2019-10-22T19:15:49-05:00 2018-12-31 BKD LLP 2700 Post Oak Blvd Ste 1500 HOUSTON TX 77056 990 2018-01-01 814077507 Community Health Choice Texas Inc % MARK VAN ELDEN - CONTROLLER COMM 7132952222 2636 South Loop West Suite 125 Houston TX 77054 BRIAN MAUDE CFO 7132952222 2019-11-15 true Amanda Maya P01067777 7134994600 167.68.126.162 76915820192955000002 2019-10-22 P BDE6419D18BA3C0C81814895B01C6259835EC20C F163B7394A02593AB1D23FF5A4E129A361E2DE59 2018 2020-03-31 21:24:44Z CATHERINE MITCHELL 2636 South Loop West Suite 125 Houston TX 77054 961682411 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. 7 7 0 7 0 32600 0 0 688325213 959876043 542743 1801368 0 0 688867956 961677411 0 465562 0 0 26069083 35186665 0 0 0 668404220 924209630 694473303 959861857 -5605347 1815554 143628147 186214854 92672915 98000492 50955232 88214362 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 937287999 465562 959876043 THE OPERATION OF A HEALTH MAINTENANCE ORGANIZATION PROVIDING PRE-PAID MEDICAL & DENTAL CARE TO ITS APPROXIMATELY 247,866 MEDICAID, 27,611 CHIP AND 3,116 CHIP PERINATAL 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. 937287999 false false false false false false false false false false false false false 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 0 0 true 0 false false false false false false false false X 7 7 false false false false false true true true false false false true true true true true true true true false X MARK VAN ELDEN - CONTROLLER 7132952238 2636 SOUTH LOOP W STE 125 houston TX 77054 X Jose Garcia Jr director 2.0 2.0 X 0 0 0 Vivian Ho PhD director 1.0 1.0 X 0 0 0 Vicki Keiser director 4.0 4.0 X 0 0 0 Raymond Khoury director 4.0 4.0 X 0 0 0 Elena Marks director 2.0 2.0 X 0 0 0 Anne Clutterback director 1.0 1.0 X 0 0 0 Stephen McKernan director 1.0 1.0 X 0 0 0 KENNETH JANDA PRESIDENT/CEO 20.0 20.0 X 234665 234665 21354 ALFONSO RUBIO CHIEF INFORMATION OFFICER 20.0 20.0 X 140760 140760 38436 KAREN LOVE COO/SENIOR VP 20.0 20.0 X 148524 148524 37602 PAMELA HELLSTROM CHIEF COMPLIANCE OFFICER 20.0 20.0 X 119057 119057 16458 OLUBUNMI OTUYELU CHIEF COMPLIANCE OFFICER 20.0 20.0 X 91778 91778 21558 CATHERINE MITCHELL CHIEF OPERATIONS OFFICER 20.0 20.0 X 150738 150738 32710 BRIAN MAUDE CHIEF FINANCIAL OFFICER 20.0 20.0 X 161720 161723 39476 FRED BUCKWOLD VP - MEDICAL MGMT 20.0 20.0 X 165952 165952 22574 DAISY MORALES VP - COMMUNITY AFFAIRS 20.0 20.0 X 96311 96311 20628 ANGELA WALTMAN VP - SALES & MEMBER OPERATIONS 20.0 20.0 X 132962 132962 9008 KAREN HILL SENIOR VP - MEDICAL AFFAIRS 20.0 20.0 X 157397 157397 31698 NANCY EDGAR CHIEF HR/ADMIN OFFICER 20.0 20.0 X 108247 108247 24686 LAURIE LEVERMANN VP - INFORMATION SYSTEMS 20.0 20.0 X 102948 102948 35012 RICHARD LEE SENIOR VP - FINANCE 20.0 20.0 X 200227 200227 28856 LISA FULLER ASSOCIATE MEDICAL DIRECTOR 20.0 20.0 X 129870 129870 12424 VALERIE BAHAR ASSOCIATE MEDICAL DIRECTOR 20.0 20.0 X 127351 127351 17918 THOMAS NGUYEN DIRECTOR-MANAGED CARE SYSTEMS 20.0 20.0 X 102179 102179 27180 KAREN GRAY ASSOCIATE MEDICAL DIRECTOR 20.0 20.0 X 105619 105619 25250 2476305 2476308 462828 96 false true false