2023-11-13T09:28:57-06:00 2022-12-31 FORVIS LLP 2700 Post Oak Blvd Ste 1500 HOUSTON TX 77056 990 2022-01-01 760495152 Community Health Choice Inc % ANNA MATEJA COMM 7132952222 2636 South Loop West Suite 125 Houston TX 77054 LISA WRIGHT CEO 7132952222 2023-05-15 true Lisa Wright XXX-XX-XXXX Amanda Maya P01067777 7134994600 2023-11-15 3 2022 2023-04-26 12:10:37Z LISA WRIGHT 2636 South Loop West Suite 125 Houston TX 77054 898426979 false X www.communityhealthchoice.org X 1996 TX THE OPERATION OF A HEALTH MAINTENANCE ORGANIZATION OFFERING HEALTH INSURANCE EXCHANGE THAT PROVIDES PRE-PAID MEDICAL & DENTAL CARE. 9 9 142 9 0 0 0 0 794938214 897606544 6026 820435 0 0 794944240 898426979 0 183356 0 0 14047347 13810164 0 0 0 796488343 880867531 810535690 894861051 -15591450 3565928 271208373 280552121 194429938 180101884 76778435 100450237 X TO IMPROVE THE HEALTH AND WELL-BEING OF ALL TEXANS, PARTICULARLY THE UNDERSERVED, BY OPENING DOORS TO HEALTHCARE AND HEALTH-RELATED SERVICES. OUR MISSION IS ACHIEVED THROUGH: 1) COMMUNITY: COLLABORATING WITH COMMUNITY - BASED PROVIDERS & ORGANIZATIONS TO IMPROVE ACCESS, QUALITY, COORDINATION AND COST-EFFECTIVENESS OF SERVICES. 2) HEALTH: DEVELOPING PROGRAMS TO ESTABLISH MEDICAL HOMES, MANAGE HEALTH CONDITIONS, AND PROMOTE WELLNESS AND PREVENTIVE CARE. 3) CHOICE: ENCOURAGING PERSONAL ACCOUNTABILITY AND EDUCATED CHOICES FOR INDIVIDUAL AND FAMILY HEALTH. false false 889986388 183356 897606544 COMMUNITY HEALTH CHOICE, INC. ISSUES HEALTH PLANS FOR TWENTY SOUTHEAST TEXAS COUNTIES IN THE FEDERALLY-FACILITATED HEALTHCARE INSURANCE MARKETPLACE FOR THE STATE OF TEXAS. PART OF CHCI'S MISSION IS TO SERVE THE UNINSURED POPULATION IN SOUTHEAST TEXAS. TEXAS HAS THE LARGEST NUMBER OF RESIDENTS WITHOUT MEDICAL COVERAGE IN THE ENTIRE COUNTRY. ONE OF CHCI'S MARKETING GOALS IS TO PROVIDE COVERAGE TO THE PARENTS OF THE CHILDREN ENROLLED IN CHCT'S CHIP PROGRAM THROUGH MARKETPLACE PLANS. THE HEALTHCARE INSURANCE MARKETPLACE HAD 95,434 COVERED LIVES AS OF DECEMBER 31, 2022. 889986388 false false false false false false false false false false false false true true false true false false false false false false false false false false true false true false false false false false false false false false false false false false true true true false true X 244 0 true 142 true false false false false false false false false X 9 9 true true false false false true true true true false false true true true true true true true true false X ANNA MATEJA 7132954791 2636 SOUTH LOOP W SUITE 125 HOUSTON TX 77054 X LISA WRIGHT PRESIDENT & CEO 8.0 32.0 X 128930 515717 22579 JOHN HALEY CHIEF OPERATIONS OFFICER 8.0 32.0 X 