COMMUNITY HEALTH CHOICE INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH CHOICE INC (EIN 76-0495152)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-15
- IRS object ID
- 201613209349311611
- Schema version
- 2015v2.1
- 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 | 2016-11-15T14:42:09-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 210 Park Ave Suite 2850 | AddressLine1Txt |
| City | Oklahoma City | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | 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 | % RICHARD LEE CPA | 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 | RICHARD LEE | PersonNm |
| Person Title | SR VP - FINANCE | PersonTitleTxt |
| Phone | 7132952222 | PhoneNum |
| Signature | 2016-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DEBRA C COOK | PreparerPersonNm |
| PTIN | P00031689 | PTIN |
| Phone | 4052396411 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | 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 STE 700 | AddressLine1Txt |
| City | HOUSTON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77054 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $851,462,290 | 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 PROVIDING PRE-PAID MEDICAL & DENTAL CARE. (SEE SCH. O, GENERAL STMT 1) | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 516 | TotalEmployeeCnt |
| Total Volunteers | 8 | 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 | $720,197,037 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $850,625,457 | CYProgramServiceRevenueAmt |
| PY Investment Income | $881,516 | PYInvestmentIncomeAmt |
| CY Investment Income | $836,833 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $721,078,553 | PYTotalRevenueAmt |
| CY Total Revenue | $851,462,290 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $25,521 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $642,520,958 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $771,434,924 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $25,389,125 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $28,585,265 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $36,610,262 | PYOtherExpensesAmt |
| CY Other Expenses | $50,181,666 | CYOtherExpensesAmt |
| PY Total Expenses | $704,520,345 | PYTotalExpensesAmt |
| CY Total Expenses | $850,227,376 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $16,558,208 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,234,914 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $192,137,284 | TotalAssetsBOYAmt |
| Total Assets EOY | $239,892,454 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $91,779,897 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $138,300,153 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $100,357,387 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $101,592,301 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O, GENERAL STATEMENT 2 | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $833,136,893 | ExpenseAmt |
| Grant | $25,521 | GrantAmt |
| Revenue | $850,625,457 | RevenueAmt |
| Desc | SEE SCHEDULE O, GENERAL STATEMENT 3 | Desc |
| Total Program Service Expenses | $833,136,893 | 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 | false | 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 | Yes (true) | 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 | false | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 2625 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 516 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| 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 | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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 | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | 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 | RICHARD LEE CPA | PersonNm |
| Phone | 7132952222 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2636 SOUTH LOOP WEST STE 700 | AddressLine1Txt |
| City | HOUSTON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77054 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 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 |
|---|---|---|---|---|---|---|---|---|---|
| VICKI KEISER | |||||||||
| CHAIRMAN OF THE BOARD | 8.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOSE GARCIA JR | |||||||||
| SECRETARY OF THE BOARD | 4.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RAYMOND J KHOURY | |||||||||
| VICE CHAIRMAN OF THE BOARD | 8.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHARLES A MOORE | |||||||||
| BOARD MEMBER | 8.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DAISY A STINER | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MARGO HILLARD | |||||||||
| BOARD MEMBER THRU 03/15 | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| STEPHEN MCKERNAN | |||||||||
