COMMUNITY HEALTH CHOICE INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH CHOICE INC (EIN 76-0495152)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-14
- IRS object ID
- 201843189349304414
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-14T09:41:01-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2700 Post Oak Blvd Ste 1500 | AddressLine1Txt |
| City | HOUSTON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77056 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 760495152 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Health Choice Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MARK VAN ELDEN - CONTROLLER | InCareOfNm |
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 7132952222 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2636 South Loop West Suite 700 | AddressLine1Txt |
| City | Houston | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77054 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRIAN MAUDE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7132952222 | PhoneNum |
| Signature | 2018-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Amanda Maya | PreparerPersonNm |
| PTIN | P01067777 | PTIN |
| Phone | 7134994600 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 73.32.10.96 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 76915820183185000001 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2018-11-14 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 3C05F97901279AF0647DFC7D8771036E0E35E774 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | F163B7394A02593AB1D23FF5A4E129A361E2DE59 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Kenneth W Janda | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2636 South Loop West Suite 700 | AddressLine1Txt |
| City | Houston | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77054 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $834,206,714 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | HTTPS://WWW.CHCHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | THE OPERATION OF A MEDICAID/CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) HEALTH MAINTENANCE ORGANIZATION AND HEALTH INSURANCE EXCHANGE PROVIDING PRE-PAID MEDICAL & DENTAL CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 821 | TotalEmployeeCnt |
| Total Volunteers | 7 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,126,912,764 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $832,533,744 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,803,947 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,672,970 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $1,128,716,711 | PYTotalRevenueAmt |
| CY Total Revenue | $834,206,714 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $920,823 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $1,029,052,828 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $36,299,601 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $32,493,236 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $82,539,114 | PYOtherExpensesAmt |
| CY Other Expenses | $825,060,021 | CYOtherExpensesAmt |
| PY Total Expenses | $1,148,812,366 | PYTotalExpensesAmt |
| CY Total Expenses | $857,553,257 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$20,095,655 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$23,346,543 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $305,073,571 | TotalAssetsBOYAmt |
| Total Assets EOY | $259,721,828 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $223,576,925 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $204,384,776 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $81,496,646 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $55,337,052 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | COMMUNITY HEALTH CHOICE'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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $832,329,404 | ExpenseAmt |
| Revenue | $832,533,744 | RevenueAmt |