89742 358971 47189 LAURIE LEVERMANN CHIEF INFORMATION OFFICER 8.0 32.0 X 80768 323074 22214 SONYA MADDOX CHIEF GROWTH OFFICER 8.0 32.0 X 74646 298586 43746 ANNA MATEJA CHIEF FINANCIAL OFFICER 8.0 32.0 X 59603 238412 32918 VALERIE BAHAR ASSOCIATE MEDICAL DIRECTOR 8.0 32.0 X 64110 256443 8933 RAY MCCOMB CHIEF HR/ADMIN OFFICER 8.0 32.0 X 54223 216893 38058 TUNG MAI ASSOCIATE MEDICAL DIRECTOR 8.0 32.0 X 54434 217736 11533 RACHAEL ROBERTS ASSOCIATE MEDICAL DIRECTOR 8.0 32.0 X 55184 220735 2516 DANIEL BARZMAN CHIEF COMPLIANCE OFFICER 8.0 32.0 X 44764 179054 31941 RYAN SORRELL VP NETWORK MANAGEMENT 8.0 32.0 X 48061 192246 10805 LURLEAN HUNT SR DIR IT STRGY & INNOVATION 8.0 32.0 X 44347 177390 29180 ENDIA RICHARDSON CHIEF OF STAFF - THRU 9/7/22 8.0 32.0 X 45753 183013 15153 DAISY MORALES VP SALES & MKTG - THRU 12/1/22 8.0 32.0 X 45095 180380 13420 CAREY DEATON DIRECTOR OF PROJECT MGMT OFC 8.0 32.0 X 43569 174278 20250 FRED BUCKWOLD INTERIM CMO - THRU 12/9/2022 8.0 32.0 X 45248 180990 0 DEILASHEUN RICHARDSON VP PRODUCT AND BUSINESS DEVEL 8.0 32.0 X 36258 145031 18315 SEBRINA ALLISON - THRU 7122 VP, MEDICAL AFFAIRS 8.0 32.0 X 25954 103817 4024 PAMELA HELLSTROM CCO - THRU 2/2/2022 8.0 32.0 X 22152 88607 2376 RAYMOND J KHOURY BOARD MEMBER 1.0 1.0 X 0 0 0 JOSE GARCIA JR SECRETARY OF THE BOARD 1.0 3.0 X X 0 0 0 ELENA M MARKS BOARD MEMBER 1.0 1.0 X 0 0 0 VIVIAN HO BOARD MEMBER 1.0 1.0 X 0 0 0 STEPHEN MCKERNAN BOARD MEMBER 1.0 1.0 X 0 0 0 VICKI KEISER CHAIRMAN OF THE BOARD 2.0 6.0 X X 0 0 0 ANNE CLUTTERBUCK VICE CHAIRMAN OF THE BOARD 1.0 1.0 X X 0 0 0 DR ARTHUR BRACEY BOARD MEMBER 1.0 1.0 X 0 0 0 RODNEY LENFANT BOARD MEMBER 1.0 1.0 X 0 0 0 1062841 4251373 375150 34 true true false MEMORIAL HERMANN HEALTH SYSTEM 929 Gessner Rd 2700 HOUSTON TX 77024 MEDICAL SERVICES 120178195 THE METHODIST HOSPITAL 6565 Fannin St HOUSTON TX 77030 MEDICAL SERVICES 138092781 NAVITUS HEALTH SOLUTIONS 12301 Research Blvd Plaza V Suite AUSTIN TX 78759 PHARMACY SERVICES 199463806 HARRIS HEALTH 4800 Fournace Place BELLAIRE TX 77401 MEDICAL SERVICES 77910279 HOSPITAL CORPORATION OF AMERICA 3737 BUFFALO SPEEDWAY STE 1400 HOUSTON TX 77098 MEDICAL SERVICES 26569111 120 0 Net Premium Revenue 524114 897118030 897118030 Other revenue 900099 488514 488514 897606544 820435 820435 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 898426979 897606544 0 820435 183356 183356 0 0 0 834986 667990 166996 26759 21407 5352 10314518 8251614 2062904 329867 263894 65973 1539083 1231267 307816 764951 611961 152990 0 2881588 2881588 409527 409527 0 0 0 11709415 9541669 2167746 61435 61435 586654 586654 3690958 3690958 0 502753 502753 81952 81952 0 28617 28617 2831119 