NAVITUS HEALTH SOLUTIONS 1025 West Navitus Dr APPLETON WI 54913 PHARMACY BENEFITS 107100899 TEXAS CHILDREN'S HOSPITAL 6621 FANNIN ST HOUSTON TX 77030 HOSPITAL SERVICES 112955043 MEMORIAL HERMANN HEALTH SYSTEM 929 Gessner Rd 2700 HOUSTON TX 77024 HOSPITAL SERVICES 80451095 UTMB GALVESTON HOSPITAL 301 UNIVERSITY BLVD HOUSTON TX 77555 HOSPITAL SERVICES 34945310 Hospital Corporation of America 8101 W Sam Houston Pkwy S HOUSTON TX 77072 HEALTHCARE PROVIDER 63028027 405 0 Net Premium Revenue 524114 959876043 959876043 959876043 1801368 1801368 0 0 0 0 0 5000 5000 0 0 0 0 0 0 0 0 0 0 0 961677411 959876043 1801368 465562 465562 0 0 0 1956737 1565390 391347 0 25483651 20386921 5096730 1233795 987036 246759 4635082 3708065 927017 1877400 1501920 375480 0 244608 244608 550051 550051 0 0 0 13686565 9542993 4143572 620295 620295 2804030 2804030 4510576 4510576 0 1647491 1647491 127042 127042 0 208634 208634 0 0 0 158859 158859 Medical Claims Expense 869787525 869787525 Premium & Maintenance Taxes 16960386 16960386 PROVIDER INCENTIVE 10650660 10650660 Reinsurance expense 1709363 1709363 543545 22178 521367 959861857 937287999 22573858 0 0 0 52318198 131242022 0 0 18534108 22615298 0 0 0 0 0 0 0 0 0 448267 0 0 30708249 30442611 0 0 0 0 0 0 42067592 1466656 143628147 186214854 1575059 2900850 0 0 0 0 0 0 0 0 0 0 0 0 0 0 91097856 95099642 92672915 98000492 X 0 0 14500000 49500000 36455232 38714362 50955232 88214362 143628147 186214854 X 1815554 35443576 X X false true X true false 0 Medical Claims Payable 85716592 Provider Incentive Payable 1458055 DUE TO AFFILIATES 7924995 95099642 959420529 -2256882 -2256882 961677411 961677411 957604975 957604975 2256882 2256882 959861857 SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 OTHER CHANGES: REINSURANCE EXPENSE INCLUDED IN AUDIT REVENUE ($ 2,256,882) SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS TO FORM 990 OTHER CHANGES: REINSURANCE EXPENSE INCLUDED IN AUDIT REVENUE $ 2,256,882 true AIDS Foundation Houston Inc 6260 Westpark Suite 100 Houston TX 77057 760073661 501(c)(3) 13000 Allied Services/2018 World AIDS Day Luncheon Center for Public Policy Priorities 7020 Easy Wind Dr Suite 200 Austin TX 78752 742898197 501(c)(3) 7500 State of Texas enrollment Conference/2018 Legacy Luncheon Children at Risk 2900 Weslayan STE 400 Houston TX 77027 760360533 501(c)(3) 7000 Accolades Luncheons Children's Defense Fund 5410 Bellaire Blvd 203 Bellaire TX 77401 520895622 501(c)(3) 22500 Coalition Health Education 2018/Beat the Odds Awards Luncheon Connect Community 6700 Bellaire Blvd Houston TX 77074 811424233 501(c)(3) 6400 Breakthrough Program/Connect Amplify Luncheon/Fall Festival Culture of Health Advancing Together 530 North Elder Grove Dr Pearland TX 77584 473990099 501(c)(3) 5700 ESL Classes/Gulfton Story Trail Unveiling Party Harris County Hospital District PO Box 301168 Houston TX 77054 741536936 GOV 10000 16th Annual Med Run Hispanic Health Coalition 2626 South Loop West suite 650R Houston TX 77054 760609180 501(c)(3) 6500 Scholarship Luncheon/Vive Tu Vida! Get Up Get Moving! ProUnitas Inc 4802 Lockwood Dr Houston TX 77026 471573396 