| Desc | THE OPERATION OF A HEALTH MAINTENANCE ORGANIZATION PROVIDING PRE-PAID MEDICAL & DENTAL CARE TO ITS APPROXIMATELY 248,279 MEDICAID, 28,971 CHIP AND 4,156 CHIP PERINATAL MEMBERS WITHIN A PRIMARY SERVICE AREA OF HARRIS AND CONTIGUOUS COUNTRIES IN THE STATE OF TEXAS. COMMUNITY HEALTH CHOICE, INC. ALSO 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 CHCI'S CHIP PROGRAM THROUGH MARKETPLACE POLICIES. THE HEALTHCARE INSURANCE MARKETPLACE HAD 126,039 COVERED LIVES AS OF DECEMBER 31, 2017. | Desc |
| Total Program Service Expenses | $832,329,404 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 4359 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 821 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | false | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK VAN ELDEN - CONTROLLER | PersonNm |
| Phone | 7132952238 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2636 SOUTH LOOP W SUITE 125 | AddressLine1Txt |
| City | HOUSTON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77054 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| RAYMOND J KHOURY | |||||||||
| VICE CHAIRMAN OF THE BOARD | 4.0 | 4.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOSE GARCIA JR | |||||||||
| SECRETARY OF THE BOARD | 2.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAISY A STINER | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| ELANA M MARKS | |||||||||
| BOARD MEMBER | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| VIVIAN HO | |||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| STEPHEN MCKERNAN | |||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| VICKI KEISER | |||||||||
| CHAIRMAN OF THE BOARD | 4.0 | 4.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ANNE CLUTTERBACK | |||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| KENNETH JANDA | |||||||||
| PRESIDENT/CEO | 20.0 | 20.0 | Yes (X) | $230,991 | $230,990 | $32,811 | |||
| RICHARD LEE | |||||||||
| SVP - FINANCE | 20.0 | 20.0 | Yes (X) | $118,456 | $118,454 | $43,561 | |||
| BRIAN MAUDE | |||||||||
| CHIEF FINANCIAL OFFICER | 20.0 | 20.0 | Yes (X) | $131,768 | $131,767 | $46,567 | |||
| FRED BUCKWOLD | |||||||||
| SVP - CLIN POLICY & PRTNRSHP | 20.0 | 20.0 | $168,761 | $168,759 | $39,647 | Yes (X) | |||
| ALFONSO RUBIO | |||||||||
| CHIEF INFORMATION OFFICER | 20.0 | 20.0 | $132,291 | $132,289 | $32,137 | Yes (X) | |||
| TANYA NGUYEN | |||||||||
| DIRECTOR-IS SYSTEM APPLICATION | 20.0 | 20.0 | $95,726 | $95,725 | $50,384 | Yes (X) | |||
| KAREN LOVE | |||||||||
| EXECUTIVE VICE PRESIDENT | 20.0 | 20.0 | $143,427 | $143,427 | $36,946 | Yes (X) | |||
| DAISY MORALES | |||||||||
| VP - COMMUNITY AFFAIRS | 20.0 | 20.0 | $93,186 | $93,184 | $11,282 | Yes (X) | |||
| PAMELA HELLSTROM | |||||||||
| VP - QUALITY MANAGEMENT | 20.0 | 20.0 | $105,650 | $105,649 | $52,237 | Yes (X) | |||
| OLUBUNMI OTUYELU | |||||||||
| CHIEF COMPLIANCE OFFICER | 20.0 | 20.0 | $94,249 | $94,249 | $12,039 | Yes (X) | |||
| LISA FULLER | |||||||||
| ASSOCIATE MEDICAL DIRECTOR | 20.0 | 20.0 | $123,556 | $123,556 | $24,089 | Yes (X) | |||
| VALERIE BAHAR | |||||||||
| ASSOCIATE MEDICAL DIRECTOR | 20.0 | 20.0 | $126,977 | $126,975 | $22,251 | Yes (X) | |||
| THOMAS NGUYEN | |||||||||
| DIRECTOR-MANAGED CARE SYSTEMS | 20.0 | 20.0 | $98,813 | $98,813 | $52,103 | Yes (X) | |||
| KAREN HILL | |||||||||
| SVP - MEDICAL AFFAIRS | 20.0 | 20.0 | $112,417 | $112,417 | $7,000 | Yes (X) | |||
| LAURIE LEVERMANN | |||||||||
| VP - INFORMATION SYSTEMS | 20.0 | 20.0 | $70,527 | $70,527 | $13,443 | Yes (X) | |||
| ANGELA WALTMAN | |||||||||
| VP - SALES & MEMBER OPERATIONS | 20.0 | 20.0 | $118,909 | $118,908 | $2,545 | Yes (X) | |||
| JANET WOODSON | |||||||||
| DIRECTOR - UTILIZATION MGMT | 20.0 | 20.0 | $75,102 | $75,101 | $9,880 | Yes (X) | |||
| CLAUDIA MEADOWS | |||||||||
| DIRECTOR-CONTRACTING & PROV R | 20.0 | 20.0 | $77,535 | $77,534 | $9,240 | Yes (X) | |||
| NANCY EDGAR | |||||||||
| CHIEF HR/ADMIN OFFICER | 20.0 | 20.0 | $83,891 | $83,890 | $47,122 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,202,232 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,202,214 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $545,284 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 43 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NAVITUS HEALTH SOLUTIONS | |||||