2831119 0 0 216698 216698 Medical Claims Expense 817867336 817867336 CMS User Fees 18676573 18676573 COMMISSIONS EXPENSE 14874807 14874807 Premium & Maintenance Taxes 11898022 11898022 -5449923 3065373 -8515296 894861051 889986388 4874663 0 0 0 47542290 50132134 0 0 198459631 198748336 0 0 0 0 0 0 0 0 295397 0 0 0 0 0 0 0 0 0 0 0 24911055 31671651 271208373 280552121 4778044 10446489 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189651894 169655395 194429938 180101884 X 0 0 15000000 35000000 61778435 65450237 76778435 100450237 271208373 280552121 X 3565928 20105874 X X false true X true false Reinsurance Receivable 1427774 Interest receivable 26 Health Care receivable 30243851 31671651 0 Intercompany payables 75403091 Deferred Premium Revenue 13117706 Medical Claims Payable 79133710 Affordable Care Act Liabilities 2000888 169655395 894875235 -3063230 -3063230 897938465 488514 488514 898426979 891309307 -488514 -488514 891797821 3063230 3063230 894861051 SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 OTHER CHANGES: Reinsurance expense included in audit revenue ($ 3,063,230) SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 OTHER CHANGES: Operating revenue included in audit expense $ 488,514 SCHEDULE D, PART XII, LINE 2D RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS TO FORM 990 OTHER CHANGES: Operating revenue included in audit expense ($ 488,514) SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS TO FORM 990 OTHER CHANGES: Reinsurance expense included in audit revenue $ 3,063,230 SCHEDULE D, PART X, LINE 2 INCOME TAX LIABILITIES THE COMPANY IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE COMPANY IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. true HOUSTON PARKS BOARD 300 N POST OAK LANE HOUSTON TX 77024 741860046 501(C)(3) 45291 50/50 Visionary Park Partner Sponsorship BOYS & GIRLS CLUBS OF GREATER HOUSTON 815 CROSBY ST HOUSTON TX 77019 760270942 501(C)(3) 30681 Programmatic Support MARCH OF DIMES PO BOX 18819 ATLANTA GA 31126 131846366 501(C)(3) 16947 March for Babies THE IMMUNIZATION PARTNERSHIP PO Box 346 HOUSTON TX 77001 760695612 501(C)(3) 6721 The Immunization Partnership FIT HOUSTON INC 2527 Bandeller Drive HOUSTON TX 77080 920331205 501(C)(3) 5844 Fit Houston GENESYS WORKS HOUSTON 3100 Main Street Suite 702 HOUSTON TX 77002 271628570 501(c)(3) 5091 Genesys Work Program 6 SCHEDULE I, PART I, LINE 2 THE ORGANIZATION EVALUATES DONEES BASED ON PUBLIC AND PRIVATE DATA. X X true false false false false false false false false DAISY MORALES VP SALES & MKTG - THRU 12/1/22 35446 141782 9649 38598 0 0 1781 7125 903 3611 47779 191116 0 0 LAURIE LEVERMANN CHIEF