2017-11-14T15:20:48-06:00 2016-12-31 KPMG LLP 210 Park Ave Suite 2650 Oklahoma City OK 73102 990 2016-01-01 760495152 COMMUNITY HEALTH CHOICE INC % BRIAN MAUDE CFO COMM 7132952222 2636 SOUTH LOOP WEST Suite 700 HOUSTON TX 77054 RICHARD LEE SR VP - FINANCE 7132952222 2017-11-14 true DEBRA C COOK P00031689 4052396411 2017-11-14 167.68.102.5 73017020173185000006 2017-11-14 P 0EAA22B2C3DA13DBE0E7C6D8610A4AA845F8EF4C 0EAA22B2C3DA13DBE0E7C6D8610A4AA845F8EF4C 2016 2017-02-10 21:41:12Z KENNETH W JANDA 2636 SOUTH LOOP WEST STE 700 HOUSTON TX 77054 1128716711 false X https://www.chchealth.org X 1996 TX THE OPERATION OF A MEDICAID/CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) HEALTH MAINTENANCE ORGANIZATION PROVIDING PRE-PAID MEDICAL & DENTAL CARE. (SEE SCH. O, GENERAL STMT 1) 7 7 547 7 334801 -506192 0 0 850625457 1126912764 836833 1803947 0 0 851462290 1128716711 25521 920823 771434924 1029052828 28585265 36299601 0 0 0 50181666 82539114 850227376 1148812366 1234914 -20095655 239892454 305073571 138300153 223576925 101592301 81496646 X SEE SCHEDULE O, GENERAL STATEMENT 2 false false 1127232749 920823 1126912764 SEE SCHEDULE O, GENERAL STATEMENT 3 1127232749 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 false false true X 3738 0 547 true true true false false false false false X 7 7 true false false false false true true true true false false false true true true true true true true false X BRIAN MAUDE CFO 7132952222 2636 SOUTH LOOP WEST STE 125 HOUSTON TX 77054 VICKI KEISER CHAIRMAN OF THE BOARD 8.0 0.0 X X 0 0 0 RAYMOND J KHOURY VICE CHAIRMAN OF THE BOARD 8.0 0.0 X X 0 0 0 JOSE GARCIA JR SECRETARY OF THE BOARD 4.0 0.0 X X 0 0 0 DAISY A STINER BOARD MEMBER 2.0 0.0 X 0 0 0 ELANA M MARKS BOARD MEMBER 4.0 0.0 X 0 0 0 VIVIAN HO BOARD MEMBER 2.0 0.0 X 0 0 0 STEPHEN MCKERNAN BOARD MEMBER 2.0 0.0 X 0 0 0 CHARLES A MOORE BOARD MEMBER THRU 01/16 8.0 0.0 X 0 0 0 KENNETH JANDA PRESIDENT/CEO 40.0 0.0 X 0 502474 21901 RICHARD LEE SR. VP - FINANCE 40.0 0.0 X 0 232845 30655 FRED BUCKWOLD SR. MEDICAL DIRECTOR 40.0 0.0 X 0 329371 28615 ALFONSO RUBIO SR. VP-INFORMATION TECHNOLOGY 40.0 0.0 X 0 259936 32028 TANYA NGUYEN VP - OPERATIONS 40.0 0.0 X 0 188877 9031 KAREN LOVE EXECUTIVE VICE PRESIDENT 40.0 0.0 X 0 275957 32918 DAISY MORALES VP - SALES & MARKETING 40.0 0.0 X 0 195102 16523 CHARLOTTE WOODS VP - ADMINISTRATION 40.0 0.0 X 0 160053 7712 PAMELA HELLSTROM VP - QUALITY MANAGEMENT 40.0 0.0 X 0 180282 15210 JEFFREY ALLEN VP - NETWORK MANAGEMENT 40.0 0.0 X 0 230375 18595 OLUBURMI OTUYELU VP - COMPLIANCE & RISK MGMT 40.0 0.0 X 0 182821 21595 SAIRA SHAH VP - ADMIN & LEGAL AFFAIRS 40.0 0.0 X 0 201635 24638 LISA FULLER ASSOCIATE MEDICAL DIRECTOR 40.0 0.0 X 0 235902 11724 