| 2601 W BELTLINE HWY STE 600 | MADISON | WI | 53713 | PHARMACY BENEFITS | $165,647,925 |
| MEMORIAL HERMANN HEALTH SYSTEM | |||||
| 921 GESSNER RD | HOUSTON | TX | 77024 | HOSPITAL SERVICES | $121,885,771 |
| TEXAS CHILDREN'S HOSPITAL | |||||
| 6621 FANNIN ST | HOUSTON | TX | 77030 | HOSPITAL SERVICES | $34,251,545 |
| UTMB GALVESTON HOSPITAL | |||||
| 301 UNIVERSITY BLVD | HOUSTON | TX | 77555 | HOSPITAL SERVICES | $26,998,927 |
| CHI ST LUKE'S MEDICAL CENTER | |||||
| 6720 BERTNER AVE | HOUSTON | TX | 77030 | HOSPITAL SERVICES | $20,540,056 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 494 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Premium Revenue | 524114 | $825,055,103 | $825,055,103 |
| OTHER REVENUE | 900099 | $7,478,641 | $7,478,641 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $832,533,744 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,672,970 | TotalRevenueColumnAmt |
| Exclusion | $1,672,970 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $834,206,714 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $832,533,744 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,672,970 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,007,800 | TotalAmt |
| Program Services | $1,606,240 | ProgramServicesAmt |
| Management And General | $401,560 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,302,350 | TotalAmt |
| Program Services | $18,641,880 | ProgramServicesAmt |
| Management And General | $4,660,470 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,086,023 | TotalAmt |
| Program Services | $868,819 | ProgramServicesAmt |
| Management And General | $217,204 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,384,664 | TotalAmt |
| Program Services | $3,507,732 | ProgramServicesAmt |
| Management And General | $876,932 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,712,399 | TotalAmt |
| Program Services | $1,369,919 | ProgramServicesAmt |
| Management And General | $342,480 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,963 | TotalAmt |
| Management And General | $172,963 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $296,618 | TotalAmt |
| Management And General | $296,618 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,250 | TotalAmt |
| Management And General | $190,250 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,610,749 | TotalAmt |
| Program Services | $18,726,973 | ProgramServicesAmt |
| Management And General | $3,883,776 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $275,457 | TotalAmt |
| Management And General | $275,457 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,484,385 | TotalAmt |
| Management And General | $4,484,385 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,476,333 | TotalAmt |
| Management And General | $2,476,333 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,640,017 | TotalAmt |
| Management And General | $1,640,017 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,343 | TotalAmt |
| Management And General | $146,343 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,825 | TotalAmt |
| Management And General | $124,825 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,030 | TotalAmt |
| Management And General | $89,030 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Medical Claims Expense | $734,525,645 | $734,525,645 |
| CMS User Fees | $21,297,293 | $21,297,293 |
| PREMIUM & MAINTENANCE TAXES | $15,119,886 | $15,119,886 |
| COMMISSIONS EXPENSE | $8,308,580 | $8,308,580 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,301,647 | TotalAmt |
| Program Services | $8,356,437 | ProgramServicesAmt |
| Management And General | $4,945,210 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $857,553,257 | TotalAmt |
| Program Services | $832,329,404 | ProgramServicesAmt |
| Management And General | $25,223,853 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,452,323 | BOYAmt |
| EOY | $3,636,325 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $225,515,899 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,419,231 | BOYAmt |
| EOY | $8,823,852 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,020,687 | BOYAmt |
