STRATEGY STUDIO / PUBLIC DATA EXPLORER

COMMUNITY HEALTH CHOICE INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CHOICE INC (EIN 76-0495152)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-19
IRS object ID
201433239349300508
Schema version
2013v3.1
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

FieldValueIRS element (for citing)
Return2014-11-19T08:26:55-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1210 Park Ave Suite 2850AddressLine1
CityOklahoma CityCity
StateOKState
ZIP Code73102ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN760495152EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CHOICE INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% RICHARD LEE CPAInCareOfNm
Business Name ControlCOMMBusinessNameControlTxt
Phone7132952222PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12636 SOUTH LOOP WESTAddressLine1
Address Line2Suite 700AddressLine2
CityHOUSTONCity
StateTXState
ZIP Code77054ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD LEEPersonNm
Person TitleSR. VP - FINANCEPersonTitleTxt
Phone7132952222PhoneNum
Signature2014-11-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer Person405-239-6411PreparerPersonNm
Phone7132952222PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKENNETH W JANDAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12636 SOUTH LOOP WEST STE 700AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77054ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$667,112,298GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website Addresshttps://www.chchealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTHE 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 Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee403TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$636,184,958PYProgramServiceRevenueAmt
CY Program Service Revenue$666,396,326CYProgramServiceRevenueAmt
PY Investment Income$1,456,132PYInvestmentIncomeAmt
CY Investment Income$715,972CYInvestmentIncomeAmt
PY Other Revenue$249,999PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$637,891,089PYTotalRevenueAmt
CY Total Revenue$667,112,298CYTotalRevenueAmt
PY Grants And Similar Paid$3,339,079PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$602,432,794PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$617,707,722CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$20,943,651PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$23,796,739CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$28,550,254PYOtherExpensesAmt
CY Other Expenses$29,519,514CYOtherExpensesAmt
PY Total Expenses$655,265,778PYTotalExpensesAmt
CY Total Expenses$671,023,975CYTotalExpensesAmt
PY Revenues Less Expenses-$17,374,689PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,911,677CYRevenuesLessExpensesAmt
Total Assets BOY$172,805,210TotalAssetsBOYAmt
Total Assets EOY$166,631,600TotalAssetsEOYAmt
Total Liabilities BOY$81,594,354TotalLiabilitiesBOYAmt
Total Liabilities EOY$79,332,421TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$91,210,856NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$87,299,179NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE O, GENERAL STATEMENT 2MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$657,048,537ExpenseAmt
Revenue$666,396,326RevenueAmt
DescSEE SCHEDULE O, GENERAL STATEMENT 3Desc
Total Program Service Expenses$657,048,537TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document2263IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee403EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRICHARD LEE CPAPersonNm
Phone7132952222PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12636 SOUTH LOOP WEST STE 700AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77054ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtOther CompensationOtherCompensationAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ELANA M MARKS
CHAIRMAN OF THE BOARD8.0Yes (X)Yes (X)$0$0
RAYMOND J KHOURY
VICE CHAIRMAN OF THE BOARD8.0Yes (X)Yes (X)$0$0
JOSE GARCIA JR
SECRETARY OF THE BOARD4.0Yes (X)Yes (X)$0$0
CHARLES A MOORE
BOARD MEMBER8.0Yes (X)$0$0
MARGO A HILLIARD
BOARD MEMBER2.0Yes (X)$0$0
DAISY A STINER
BOARD MEMBER2.0Yes (X)$0$0
GILBERT A HERRERA
BRD MEMBER TERM ENDED 5/30/138.0Yes (X)$0$0
VICKI KEISER
BOARD MEMBER8.0Yes (X)$0$0
KENNETH JANDA
PRESIDENT/CEO40.0Yes (X)$0$21,170$395,079
RICHARD LEE
SR. VP - FINANCE40.0Yes (X)$0$28,592$194,034
FRED BUCKWOLD
SR. MEDICAL DIRECTOR40.0$0$23,803$259,393Yes (X)
ALFONSO RUBIO
SR. VP -INFORMATION TECHNOLOGY40.0$0$29,050$201,356Yes (X)
AASHISH SHAH
MEDICAL DIRECTOR40.0$0$26,143$218,684Yes (X)
ERNEST MENDEZ
SR. VP - OPERATIONS40.0$0$27,584$174,917Yes (X)
TANYA NGUYEN
VP - OPERATIONS40.0$0$15,222$159,773Yes (X)
KAREN LOVE
SR. VP-STRAT PLANNING& P'SHIPS40.0$0$26,476$188,775Yes (X)
DAISY MORALES
VP - SALES & MARKETING40.0$0$8,038$149,962Yes (X)
CHARLOTTE WOODS
VP - ADMINISTRATION40.0$0$7,291$134,510Yes (X)
JOHN PETROSINO
VP - COMPLIANCE & PRIVACY40.0$0$7,257$126,672Yes (X)
NANCY WINGSTROM