VALERIE BAHAR ASSOCIATE MEDICAL DIRECTOR 40.0 0.0 X 0 223607 18751 THOMAS NGUYEN DIRECTOR MANAGED CARE SYSTEMS 40.0 0.0 X 0 194648 23723 ANDREA HENRY DIRECTOR - PHARMACY ANALYTICS 40.0 0.0 X 0 183345 16500 JANET WOODSON DIRECTOR - UTILIZATION MGMT 40.0 0.0 X 0 148978 8978 JOHN COAKLEY DIRECTOR - INFORMATION SYSTEMS 40.0 0.0 X 0 136615 16099 TRACY MADDOX DIRECTOR - QUALITY & OUTCOMES 40.0 0.0 X 0 152318 479 CLAUDIA MEADOWS DIRECTOR - CONTRACTING 40.0 0.0 X 0 136292 6998 0 4351433 362673 108 false true false SEE SCHEDULE O GENERAL STATEMENT 1 457934086 657 0 NET PREMIUM REVENUE 524114 1126577963 1126577963 SENDERO PROGRAM FEES 524298 228800 228800 TX HEALTH 3-SHARE PROGRAM FEES 524298 60000 60000 OTHER TPA REVENUE 524298 46001 46001 1126912764 1803947 1803947 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1128716711 1128381910 334801 917923 917923 2900 2900 0 1029052828 1029052828 3907503 781501 3126002 0 24112252 19252363 4859889 2244239 1795391 448848 4192426 3353941 838485 1843181 1316266 526915 0 561996 449597 112399 323571 258857 64714 0 0 0 26643590 22107151 4536439 0 360067 288054 72013 6230150 4984120 1246030 4561252 3649002 912250 0 1561840 1249472 312368 441950 353560 88390 0 0 0 0 0 86202 68962 17240 TAXES & LICENSES 21220476 16976381 4244095 0 CMS USER FEES 10577011 10577011 0 0 PROVIDER INCENTIVES 7798204 7798204 0 0 REINSURANCE PREMIUM - STAR 1435745 1435745 0 0 737060 563520 173540 1148812366 1127232749 21579617 0 70175501 177452323 68212282 93020687 0 0 15500388 15857261 0 0 0 0 0 0 0 0 0 0 0 0 79998751 0 0 0 0 0 0 0 6005532 18743300 239892454 305073571 9641940 19430947 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128658213 204145978 138300153 223576925 X 101592301 81496646 0 0 0 0 101592301 81496646 239892454 305073571 -20095655 X false true X true false REINSURANCE RECOVERABLE 11325260 ACCRUED INTEREST RECEIVABLE 7418040 18743300 0 MEDICAL CLAIMS PAYABLE 106068827 PROVIDER INCENTIVE PAYABLE 5659348 DEFERRED PREMIUM REVENUE 12696454 AMOUNTS DUE TO DISTRICT 9352365 AFFORDABLE CARE ACT LIABILITIES 70368984 204145978 1128716711 1128716711 1128716711 1149162451 350085 350085 1148812366 1148812366 SUPPLEMENTAL INFORMATION 1 RECLASS OF CHANGE IN NON-ADMITTED ASSETS $350,085 true HARRIS COUNTY PUBLIC HEALTH & ENVIRONMENTAL SVCS 1001 PRESTON ST STE 800 HOUSTON TX 77002 760454414 GOVT 100000 ZIKA ACCESS HEALTH 400 AUSTIN ST RICHMOND TX 77469 741951476 501(C)(3) 54000 HEALTH CLINIC EXPANSION MARCH OF DIMES FOUNDATION 5420 DASHWOOD DR STE 301 HOUSTON TX 77081 131846366 501(C)(3) 55500 PREMATURE BIRTH PREVENTION CHRIST CLINIC 5504 1ST STREET KATY TX 77493 900789318 501(c)(3) 26250 AFTER HOURS URGENT CARE SERVICES HISPANIC HEALTH COALITION 2626 SOUTH LOOP WEST STE 650 R HOUSTON TX 77054 760609180 501(C)(3) 81500 HIRING FIRST EXECUTIVE DIRECTOR ASIAN AMERICAN HEALTH COALITION OF GREATER HOUSTON 7001 CORPORATE DR STE 120 HOUSTON TX 77036 311756818 501(C)(3) 57000 EXPAND CLINIC SERVICES EL CENTRO DE CORAZON PO BOX 230209 HOUSTON TX 77223 760442781 501(C)(3) 56000 EXPAND CLINIC SERVICES HEALTHCARE FOR THE HOMELESS - HOUSTON 2505 FANNIN ST HOUSTON TX 77002 760647934 501(C)(3) 55000 ESTABLISH CLINIC SERVICES SPRING BRANCH COMMUNITY HEALTH CENTER 800 WEST SAM HOUSTON PARKWAY SOUTH HOUSTON TX 77042 300198705 501(C)(3) 27500 EXPAND CLINIC SERVICES HOUSTON COUNCIL ON ALCOHOLISM AND DRUG ABUSE 303 JACKSON HILL ST HOUSTON TX 77007 741173235 501(C)(3) 28000 TRAINING FOR PREGNANT WOMEN WITH SUBSTANCE ABUSE ISSUES BRIGHTER BITES 535 PORTWALL HOUSTON TX 77029 474070026 501(C)(3) 32000 NUTRITION PROGRAM IN LOW-INCOME SCHOOLS CAN DO HOUSTON 2617C WEST HOLCOMBE BLVD STE 596 HOUSTON TX 77025 263554461 501(C)(3) 10000 POSITIVE PARENTING PROGRAM CATHOLIC CHARITIES OF SOUTHEAST TEXAS 2780 EASTEX FWY BEAUMONT TX 77703 741900345 501(C)(3) 15000 ON-GOING GRIEF SUPPORT SERVICES TO CHILDREN CHILDREN AT RISK INC 2900 WESLAYAN ST STE 400 HOUSTON TX 77027 760360533 501(C)(3) 10000 PARENTING CLASSES COLLABORATIVE FOR CHILDREN 1111 NORTH LOOP WEST STE 600 HOUSTON TX 77008 760228065 501(C)(3) 10000 SUPPORT EARLY EDUCATION/DAY CARE/PARENTING EPIPHANY COMMUNITY HEALTH OUTREACH SERVICES 9600 S GESSNER BLDG E HOUSTON TX 77071 760645238 501(C)(3) 21750 APPLICATION ASSISTANCE FOR MEDICAID, CHIP, MARKETPLACE FAMILY SERVICES OF GREATER HOUSTON 3120 SOUTHWEST FWY STE 215 HOUSTON TX 77098 741152613 501(C)(3) 25000 BEHAVIORAL HEALTH PROGRAM FOR ADOLESCENTS (AND PARENTS) NORTHWEST ASSISTANCE MINISTRIES 15555 KUYKENDAHL RD HOUSTON TX 77090 760088702 501(C)(3) 25000 CASE MANAGEMENT FOR PEDIATRIC PRACTICE PROUNITAS INC 4802 LOCKWOOD DR HOUSTON TX 77026 471573396 501(C)(3) 15000 PROVIDE MULTI-FACETED NAVIGATION SERVICES TO STUDENTS SAN JOSE CLINIC 2615 FANNIN ST HOUSTON TX 77002 760373703 501(C)(3) 25000 EXPAND CLINIC SERVICES SPINDLETOP CENTER 655 SOUTH 8TH ST BEAUMONT TX 77701 741684198 GOV'T 30000 PRIMARY CARE/MENTAL HEALTH COMBINATION CLINIC TOMAGWA MINISTRIES INC 455 SCHOOL ST 30 TOMBALL TX 77375 760280324 501(C)(3) 25000 SUPPORT FOR CHARITY CLINIC EXPANSION UNIVERSITY OF HOUSTON FOUNDATION 4543 POST OAK PLACE 250 HOUSTON TX 77027 766041411 501(C)(3) 20000 OBESITY REDUCTION PROGRAM FOR CHILDREN HOUSTON COMMUNITY HEALTH CENTERS INC 424 HAHLO ST HOUSTON TX 77020 760622208 501(C)(3) 35500 EXPAND BEHAVIORAL HEALTH SERVICES THE JESSE TREE INC PO BOX 575 GALVESTON TX 77553 760518766 501(C)(3) 15000 SENIOR WELLNESS AND NUTRITION PROGRAM FAST