INFORMATION OFFICER 66688 266753 14080 56321 0 0 2885 11540 1558 6231 85211 340845 0 0 VALERIE BAHAR ASSOCIATE MEDICAL DIRECTOR 56527 226110 7583 30333 0 0 1608 6432 179 714 65897 263589 0 0 LISA WRIGHT PRESIDENT & CEO 109078 436311 19852 79406 0 0 2058 8231 2458 9832 133446 533780 0 0 JOHN HALEY CHIEF OPERATIONS OFFICER 82355 329422 7387 29549 0 0 8369 33477 1069 4274 99180 396722 0 0 SONYA MADDOX CHIEF GROWTH OFFICER 74646 298586 0 0 0 0 7140 28560 1609 6437 83395 333583 0 0 RAY MCCOMB CHIEF HR/ADMIN OFFICER 47204 188815 7019 28078 0 0 6832 27330 779 3117 61834 247340 0 0 RACHAEL ROBERTS ASSOCIATE MEDICAL DIRECTOR 49797 199187 5387 21548 0 0 101 404 402 1609 55687 222748 0 0 ANNA MATEJA CHIEF FINANCIAL OFFICER 59603 238412 0 0 0 0 6388 25554 195 781 66186 264747 0 0 TUNG MAI ASSOCIATE MEDICAL DIRECTOR 49928 199710 4506 18026 0 0 2100 8400 207 826 56741 226962 0 0 RYAN SORRELL VP NETWORK MANAGEMENT 48061 192246 0 0 0 0 2068 8271 93 373 50222 200890 0 0 ENDIA RICHARDSON CHIEF OF STAFF - THRU 9/7/22 27053 108213 0 0 18700 74800 1142 4567 1889 7555 48784 195135 0 0 CAREY DEATON DIRECTOR OF PROJECT MGMT OFC 38105 152420 5464 21858 0 0 2203 8812 1847 7388 47619 190478 0 0 DANIEL BARZMAN CHIEF COMPLIANCE OFFICER 44764 179054 0 0 0 0 6000 24000 388 1553 51152 204607 0 0 LURLEAN HUNT SR DIR IT STRGY & INNOVATION 38829 155317 5518 22073 0 0 5075 20300 761 3044 50183 200734 0 0 FRED BUCKWOLD INTERIM CMO - THRU 12/9/2022 45248 180990 0 0 0 0 0 0 0 0 45248 180990 0 0 DEILASHEUN RICHARDSON VP PRODUCT AND BUSINESS DEVEL 36258 145031 0 0 0 0 2570 10280 1093 4372 39921 159683 0 0 SEBRINA ALLISON - THRU 7122 VP, MEDICAL AFFAIRS 16129 64518 9825 39299 0 0 805 3219 0 0 26759 107036 0 0 SCHEDULE J, PART I, LINE 3 THE COMPENSATION OF THE PRESIDENT/CEO OF THE ORGANIZATION IS REVIEWED BY THE BOARD OF DIRECTORS OF COMMUNITY HEALTH CHOICE AND HCHD ANNUALLY. THE COMPENSATION OF ALL OTHER EXECUTIVE EMPLOYEES IS SUBJECT TO THE GUIDELINES AND MERIT RAISE PROCESS OF COMMUNITY HEALTH CHOICE. IN EARLY 2022, AN EXTERNAL COMPENSATION CONSULTING FIRM ASSISTED CHC IN EVALUATING EXECUTIVE EMPLOYEE COMPENSATION AGAINST MARKET BENCHMARKING FOR HEALTH INSURANCE PLAN COMPANIES. SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENT: ENDIA RICHARDSON RECEIVED A SEVERANCE PAYMENT TOTALLING $93,500 IN CALENDAR YEAR 2022 FROM BOTH CHCI AND CHCT. FORM 990, PART VI, LINE 1A SALARIES REFLECTED ON FORM 990, PART IX, LINES 5 AND 7 WERE ALLOCATED TO CHCI BY THE HARRIS COUNTY HOSPITAL DISTRICT (HCHD) (FEIN: 76-0408224) AND THEY ARE REFLECTED ON THE FORM W-3, TRANSMITTAL OF WAGE AND TAX STATEMENTS, OF HCHD. CHCI REIMBURSED HCHD FOR THE SALARIES, AND ALL OTHER