| EOY | $8,093,212 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,181,330 | BOYAmt |
| EOY | $13,652,540 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $305,073,571 | BOYAmt |
| EOY | $259,721,828 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,430,947 | BOYAmt |
| EOY | $13,275,319 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $204,145,978 | BOYAmt |
| EOY | $191,109,457 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $223,576,925 | BOYAmt |
| EOY | $204,384,776 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $45,500,000 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,496,646 | BOYAmt |
| EOY | $9,837,052 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,496,646 | BOYAmt |
| EOY | $55,337,052 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $305,073,571 | BOYAmt |
| EOY | $259,721,828 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$23,346,543 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$298,894 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$2,514,157 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Other | Yes (X) | MethodOfAccountingOtherInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp | |
| Leasehold Improvements | LeaseholdImprovementsGrp | |
| Equipment | EquipmentGrp | |
| Other Land Buildings | OtherLandBuildingsGrp |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Reinsurance Receivable | $2,496,571 |
| INTEREST RECEIVABLE | $57,244 |
| PRESCRIPTION REBATE RECEIVABLE | $11,098,725 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $13,652,540 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO CHCT | $41,256,374 |
| Due to District | $11,472,204 |
| Deferred Premium Revenue | $19,550,001 |
| Medical Claims Payable | $62,659,000 |
| Affordable Care Act Liabilities | $53,889,166 |
| Provider Incentive Payable | $2,282,712 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $191,109,457 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $821,580,454 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$298,894 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$4,452,137 | OtherRevenueAmt |
| Revenue Not Reported | -$4,751,031 | RevenueNotReportedAmt |
| Revenue Subtotal | $826,331,485 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $396,588 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $7,478,641 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $7,875,229 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $834,206,714 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $845,225,891 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$7,478,641 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$7,478,641 | ExpensesNotReportedAmt |
| Expenses Subtotal | $852,704,532 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $396,588 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $4,452,137 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $4,848,725 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $857,553,257 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART XI, LINE 2D | RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 OTHER CHANGES: Reinsurance expense included in audit revenue ($ 4,452,137) |
| SCHEDULE D, PART XI, LINE 4B | RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 OTHER CHANGES: Operating revenue included in audit expense $ 7,478,641 |
| SCHEDULE D, PART XII, LINE 2D | RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS TO FORM 990 OTHER CHANGES: Operating revenue included in audit expense ($ 7,478,641) |
| SCHEDULE D, PART XII, LINE 4B | RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS TO FORM 990 OTHER CHANGES: Reinsurance expense included in audit revenue $ 4,452,137 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENNETH JANDA | ||||||||||||||
| PRESIDENT/CEO | $230,991 | $230,990 | $0 | $0 | $0 | $0 | $12,000 | $12,000 | $4,406 | $4,405 | $247,397 | $247,395 | $0 | $0 |
| RICHARD LEE | ||||||||||||||
| SVP - FINANCE | $109,862 | $109,861 | $8,594 | $8,593 | $0 | $0 | $8,852 | $8,852 | $12,929 | $12,928 | $140,237 | $140,234 | $0 | $0 |
| FRED BUCKWOLD | ||||||||||||||
