CRH HEALTHCARE INC: Form 990EZ, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- CRH HEALTHCARE INC (EIN 58-2163724)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-15
- IRS object ID
- 201913199349203111
- Schema version
- 2018v3.1
- 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) |
|---|---|---|
| Return | 2019-11-15T10:34:16-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 621517792 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PYA P C | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2220 SUTHERLAND AVE | AddressLine1Txt |
| City | KNOXVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37919 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582163724 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRH HEALTHCARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CRHH | BusinessNameControlTxt |
| Phone | 9123841900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 OCILLA ROAD/PO BOX 1287 | AddressLine1Txt |
| City | DOUGLAS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 315332207 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VICKI LEWIS | PersonNm |
| Person Title | PRESIDENT AND CEO | PersonTitleTxt |
| Phone | 9123841900 | PhoneNum |
| Signature | 2019-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DEBORAH O ERNSBERGER | PreparerPersonNm |
| PTIN | P00364912 | PTIN |
| Phone | 8656730844 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 47.200.215.56 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-15 | IPDt |
| IP Tm | 10:34:13 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | AF23F2A68CFF53983216DF8908F842EE3670BFA3 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-04-17 16:48:07Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | WWW.COFFEEREGIONAL.ORG | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $0 | GrossReceiptsAmt |
| Total Revenue | $0 | TotalRevenueAmt |
| Total Expenses | $0 | TotalExpensesAmt |
| Excess Or Deficit For Year | $0 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $0 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | OPERATE FOR THE BENEFIT OF COFFEE REGIONAL MEDICAL CENTER, INC. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | CRH HEALTHCARE, INC. WILL PROVIDE STRATEGIC PLANNING AND MANAGEMENT SERVICES TO COFFEE REGIONAL MEDICAL CENTER, INC. (CRMC) AND OTHER HEALTHCARE RELATED ORGANIZATIONS. | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $0 | GrantsAndAllocationsAmt |
| Program Service Expenses | $0 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $0 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (11 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| VICKI LEWIS | ||||
| CEO/PRESIDENT | 1.00 | $0 | $0 | $0 |
| JAMES DENNIS | ||||
| CHAIR | 1.00 | $0 | $0 | $0 |
| WENDELL SASSER | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| MIKE WILLS | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| RUSS STORY | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| DREW BAGWELL MD | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| MARLENE BALDREE | ||||
| SECRETARY | 1.00 | $0 | $0 | $0 |
| RUEBEN SPEIGHT | ||||
| VICE CHAIR | 1.00 | $0 | $0 | $0 |
| JOHN DAY | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| SUDHAKAR JONNA MD | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| LAVONDA CRAVEY | ||||
| EXECUTIVE VP/CFO | 1.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | 0 | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | 0 | OrganizationHadUBIInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Direct Indirect Pltcl Expend | $0 | DirectIndirectPltclExpendAmt |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN MCLEOD | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 OCILLA ROAD/PO BOX 1287 | AddressLine1Txt |
