2023-11-13T09:28:16-06:00 2022-12-31 FORVIS LLP 2700 Post Oak Blvd Ste 1500 HOUSTON TX 77056 990 2022-01-01 814077507 Community Health Choice Texas 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 1911712999 false X N/A X 2017 TX THE OPERATION OF A MEDICAID/CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) HEALTH MAINTENANCE ORGANIZATION PROVIDING PRE-PAID MEDICAL & DENTAL CARE TO SOUTHEAST TX RESIDENTS. 9 9 566 9 0 0 0 0 1380214512 1892084135 1252816 13458864 0 0 1381467328 1905542999 132000 444153 0 0 56073510 60242318 0 0 0 1280904001 1780481968 1337109511 1841168439 44357817 64374560 530639818 788933161 277456542 491967032 253183276 296966129 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 AND 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. FOR INDIVIDUAL AND FAMILY HEALTH. false false 1793226684 444153 1892084135 THE OPERATION OF A HEALTH MAINTENANCE ORGANIZATION PROVIDING PRE-PAID MEDICAL & DENTAL CARE TO ITS APPROXIMATELY 403,943 MEDICAID, 3,470 CHIP, 2,670 CHIP PERINATAL AND 249 DSNP MEMBERS WITHIN A PRIMARY SERVICE AREA OF HARRIS AND CONTIGUOUS COUNTIES IN THE STATE OF TEXAS. PART OF CHCT'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. 1793226684 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 974 0 true 566 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 STE 125 HOUSTON TX 77054 X LISA WRIGHT PRESIDENT & CEO 32.0 8.0 X 515717 128930 22579 JOHN HALEY CHIEF OPERATIONS OFFICER 32.0 8.0 X 358971 89742 47189 LAURIE LEVERMANN CHIEF INFORMATION OFFICER 32.0 8.0 X 323074 80768 22214 SONYA MADDOX CHIEF GROWTH OFFICER 32.0 8.0 X 298586 74646 43746 ANNA MATEJA CHIEF FINANCIAL OFFICER 32.0 8.0 X 238412 59603 32918 VALERIE BAHAR ASSOCIATE MEDICAL DIRECTOR 32.0 8.0 X 256443 64110 8933 RAY MCCOMB CHIEF HR/ADMIN OFFICER 32.0 8.0 X 216893 54223 38058 TUNG MAI ASSOCIATE MEDICAL DIRECTOR 32.0 8.0 X 217736 54434 11533 RACHAEL ROBERTS ASSOCIATE MEDICAL DIRECTOR 32.0 8.0 X 220735 55184 2516 DANIEL BARZMAN CHIEF COMPLIANCE OFFICER 32.0 8.0 X 179054 44764 31941 RYAN SORRELL VP NETWORK MANAGEMENT 32.0 8.0 X 192246 48061 10805 LURLEAN HUNT SR DIR IT STRGY & INNOVATION 32.0 8.0 X 177390 44347 29180 ENDIA RICHARDSON CHIEF OF STAFF - THRU 9/7/22 32.0 8.0 X 183013 45753 15153 DAISY MORALES VP Sales & MTKG - Thru 12/1/22 32.0 8.0 X 180380 45095 13420 CAREY DEATON DIRECTOR OF PROJECT MGMT OFC 32.0 8.0 X 174278 43569 20250 FRED BUCKWOLD INTERIM CMO - THRU 12/9/2022 32.0 8.0 X 180990 45248 0 DEILASHEUN RICHARDSON VP PRODUCT AND BUSINESS DEVEL 32.0 8.0 X 145031 36258 18315 SEBRINA ALLISON - THRU 7122 VP, MEDICAL AFFAIRS 32.0 8.0 X 103817 25954 4024 PAMELA HELLSTROM CCO - THRU 2/2/2022 32.0 8.0 X 88607 22152 2376 Jose Garcia Jr SECRETARY OF THE BOARD 3.0 1.0 X X 0 0 0 Vivian Ho PhD BOARD MEMBER 1.0 1.0 X 0 0 0 Vicki Keiser CHAIRMAN OF THE BOARD 6.0 2.0 X X 0 0 0 Raymond Khoury BOARD MEMBER 1.0 1.0 X 0 0 0 Elena Marks BOARD MEMBER 1.0 1.0 X 0 0 0 Anne Clutterback VICE CHAIRMAN OF THE BOARD 1.0 1.0 X X 0 0 0 Stephen McKernan BOARD MEMBER 1.0 1.0 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 