| SVP - CLIN POLICY & PRTNRSHP | $156,647 | $156,646 | $12,114 | $12,113 | $0 | $0 | $12,000 | $12,000 | $7,824 | $7,823 | $188,585 | $188,582 | $0 | $0 |
| ALFONSO RUBIO | ||||||||||||||
| CHIEF INFORMATION OFFICER | $122,919 | $122,918 | $9,372 | $9,371 | $0 | $0 | $6,340 | $6,339 | $9,729 | $9,729 | $148,360 | $148,357 | $0 | $0 |
| TANYA NGUYEN | ||||||||||||||
| DIRECTOR-IS SYSTEM APPLICATION | $88,822 | $88,822 | $6,904 | $6,903 | $0 | $0 | $12,000 | $12,000 | $13,192 | $13,192 | $120,918 | $120,917 | $0 | $0 |
| KAREN LOVE | ||||||||||||||
| EXECUTIVE VICE PRESIDENT | $132,900 | $132,900 | $10,527 | $10,527 | $0 | $0 | $9,941 | $9,941 | $8,532 | $8,532 | $161,900 | $161,900 | $0 | $0 |
| DAISY MORALES | ||||||||||||||
| VP - COMMUNITY AFFAIRS | $86,103 | $86,102 | $7,083 | $7,082 | $0 | $0 | $4,259 | $4,259 | $1,382 | $1,382 | $98,827 | $98,825 | $0 | $0 |
| PAMELA HELLSTROM | ||||||||||||||
| VP - QUALITY MANAGEMENT | $99,149 | $99,148 | $6,501 | $6,501 | $0 | $0 | $12,000 | $12,000 | $14,119 | $14,118 | $131,769 | $131,767 | $0 | $0 |
| OLUBUNMI OTUYELU | ||||||||||||||
| CHIEF COMPLIANCE OFFICER | $87,332 | $87,332 | $6,917 | $6,917 | $0 | $0 | $1,379 | $1,378 | $4,641 | $4,641 | $100,269 | $100,268 | $0 | $0 |
| LAURIE LEVERMANN | ||||||||||||||
| VP - INFORMATION SYSTEMS | $70,527 | $70,527 | $0 | $0 | $0 | $0 | $3,471 | $3,471 | $3,251 | $3,250 | $77,249 | $77,248 | $0 | $0 |
| LISA FULLER | ||||||||||||||
| ASSOCIATE MEDICAL DIRECTOR | $114,702 | $114,702 | $8,854 | $8,854 | $0 | $0 | $6,873 | $6,873 | $5,172 | $5,171 | $135,601 | $135,600 | $0 | $0 |
| VALERIE BAHAR | ||||||||||||||
| ASSOCIATE MEDICAL DIRECTOR | $118,050 | $118,049 | $8,927 | $8,926 | $0 | $0 | $9,000 | $9,000 | $2,126 | $2,125 | $138,103 | $138,100 | $0 | $0 |
| THOMAS NGUYEN | ||||||||||||||
| DIRECTOR-MANAGED CARE SYSTEMS | $91,690 | $91,690 | $7,123 | $7,123 | $0 | $0 | $12,000 | $12,000 | $14,052 | $14,051 | $124,865 | $124,864 | $0 | $0 |
| ANGELA WALTMAN | ||||||||||||||
| VP - SALES & MEMBER OPERATIONS | $113,732 | $113,731 | $5,177 | $5,177 | $0 | $0 | $0 | $0 | $1,273 | $1,272 | $120,182 | $120,180 | $0 | $0 |
| JANET WOODSON | ||||||||||||||
| DIRECTOR - UTILIZATION MGMT | $64,664 | $64,664 | $10,438 | $10,437 | $0 | $0 | $3,323 | $3,323 | $1,617 | $1,617 | $80,042 | $80,041 | $0 | $0 |
| KAREN HILL | ||||||||||||||
| SVP - MEDICAL AFFAIRS | $112,417 | $112,417 | $0 | $0 | $0 | $0 | $0 | $0 | $3,500 | $3,500 | $115,917 | $115,917 | $0 | $0 |
| CLAUDIA MEADOWS | ||||||||||||||
| DIRECTOR-CONTRACTING & PROV R | $72,243 | $72,242 | $5,292 | $5,292 | $0 | $0 | $4,327 | $4,326 | $294 | $293 | $82,156 | $82,153 | $0 | $0 |
| BRIAN MAUDE | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $131,768 | $131,767 | $0 | $0 | $0 | $0 | $9,000 | $9,000 | $14,284 | $14,283 | $155,052 | $155,050 | $0 | $0 |
| NANCY EDGAR | ||||||||||||||
| CHIEF HR/ADMIN OFFICER | $83,891 | $83,890 | $0 | $0 | $0 | $0 | $11,927 | $11,927 | $11,634 | $11,634 | $107,452 | $107,451 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 4,359 AND 821, 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, LINE 2 | FAMILY OR BUSINESS RELATIONSHIP CHCI IS AWARE OF THE FAMILY RELATIONSHIP BETWEEN THE FOLLOWING KEY EMPLOYEES: THOMAS NGUYEN AND TANYA NGUYEN |
| 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 VICE PRESIDENT FOR COMPLIANCE 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 TO CHCT $ (44,204,155) CAPITAL CONTRIBUTION FROM HCHD 45,500,000 CHANGE IN NONADMITTED ASSETS (3,810,002) ------------ $ (2,514,157) |
| FORM 990, PART III, LINE 3 | THE ORGANIZATION'S MEDICAID AND CHIP SERVICES WERE TRANSFERRED TO NEW RELATED ORGANIZATION, COMMUNITY HEALTH CHOICE TEXAS, INC, AS OF MARCH 2017. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Exempt Code SectionExemptCodeSectionTxt |
|---|---|---|---|---|---|---|---|---|---|
| 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 | HCHD | Yes (true) | 501(C)(4) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COMMUNITY HEALTH CHOICE TEXAS INC | ||
| R | $44,204,155 | BOOK VALUE |
| COMMUNITY HEALTH CHOICE TEXAS INC | ||
| R | $80,921,000 | BOOK VALUE |
| COMMUNITY HEALTH CHOICE TEXAS INC | ||
| Q | $39,036,912 | BOOK VALUE |