| City | DOUGLAS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 315332207 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9123841900 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Donor Advised Fnds | 0 | DonorAdvisedFndsInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Tanning Services Provided | 0 | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| School Operating | 0 | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (1) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Supported Organizations | 2 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (2 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| COFFEE REGIONAL MEDICAL CENTER INC | ||||
| 650543088 | 3 | Yes (1) | $0 | $0 |
| CRH HEALTH SERVICES INC | ||||
| 582165827 | 7 | 0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 2 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | 0 | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | Yes (1) | TimelyProvidedDocumentsInd |
| Officers Close Relationship | Yes (1) | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | Yes (1) | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Parent Supported Org | Yes (X) | ParentSupportedOrgInd |
| Appoint Elect Majority Officer | Yes (1) | AppointElectMajorityOfficerInd |
| Exercise Direction Policies | Yes (1) | ExerciseDirectionPoliciesInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, SECTION A, LINE 1: | CRH HEALTHCARE, INC. (CRH) IS THE PARENT ORGANIZATION AND SOLE MEMBER OF CRH HEALTH SERVICES, INC. (SERVICES) AND COFFEE REGIONAL MEDICAL CENTER, INC. (CRMC). ALTHOUGH CRMC IS SPECIFICALLY LISTED AS A SUPPORTED ORGANIZATION IN THE CRH GOVERNING DOCUMENTS, SERVICES IS A SUPPORTED ORGANIZATION BY VIRTUE OF ITS HISTORIC AND CONTINUING RELATIONSHIP WITH CRH SINCE ITS 1994 INCORPORATION. AS A SOLE MEMBER, CRH RESERVES CERTAIN POWERS OVER ALL ITS SUPPORTED ORGANIZATIONS, SUCH AS THE RIGHT TO ELECT AND REMOVE BOARD DIRECTORS; AMEND OR RESTATE GOVERNING DOCUMENTS; ADOPT PLANS OF LIQUIDATION, DISSOLUTION, MERGER OR CONSOLIDATION; APPROVE INDEBTEDNESS IN EXCESS OF $1,000,000; ORGANIZE SUBSIDIARIES OR ENTER INTO JOINT VENTURES; ADOPT OR AMEND BUDGETS; AND ADOPT THE CORPORATE STRATEGIC PLAN. ADDITIONALLY, THE CONTROL OR MANAGEMENT OF SERVICES IS VESTED IN THE SAME PERSONS THAT CONTROL OR MANAGE CRMC. AN OVERLAP IN BOARD MEMBERSHIP, THE FACT THAT CRH APPOINTS ALL VOTING MEMBERS OF BOTH BOARDS, AND THE FACT THAT CRH SEEKS TO OPERATE THE ENTIRE HEALTH SYSTEM IN A COORDINATED AND INTEGRATED FASHION DEMONSTRATES A CLOSE HISTORIC AND CONTINUING RELATIONSHIP BETWEEN ALL THESE ENTITIES. |
| PART IV, SECTION A, LINE 4A | ON MARCH 31, 2003, COFFEE REGIONAL MEDICAL CENTER, INC. (CRMC), A GEORGIA NONPROFIT CORPORATION, TAX EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, ENTERED INTO AN INSURANCE ARRANGEMENT (ARRANGEMENT) WITH GEORGIA HEALTH CARE INSURANCE COMPANY SPC (SPC), A SEGREGATED PORTFOLIO COMPANY INCORPORATED UNDER THE LAWS OF THE CAYMAN ISLANDS, WHEREBY CRMC WOULD LEASE FROM THE SPC A CELL OF THE SPC, DESIGNATED AS COFFEE HEALTHCARE SEGREGATED PORTFOLIO (CELL). UNDER THE ARRANGEMENT, CRMC HAS ONLY A BENEFICIAL INTEREST IN THE CELL. THIS BENEFICIAL INTEREST IS LIMITED TO THE EXCESS CAPITAL AFTER CLAIMS PAID TO THE POLICYHOLDERS AND CREDITORS OF THE CELL. FURTHERMORE, THE PROFITS OF THE CELL ARE TO BE DISTRIBUTED TO THE POLICYHOLDERS OF THE CELL AND NOT CRMC. IN THE SPIRIT OF FULL DISCLOSURE, IT SHOULD BE NOTED THAT THE POLICYHOLDERS OF THE CELL ARE FACILITIES OWNED AND OPERATED BY CRMC AND ITS AFFILIATES. HOWEVER, THE RIGHTS OF CRMC ARE LIMITED TO CONTRACTUAL RIGHTS AND GENERALLY ARE NOT REPRESENTATIVE OF ANY SUCH RIGHTS INDICATIVE OF OWNERSHIP OR EQUITY PARTICIPATION (I.E., NO RIGHT TO PARTICIPATE IN THE GOVERNANCE OF THE SPC OR THE CELL, NO RIGHT TO PARTICIPATE IN THE MANAGEMENT OF THE SPC OR THE CELL, NO ISSUANCE OF STOCK OR OWNERSHIP INTEREST IN THE SPC OR THE CELL, ETC.). |
| PART IV, SECTION D, LINE 3: | THE BYLAWS OF CRH AND CRMC REQUIRE THAT TWO OF THE MEMBERS OF THE BOARD OF DIRECTORS OF CRH ALSO SERVE ON THE BOARD OF CRMC. ALSO, THE CEO AND CFO OF THIS ORGANIZATION SERVE AS THE CEO AND CFO OF CRMC. THIS OVERLAP BETWEEN THE BOARDS, TOGETHER WITH THE DUAL ROLE THE CEO AND CFO PLAY OVER ALL ORGANIZATIONS, INSURES THAT CRMC HAS A SIGNIFICANT VOICE IN CRH'S INVESTMENT POLICY AND THE USE OF ITS INCOME AND ASSETS. ADDITIONALLY, THE CRMC FINANCE COMMITTEE IS AUTHORIZED BY THE CRH BOARD TO TAKE CERTAIN ACTIONS ON BEHALF OF THE SUPPORTING ORGANIZATION OF CRH. FOR EXAMPLE, THE CONSOLIDATED FINANCIAL STATEMENTS REPRESENTING CRH AND OTHER RELATED ORGANIZATIONS ARE APPROVED BY THE CRMC FINANCE COMMITTEE AND PRESENTED TO CRH ON A REGULAR BASIS. |
| PART IV, SECTION E, LINE 3A: | CRH HEALTHCARE, INC. APPOINTS ALL OF THE MEMBERS OF THE BOARDS OF DIRECTORS OF ITS SUPPORTED ORGANIZATIONS. |
| PART IV, SECTION E, LINE 3B: | THE BYLAWS OF CRH AND CRMC REQUIRE THAT TWO CRH BOARD DIRECTORS ALSO SERVE ON THE CRMC BOARD. THIS OVERLAP BETWEEN THE TWO BOARDS, TOGETHER WITH THE OTHER POWERS GRANTED TO CRH UNDER THE RESPECTIVE CORPORATION ORGANIZATIONAL DOCUMENTS INSURES THAT CRH HAS A SUBSTANTIAL DEGREE OF DIRECTION OVER THE SUPPORTED ORGANIZATION. IN ADDITION TO THE BOARD OVERLAP, CRH IS RESPONSIBLE FOR THE LONG-RANGE STRATEGIC PLANNING ACTIVITIES OF THE SUPPORTED ORGANIZATION AND HAS CONTROL OVER VARIOUS ELEMENTS OF ITS ACTIVITIES THROUGH THE RIGHT TO APPOINT AND REMOVE DIRECTORS, AS WELL AS THE RIGHT TO APPROVE OR DISAPPROVE CERTAIN ACTIONS. FOR EXAMPLE, CRH REVIEWS AND APPROVES THE ANNUAL BUDGETS OF ITS SUBSIDIARIES AND MUST APPROVE ANY AMENDMENTS TO THOSE BUDGETS. IT ALSO MUST APPROVE AMENDMENTS TO ANY SUBSIDIARY'S ARTICLES OF INCORPORATION OR BYLAWS, THE SUPPORTED ORGANIZATION'S REMOVAL OF A DIRECTOR, THE INCURRENCE OF ANY SINGLE ITEM OF DEBT ABOVE $1,000,000, THE STRATEGIC PLAN OF THE SUPPORTED ORGANIZATION, THE ORGANIZATION OF ANY SUBSIDIARY OF THE SUPPORTED ORGANIZATION OR ITS ENTERING INTO ANY JOINT VENTURE OR PARTNERSHIP, TRANSACTIONS INVOLVING THE SALE OF SUBSTANTIALLY ALL OF ITS ASSETS OR A MERGER OR CONSOLIDATION WITH ANY OTHER CORPORATION, AND THE ADOPTION OR AMENDMENT OF AN ANNUAL OPERATING BUDGET (THE SUPPORTING ORGANIZATION MAY NOT MAKE EXPENDITURES EXCEPT PURSUANT TO A BUDGET APPROVED BY CRH). DURING THE CURRENT YEAR, CRH APPROVED THE SUPPORTING ORGANIZATION'S ANNUAL BUDGET, REVIEWED ITS FINANCIAL STATEMENTS ON A QUARTERLY BASIS, RECEIVED AND REVIEWED ITS ANNUAL AUDIT, REVIEWED AND APPROVED AMENDMENTS TO THE OPERATING AGREEMENT OF A LIMITED LIABILITY COMPANY SUBSIDIARY OF THE SUPPORTED ORGANIZATION, AND APPOINTED DIRECTORS. ALSO, THE CRH GOVERNING BOARD CHARGES THE ADMINISTRATOR/CEO WITH THE RESPONSIBILITY OF EXERCISING DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF THE SUPPORTED ORGANIZATION. INCREMENTAL REPORTS ARE PROVIDED AT REGULARLY SCHEDULED CRH MEETINGS. |