EXPENSES INCURRED ON BEHALF OF CHCI. THE NUMBER OF FORMS 1099 AND FORMS W-2 FILED FOR THE YEAR IS REPORTED AS 244 AND 142, RESPECTIVELY. FORM 990, PART VI, SECTION A, LINE 7A HARRIS COUNTY HOSPITAL DISTRICT (HCHD) HAS CERTAIN ENUMERATED RESERVED POWERS OVER THE GOVERNING BOARD OF COMMUNITY HEALTH CHOICE, INC. (CHCI). THE GOVERNING BODY IS PROHIBITED FROM TAKING FINAL ACTION ON THE FOLLOWING WITHOUT THE APPROVAL BY RESOLUTION OF THE HCHD BOARD OF MANAGERS: 1. ADOPTION, AMENDMENT, OR REVOCATION OF THE BYLAWS OF CHCI; 2. ADOPTION, AMENDMENT, OR REVOCATION OF THE ARTICLES OF INCORPORATION OF CHCI; 3. APPOINTMENT OR REMOVAL OF DIRECTORS OF CHCI; 4. ADOPTION, AMENDMENT, OR REVOCATION OF CHCI'S PURCHASING MANUAL; 5. ADOPTION, AMENDMENT, OR REVOCATION OF CHCI'S PERSONNEL POLICIES; 6. ADOPTION, AMENDMENT, OR REVOCATION OF CHCI'S FINANCIAL POLICIES; 7. ADOPTION OF CHCI'S ANNUAL OPERATING AND CAPITAL BUDGETS; 8. ANY DEVIATION OF 10% OR MORE FROM CHCI'S ANNUAL OPERATING BUDGET OR $50,000 FROM CHCI'S ANNUAL CAPITAL BUDGET; 9. ANY TRANSACTION INVOLVING REAL PROPERTY; 10. ANY MORTGAGE, ENCUMBRANCES, OR DEBT OF CHCI IN EXCESS OF $50,000; 11. THE SALE OR OTHER DISPOSITION OF PROPERTY OF ANY KIND EXCEEDING $25,000; 12. THE PURCHASE OR ACQUISITION OF PROPERTY OF ANY KIND BY CHCI EXCEEDING $200,000 AND NOT INCLUDED IN AND APPROVED BY HCHD'S BOARD OF MANAGERS AS PART OF CHCI'S ANNUAL OPERATING AND CAPITAL BUDGET; 13. ALL PAYMENTS OTHER THAN PURCHASES, INCLUDING GUARANTEES AND GRANTS THAT ARE NOT INCLUDED IN AND APPROVED BY HCHD'S BOARD OF MANAGERS AS PART OF CHCI'S ANNUAL OPERATING AND CAPITAL BUDGETS; 14. ANY ACTION TO AMEND OR ENLARGE THE SERVICE AREA OF CHCI'S CERTIFICATE OF AUTHORITY TO DO BUSINESS AS A HEALTH MAINTENANCE ORGANIZATION IN THE STATE OF TEXAS; 15. ANY MERGER, AFFILIATION, DISSOLUTION, OR OTHER DISPOSITION OF CHCI. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION ENGAGES A PAID PREPARER, EXPERIENCED IN THE PREPARATION OF THE FORM 990, TO PREPARE THE FORM. MANAGEMENT, INCLUDING CERTAIN OFFICERS, WORKS DILIGENTLY TO HELP COMPLETE THE FORM 990 AND ATTACHED SCHEDULES IN A THOROUGH MANNER. ONCE PREPARED, IT IS REVIEWED BY THE ORGANIZATION'S CONTROLLER AND THEN AGAIN BY THE CHIEF FINANCIAL OFFICER. A COPY OF THE RETURN IS THEN MAILED OR EMAILED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES OFFICERS AND KEY EMPLOYEES TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS IN ANNUAL STATEMENTS. THE CHIEF COMPLIANCE OFFICER OF THE ORGANIZATION THEN REVIEWS THE ANNUAL STATEMENTS BEFORE SENDING TO THE HARRIS COUNTY HOSPITAL DISTRICT CORPORATE COMPLIANCE DEPARTMENT FOR FURTHER REVIEW OF THE ANNUAL CONFLICT OF