4251373 1062841 375150 135 true true false TEXAS CHILDREN'S HOSPITAL 6621 FANNIN ST HOUSTON TX 77030 MEDICAL SERVICES 257892509 MEMORIAL HERMANN HEALTH SYSTEM 929 Gessner Rd 2700 HOUSTON TX 77024 MEDICAL SERVICES 237437078 UTMB GALVESTON HOSPITAL 301 8TH STREET HOUSTON TX 77555 MEDICAL SERVICES 52821096 HOSPITAL CORPORATION OF AMERICA 3737 BUFFALO SPEEDWAY STE 1400 HOUSTON TX 77098 MEDICAL SERVICES 109653122 NAVITUS HEALTH SOLUTIONS 12301 Research Blvd Plaza V Suite AUSTIN TX 78759 PHARMACY SERVICES 140057171 109 0 Net Premium Revenue 524114 1892084135 1892084135 1892084135 13458864 13458864 0 0 0 0 0 6170000 6170000 0 0 0 0 0 0 0 0 0 0 0 1905542999 1892084135 13458864 444153 444153 0 0 0 3339945 2671957 667988 107036 85629 21407 45176594 36141275 9035319 2058888 1647110 411778 6230785 4984628 1246157 3329070 2663256 665814 0 543038 543038 782755 782755 0 0 0 47549294 34084727 13464567 271792 271792 2896067 2896067 11885242 11885242 0 2195335 2195335 279923 279923 0 138743 138743 0 0 0 1243180 1243180 Medical Claims Expense 1658195518 1658195518 Premium & Maintenance Taxes 37511142 37511142 PROVIDER INCENTIVE 9606814 9606814 REINSURANCE EXPENSE 5097070 5097070 2286055 93405 2192650 1841168439 1793226684 47941755 0 0 0 384080611 664347759 0 0 75519154 59701004 0 0 0 0 0 0 0 0 0 0 0 0 6223246 0 0 0 0 0 0 0 64816807 64884398 530639818 788933161 48990635 124937451 0 0 0 0 0 0 0 0 0 0 0 0 0 0 228465907 367029581 277456542 491967032 X 0 0 52500000 32500000 200683276 264466129 253183276 296966129 530639818 788933161 X 64374560 284 -20591991 X X false true X true false Reinsurance recoverable 562416 LINE OF CR. REC FROM AFFILIATE 64321982 64884398 0 Medical Claims Payable 357927409 Provider Incentive Payable 9102172 367029581 1899326218 284 -6217065 -6216781 1905542999 1905542999 1834951374 1834951374 6217065 6217065 1841168439 SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 OTHER CHANGES: REINSURANCE EXPENSE INCLUDED IN AUDIT REVENUE ($ 6,217,065) SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS TO FORM 990 OTHER CHANGES: REINSURANCE EXPENSE INCLUDED IN AUDIT REVENUE $ 6,217,065 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 Harris County Hospital District PO BOX 66769 Houston TX 77266 741536936 HCHD 7078 LBJ Garden MARCH OF DIMES PO BOX 18819 ATLANTA GA 31126 131846366 501(C)(3) 41053 MARCH FOR BABIES HCHD FOUNDATION 4800 FOURNACE PL BELLAIRE TX 77401 760408224 501(C)(3) 7078 Med Run BOYS & GIRLS CLUBS OF GREATER HOUSTON 815 CROSBY ST HOUSTON TX 77019 760270942 501(C)(3) 74319 Programmatic Support HOUSTON PARKS BOARD 300 N POST OAK LANE HOUSTON TX 77024 741860046 501(C)(3) 109710 50/50 Visionary Park Partner Sponsorship THE IMMUNIZATION PARTNERSHIP PO Box 346 HOUSTON TX 77001 760695612 501(C)(3) 16279 The Immunization Partnership FIT HOUSTON INC 2527 Bandeller Drive HOUSTON TX 77080 920331205 501(C)(3) 14156 FIT HOUSTON ASSOCIATION FOR THE ADVANCEMENT OF MEXICAN AMERICA 6001 GULF FWY BLDG E HOUSTON TX 77023 741696961 501(C)(3) 10617 Early Childhood Development Program ASSOCIATION FOR COMMUNITY AFFILIATED PLANS 1155 15TH ST NW STE 600 WASHINGTON DC 20005 050509791 501(C)(6) 7078 ACAP Center for Social Determinants of Health (SDOH) Innovation PROUNITAS INC 1801 Main St HOUSTON TX 77002 471573396 501(C)(3) 7078 Annual Adopt-a-School Prounitas CRAIN COMMUNICATIONS-MODERN HEALTHCARE 130 East Randolph St CHICAGO IL 60601 360708800 N/A 5096 Gala GENESYS WORKS HOUSTON 3100 Main Street Suite 702 HOUSTON TX 77002 271628570 501(c)(3) 12331 Genesys Work Program MY CONNECT COMMUNITY 6700B Bellaire Blvd HOUSTON TX 77074 811424233 501(c)(3) 5662 Gulfton Youth Coalition Initiative Program CRISTO REY WORK STUDY PROGRAM INC 6700 MOUNT CARMEL ST HOUSTON TX 77087 263739361 501(C)(3) 7701 CWSP SponsorshiP 12 2 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 & MTKG - Thru 12/1/22 141782 35446 38598 9649 0 0 7125 1781 3611 903 191116 47779 0 0 VALERIE BAHAR ASSOCIATE MEDICAL DIRECTOR 226110 56527 30333 7583 0 0 6432 1608 714 179 263589 65897 0 0 LAURIE LEVERMANN CHIEF INFORMATION OFFICER 266753 66688 56321 14080 0 0 11540 2885 6231 1558 340845 85211 0 0 LISA WRIGHT PRESIDENT & CEO 436311 109078 79406 19852 0 0 8231 2058 9832 2458 533780 133446 0 0 JOHN HALEY CHIEF OPERATIONS OFFICER 329422 82355 29549 7387 0 0 33477 8369 4274 1069 396722 99180 0 0 SONYA MADDOX CHIEF GROWTH OFFICER 298586 74646 0 0 0 0 28560 7140 6437 1609 333583 83395 0 0 RAY MCCOMB CHIEF HR/ADMIN OFFICER 188815 47204 28078 7019 0 0 27330 6832 3117 779 247340 61834 0 0 RACHAEL ROBERTS ASSOCIATE MEDICAL DIRECTOR 199187 49797 21548 5387 0 0 404 101 1609 402 222748 55687 0 0 ANNA MATEJA CHIEF FINANCIAL OFFICER 238412 59603 0 0 0 0 25554 6388 781 195 264747 66186 0 0 TUNG MAI ASSOCIATE MEDICAL DIRECTOR 199710 49928 18026 4506 0 0 8400 2100 826 207 226962 56741 0 0 RYAN SORRELL VP NETWORK MANAGEMENT 192246 48061 0 0 0 0 8271 2068 373 93 200890 50222 0 0 ENDIA RICHARDSON CHIEF OF STAFF - THRU 9/7/22 108213 27053 0 0 74800 18700 4567 1142 7555 1889 195135 48784 0 0 CAREY DEATON DIRECTOR OF PROJECT MGMT OFC 152420 38105 21858 5464 0 0 8812 2203 7388 1847 190478 47619 0 0 DANIEL BARZMAN CHIEF COMPLIANCE OFFICER 179054 44764 0 0 0 0 24000 6000 1553 388 204607 51152 0 0 LURLEAN HUNT SR DIR IT STRGY & INNOVATION 155317 38829 22073 5518 0 0 20300 5075 3044 761 200734 50183 0 0 FRED BUCKWOLD INTERIM CMO - THRU 12/9/2022 180990 45248 0 0 0 0 0 0 0 0 180990 45248 0 0 DEILASHEUN RICHARDSON VP PRODUCT AND BUSINESS DEVEL 145031 36258 0 0 0 0 10280 2570 4372 1093 159683 39921 0 0 SEBRINA ALLISON - THRU 7122 VP, MEDICAL AFFAIRS 64518 16129 39299 9825 0 0 3219 805 0 0 107036 26759 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 OF $93,500 IN CALENDAR YEAR 2022 FROM BOTH CHCT AND CHCI. 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 TEXAS, INC. (CHCT). 