SR. VP - ADMIN & LEGAL AFFAIRS40.0$0$14,734$159,742Yes (X)
PAMELA HELLSTROM
VP - QUALITY MANAGEMENT40.0$0$14,482$151,100Yes (X)
JEFFREY ALLEN
VP - NETWORK MANAGEMENT40.0$0$9,731$168,500Yes (X)
THOMAS NGUYEN
DIRECTOR-MANAGED CARE SYSTEMS40.0$0$15,401$165,843Yes (X)
PETER GRANT
CONTROLLER40.0$0$14,172$105,490Yes (X)
SIVA CHANDU
ISERIES/DATABASE ADMINISTRATOR40.0$0$15,877$125,974Yes (X)
JOHN COAKLEY
DIRECTOR - INFORMATION SYSTEMS40.0$0$18,595$109,679Yes (X)
PATRICIA SMITH
DIRECTOR - CLAIMS QA PROGRAMS40.0$0$7,176$116,400Yes (X)
MILANGELA EASON
DIR -MARKETING COMMUNICATIONS40.0$0$18,388$102,635Yes (X)
MARCELLA SANCHEZ
DIRECTOR - CONTRACTING40.0$0$18,676$101,386Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,509,904TotReportableCompRltdOrgAmt
Total Other Compensation$367,858TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K35IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonSEE SCHEDULE O GENERAL STATEMENT 1PersonNm
FieldValueIRS element (for citing)
Contractor AddressContractorAddress
Compensation$284,364,831CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K502CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PREMIUM REVENUE524114$666,186,600$666,186,600
TX HEALTH 3-SHARE PROGRAM FEES524298$202,880$202,880
HARRIS HEALTH EXTENDED NETWORK FEES524298$6,486$6,486
BAXTER GRANT FEES524298$360$360
FieldValueIRS element (for citing)
Total Program Service Revenue$666,396,326TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$715,972TotalRevenueColumnAmt
Exclusion$715,972ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$667,112,298TotalRevenueColumnAmt
Related Or Exempt Func Income$666,396,326RelatedOrExemptFuncIncomeAmt
Exclusion$715,972ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$617,707,722TotalAmt
Program Services$617,707,722ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,489,157TotalAmt
Program Services$348,916ProgramServicesAmt
Management And General$3,140,241ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$14,299,727TotalAmt
Program Services$11,439,782ProgramServicesAmt
Management And General$2,859,945ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$851,794TotalAmt
Program Services$681,435ProgramServicesAmt
Management And General$170,359ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,877,270TotalAmt
Program Services$2,790,932ProgramServicesAmt
Management And General$1,086,338ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,278,791TotalAmt
Program Services$867,810ProgramServicesAmt
Management And General$410,981ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$52,820TotalAmt
Management And General$52,820ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$677,420TotalAmt
Management And General$677,420ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,652,911TotalAmt
Program Services$5,247,401ProgramServicesAmt
Management And General$1,405,510ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,084,244TotalAmt
Program Services$867,395ProgramServicesAmt
Management And General$216,849ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,039,595TotalAmt
Program Services$2,431,676ProgramServicesAmt
Management And General$607,919ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,383,100TotalAmt
Program Services$1,906,480ProgramServicesAmt
Management And General$476,620ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,203,231TotalAmt
Program Services$962,585ProgramServicesAmt
Management And General$240,646ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$233,045TotalAmt
Program Services$186,436ProgramServicesAmt
Management And General$46,609ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$101,807TotalAmt
Program Services$81,446ProgramServicesAmt
Management And General$20,361ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
TAXES & LICENSES$12,244,883$9,795,906$2,448,977$0
NON-ADMITTED PREPAID EXPENSE$662,208$662,208
PROVIDER INCENTIVES$1,149,582$1,149,582$0
REINSURANCE PREMIUM - STAR-$910,612-$910,612$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$945,280TotalAmt
Program Services$831,437ProgramServicesAmt
Management And General$113,843ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$671,023,975TotalAmt
Program Services$657,048,537ProgramServicesAmt
Management And General$13,975,438ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$20,347,875BOYAmt
EOY$13,182,036EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$104,839,639BOYAmt
EOY$107,758,213EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$16,580,373BOYAmt
EOY$13,174,019EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$29,500,000BOYAmt
EOY$29,997,552EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,537,323BOYAmt
EOY$2,519,780EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$172,805,210BOYAmt
EOY$166,631,600EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,084,819BOYAmt
EOY$11,843,301EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$76,509,535BOYAmt
EOY$67,489,120EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$81,594,354BOYAmt