| BOARD MEMBER | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| ELANA M MARKS | |||||||||
| BOARD MEMBER | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| VIVIAN HO | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| KENNETH JANDA | |||||||||
| PRESIDENT/CEO | 40.0 | 0.0 | Yes (X) | $0 | $548,332 | $21,234 | |||
| RICHARD LEE | |||||||||
| SR. VP - FINANCE | 40.0 | 0.0 | Yes (X) | $0 | $272,376 | $29,721 | |||
| ALFONSO RUBIO | |||||||||
| SR. VP-INFORMATION TECHNOLOGY | 40.0 | 0.0 | $0 | $292,579 | $30,636 | Yes (X) | |||
| DAISY MORALES | |||||||||
| VP - SALES & MARKETING | 40.0 | 0.0 | $0 | $205,964 | $15,057 | Yes (X) | |||
| ERNEST MENDEZ | |||||||||
| SR. VP - OPERATIONS | 40.0 | 0.0 | $0 | $290,218 | $17,737 | Yes (X) | |||
| FRED BUCKWOLD | |||||||||
| SR. MEDICAL DIRECTOR | 40.0 | 0.0 | $0 | $374,944 | $27,922 | Yes (X) | |||
| JEFFREY ALLEN | |||||||||
| VP - NETWORK MANAGEMENT | 40.0 | 0.0 | $0 | $230,585 | $16,514 | Yes (X) | |||
| KAREN LOVE | |||||||||
| EXECUTIVE VICE PRESIDENT | 40.0 | 0.0 | $0 | $291,660 | $14,929 | Yes (X) | |||
| PAMELA HELLSTROM | |||||||||
| VP - QUALITY MANAGEMENT | 40.0 | 0.0 | $0 | $213,150 | $591 | Yes (X) | |||
| TANYA NGUYEN | |||||||||
| VP - OPERATIONS | 40.0 | 0.0 | $0 | $204,484 | $14,519 | Yes (X) | |||
| THOMAS NGUYEN | |||||||||
| DIRECTOR-MANAGED CARE SYSTEMS | 40.0 | 0.0 | $0 | $211,243 | $15,550 | Yes (X) | |||
| CHARLOTTE WOODS | |||||||||
| VP - ADMINISTRATION | 40.0 | 0.0 | $0 | $183,026 | $7,627 | Yes (X) | |||
| LISA FULLER | |||||||||
| ASSOCIATE MEDICAL DIRECTOR | 40.0 | 0.0 | $0 | $159,077 | $7,897 | Yes (X) | |||
| OLUBURMI OTUYELU | |||||||||
| VP - COMPLIANCE & RISK MGMT | 40.0 | 0.0 | $0 | $166,027 | $17,503 | Yes (X) | |||
| SAIRA SHAH | |||||||||
| VP - ADMIN & LEGAL AFFAIRS | 40.0 | 0.0 | $0 | $208,364 | $24,017 | Yes (X) | |||
| ANDREA HENRY | |||||||||
| DIRECTOR - PHARMACY ANALYTICS | 40.0 | 0.0 | $0 | $191,690 | $19,064 | Yes (X) | |||
| JOHN COAKLEY | |||||||||
| DIRECTOR - INFORMATION SYSTEMS | 40.0 | 0.0 | $0 | $147,831 | $14,487 | Yes (X) | |||
| JANET WOODSON | |||||||||
| DIRECTOR - UTILIZATION MGMT | 40.0 | 0.0 | $0 | $141,347 | $10,376 | Yes (X) | |||
| TRACY MADDOX | |||||||||
| DIRECTOR - QUALITY & OUTCOMES | 40.0 | 0.0 | $0 | $161,062 | $639 | Yes (X) | |||
| DARRELL PERRY | |||||||||
| MANAGER - TELECOM & SUPPORT | 40.0 | 0.0 | $0 | $131,886 | $20,999 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,625,845 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $327,019 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 72 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SEE SCHEDULE O GENERAL STATEMENT 1 | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contractor Address | ContractorAddress | |
| Compensation | $343,542,223 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 558 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PREMIUM REVENUE | 524114 | $850,544,684 | $850,544,684 |
| TX HEALTH 3-SHARE PROGRAM FEES | 524298 | $60,000 | $60,000 |
| HARRIS HEALTH EXT NETWORK FEES | 524298 | $13,272 | $13,272 |
| BAXTER GRANT FEES | 524298 | $7,501 | $7,501 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $850,625,457 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $836,833 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $836,833 | RelatedOrExemptFuncIncomeAmt |
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 |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 | $851,462,290 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $851,462,290 | RelatedOrExemptFuncIncomeAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,521 | TotalAmt |
| Program Services | $25,521 | ProgramServicesAmt |
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 | $771,434,924 | TotalAmt |
| Program Services | $771,434,924 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,080,445 | TotalAmt |
| Program Services | $508,044 | ProgramServicesAmt |
| Management And General | $4,572,401 | 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 | $16,215,080 | TotalAmt |
| Program Services | $12,972,064 | ProgramServicesAmt |
| Management And General | $3,243,016 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,647,918 | TotalAmt |
| Program Services | $1,318,334 | ProgramServicesAmt |
| Management And General | $329,584 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,144,892 | TotalAmt |
| Program Services | $3,315,914 | ProgramServicesAmt |
| Management And General | $828,978 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,496,930 | TotalAmt |
| Program Services | $1,282,146 | ProgramServicesAmt |
| Management And General | $214,784 | 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 | $88,542 | TotalAmt |
| Program Services | $70,834 | ProgramServicesAmt |