FORWARD ANALYTICS LLC 2600 QUENBY ST HOUSTON TX 77005 811082870 10000 JOB SKILLS ASSESSMENT/MATCHING TOOL HARRIS COUNTY HOSPITAL DISTRICT FOUNDATION PO BOX 301168 HOUSTON TX 77230 760408224 501(C)(3) 10000 14TH ANNUAL TEXAS MED RUN SPONSORSHIP JUNIOR ACHIEVEMENT OF SOUTHEAST TEXAS INC 2115 EAST GOVERNORS CIRCLE HOUSTON TX 77092 741153957 501(C)(3) 10000 JA INSPIRE PROGRAM SPONSORSHIP CENTER FOR PUBLIC POLICY PRIORITIES 7020 EASY WIND DR STE 200 AUSTIN TX 78752 742898197 501(C)(3) 7500 DARE TEXAS SUMMITT AND LEGACY LUNCHEON SPONSORSHIPS CHINESE COMMUNITY CENTER 3318 SAINT MARE EGLISE LN SPRING TX 77388 760067885 501(C)(3) 7500 CARE SCHOOL SUPPLY DRIVE & NEW HORIZONS EXPANSION CENTER FOR HOUSTON'S FUTURE 701 AVENIDA DE LAS AMERICAS 900 HOUSTON TX 77010 760386539 501(C)(3) 6500 FUTURE LEADERSHIP LUNCHEON & DINNER EVENT SPONSORSHIPS CULTURE OF HEALTH - ADVANCING TOGETHER 530 N ELDER GROVE DR PEARLAND TX 77584 473990099 501(C)(3) 6000 HEALTH INFORMATION BOOKLET DISTRIBUTION THE ROSE 12700 N FEATHERWOOD STE 260 HOUSTON TX 77034 760193812 501(C)(3) 5423 BREAST CANCER AWARENESS 32 1 SUPPPLEMENTAL INFORMATION 1 SCHEDULE I, PART I, LINE 2: AS PART OF ITS CHARITABLE PURPOSE, COMMUNITY HEALTH CHOICE, INC. MAKES GRANTS TO COMMUNITY-BASED ORGANIZATIONS AND INITIATIVES THAT ARE COMPATIBLE WITH CHCS MISSION TO IMPROVE THE HEALTH OF UNDERSERVED RESIDENTS OF SOUTHEAST TEXAS. GRANTS ARE AVAILABLE TO PUBLIC CHARITY ORGANIZATIONS EXPANDING ACCESS TO HEALTH CARE OR EDUCATING THE COMMUNITY ABOUT IMPROVING HEALTH AND/OR REDUCING POVERTY THROUGH EDUCATION. CHCS BOARD APPOINTS A COMMUNITY BENEFIT COMMITTEE TO EVALUATE PROPOSALS FOR COMMUNITY BENEFIT PROGRAM FUNDING AND MAKES FUNDING RECOMMENDATIONS FOR APPROVAL BY THE BOARD OF DIRECTORS. CHC REQUESTS A REPORT FROM THE GRANTEE REGARDING THE USE OF THE FUNDS AND THE RESULTS ACHIEVED SIX MONTHS AND TWELVE MONTHS AFTER THE GRANT HAS BEEN EXPENDED. false false false false false false false false false KENNETH JANDA PRESIDENT/CEO 0 454831 0 47643 0 0 0 13250 0 8651 0 524375 0 0 FRED BUCKWOLD SR. MEDICAL DIRECTOR 0 296697 0 32674 0 0 0 13250 0 15365 0 357986 0 0 ALFONSO RUBIO SR. VP-INFORMATION TECHNOLOGY 0 235039 0 24897 0 0 0 12135 0 19893 0 291964 0 0 RICHARD LEE SR. VP - FINANCE 0 209681 0 23164 0 0 0 10829 0 19826 0 263500 0 0 TANYA NGUYEN VP - OPERATIONS 0 170090 0 18787 0 0 0 0 0 9031 0 197908 0 0 KAREN LOVE EXECUTIVE VICE PRESIDENT 0 250841 0 25116 0 0 0 13109 0 19809 0 308875 0 0 DAISY MORALES VP - SALES & MARKETING 0 177496 0 17606 0 0 0 8820 0 7703 0 211625 0 0 CHARLOTTE WOODS VP - ADMINISTRATION 0 144244 0 15809 0 0 0 0 0 7712 0 167765 0 0 PAMELA HELLSTROM VP - QUALITY MANAGEMENT 0 162575 0 17707 0 0 0 7559 0 7651 0 195492 0 0 