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SMHA HEALTHCARE INC: Form 990EZ, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SMHA HEALTHCARE INC (EIN 58-2460001)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201213209349201111
Schema version
2011v1.2
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)
Timestamp2012-11-15T08:48:56-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560747981EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN582460001EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HEALTH INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMEMONameControl
Phone9123508000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 20389AddressLine1
CitySAVANNAHCity
StateGAState
ZIP Code314033089ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLAURA DOWName
TitleVP OF FINANCETitle
Phone9123508000Phone
Date Signed2012-11-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameAMY BIBBYName
PTINP00445891PTIN
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Schedule B Not RequiredXScheduleBNotRequired
Web SiteWWW.MEMORIALHEALTH.COMWebSite
Organization501c3XOrganization501c3
Gross Receipts0GrossReceipts
Contributions Gifts Grants Etc0ContributionsGiftsGrantsEtc
Total Revenue0TotalRevenue
Total Expenses0TotalExpenses
Excess Or Deficit For Year0ExcessOrDeficitForYear
Net Assets Or Fund Balances BOY0NetAssetsOrFundBalancesBOY
Other Changes In Net Assets0OtherChangesInNetAssets
Net Assets Or Fund Balances EOY0NetAssetsOrFundBalancesEOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Sum Of Total Liabilities SumOfTotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Net Assets Or Fund Balances NetAssetsOrFundBalances

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Primary Exempt PurposeTO PROVIDE ADMINISTRATIVE SUPPORT AND BY ENGAGING IN SUCH OTHER ACTIVITIES THAT BENEFIT, PERFORM THE FUNCTIONS OF, OR CARRY OUT THE PURPOSES OF MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER, INC.PrimaryExemptPurpose

Program Service Accomplishment ProgramServiceAccomplishment

FieldValueIRS element (for citing)
Description Program Service AccomCURRENTLY, THE ORGANIZATION IS INACTIVE.DescriptionProgramServiceAccom
Grants And Allocations0GrantsAndAllocations
Program Service Expenses0ProgramServiceExpenses
FieldValueIRS element (for citing)
Total Program Service Expenses0TotalProgramServiceExpenses
Info In Schedule O Part IVXInfoInScheduleOPartIV

Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
CURTIS LEWIS III
PO BOX 20389SAVANNAHGA314033089CHAIR1.00000
KAY A FORD
PO BOX 20389SAVANNAHGA314033089VICE CHAIR1.00000
HELEN DOWNING
PO BOX 20389SAVANNAHGA314033089SECRETARY1.00000
HARRY HASLAM
PO BOX 20389SAVANNAHGA314033089TREASURER1.00000
MELODY L WOLFE
PO BOX 20389SAVANNAHGA314033089ASSISTANT SECRETARY/ADMIN ASSISTANT1.00000
JO HARPE
PO BOX 20389SAVANNAHGA314033089ASSISTANT SECRETARY/ADMIN ASSISTANT1.00000
IRA BERMAN
PO BOX 20389SAVANNAHGA314033089DIRECTOR1.00000
ROBERT F BROWN JR MD
PO BOX 20389SAVANNAHGA314033089DIRECTOR1.00000
MARILYN BUCK EDD
PO BOX 20389SAVANNAHGA314033089DIRECTOR1.00000
GERALD CAPLAN
PO BOX 20389SAVANNAHGA314033089DIRECTOR, EX OFFICIO1.00000
WILLIAM T DANIEL
PO BOX 20389SAVANNAHGA314033089DIRECTOR1.00000
MARGARET GILL
PO BOX 20389SAVANNAHGA314033089DIRECTOR1.00000
FieldValueIRS element (for citing)
Info In Schedule O Part VXInfoInScheduleOPartV
Activities Not Previously Rpt0ActivitiesNotPreviouslyRpt
Made Changes To Orgnzng Etc Doc0MadeChangesToOrgnzngEtcDoc
Organization Had UBI0OrganizationHadUBI
Subject To Proxy Tax0SubjectToProxyTax
Organization Dissolved Etc0OrganizationDissolvedEtc
Direct Indirect Political Expend0DirectIndirectPoliticalExpend
Made Loans To From Officers0MadeLoansToFromOfficers
Tax Imposed Under IRC49110TaxImposedUnderIRC4911
Tax Imposed Under IRC49120TaxImposedUnderIRC4912
Tax Imposed Under IRC49550TaxImposedUnderIRC4955
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTrans
Amount Of Tax Imposed On Org Mgr0AmountOfTaxImposedOnOrgMgr
Amount Of Tax Reimbursed By Org0AmountOfTaxReimbursedByOrg
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LAURA DOWBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14600 WATERS AVENUEAddressLine1
CitySAVANNAHCity
StateGAState
ZIP Code31404ZIPCode
FieldValueIRS element (for citing)
Telephone Number9123508613TelephoneNumber
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccount
Foreign Office0ForeignOffice
Maintain Any Donor Advised Funds0MaintainAnyDonorAdvisedFunds
Does Org Have Hospital0DoesOrgHaveHospital
Tanning Services Provided0TanningServicesProvided
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction With Control Entity0TransactionWithControlEntity
Engage Political Cmpgn Activities0EngagePoliticalCmpgnActivities
Engage In Lobbying Activities0EngageInLobbyingActivities
Operating School0OperatingSchool
Trnsfrs Exempt Non Char Related Org0TrnsfrsExemptNonCharRelatedOrg
Part VI Of Comp Of Highest Paid EmplNONEPartVIOfCompOfHighestPaidEmpl
Part VIA Hghst Paid Cntrct Prof SerNONEPartVIAHghstPaidCntrctProfSer
Filed Schedule A1FiledScheduleA

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HEALTH UNIVERSITY MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
EIN311126469EIN
Type Of Organization3TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts
General ExplanationSCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: FORM 990-EZ, PART III, PRIMARY EXEMPT PURPOSE - TO PROVIDE ADMINISTRATIVE SUPPORT AND BY ENGAGING IN SUCH OTHER ACTIVITIES THAT BENEFIT, PERFORM THE FUNCTIONS OF, OR CARRY OUT THE PURPOSES OF MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER, INC.GeneralExplanation

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.Declaration

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