501(c)(3 10000 Community Allied Services - Assist in their platform- Purple San Francisco Nativity Academy PO Box 36709 Houston TX 77236 471472764 501(c)(3) 252333 3rd Annual Luncheon/FNA Project St James Evangelical Lutheran Church 1602 W 43rd St Houston TX 77018 741390040 501(c)(3) 12000 ESL & Charla Program 11 0 X X false false false false false false false false false KENNETH JANDA PRESIDENT/CEO 234665 234665 0 0 0 0 6875 6875 3802 3802 245342 245342 0 0 RICHARD LEE SENIOR VP - FINANCE 183743 183743 16484 16484 0 0 4235 4235 10193 10193 214655 214655 0 0 FRED BUCKWOLD VP - MEDICAL MGMT 153337 153337 12615 12615 0 0 5143 5143 6144 6144 177239 177239 0 0 ALFONSO RUBIO CHIEF INFORMATION OFFICER 127728 127728 13032 13032 0 0 6593 6593 12625 12625 159978 159978 0 0 KAREN LOVE COO/SENIOR VP 130708 130708 17816 17816 0 0 6802 6802 11999 11999 167325 167325 0 0 DAISY MORALES VP - COMMUNITY AFFAIRS 88503 88503 7808 7808 0 0 4400 4400 5914 5914 106625 106625 0 0 PAMELA HELLSTROM CHIEF COMPLIANCE OFFICER 106984 106984 12073 12073 0 0 3956 3956 4273 4273 127286 127286 0 0 OLUBUNMI OTUYELU CHIEF COMPLIANCE OFFICER 79879 79879 11899 11899 0 0 2950 2950 7829 7829 102557 102557 0 0 LISA FULLER ASSOCIATE MEDICAL DIRECTOR 124620 124620 5250 5250 0 0 6212 6212 0 0 136082 136082 0 0 VALERIE BAHAR ASSOCIATE MEDICAL DIRECTOR 121943 121943 5408 5408 0 0 5156 5156 3803 3803 136310 136310 0 0 THOMAS NGUYEN DIRECTOR-MANAGED CARE SYSTEMS 95021 95021 7158 7158 0 0 4806 4806 8784 8784 115769 115769 0 0 ANGELA WALTMAN VP - SALES & MEMBER OPERATIONS 117777 117777 15185 15185 0 0 702 702 3802 3802 137466 137466 0 0 KAREN HILL SENIOR VP - MEDICAL AFFAIRS 148021 148021 9376 9376 0 0 3224 3224 12625 12625 173246 173246 0 0 CATHERINE MITCHELL CHIEF OPERATIONS OFFICER 146323 146323 4415 4415 0 0 6651 6651 9704 9704 167093 167093 0 0 BRIAN MAUDE CHIEF FINANCIAL OFFICER 143339 143339 18381 18384 0 0 6875 6875 12863 12863 181458 181461 0 0 NANCY EDGAR CHIEF HR/ADMIN OFFICER 97339 97339 10908 10908 0 0 4254 4254 8089 8089 120590 120590 0 0 LAURIE LEVERMANN VP - INFORMATION SYSTEMS 94240 94240 8708 8708 0 0 4881 4881 12625 12625 120454 120454 0 0 KAREN GRAY ASSOCIATE MEDICAL DIRECTOR 105145 105145 474 474 0 0 0 0 12625 12625 118244 118244 0 0 SCHEDULE J, PART I, LINE 3 COMPENSATION FOR KENNETH W. JANDA 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 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. 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 CONTRIBUTION FROM HCHD $ 35,000,000 CHANGE IN NONADMITTED ASSETS 443,576 ------------ $ 35,443,576 FORM 990, PART V, LINES 1A & 2A THE NUMBER OF FORMS 1099 AND FORMS W-2 FILED FOR THE YEAR IS REPORTED AS ZERO. RELATED ORGANIZATION, CHCI, FILES THE PAYROLL FORMS FOR AND ALLOCATES RELATED THE EXPENSES TO CHCT. HARRIS COUNTY HOSPITAL DISTRICT 2525 HOLLY HALL HOUSTON TX 77054 741536936 HEALTH CARE TX 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 true false false false false false false false false false true true true false true false true COMMUNITY HEALTH CHOICE INC P 14181366 BOOK VALUE COMMUNITY HEALTH CHOICE INC C 35000000 BOOK VALUE