CRH HEALTHCARE INC: Form 990EZ, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CRH HEALTHCARE INC (EIN 58-2163724)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-10
- IRS object ID
- 201133149349200303
- Schema version
- 2010v3.4
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-10T07:22:42-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DRAFFIN & TUCKER LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 6 | AddressLine1 |
| City | ALBANY | City |
| State | GA | State |
| ZIP Code | 317020006 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582163724 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRH HEALTH CARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CRHH | NameControl |
| Phone | 9123841900 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 OCILLA ROAD PO BOX 1287 | AddressLine1 |
| City | DOUGLAS | City |
| State | GA | State |
| ZIP Code | 31533 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DON LEWIS | Name |
| Title | CFO | Title |
| Phone | 9123841900 | Phone |
| Date Signed | 2011-11-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JACQUELINE G ATKINS | Name |
| Phone | 2298837878 | Phone |
| Date Prepared | 2011-11-09 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | N/A | WebSite |
| Organization501c3 | X | Organization501c3 |
| Net Assets Or Fund Balances BOY | -78202 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -78202 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 350000 | BOY |
| EOY | 350000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 350000 | BOY |
| EOY | 350000 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 428202 | BOY |
| EOY | 428202 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -78202 | BOY |
| EOY | -78202 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | OPERATE FOR THE BENEFIT OF COFFEE REGIONAL MEDICAL CENTER, INC. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | CRH HEALTH CARE 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)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|---|---|---|---|
| GABE EVANS | ||||||
| 1101 OCILLA ROAD | DOUGLAS | GA | 31533 | CHAIR | 1.00 | 0 |
| NINA LOTT | ||||||
| 1101 OCILLA ROAD | DOUGLAS | GA | 31533 | DIRECTOR | 1.00 | 0 |
| VALERIE WEBSTER | ||||||
| 1101 OCILLA ROAD | DOUGLAS | GA | 31533 | DIRECTOR | 1.00 | 0 |
| JAMES DENNIS | ||||||
| 1101 OCILLA ROAD | DOUGLAS | GA | 31533 | DIRECTOR | 1.00 | 0 |
| JOEY HENNESY | ||||||
| 1101 OCILLA ROAD | DOUGLAS | GA | 31533 | DIRECTOR | 1.00 | 0 |
| JUNE MUNFORD | ||||||
| 1101 OCILLA ROAD | DOUGLAS | GA | 31533 | DIRECTOR | 1.00 | 0 |
| CHARLES MILLER MD | ||||||
| 1101 OCILLA ROAD | DOUGLAS | GA | 31533 | MS PRES | 1.00 | 0 |
| CONRAD HARPER MD | ||||||
| 1101 OCILLA ROAD | DOUGLAS | GA | 31533 | MS PAST PRES | 1.00 | 0 |
| GEORGE HECK | ||||||
| 1101 OCILLA ROAD | DOUGLAS | GA | 31533 | CEO | 1.00 | 0 |
| DONALD C LEWIS | ||||||
| 1101 OCILLA ROAD | DOUGLAS | GA | 31533 | CFO | 1.00 | 0 |
| REAGAN MILLER | ||||||
| 1101 OCILLA ROAD | DOUGLAS | GA | 31533 | DIRECTOR | 1.00 | 0 |
| GUY MOORMAN | ||||||
| 1101 OCILLA ROAD | DOUGLAS | GA | 31533 | DIRECTOR | 1.00 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | false | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | false | OrganizationHadUBI |
| Organization Dissolved Etc | false | OrganizationDissolvedEtc |
| Did Org File Form1120 POL This Year | false | DidOrgFileForm1120POLThisYear |
| Made Loans To From Officers | false | MadeLoansToFromOfficers |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTrans |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| States Where Copy Of Return Is Filed | GA | StatesWhereCopyOfReturnIsFiled |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DON LEWIS | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1287 | AddressLine1 |
| City | DOUGLAS | City |
| State | GA | State |
| ZIP Code | 31533 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9123841900 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccount |
| Foreign Office | false | ForeignOffice |
| Maintain Any Donor Advised Funds | false | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | false | DoesOrgHaveHospital |
| Tanning Services Provided | false | TanningServicesProvided |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction With Control Entity | false | TransactionWithControlEntity |
| Engage Political Cmpgn Activities | false | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | false | EngageInLobbyingActivities |
| Operating School | false | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | false | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | true | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type3 Other | X | SupportingOrg509a3Type3Other |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COFFEE REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 650543088 | EIN |
| Type Of Organization | 3 | TypeOfOrganization |
| Listed In Governing Doc | true | ListedInGoverningDoc |
| Supported Organization Notified | true | SupportedOrganizationNotified |
| Organized In US | true | OrganizedInUS |
| Amount | $0 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER ASSETS | FORM 990-EZ, PART II, LINE 24 | DUE FROM CRH VENTURES INC58-2165279 350,000 350,000 TOTAL 350,000 350,000 |
| OTHER LIABILITIES | FORM 990-EZ, PART II, LINE 26 | DUE TO COFFEE REGIONAL MED CTR. 428,202 428,202 |
Compensation Explanation CompensationExplanation
Compensation Compensation (12 entries)
| GABE EVANS |
| NINA LOTT |
| VALERIE WEBSTER |
| JAMES DENNIS |
| JOEY HENNESY |
| JUNE MUNFORD |
| CHARLES MILLER MD |
| CONRAD HARPER MD |
| GEORGE HECK |
| DONALD C LEWIS |
| REAGAN MILLER |
| GUY MOORMAN |