CRH HEALTHCARE INC: Form 990EZ, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CRH HEALTHCARE INC (EIN 58-2163724)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201343179349200309
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-13T07:18:04-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DRAFFIN & TUCKER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 71309AddressLine1
CityALBANYCity
StateGAState
ZIP Code317081309ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN582163724EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CRH HEALTHCARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCRHHNameControl
Phone9123841900Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 OCILLA ROAD PO BOX 1287AddressLine1
CityDOUGLASCity
StateGAState
ZIP Code31533ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDON LEWISName
TitleCFOTitle
Phone9123841900Phone
Date Signed2013-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJACQUELINE G ATKINSName
Phone2298837878Phone
Date Prepared2013-11-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Schedule B Not RequiredXScheduleBNotRequired
Web SiteN/AWebSite
Organization501c3XOrganization501c3
Info In Schedule O Part IXInfoInScheduleOPartI
Other Expenses Total284OtherExpensesTotal
Total Expenses284TotalExpenses
Excess Or Deficit For Year-284ExcessOrDeficitForYear
Net Assets Or Fund Balances BOY-78202NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-78486NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIXInfoInScheduleOPartII

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY350000BOY
EOY350000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY350000BOY
EOY350000EOY

Sum Of Total Liabilities SumOfTotalLiabilities

FieldValueIRS element (for citing)
BOY428202BOY
EOY428486EOY

Net Assets Or Fund Balances NetAssetsOrFundBalances

FieldValueIRS element (for citing)
BOY-78202BOY
EOY-78486EOY
FieldValueIRS element (for citing)
Primary Exempt PurposeOPERATE FOR THE BENEFIT OF COFFEE REGIONAL MEDICAL CENTER, INC.PrimaryExemptPurpose

Program Service Accomplishment ProgramServiceAccomplishment

FieldValueIRS element (for citing)
Description Program Service AccomCRH HEALTHCARE INC. WILL PROVIDE STRATEGIC PLANNING AND MANAGEMENT SERVICES TO COFFEE REGIONAL MEDICAL CENTER (CRMC) INC. AND OTHER HEALTHCARE RELATED ORGANIZATIONS.DescriptionProgramServiceAccom

Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (12 entries)

TitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensation
GABE EVANS
DIRECTOR1.000
JAMES DENNIS
SECRETARY1.000
JOEY HENNESY
DIRECTOR1.000
GEORGE HECK
CEO1.000
DONALD C LEWIS
CFO1.000
REAGAN MILLER
VICE CHAIRMA1.000
GUY MOORMAN
CHAIRMAN1.000
MARLEEN BALDREE
DIRECTOR1.000
TERRELL JACOBS
DIRECTOR1.000
WENDELL SASSER
DIRECTOR1.000
DAVID ARNETT MD
DIRECTOR,MS1.000
DREW BAGWELL MD
DIRECTOR MS1.0011000
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRpt
Made Changes To Orgnzng Etc DocfalseMadeChangesToOrgnzngEtcDoc
Organization Had UBIfalseOrganizationHadUBI
Subject To Proxy TaxfalseSubjectToProxyTax
Organization Dissolved EtcfalseOrganizationDissolvedEtc
Did Org File Form1120 POL This YearfalseDidOrgFileForm1120POLThisYear
Made Loans To From OfficersfalseMadeLoansToFromOfficers
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTrans
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDON LEWISNamePerson

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1287AddressLine1
CityDOUGLASCity
StateGAState
ZIP Code31533ZIPCode
FieldValueIRS element (for citing)
Telephone Number9123841900TelephoneNumber
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccount
Foreign OfficefalseForeignOffice
Maintain Any Donor Advised FundsfalseMaintainAnyDonorAdvisedFunds
Does Org Have HospitalfalseDoesOrgHaveHospital
Tanning Services ProvidedfalseTanningServicesProvided
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction With Control EntityfalseTransactionWithControlEntity
Engage Political Cmpgn ActivitiesfalseEngagePoliticalCmpgnActivities
Engage In Lobbying ActivitiesfalseEngageInLobbyingActivities
Operating SchoolfalseOperatingSchool
Trnsfrs Exempt Non Char Related OrgfalseTrnsfrsExemptNonCharRelatedOrg
Part VI Of Comp Of Highest Paid EmplNONEPartVIOfCompOfHighestPaidEmpl
Part VIA Hghst Paid Cntrct Prof SerNONEPartVIAHghstPaidCntrctProfSer
Filed Schedule AtrueFiledScheduleA

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1COFFEE REGIONAL MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN650543088EIN
Type Of Organization3TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER EXPENSESFORM 990-EZ, PART I, LINE 16EXPENSES MISCELLANEOUS EXPENSE 284 TOTAL 284
OTHER ASSETSFORM 990-EZ, PART II, LINE 24DUE FROM CRH VENTURES INC58-2165279 350,000 350,000 TOTAL 350,000 350,000
OTHER LIABILITIESFORM 990-EZ, PART II, LINE 26DUE TO COFFEE REGIONAL MED CTR. 428,202 428,486

Compensation Explanation CompensationExplanation

Compensation Compensation (12 entries)

GABE EVANS
JAMES DENNIS
JOEY HENNESY
GEORGE HECK
DONALD C LEWIS
REAGAN MILLER
GUY MOORMAN
MARLEEN BALDREE
TERRELL JACOBS
WENDELL SASSER
DAVID ARNETT MD
DREW BAGWELL MD

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