2022-12-07T08:32:43-06:00 2021-12-31 FORVIS LLP 2700 Post Oak Blvd Ste 1500 HOUSTON TX 77056 990 2021-01-01 814077507 Community Health Choice Texas Inc % ANNA MATEJA COMM 7132952222 2636 South Loop West Suite 125 Houston TX 77054 Lisa Wright CEO 7132952222 2022-11-15 true Lisa Wright XXX-XX-XXXX Amanda Maya P01067777 7134994600 2022-11-15 2 2021 2022-09-23 18:48:47Z X LISA WRIGHT 2636 South Loop West Suite 125 Houston TX 77054 1388057328 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 9 702 9 0 0 0 0 1232364484 1380214512 833074 1252816 0 0 1233197558 1381467328 441725 132000 0 0 56020346 56073510 0 0 0 1037288361 1280904001 1093750432 1337109511 139447126 44357817 376723103 530639818 167442057 277456542 209281046 253183276 X COMMUNITY HEALTH CHOICE TEXAS'S MISSION IS TO IMPROVE THE HEALTH OF THE UNDERSERVED RESIDENTS OF SOUTHEAST TEXAS BY PROVIDING ACCESS TO COORDINATED, HIGH QUALITY, AFFORDABLE, HEALTHCARE 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 1298392207 132000 1380214512 THE OPERATION OF A HEALTH MAINTENANCE ORGANIZATION PROVIDING PRE-PAID MEDICAL & DENTAL CARE TO ITS APPROXIMATELY 362,230 MEDICAID, 6,795 CHIP, 2,288 CHIP PERINATAL AND 12 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. 1298392207 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 292 0 true 702 true false false false false false false false false X 9 9 false true false false false true true true false 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 478283 119571 35718 VERNICKA PORTER-SALES CHIEF MED. OFC (THRU 12/29/21) 32.0 8.0 X 307327 76832 36052 LAURIE LEVERMANN CHIEF INFORMATION OFFICER 32.0 8.0 X 265414 66353 36380 PAMELA HELLSTROM CHIEF COMPLIANCE OFFICER 32.0 8.0 X 264755 66188 20716 VALERIE BAHAR ASSOCIATE MEDICAL DIRECTOR 32.0 8.0 X 246050 61511 19988 MARK VAN ELDEN CFO (THRU 09/24/2021) 32.0 8.0 X 230448 57612 28010 DAISY MORALES VP - COMMUNITY AFFAIRS 32.0 8.0 X 203671 50918 30711 SEBRINA ALLISON VP, MEDICAL AFFAIRS 32.0 8.0 X 197284 49321 19723 TAYLOR COOPER VP & GENERAL COUNSEL 32.0 8.0 X 179595 44899 15577 RACHAEL ROBERTS ASSOC MEDICAL DIRECTOR 32.0 8.0 X 171523 42881 12432 WILLIAM GIBULA ACTUARY DIRECTOR 32.0 8.0 X 154134 38534 28340 ANDREA LOPEZ DIR SPECIAL INVESTIGATION UNIT 32.0 8.0 X 160757 40190 19140 TREVAN ROSS CHIEF HR (THRU 03/01/2021) 32.0 8.0 X 163182 40795 4708 VERNISHA SAVOY DIR. COMPLIANCE, FED PROGRAMS 32.0 8.0 X 138862 34715 26650 JOHN HALEY CHIEF OPERATIONS OFFICER 32.0 8.0 X 146862 36715 8811 RAY MCCOMB CHIEF HR/ADMIN OFFICER 32.0 8.0 X 138862 34715 11361 SONYA MADDOX CHIEF GROWTH OFFICER 32.0 8.0 X 58462 14615 3781 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 3.0 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 (APPT 5/19/21) 1.0 1.0 X 0 0 0 3505471 876365 358098 92 false true false TEXAS CHILDREN'S HOSPITAL 6621 FANNIN ST HOUSTON TX 77030 MEDICAL SERVICES 138576461 MEMORIAL HERMANN HEALTH SYSTEM 929 Gessner Rd 2700 HOUSTON TX 77024 MEDICAL SERVICES 196429227 UTMB GALVESTON