JEFFREY ALLEN VP - NETWORK MANAGEMENT 0 210393 0 19982 0 0 0 10647 0 7948 0 248970 0 0 OLUBURMI OTUYELU VP - COMPLIANCE & RISK MGMT 0 164958 0 17863 0 0 0 8614 0 12981 0 204416 0 0 SAIRA SHAH VP - ADMIN & LEGAL AFFAIRS 0 181097 0 20538 0 0 0 9427 0 15211 0 226273 0 0 LISA FULLER ASSOCIATE MEDICAL DIRECTOR 0 218674 0 17228 0 0 0 11026 0 698 0 247626 0 0 VALERIE BAHAR ASSOCIATE MEDICAL DIRECTOR 0 223607 0 0 0 0 0 11117 0 7634 0 242358 0 0 THOMAS NGUYEN DIRECTOR MANAGED CARE SYSTEMS 0 175343 0 19305 0 0 0 8870 0 14853 0 218371 0 0 ANDREA HENRY DIRECTOR - PHARMACY ANALYTICS 0 164479 0 18866 0 0 0 0 0 16500 0 199845 0 0 JANET WOODSON DIRECTOR - UTILIZATION MGMT 0 134292 0 14686 0 0 0 1303 0 7675 0 157956 0 0 JOHN COAKLEY DIRECTOR - INFORMATION SYSTEMS 0 122921 0 13694 0 0 0 0 0 16099 0 152714 0 0 TRACY MADDOX DIRECTOR - QUALITY & OUTCOMES 0 137692 0 14626 0 0 0 0 0 479 0 152797 0 0 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. GENERAL STATEMENT 1 FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION'S MISSION: THE OPERATION OF A MEDICAID/CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) HEALTH MAINTENANCE ORGANIZATION PROVIDING PRE-PAID MEDICAL & DENTAL CARE TO ITS APPROXIMATELY 242,432 MEDICAID, 27,666 CHIP AND 3,748 CHIP PERINATAL MEMBERS WITHIN A PRIMARY SERVICE AREA OF HARRIS AND CONTIGUOUS COUNTIES IN THE STATE OF TEXAS. GENERAL STATEMENT 2 FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION'S 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. GENERAL STATEMENT 3 FORM 990, PART III, LINE 4A: STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS THE OPERATION OF A HEALTH MAINTENANCE ORGANIZATION PROVIDING PRE-PAID MEDICAL & DENTAL CARE TO ITS APPROXIMATELY 242,432 MEDICAID, 27,666 CHIP AND 3,748 CHIP PERINATAL MEMBERS WITHIN A PRIMARY SERVICE AREA OF HARRIS AND CONTIGUOUS COUNTIES 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 CHC'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 CHC's marketing goals is to provide coverage to the parents of the children enrolled in CHC's CHIP programs through Marketplace policies. The Healthcare Insurance Marketplace had 81,315 covered lives as of December 31, 2016. GENERAL STATEMENT 4 FORM 990, PART V, LINE 2A: NUMBER OF EMPLOYEES THE NUMBER OF EMPLOYEES REPORTED IN PART V, LINE 2A IS 547. THE SALARIES REFLECTED ON FORM 990, PART IX, LINES 5 AND 7 WERE ALLOCATED TO CHC 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. CHC REIMBURSED HCHD FOR THE SALARIES, AND ALL OTHER EXPENSES INCURRED ON BEHALF OF CHC. GENERAL STATEMENT 5 FORM 990, PART VI, LINE 2: FAMILY OR BUSINESS RELATIONSHIP CHC IS AWARE OF THE FAMILY RELATIONSHIP BETWEEN THE FOLLOWING KEY EMPLOYEES: THOMAS NGUYEN AND TANYA NGUYEN GENERAL STATEMENT 6 FORM 990, PART VI, SECTION A, LINE 7A & 7B: HARRIS COUNTY HOSPITAL DISTRICT (HCHD) HAS CERTAIN ENUMERATED RESERVED POWERS OVER THE GOVERNING BOARD OF COMMUNITY HEALTH CHOICE, INC. (CHC). 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 CHC; 2. ADOPTION, AMENDMENT, OR REVOCATION OF THE ARTICLES OF INCORPORATION OF CHC; 3. APPOINTMENT OR REMOVAL OF DIRECTORS OF CHC; 4. ADOPTION, AMENDMENT, OR REVOCATION OF CHC'S PURCHASING MANUAL; 5. ADOPTION, AMENDMENT, OR REVOCATION OF CHC'S PERSONNEL POLICIES; 6. ADOPTION, AMENDMENT, OR REVOCATION OF CHC'S FINANCIAL POLICIES; 7. ADOPTION OF CHC'S ANNUAL OPERATING AND CAPITAL BUDGETS; 8. ANY DEVIATION OF 10% OR MORE FROM CHC'S ANNUAL OPERATING BUDGET OR $50,000 FROM CHC'S ANNUAL CAPITAL BUDGET; 9. ANY TRANSACTION INVOLVING REAL PROPERTY; 10. ANY MORTGAGE, ENCUMBRANCE, OR DEBT OF CHC 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 CHC EXCEEDING $200,000 AND NOT INCLUDED IN AND APPROVED BY HCHD'S BOARD OF MANAGERS AS PART OF CHC'S ANNUAL OPERATING AND CAPITAL BUDGETS; 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 CHC'S ANNUAL OPERATING AND CAPITAL BUDGETS; 14. ANY ACTION TO AMEND OR ENLARGE THE SERVICE AREA OF CHC'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 CHC. GENERAL STATEMENT 7 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. GENERAL STATEMENT 8 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. GENERAL STATEMENT 9 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. GENERAL STATEMENT 10 FORM 990, PART VI, SECTION B, LINE 15A & 15B: THE COMPENSATION OF THE PRESIDENT/CEO OF THE ORGANIZATION IS REVIEWED BY THE BOARD OF DIRECTORS OF HCHD. THE COMPENSATION OF ALL OTHER EMPLOYEES IS SUBJECT TO THE GUIDELINES AND MERIT RAISE PROCESSING OF THE HARRIS COUNTY HOSPITAL DISTRICT. GENERAL STATEMENT 11 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. GENERAL STATEMENT 12 FORM 990, PART VII, SECTION B: INDEPENDENT CONTRACTORS NAVITUS HEALTH SOLUTIONS PHARMACY BENEFITS $162,844,606 2601 WEST BELTLINE HWY., STE. 600 MADISON, WI 53713 TEXAS CHILDREN'S HOSPITAL CONTRACT HOSPITAL SVCS $106,434,919 6621 FANNIN ST. HOUSTON, TX 77030 MEMORIAL HERMANN HEALTH SYSTEM CONTRACT HOSPITAL SVCS $105,889,474 929 GESSNER DR., STE. 2600 HOUSTON, TX 77024 UTMB GALVESTON HOSPITAL CONTRACT HOSPITAL SVCS $ 49,077,670 301 UNIVERSITY BLVD. GALVESTON, TX 77555 HOUSTON METHODIST CONTRACT HOSPITAL SVCS $ 33,687,417 6565 FANNIN ST. HOUSTON, TX 77030 ============ TOTAL $457,934,086 HARRIS COUNTY HOSPITAL DISTRICT 2525 HOLLY HALL HOUSTON TX 77054 741536936 HEALTH CARE TX NA false false false false false false false false false false false false false true true true true false false false