INTEREST STATEMENTS. IF AT THE CONCLUSION OF THE INVESTIGATION IT IS DETERMINED THAT A CONFLICT OF INTEREST EXISTS, THE CHIEF COMPLIANCE OFFICER, THE CHIEF LEGAL OFFICER, AND APPROPRIATE MEMBERS OF CHC ADMINISTRATION WILL DETERMINE HOW BEST TO ADDRESS OR MANAGE THE COI AND DETERMINE WHETHER MITIGATING STRATEGIES MAY BE IMPLEMENTED. FORM 990, PART VI, SECTION B, LINE 15A & 15B THE COMPENSATION OF THE PRESIDENT/CEO OF THE ORGANIZATION IS REVIEWED BY THE BOARD OF DIRECTORS OF COMMUNITY HEALTH CHOICE AND HCHD ANNUALLY. THE COMPENSATION OF ALL OTHER EXECUTIVE EMPLOYEES IS SUBJECT TO THE GUIDELINES AND MERIT RAISE PROCESS OF COMMUNITY HEALTH CHOICE. IN EARLY 2022, AN EXTERNAL COMPENSATION CONSULTING FIRM ASSISTED CHC IN EVALUATING EXECUTIVE EMPLOYEE COMPENSATION AGAINST MARKET BENCHMARKING FOR HEALTH INSURANCE PLAN COMPANIES. FORM 990, PART VI, SECTION C, LINE 19 AS A SUBSIDIARY OF THE HARRIS COUNTY HOSPITAL DISTRICT (A SUBSIDIARY OF HARRIS COUNTY, TEXAS), ALL DOCUMENTS AND POLICIES ARE PART OF THE PUBLIC RECORD AND ARE THEREFORE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A The organization's payroll is processed by and reported on Forms W-2 & W-3 of related organization Harris County Hospital District (HCHD). CHCI reimburses HCHD for salaries and expenses incurred on behalf of CHCI and related organization CHCT and then allocates the related portion of payroll expenses to CHCT. Part VII compensation is therefore reported 20% paid by CHCI and 80% paid by CHCT in an effort to report according to the related salary expense. FORM 990, PART VI, LINE 3 PRIOR TO FEBRUARY 14, 2022, THE CFO ROLE WAS OUTSOURCED TO AN OUTSIDE FINANCE FIRM, BODWELL VASEK WELLS DESIMONE, WHILE THE ROLE WAS IN TRANSITION. THE AMOUNT PAID FOR THE SERVICES DURING THE YEAR WAS $59,908 FOR SERVICES TO CHCI AND $231,630 TO CHCT, A RELATED ORGANIZATION. FORM 990, PART XI, LINE 9 RECONCILIATION OF NET ASSETS OTHER CHANGES IN NET ASSETS: CAPITAL CONTRIBUTIONS FROM HCHD $20,000,000 CHANGE IN NONADMITTED ASSETS 105,874 ______________ TOTAL $20,150,874 FORM 990, PART VI, SECTION A, LINE 2 ALL COMPENSATED OFFICERS AND DIRECTORS HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER BY EMPLOYMENT WITH RELATED ENTITY CHCT. HARRIS COUNTY HOSPITAL DISTRICT 2525 HOLLY HALL HOUSTON TX 77054 741536936 HEALTH CARE TX NA false COMMUNITY HEALTH CHOICE TEXAS INC 2636 S LOOP WEST SUITE 125 HOUSTON TX 77054 814077507 INSURANCE TX 501(C)(4) HCHD true false false true false true false false false false false false false true true true true true true true COMMUNITY HEALTH CHOICE TEXAS INC C 20000000 BOOK VALUE COMMUNITY HEALTH CHOICE TEXAS INC E 488998 BOOK VALUE