| Management And General | $17,708 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,594 | TotalAmt |
| Program Services | $146,875 | ProgramServicesAmt |
| Management And General | $36,719 | 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 | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,479,463 | TotalAmt |
| Program Services | $10,898,384 | ProgramServicesAmt |
| Management And General | $2,581,079 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $851,586 | TotalAmt |
| Program Services | $681,269 | ProgramServicesAmt |
| Management And General | $170,317 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,391,609 | TotalAmt |
| Program Services | $2,713,288 | ProgramServicesAmt |
| Management And General | $678,321 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,197,801 | TotalAmt |
| Program Services | $2,558,241 | ProgramServicesAmt |
| Management And General | $639,560 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,699,608 | TotalAmt |
| Program Services | $1,359,686 | ProgramServicesAmt |
| Management And General | $339,922 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,259 | TotalAmt |
| Program Services | $197,807 | ProgramServicesAmt |
| Management And General | $49,452 | 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 | $0 | TotalAmt |
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 | $121,737 | TotalAmt |
| Program Services | $97,390 | ProgramServicesAmt |
| Management And General | $24,347 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| TAXES & LICENSES | $15,859,650 | $12,687,720 | $3,171,930 |
| UBI TAXES PAID | $50,000 | $50,000 | |
| PROVIDER INCENTIVES | $4,670,950 | $4,670,950 | |
| CMS USER FEES | $3,949,815 | $3,949,815 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,390,052 | TotalAmt |
| Program Services | $2,247,687 | ProgramServicesAmt |
| Management And General | $142,365 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $850,227,376 | TotalAmt |
| Program Services | $833,136,893 | ProgramServicesAmt |
| Management And General | $17,090,483 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,883,358 | BOYAmt |
| EOY | $70,175,501 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,591,728 | BOYAmt |
| EOY | $68,212,282 | 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 | $11,999,944 | BOYAmt |
| EOY | $15,500,388 | 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 |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,747,438 | BOYAmt |
| EOY | $79,998,751 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $1,914,816 | BOYAmt |
| EOY | $6,005,532 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $192,137,284 | BOYAmt |
| EOY | $239,892,454 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,121,559 | BOYAmt |
| EOY | $9,641,940 | 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 | $78,658,338 | BOYAmt |
| EOY | $128,658,213 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,779,897 | BOYAmt |
| EOY | $138,300,153 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,357,387 | BOYAmt |
| EOY | $101,592,301 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,357,387 | BOYAmt |
| EOY | $101,592,301 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $192,137,284 | BOYAmt |
| EOY | $239,892,454 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,234,914 | ReconcilationRevenueExpnssAmt |
| 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 | |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| MEDICAL CLAIMS PAYABLE | $77,345,572 |
| PROVIDER INCENTIVE PAYABLE | $2,791,749 |
| PREMIUM DEFICIENCY RESERVE | $6,891,645 |
| DEFERRED PREMIUM REVENUE | $3,843,623 |
| AMOUNTS DUE TO DISTRICT | $6,481,277 |
| AFFORDABLE CARE ACT LIABILITIES | $31,304,347 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $128,658,213 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $851,462,290 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $851,462,290 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $851,462,290 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $849,566,938 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $849,566,938 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $660,438 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $660,438 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $850,227,376 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SUPPLEMENTAL INFORMATION 1 | FormAndLineReferenceDesc |
| Explanation | RECLASS OF CHANGE IN NON-ADMITTED ASSETS $660,438 | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PASADENA INDEPENDENT SCHOOL DISTRICT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1515 CHERRYBROOK LANE | AddressLine1Txt |
| City | PASADENA | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77502 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 746001850 | RecipientEIN |
| IRC Section | GOVT | IRCSectionDesc |
