THE ORGANIZATION'S IMPLEMENTATION OF FASB ASC 842.