HOSPITAL 301 UNIVERSITY BLVD HOUSTON TX 77555 MEDICAL SERVICES 35630743 CHCA WOMENS HOSPITAL LP 7600 FANNIN HOUSTON TX 77054 MEDICAL SERVICES 43863029 NAVITUS HEALTH SOLUTIONS 12301 Research Blvd Plaza V Suite AUSTIN TX 78759 MEDICAL SERVICES 27331874 460 0 Net Premium Revenue 524114 1380214512 1380214512 1380214512 1252816 1252816 0 0 0 0 0 6590000 6590000 0 0 0 0 0 0 0 0 0 0 0 1381467328 1380214512 1252816 132000 132000 0 0 0 2835381 2268305 567076 0 39651135 31720908 7930227 2406714 1925371 481343 8117989 6494391 1623598 3062291 2449833 612458 0 1113353 1113353 337381 337381 0 0 0 22713234 13173136 9540098 1197785 1197785 1920082 1920082 9976876 9976876 0 1987944 1987944 40838 40838 0 32190 32190 0 0 0 342164 342164 Medical Claims Expense 1200901662 1200901662 Premium & Maintenance Taxes 27431210 27431210 PROVIDER INCENTIVE 7751837 7751837 REINSURANCE EXPENSE 3834585 3834585 1322860 308969 1013891 1337109511 1298392207 38717304 0 0 0 310913311 384080611 0 0 31064340 75519154 0 0 0 0 0 0 0 0 0 0 0 0 33778607 6223246 0 0 0 0 0 0 966845 64816807 376723103 530639818 18702434 48990635 0 0 0 0 0 0 0 0 0 0 0 0 0 0 148739623 228465907 167442057 277456542 X 0 0 52500000 52500000 156781046 200683276 209281046 253183276 376723103 530639818 X 44357817 12845 -468432 X X false true X true false Due from Affiliates 62679133 Interest Receivables 1193804 Reinsurance recoverable 943870 64816807 0 Medical Claims Payable 219230183 Provider Incentive Payable 9235724 228465907 1377142976 12845 -5179752 -5166907 1382309883 -842555 -842555 1381467328 1332772314 842555 842555 1331929759 5179752 5179752 1337109511 SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 OTHER CHANGES: REINSURANCE EXPENSE INCLUDED IN AUDIT REVENUE ($ 5,179,752) SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 OTHER CHANGES: OPERATING REVENUE INCLUDED IN AUDIT EXPENSE ($ 842,555) SCHEDULE D, PART XII, LINE 2D RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS TO FORM 990 OTHER CHANGES: OPERATING REVENUE INCLUDED IN AUDIT EXPENSE $ 842,555 SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS TO FORM 990 OTHER CHANGES: REINSURANCE EXPENSE INCLUDED IN AUDIT REVENUE $ 5,179,752 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 2525 Holly Hall Ste 292 Houston TX 77054 760408224 HCHD 20000 HEALTH EDUCATION MARCH OF DIMES 5420 Dashwood Dr 302 HOUSTON TX 77081 131846366 501(C)(3) 35000 MARCH FOR BABIES LITERACY NOW 14781 MEMORIAL DR 25 HOUSTON TX 77079 562571141 501(C)(3) 15000 HEALTH EDUCATION ASSOCIATION OF NATIONAL ADVERTISERS INC 10 GRAND CENTRAL 155 EAST 44TH ST NEW YORK NY 10017 130453230 501(C)(6) 9400 HEALTH EDUCATION 3 1 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 - COMMUNITY AFFAIRS 170742 42686 32929 8232 0 0 8537 2134 16032 4008 228240 57060 0 0 PAMELA HELLSTROM CHIEF COMPLIANCE OFFICER 206946 51736 55762 13940 2047 512 6702 1675 9871 2468 281328 70331 0 0 VALERIE BAHAR ASSOCIATE MEDICAL DIRECTOR 211998 52999 31622 7905 2430 607 6566 1642 9424 2356 262040 65509 0 0 SEBRINA ALLISON VP, MEDICAL AFFAIRS 156008 39002 41276 10319 0 0 7800 1950 7978 1995 213062 53266 0 0 LAURIE LEVERMANN CHIEF INFORMATION OFFICER 217144 54286 48270 12067 0 0 10858 2714 18246 4562 294518 73629 0 0 TAYLOR COOPER VP & GENERAL COUNSEL 146025 36506 33570 8393 0 0 7302 1825 5160 1290 192057 48014 0 0 LISA WRIGHT PRESIDENT & CEO 404307 101077 67736 16934 6240 1560 11142 2785 17433 4358 506858 126714 0 0 VERNICKA PORTER-SALES CHIEF MED. OFC (THRU 12/29/21) 283224 70806 24103 6026 0 0 11600 2900 17242 4310 336169 84042 0 0 MARK VAN ELDEN CFO (THRU 09/24/2021) 198991 49748 31457 7864 0 0 9613 2403 12795 3199 252856 63214 0 0 JOHN HALEY CHIEF OPERATIONS OFFICER 146462 36615 400 100 0 0 0 0 7049 1762 153911 38477 0 0 RAY MCCOMB CHIEF HR/ADMIN OFFICER 138462 34615 400 100 0 0 3738 935 5350 1338 147950 36988 0 0 TREVAN ROSS CHIEF HR (THRU 03/01/2021) 41160 10290 40022 10005 82000 20500 2058 515 1708 427 166948 41737 0 0 WILLIAM GIBULA ACTUARY DIRECTOR 131306 32827 22828 5707 0 0 6566 1642 16106 4026 176806 44202 0 0 ANDREA LOPEZ DIR SPECIAL INVESTIGATION UNIT 141938 35485 18819 4705 0 0 7097 1774 8215 2054 176069 44018 0 0 RACHAEL ROBERTS ASSOC MEDICAL DIRECTOR 169615 42404 400 100 1508 377 4681 1170 5265 1316 181469 45367 0 0 VERNISHA SAVOY DIR. COMPLIANCE, FED PROGRAMS 138462 34615 400 100 0 0 6369 1592 14951 3738 160182 40045 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: TREVAN ROSS RECEIVED A SEVERANCE PAYMENT OF $102,500 IN CALENDAR YEAR 2021 FROM BOTH CHCT AND CHCI. FORM 990, PART VI, SECTION A, LINES 7A & 7B 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 A, LINE 8B COMMUNITY HEALTH CHOICE TEXAS, INC. DOES NOT HAVE COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. THEREFORE, NO DOCUMENTATION OF COMMITTEE MEETINGS WAS REQUIRED. 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, LINES 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 XI, LINE 9 RECONCILIATION OF NET ASSETS OTHER CHANGES IN NET ASSETS: CHANGE IN NONADMITTED ASSETS ( $ 468,432) 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 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 292 AND 702, RESPECTIVELY. FORM 990, PART VI, LINE 3 THE CFO AND ACCOUNTING MANAGER ROLES WERE OUTSOURCED TO AN OUTSIDE FINANCE FIRM, BODWELL VASEK WELLS DESIMONE, WHILE THESE ROLES WERE IN TRANSITION. THE AMOUNT PAID FOR THESE SERVICES DURING THE YEAR WAS $86,572 FOR SERVICES TO BOTH CHCT AND RELATED ORGANIZATION, CHCI. FORM 990, ITEM B FORM 990 ITEM B AMENDED RETURN THE ORGANIZATION IS AMENDING FORM 990 TO UPDATE A COMPENSATION DISCLOSURE. THE FOLLOWING ITEM HAS BEEN CHANGED FROM THE ORIGINALLY FILED RETURN: - SCHEDULE J, PART III, SUPPLEMENTAL INFORMATION FOR PART I, LINE 3 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 false false true false false false false false false false false true true true false true false true COMMUNITY HEALTH CHOICE INC Q 386169 BOOK VALUE COMMUNITY HEALTH CHOICE INC D 63832984 BOOK VALUE