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 CHCT; 2. ADOPTION, AMENDMENT, OR REVOCATION OF THE ARTICLES OF INCORPORATION OF CHCT; 3. APPOINTMENT OR REMOVAL OF DIRECTORS OR PRESIDENT AND CEO OF CHCT; 4. ADOPTION, AMENDMENT, OR REVOCATION OF CHCT'S PURCHASING MANUAL; 5. ADOPTION, AMENDMENT, OR REVOCATION OF CHCT'S PERSONNEL POLICIES; 6. ADOPTION, AMENDMENT, OR REVOCATION OF CHCT'S FINANCIAL POLICIES; 7. ADOPTION OF CHCT'S ANNUAL OPERATING AND CAPITAL BUDGETS; 8. ANY DEVIATION OF 10% OR MORE FROM CHCT'S ANNUAL OPERATING BUDGET OR $100,000 FROM CHCT'S ANNUAL CAPITAL BUDGET; 9. ANY TRANSACTION INVOLVING REAL PROPERTY; 10. ANY MORTGAGE, ENCUMBRANCES, OR DEBT OF CHCT IN EXCESS OF $200,000; 11. THE SALE OR OTHER DISPOSITION OF PROPERTY OF ANY KIND EXCEEDING $200,000; 12. THE PURCHASE OR ACQUISITION OF PROPERTY OF ANY KIND BY CHCT EXCEEDING $200,000 AND NOT INCLUDED IN AND APPROVED BY HCHD'S BOARD OF MANAGERS AS PART OF CHCT'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 CHCT'S ANNUAL OPERATING AND CAPITAL BUDGETS; 14. ANY ACTION TO AMEND, REDUCE, OR ENLARGE THE SERVICE AREA OF CHCT'S CERTIFICATE OF AUTHORITY TO DO BUSINESS AS A HEALTH MAINTENANCE ORGANIZATION IN THE STATE OF TEXAS; 15. ANY REORGANIZATION, CONSOLIDATION, OR THE CREATION OF ANY SUBSIDIARY OR ANY OTHER AFFILIATED ENTITY; 16. ANY CHANGE IN ANY OF THE CONTRACTUAL RELATIONSHIPS BETWEEN CHCT AND CHCI (COMMUNITY HEALTH CHOICE, INC.) AND/OR THE HCHD; 17. ANY CHANGE IN THE MISSION, PURPOSES, OR BUSINESS LINES; 18. ANY CHANGE IN THE PRINCIPAL OFFICE; 19. PURCHASE, ADOPTION, AMENDMENT, CANCELLATION OR REPLACEMENT OF ANY INSURANCE AND/OR SELF-INSURANCE COVERAGES REQUIRED PER THE BYLAWS; 20. COMMENCEMENT OF ANY LITIGATION IN EXCESS OF $200,000; 21. ANY MERGER, AFFILIATION, DISSOLUTION, OR OTHER DISPOSITION OF CHCT. 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 V, LINES 1A & 2A SALARIES REFLECTED ON FORM 990, PART IX, LINES 5 AND 7 WERE ALLOCATED TO CHCT 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. CHCT REIMBURSED HCHD FOR THE SALARIES, AND ALL OTHER EXPENSES INCURRED ON BEHALF OF CHCT. THE NUMBER OF FORMS 1099 AND FORMS W-2 FILED FOR THE YEAR IS REPORTED AS 974 AND 566, RESPECTIVELY. 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 $231,630 FOR SERVICES TO CHCT AND $59,908 TO CHCI, A RELATED ORGANIZATION. 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). RELATED ORGANIZATION CHCI REIMBURSES HCHD FOR SALARIES AND EXPENSES INCURRED ON BEHALF OF CHCI AND CHCT AND THEN ALLOCATED 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 XI, LINE 9 RECONCILIATION OF NET ASSETS OTHER CHANGES IN NET ASSETS: CAPITAL TRANSFER TO HCHD $(20,000,000) CHANGE IN NONADMITTED ASSETS (105,874) _______________ TOTAL $(20,591,991) FORM 990, PART VI, SECTION A, LINE 2 ALL COMPENSATED OFFICERS AND DIRECTORS HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER BY EMPLOYMENT WITH RELATED ENTITY CHCI. HARRIS COUNTY HOSPITAL DISTRICT 2525 HOLLY HALL HOUSTON TX 77054 741536936 HEALTH CARE TX GOVT NA false COMMUNITY HEALTH CHOICE INC 2636 S LOOP WEST SUITE 700 HOUSTON TX 77054 760495152 INSURANCE TX 501(C)(4) HCHD true false true false true false false false false false false false false true true true false true false true COMMUNITY HEALTH CHOICE INC B 20000000 BOOK VALUE COMMUNITY HEALTH CHOICE INC D 488998 BOOK VALUE