| Cash Grant | $20,000 | CashGrantAmt |
| Purpose Of Grant | APPLICATION ASSISTANCE | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SUPPLEMENTAL INFORMATION 1 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (20 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 | $0 | $464,412 | $0 | $60,957 | $0 | $22,963 | $0 | $12,489 | $0 | $8,745 | $0 | $569,566 | $0 | $0 |
| RICHARD LEE | ||||||||||||||
| SR. VP - FINANCE | $213,393 | $29,262 | $29,721 | $0 | $10,693 | $0 | $19,028 | $0 | $302,097 | |||||
| ALFONSO RUBIO | ||||||||||||||
| SR. VP-INFORMATION TECHNOLOGY | $230,950 | $30,993 | $30,636 | $0 | $11,533 | $0 | $19,103 | $0 | $323,215 | |||||
| DAISY MORALES | ||||||||||||||
| VP - SALES & MARKETING | $164,680 | $23,028 | $18,256 | $0 | $7,835 | $0 | $7,222 | $0 | $221,021 | |||||
| ERNEST MENDEZ | ||||||||||||||
| SR. VP - OPERATIONS | $244,068 | $28,413 | $17,737 | $0 | $6,186 | $0 | $11,551 | $0 | $307,955 | |||||
| FRED BUCKWOLD | ||||||||||||||
| SR. MEDICAL DIRECTOR | $304,857 | $41,698 | $28,389 | $0 | $14,719 | $0 | $13,203 | $0 | $402,866 | |||||
| JEFFREY ALLEN | ||||||||||||||
| VP - NETWORK MANAGEMENT | $187,701 | $26,370 | $16,514 | $0 | $8,892 | $0 | $7,622 | $0 | $247,099 | |||||
| KAREN LOVE | ||||||||||||||
| EXECUTIVE VICE PRESIDENT | $239,254 | $29,828 | $22,578 | $0 | $3,495 | $0 | $11,434 | $0 | $306,589 | |||||
| PAMELA HELLSTROM | ||||||||||||||
| VP - QUALITY MANAGEMENT | $174,980 | $23,825 | $14,345 | $0 | $301 | $0 | $290 | $0 | $213,741 | |||||
| TANYA NGUYEN | ||||||||||||||
| VP - OPERATIONS | $164,714 | $25,218 | $14,552 | $0 | $0 | $0 | $14,519 | $0 | $219,003 | |||||
| THOMAS NGUYEN | ||||||||||||||
| DIRECTOR-MANAGED CARE SYSTEMS | $175,923 | $19,770 | $15,550 | $0 | $7,905 | $0 | $7,645 | $0 | $226,793 | |||||
| CHARLOTTE WOODS | ||||||||||||||
| VP - ADMINISTRATION | $154,169 | $21,177 | $7,680 | $0 | $0 | $0 | $7,627 | $0 | $190,653 | |||||
| LISA FULLER | ||||||||||||||
| ASSOCIATE MEDICAL DIRECTOR | $151,180 | $0 | $7,897 | $0 | $7,531 | $0 | $366 | $0 | $166,974 | |||||
| OLUBURMI OTUYELU | ||||||||||||||
| VP - COMPLIANCE & RISK MGMT | $146,563 | $10,662 | $8,802 | $0 | $0 | $0 | $17,503 | $0 | $183,530 | |||||
| SAIRA SHAH | ||||||||||||||
| VP - ADMIN & LEGAL AFFAIRS | $171,509 | $12,837 | $24,018 | $0 | $9,134 | $0 | $14,883 | $0 | $232,381 | |||||
| ANDREA HENRY | ||||||||||||||
| DIRECTOR - PHARMACY ANALYTICS | $160,679 | $11,947 | $19,064 | $0 | $0 | $0 | $19,064 | $0 | $210,754 | |||||
| JOHN COAKLEY | ||||||||||||||
| DIRECTOR - INFORMATION SYSTEMS | $120,505 | $12,827 | $14,499 | $0 | $0 | $0 | $14,487 | $0 | $162,318 | |||||
| JANET WOODSON | ||||||||||||||
| DIRECTOR - UTILIZATION MGMT | $125,538 | $5,310 | $10,499 | $0 | $2,872 | $0 | $7,504 | $0 | $151,723 | |||||
| TRACY MADDOX | ||||||||||||||
| DIRECTOR - QUALITY & OUTCOMES | $145,009 | $15,414 | $639 | $0 | $0 | $0 | $639 | $0 | $161,701 | |||||
| DARRELL PERRY | ||||||||||||||
| MANAGER - TELECOM & SUPPORT | $98,941 | $11,946 | $20,999 | $0 | $5,400 | $0 | $15,599 | $0 | $152,885 | |||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | 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 (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 233,885 MEDICAID, 23,374 CHIP AND 3,678 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 233,885 MEDICAID, 23,374 CHIP AND 3,678 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 31,856 covered lives as of December 31, 2015. |
| GENERAL STATEMENT 4 | FORM 990, PART V, LINE 2A: NUMBER OF EMPLOYEES THE NUMBER OF EMPLOYEES REPORTED IN PART V, LINE 2A IS 516. 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 SENIOR VICE PRESIDENT OF FINANCE. 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 BENEFIT $109,620,674 2601 WEST BELTLINE HWY., STE. 600 MADISON, WI 53713 TEXAS CHILDREN'S HOSPITAL CONTRACT HOSPITAL SVCS $92,423,629 6621 FANNIN ST. HOUSTON, TX 77030 MEMORIAL HERMANN HEALTH SYSTEM CONTRACT HOSPITAL SVCS $77,869,232 929 GESSNER DR., STE. 2600 HOUSTON, TX 77024 UTMB GALVESTON HOSPITAL CONTRACT HOSPITAL SVCS $42,523,249 301 UNIVERSITY BLVD. GALVESTON, TX 77555 CLEAR LAKE REGIONAL MEDICAL CENTER CONTRACT HOSPITAL SVCS $21,105,439 500 W. MEDICAL CENTER BLVD. WEBSTER, TX 77598 ============ TOTAL $343,542,223 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARRIS COUNTY HOSPITAL DISTRICT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2525 HOLLY HALL | AddressLine1Txt |
| City | HOUSTON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77054 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 741536936 | EIN |
| Primary Activities | HEALTH CARE | PrimaryActivitiesTxt |
| Legal Domicile State | TX | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | 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 | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |