2021-10-11T22:07:12-05:00 2020-12-31 BKD LLP 2700 Post Oak Blvd Ste 1500 HOUSTON TX 77056 990 2020-01-01 760495152 Community Health Choice Inc % ANN HUYNH COMM 7132952222 2636 South Loop West Suite 125 Houston TX 77054 Lisa Wright CEO 7132952222 2021-11-15 true Lisa Wright XXX-XX-XXXX Amanda Maya P01067777 7134994600 2 2020 2022-09-23 18:48:47Z LISA WRIGHT 2636 South Loop West Suite 125 Houston TX 77054 706161754 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 9 691 9 0 0 0 0 746383534 705949752 1998553 212002 0 0 748382087 706161754 0 0 0 0 38818709 17382144 0 0 0 682094646 679240409 720913355 696622553 27468732 9539201 179853538 220623046 113333980 128099944 66519558 92523102 X 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 680697695 705949752 COMMUNITY HEALTH CHOICE, INC. ISSUES HEALTH POLICIES FOR NINE 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 POLICIES. THE HEALTHCARE INSURANCE MARKETPLACE HAD 94,372 COVERED LIVES AS OF DECEMBER 31, 2020. 680697695 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 false false true false false false false false false false false false false false false false true true true false true X 681 0 true 691 true true true false false false false false false false X 9 9 false false false false false true true true false false false true true true true true true true true false X ANN HUYNH 7132954743 2636 SOUTH LOOP W SUITE 125 HOUSTON TX 77054 X BRIAN MAUDE CFO (THRU 9/19/2020) 20.0 20.0 X 253412 253412 28836 LISA FULLER VP,MEDICAL AFFAIRS(THRU 10/22) 20.0 20.0 X 239515 239515 14178 ALFONSO RUBIO CIO (THRU 9/19/2020) 20.0 20.0 X 217367 217367 27296 LISA WRIGHT PRESIDENT & CEO 20.0 20.0 X 153935 153935 21346 PAMELA HELLSTROM CHIEF COMPLIANCE OFFICER 20.0 20.0 X 156579 156579 16012 FELECIA GARNER BH MEDICAL DIRECTOR 20.0 20.0 X 149598 149598 16124 VALERIE BAHAR ASSOCIATE MEDICAL DIRECTOR 20.0 20.0 X 146770 146770 16066 ANGELA WALTMAN VP - BUSINESS DEVELOPMENT 20.0 20.0 X 142345 142345 17202 LAURIE LEVERMANN VP - INFORMATION SYSTEMS 20.0 20.0 X 133220 133220 31028 MARK VAN ELDEN CONTROLLER/TREASURER/CFO 20.0 20.0 X 130638 130638 30864 KAREN GRAY ASSOCIATE MEDICAL DIRECTOR 20.0 20.0 X 131394 131394 19626 KAREN HILL VP,MEDICAL AFFAIRS(THRU 3/21) 20.0 20.0 X 130820 130820 9578 DAISY MORALES VP - COMMUNITY AFFAIRS 20.0 20.0 X 116692 116692 25832 HEMINA PATEL VP 20.0 20.0 X 114448 114448 16156 CATHERINE MITCHELL COO 20.0 20.0 X 111391 111391 13112 SEBRINA ALLISON VP, Medical Affairs 20.0 20.0 X 106934 106934 16520 TAYLOR COOPER VP 20.0 20.0 X 103944 103944 16780 VERNICKA PORTER-SALES CHIEF MEDICAL OFFICER 20.0 20.0 X 60577 60577 13056 RAYMOND J KHOURY VICE CHAIRMAN OF THE BOARD 4.0 4.0 X X 0 0 0 JOSE GARCIA JR SECRETARY OF THE BOARD 2.0 2.0 X X 0 0 0 ELENA M MARKS BOARD MEMBER 2.0 2.0 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 4.0 4.0 X X 0 0 0 ANNE CLUTTERBUCK BOARD MEMBER 1.0 1.0 X 0 0 0 DR ARTHUR BRACEY BOARD MEMBER 1.0 1.0 X 0 0 0 LINDSEY COOKSEN BOARD MEMBER (THRU 12/31/20) 1.0 1.0 X 0 0 0 2599579 2599579 349612 102 false true false MEMORIAL HERMANN HEALTH SYSTEM 929 Gessner Rd 2700 HOUSTON TX 77024 HOSPITAL SERVICES 92150860 THE METHODIST HOSPITAL 6565 Fannin St HOUSTON TX 77030 HOSPITAL SERVICES 116976712 NAVITUS HEALTH SOLUTIONS 12301 Research Blvd Plaza V Suite AUSTIN TX 78759 HOSPITAL SERVICES 145271360 HARRIS HEALTH 4800 Fournace Place BELLAIRE TX 77401 HOSPITAL SERVICES 41718189 HOSPITAL CORPORATION OF AMERICA 3737 Buffalo Speedway Suite 1400 HOUSTON TX 77098 HOSPITAL SERVICES 21471706 125 0 Net Premium Revenue 524114 705566671 705566671 Other revenue 900099 383081 383081 705949752 212002 212002 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 706161754 705949752 212002 0 0 0 0 2021034 1616827 404207 0 11465027 9172021 2293006 762346 609877 152469 2206428 1765143 441285 927309 741847 185462 0 550287 550287 76718 76718 0 0 0 13665542 11744992 1920550 379255 379255 1491017 1491017 2736211 2736211 0 677984 677984 14541 14541 0 25991 25991 0 0 0 60195 60195 Medical Claims Expense 606659735 606659735 CMS User Fees 18830531 18830531 COMMISSION EXPENSE 13751619 13751619 Premium & Maintenance Taxes 10408900 10408900 9911883 5396203 4515680 696622553 680697695 15924858 0 0 0 51138374 79853459 0 0 79450623 116954321 0 0 0 0 0 0 0 0 2813732 0 0 0 25325845 0 0 0 0 0 0 0 21124964 23815266 179853538 220623046 10091276 8242142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103242704 119857802 113333980 128099944 X 0 0 0 15000000 66519558 77523102 66519558 92523102 179853538 220623046 X 9539201 18103 16446240 X false true X true false Reinsurance Receivable 8706660 Interest receivable 14575 Prescription rebate receivable 15094031 23815266 0 Due to District 15592930 Deferred Premium Revenue 17807484 Medical Claims Payable 59665905 Affordable Care Act Liabilities 26791483 119857802 700260175 18103 -5536601 -5518498 705778673 383081 383081 706161754 690702871 -383081 -383081 691085952 5536601 5536601 696622553 SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 OTHER CHANGES: Reinsurance expense included in audit revenue ($ 5,536,601) SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 OTHER CHANGES: Operating revenue included in audit expense $ 383,081 SCHEDULE D, PART XII, LINE 2D RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS TO FORM 990 OTHER CHANGES: Operating revenue included in audit expense ($ 383,081) SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS TO FORM 990 OTHER CHANGES: Reinsurance expense included in audit revenue $ 5,536,601 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. X X false false false false false false false false false ALFONSO RUBIO CIO (THRU 9/19/2020) 190279 190279 27088 27088 0 0 6001 6001 7647 7647 231015 231015 0 0 DAISY MORALES VP - COMMUNITY AFFAIRS 96369 96369 20323 20323 0 0 4818 4818 8098 8098 129608 129608 0 0 PAMELA HELLSTROM CHIEF COMPLIANCE OFFICER 127981 127981 28598 28598 0 0 4102 4102 3904 3904 164585 164585 0 0 LAURIE LEVERMANN VP - INFORMATION SYSTEMS 110754 110754 22466 22466 0 0 5538 5538 9976 9976 148734 148734 0 0 LISA FULLER VP,MEDICAL AFFAIRS(THRU 10/22) 210385 210385 29130 29130 0 0 6638 6638 451 451 246604 246604 0 0 VALERIE BAHAR ASSOCIATE MEDICAL DIRECTOR 129524 129524 17246 17246 0 0 4457 4457 3576 3576 154803 154803 0 0 ANGELA WALTMAN VP - BUSINESS DEVELOPMENT 113532 113532 28813 28813 0 0 5677 5677 2924 2924 150946 150946 0 0 KAREN HILL VP,MEDICAL AFFAIRS(THRU 3/21) 130820 130820 0 0 0 0 2424 2424 2365 2365 135609 135609 0 0 KAREN GRAY ASSOCIATE MEDICAL DIRECTOR 115923 115923 15471 15471 0 0 0 0 9813 9813 141207 141207 0 0 BRIAN MAUDE CFO (THRU 9/19/2020) 216266 216266 37146 37146 0 0 6764 6764 7654 7654 267830 267830 0 0 CATHERINE MITCHELL COO 70769 70769 40622 40622 0 0 3538 3538 3018 3018 117947 117947 0 0 TAYLOR COOPER VP 91409 91409 12535 12535 0 0 4570 4570 3820 3820 112334 112334 0 0 HEMINA PATEL VP 95752 95752 18696 18696 0 0 0 0 8078 8078 122526 122526 0 0 LISA WRIGHT PRESIDENT & CEO 153935 153935 0 0 0 0 3905 3905 6768 6768 164608 164608 0 0 FELECIA GARNER BH MEDICAL DIRECTOR 144802 144802 4796 4796 0 0 0 0 8062 8062 157660 157660 0 0 SEBRINA ALLISON VP, Medical Affairs 93994 93994 12940 12940 0 0 4344 4344 3916 3916 115194 115194 0 0 MARK VAN ELDEN CONTROLLER/TREASURER/CFO 115095 115095 15543 15543 0 0 5582 5582 9850 9850 146070 146070 0 0 SCHEDULE J, PART I, LINE 3 COMPENSATION FOR THE CEO/PRESIDENT IS DETERMINED THROUGH NEGOTIATIONS WITH THE HARRIS COUNTY HOSPITAL DISTRICT (HCHD), A RELATED ORGANIZATION, AND IS THEN SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS OF HCHD. FOR ALL OTHER EXECUTIVES, COMPENSATION IS DETERMINED BY THE BOARD OF HCHD UTILIZING MARKET SURVEYS FOR EXECUTIVES IN SIMILAR ORGANIZATIONS AND IN SIMILAR POSITIONS. MARKET ADJUSTMENTS ARE MADE ANNUALLY TO ACCOUNT FOR ANY CHANGES IN COMPENSATION. FORM 990, PART V, LINES 1A & 2A 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 681 AND 691, RESPECTIVELY. THIS TOTAL ALSO INCLUDES FORMS FILED FOR CHCT, A RELATED ORGANIZATION. THE RELATED PAYROLL EXPENSES ARE ALLOCATED AND REPORTED ON FORM 990, PART IX, LINES 5 AND 7 OF CHCT. 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, 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 A, LINE 8B COMMUNITY HEALTH CHOICE, 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. 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 HCHD. THE COMPENSATION OF ALL OTHER EMPLOYEES IS SUBJECT TO THE GUIDELINES AND MERIT RAISE PROCESSING OF THE HARRIS COUNTY HOSPITAL DISTRICT. 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: CAPITAL TRANSFER FROM CHCT $ 15,000,000 CHANGE IN NONADMITTED ASSETS 1,446,240 ------------ $ 16,446,240 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 50% paid by CHCI and 50% paid by CHCT in an effort to report according to the related salary expense. 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 false false false false false false false false true true true true true true false COMMUNITY HEALTH CHOICE TEXAS INC Q 5498118 BOOK VALUE COMMUNITY HEALTH CHOICE TEXAS INC C 15000000 BOOK VALUE