EOY$79,332,421EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$91,210,856BOYAmt
EOY$87,299,179EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$91,210,856BOYAmt
EOY$87,299,179EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$172,805,210BOYAmt
EOY$166,631,600EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$3,911,677ReconcilationRevenueExpnssAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp
EquipmentEquipmentGrp
Other Land BuildingsOtherLandBuildingsGrp
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
MEDICAL CLAIMS PAYABLE$62,429,698
AMOUNTS DUE TO DISTRICT$5,059,422
FieldValueIRS element (for citing)
Total Liability$67,489,120TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$667,112,298TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$667,112,298RevenueSubtotalAmt
Total Revenue Per Form990$667,112,298TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$670,361,767TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$670,361,767ExpensesSubtotalAmt
Other Expenses Not Included$662,208OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$662,208ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$671,023,975TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART XII, LINE 4BFormAndLineReferenceDesc
ExplanationRECLASS OF CHANGE IN NON-ADMITTED ASSETS $662,208ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KENNETH JANDA
PRESIDENT/CEO$0$371,352$0$0$0$23,727$0$12,782$0$8,388$0$416,249$0$0
FRED BUCKWOLD
SR. MEDICAL DIRECTOR$0$233,190$0$0$0$26,203$0$8,895$0$14,908$0$283,196$0$0
ALFONSO RUBIO
SR. VP -INFORMATION TECHNOLOGY$0$171,706$0$0$0$29,650$0$10,068$0$18,982$0$230,406$0$0
RICHARD LEE
SR. VP - FINANCE$0$164,842$0$0$0$29,192$0$9,701$0$18,891$0$222,626$0$0
AASHISH SHAH
MEDICAL DIRECTOR$0$190,141$0$0$0$28,543$0$10,919$0$15,224$0$244,827$0$0
ERNEST MENDEZ
SR. VP - OPERATIONS$0$146,733$0$0$0$28,184$0$8,746$0$18,838$0$202,501$0$0
TANYA NGUYEN
VP - OPERATIONS$0$143,951$0$0$0$15,822$0$0$0$15,222$0$174,995$0$0
KAREN LOVE
SR. VP-STRAT PLANNING& P'SHIPS$0$159,899$0$0$0$28,876$0$7,632$0$18,844$0$215,251$0$0
DAISY MORALES
VP - SALES & MARKETING$0$141,324$0$0$0$8,638$0$7,344$0$694$0$158,000$0$0
NANCY WINGSTROM
SR. VP - ADMIN & LEGAL AFFAIRS$0$142,608$0$0$0$17,134$0$7,360$0$7,374$0$174,476$0$0
PAMELA HELLSTROM
VP - QUALITY MANAGEMENT$0$136,068$0$0$0$15,032$0$7,552$0$6,930$0$165,582$0$0
JEFFREY ALLEN
VP - NETWORK MANAGEMENT$0$158,755$0$0$0$9,745$0$2,609$0$7,122$0$178,231$0$0
THOMAS NGUYEN
DIRECTOR-MANAGED CARE SYSTEMS$0$149,842$0$0$0$16,001$0$7,971$0$7,430$0$181,244$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3:FormAndLineReferenceDesc
ExplanationCOMPENSATION 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
GENERAL STATEMENT 1FORM 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 193,814 MEDICAID, 38,348 CHIP AND 3,991 CHIP PERINATAL MEMBERS WITHIN A PRIMARY SERVICE AREA OF HARRIS AND CONTIGUOUS COUNTIES IN THE STATE OF TEXAS.
GENERAL STATEMENT 2FORM 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 FACILITATING 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 3FORM 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 193,814 MEDICAID, 38,348 CHIP AND 3,991 CHIP PERINATAL MEMBERS WITHIN A PRIMARY SERVICE AREA OF HARRIS AND CONTIGUOUS COUNTIES IN THE STATE OF TEXAS.
GENERAL STATEMENT 4FORM 990, PART V, LINE 2A: NUMBER OF EMPLOYEES THE NUMBER OF EMPLOYEES REPORTED IN PART V, LINE 2A IS 403. 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 5FORM 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 6FORM 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 7FORM 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 8FORM 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 9FORM 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 10FORM 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 11FORM 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 12FORM 990, PART VII, SECTION B: INDEPENDENT CONTRACTORS TEXAS CHILDREN'S HOSPITAL CONTRACT HOSPITAL SVCS $89,769,933 6621 FANNIN ST. HOUSTON, TX 77030 NAVITUS HEALTH SOLUTIONS PHARMACY BENEFIT $81,973,284 2601 WEST BELTLINE HWY., STE. 600 MADISON, WI 53713 MEMORIAL HERMANN HEALTH SYSTEM CONTRACT HOSPITAL SVCS $48,896,769 929 GESSNER DR., STE. 2600 HOUSTON, TX 77024 UTMB GALVESTON HOSPITAL CONTRACT HOSPITAL SVCS $37,276,111 301 UNIVERSITY BLVD. GALVESTON, TX 77555 THE WOMEN'S HOSPITAL OF TEXAS CONTRACT HOSPITAL SVCS $26,448,734 7600 FANNIN ST. HOUSTON, TX 77054 ============ TOTAL $284,364,831

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HARRIS COUNTY HOSPITAL DISTRICTBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line12525 HOLLY HALLAddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77054ZIPCode
FieldValueIRS element (for citing)
EIN741536936EIN
Primary ActivitiesHEALTH CAREPrimaryActivitiesTxt
Legal Domicile StateTXLegalDomicileStateCd
Exempt Code SectionGOV'TExemptCodeSectionTxt
Public Charity StatusN/APublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd