COMMUNITY HEALTH CHOICE INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH CHOICE INC (EIN 76-0495152)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-20
- IRS object ID
- 201342329349301004
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2013-08-20T15:56:35-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 210 Park Ave Suite 2850 | AddressLine1 |
| City | Oklahoma City | City |
| State | OK | State |
| ZIP Code | 73102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 760495152 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CHOICE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % RICHARD LEE CPA | InCareOfName |
| Name Control | COMM | NameControl |
| Phone | 7132952222 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2636 SOUTH LOOP WEST | AddressLine1 |
| Address Line2 | Suite 700 | AddressLine2 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 77054 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICHARD LEE | Name |
| Title | SR. VP - FINANCE | Title |
| Phone | 7132952222 | Phone |
| Date Signed | 2013-08-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | 405-239-6411 | Name |
| Phone | 4052396411 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KENNETH W JANDA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2636 SOUTH LOOP WEST STE 700 | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 77054 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 637891089 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | HTTPS://WWW.CHCHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1996 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | THE OPERATION OF A MEDICAID/CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) HEALTH MAINTENANCE ORGANIZATION PROVIDING PRE-PAID MEDICAL & DENTAL CARE. (SEE SCHEDULE O, GENERAL STATEMENT 1) | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 298 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 511728777 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 636184958 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1291220 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1456132 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 249999 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 513019997 | TotalRevenuePriorYear |
| Total Revenue Current Year | 637891089 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 409640 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 3339079 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 426863727 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 602432794 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 20135638 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 20943651 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 26098020 | OtherExpensePriorYear |
| Other Expenses Current Year | 28550254 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 473507025 | TotalExpensesPriorYear |
| Total Expenses Current Year | 655265778 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 39512972 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -17374689 | RevenuesLessExpensesCY |
| Total Assets BOY | 179541818 | TotalAssetsBOY |
| Total Assets EOY | 172805210 | TotalAssetsEOY |
| Total Liabilities BOY | 68055717 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 81594354 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 111486101 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 91210856 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE O, GENERAL STATEMENT 2 | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 642921185 | Expense |
| Grants | 3339079 | Grants |
| Revenue | 636184958 | Revenue |
| Description | SEE SCHEDULE O, GENERAL STATEMENT 3 | Description |
| Total Program Service Expense | 642921185 | TotalProgramServiceExpense |
| Described In501 C3 | false | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | false | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 2486 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 298 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | false | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | RICHARD LEE CPA | NamePerson |
| Telephone Number | 7132952222 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2636 SOUTH LOOP WEST STE 700 | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 77054 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (27 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Other CompensationOtherCompensation | OfficerOfficer | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| CHARLES A MOORE | ||||||||
| BOARD MEMBER | 8.0 | X | 0 | 0 | ||||
| MARGO A HILLIARD | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | ||||
| DAISY A STINER | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | ||||
| GILBERT A HERRERA | ||||||||
| BOARD MEMBER | 8.0 | X | 0 | 0 | ||||
| ELENA M MARKS | ||||||||
| CHAIRMAN OF THE BOARD | 8.0 | X | 0 | 0 | X | |||
| RAYMOND J KHOURY | ||||||||
| VICE CHAIRMAN OF THE BOARD | 8.0 | X | 0 | 0 | X | |||
| JOSE GARCIA JR | ||||||||
| SECRETARY OF THE BOARD | 4.0 | X | 0 | 0 | X | |||
| RICHARD LEE | ||||||||
| SR. VP - FINANCE | 40.0 | 0 | 25964 | X | 202488 | |||
| KENNETH W JANDA | ||||||||
| PRESIDENT/CEO | 40.0 | 0 | 18324 | X | 429611 | |||
| JOHN PETROSINO | ||||||||
| VP - COMPLIANCE & PRIVACY | 40.0 | 0 | 6083 | 140074 | X | |||
| CHARLOTTE WOODS | ||||||||
| VP - ADMINISTRATION | 40.0 | 0 | 6079 | 144490 | X | |||
| THOMAS NGUYEN | ||||||||
| DIRECTOR -MANAGED CARE SYSTEMS | 40.0 | 0 | 14903 | 175153 | X | |||
| CARMA DAVIS | ||||||||
| VP - HEALTH SERVICES | 40.0 | 0 | 2336 | 126225 | X | |||
| ERNEST MENDEZ | ||||||||
| SR. VP - OPERATIONS | 40.0 | 0 | 25005 | 184010 | X | |||
| ALFONSO RUBIO | ||||||||
| SR. VP -INFORMATION TECHNOLOGY | 40.0 | 0 | 27215 | 221485 | X | |||
| TANYA NGUYEN | ||||||||
| VP - OPERATIONS | 40.0 | 0 | 12924 | 166645 | X | |||
| MARK KLINE | ||||||||
| VP - NETWORK MANAGEMENT | 40.0 | 0 | 21729 | 258257 | X | |||
| DAISY MORALES | ||||||||
| VP - SALES & MARKETING | 40.0 | 0 | 8363 | 160348 | X | |||
| FRED BUCKWOLD | ||||||||
| SR. MEDICAL DIRECTOR | 40.0 | 0 | 20741 | 280133 | X | |||
| PATRICIA SMITH | ||||||||
| DIRECTOR - BUSINESS SERVICES | 40.0 | 0 | 6015 | 118286 | X | |||
| KAREN LOVE | ||||||||
| SR. VP-STRAT PLANNING& P'SHIPS | 40.0 | 0 | 13230 | 146076 | X | |||
| NANCY WINGSTROM | ||||||||
| SR. VP - ADMIN & LEGAL AFFAIRS | 40.0 | 0 | 11178 | 110054 | X | |||
| PETER GRANT | ||||||||
| CONTROLLER | 40.0 | 0 | 11932 | 113135 | X | |||
| AASHISH SHAH | ||||||||
| MEDICAL DIRECTOR | 40.0 | 0 | 22962 | 204528 | X | |||
| LENORA KLINGER | ||||||||
| MGR - PREM BILLING & SPEC PROJ | 40.0 | 0 | 5915 | 123438 | X | |||
| JOHN COAKLEY | ||||||||
| DIRECTOR - INFORMATION SYSTEMS | 40.0 | 0 | 15912 | 114404 | X | |||
| KAREN ROSENBERG | ||||||||
| DIRECTOR - UTILIZATION MGMT. | 40.0 | 0 | 0 | 135088 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3553928 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 276810 | TotalOtherCompensation |
| Number Individuals GT100 K | 32 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SEE SCHEDULE O GENERAL STATEMENT 1 | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Of Contractor | AddressOfContractor | |
| Compensation | 220195899 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 499 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PREMIUM REVENUE | 524114 | 635510860 | 635510860 |
| STAR - FREW REWARD | 524298 | 469007 | 469007 |
| MIGRANT FARMWORKERS INCENTIVE | 524298 | 123840 | 123840 |
| TX HEALTH 3-SHARE PROGRAM FEES | 524298 | 77756 | 77756 |
| BAXTER GRANT FEES | 524298 | 3495 | 3495 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 636184958 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1456132 | TotalRevenueColumn |
| Exclusion | $1,456,132 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LAWSUIT SETTLEMENT | Description |
| Total Revenue Column | 249999 | TotalRevenueColumn |
| Exclusion | $249,999 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 249999 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 637891089 | TotalRevenueColumn |
| Related Or Exempt Function Income | 636184958 | RelatedOrExemptFunctionIncome |
| Exclusion | $1,706,131 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3339079 | Total |
| Program Services | 3339079 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 602432794 | Total |
| Program Services | 602432794 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3069622 | Total |
| Program Services | 309460 | ProgramServices |
| Management And General | 2760162 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12635473 | Total |
| Program Services | 10108378 | ProgramServices |
| Management And General | 2527095 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 488898 | Total |
| Program Services | 413270 | ProgramServices |
| Management And General | 75628 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3573560 | Total |
| Program Services | 2858848 | ProgramServices |
| Management And General | 714712 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1176098 | Total |
| Program Services | 773061 | ProgramServices |
| Management And General | 403037 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41744 | Total |
| Management And General | 41744 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 566789 | Total |
| Management And General | 566789 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5351814 | Total |
| Program Services | 4111777 | ProgramServices |
| Management And General | 1240037 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 813334 | Total |
| Program Services | 650667 | ProgramServices |
| Management And General | 162667 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3145420 | Total |
| Program Services | 2516336 | ProgramServices |
| Management And General | 629084 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1390417 | Total |
| Program Services | 1112334 | ProgramServices |
| Management And General | 278083 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1765881 | Total |
| Program Services | 1412705 | ProgramServices |
| Management And General | 353176 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 229134 | Total |
| Program Services | 183307 | ProgramServices |
| Management And General | 45827 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1054399 | Total |
| Program Services | 843519 | ProgramServices |
| Management And General | 210880 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96653 | Total |
| Program Services | 77322 | ProgramServices |
| Management And General | 19331 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| TAXES & LICENSES | 11555361 | 9244289 | 2311072 |
| NON-ADMITTED PREPAID EXPENSES | 1923218 | 1923218 | 0 |
| PROVIDER INCENTIVES | 1343929 | 1343929 | 0 |
| REINSURANCE PREMIUM - STAR | -1149437 | -1149437 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 421598 | Total |
| Program Services | 416329 | ProgramServices |
| Management And General | 5269 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 655265778 | Total |
| Program Services | 642921185 | ProgramServices |
| Management And General | 12344593 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16332055 | BOY |
| EOY | 20347875 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34811875 | BOY |
| EOY | 104839639 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12521869 | BOY |
| EOY | 16580373 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 114750000 | BOY |
| EOY | 29500000 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1126019 | BOY |
| EOY | 1537323 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 179541818 | BOY |
| EOY | 172805210 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5394804 | BOY |
| EOY | 5084819 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62660913 | BOY |
| EOY | 76509535 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68055717 | BOY |
| EOY | 81594354 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111486101 | BOY |
| EOY | 91210856 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111486101 | BOY |
| EOY | 91210856 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 179541818 | BOY |
| EOY | 172805210 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -17374689 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -2900556 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Other | X | MethodOfAccountingOther |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years | |
| Land | Land | |
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements | |
| Equipment | Equipment | |
| Other Land Buildings | OtherLandBuildings | |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| MEDICAL CLAIMS PAYABLE | $65,364,640 |
| AMOUNTS DUE TO DISTRICT | $4,307,302 |
| PREMIUM DEFICIENCY RESERVE | $6,837,593 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 76509535 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 637891089 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 637891089 | RevenueSubtotal |
| Total Revenue Per Form990 | 637891089 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 653342560 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 653342560 | ExpensesSubtotal |
| Other Expenses Not Included | 1923218 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 1923218 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 655265778 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION 1 | Identifier |
| Return Reference | PART XII, LINE 4B | ReturnReference |
| Explanation | RECLASS OF CHANGE IN NON-ADMITTED ASSETS $1,923,218 | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (25 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| HARRIS COUNTY HEALTHCARE ALLIANCE | |||||||
| 1310 PRAIRIE SUITE 1080 | HOUSTON | TX | 77002 | 204977662 | GOV'T | 239079 | ENHANCE ACCESS TO CARE |
| TEXHEALTH HARRIS COUNTY 3-SHARE PLAN | |||||||
| 2636 S LOOP WEST STE 900 | HOUSTON | TX | 77054 | 943471808 | 501(C)(3) | 350000 | PROVIDE PREMIUM SUBSIDY FUNDING |
| ALLIANCE COMMUNITY ASSISTANCE MINISTRIES | |||||||
| 770 S POST OAK LANE STE 525 | HOUSTON | TX | 77056 | 275410988 | 501(C)(3) | 100000 | APPLICATION ASSISTANCE |
| CHRIST CLINIC | |||||||
| 5504 FIRST STREET | KATY | TX | 77493 | 900789318 | 501(C)(3) | 75000 | SUPPORT HEALTH CARE ACCESS |
| EL CENTRO DE CORAZON | |||||||
| PO BOX 230209 | HOUSTON | TX | 77223 | 760442781 | 501(C)(3) | 100000 | SUPPORT HEALTH CARE ACCESS |
| FAMILY SERVICES OF GREATER HOUSTON | |||||||
| 2700 SOUTHWEST FREEWAY SUITE 209 | HOUSTON | TX | 77098 | 741152613 | 501(C)(3) | 28000 | SUPPORT COUNSELING SERVICES |
| FORT BEND FAMILY HEALTH CENTER | |||||||
| 400 AUSTIN STREET | RICHMOND | TX | 77469 | 741951476 | 501(C)(3) | 250000 | EXPAND ACCESS TO PRIMARY CARE |
| GOOD NEIGHBORHOOD HEALTHCARE CENTER | |||||||
| 190 HEIGHTS BLVD | HOUSTON | TX | 77007 | 741746576 | 501(C)(3) | 100000 | SUPPORT HEALTH CARE ACCESS |
| HOPE CLINIC | |||||||
| 7001 CORPORATE DRSTE 120 | HOUSTON | TX | 77036 | 311756808 | 501(C)(3) | 250000 | EXPAND ACCESS TO PRIMARY CARE |
| LEGACY COMMUNITY HEALTH CENTER | |||||||
| PO BOX 66308 | HOUSTON | TX | 77266 | 760009637 | 501(C)(3) | 250000 | EXPAND ACCESS TO PRIMARY CARE |
| LONE STAR FAMILY HEALTH CENTER | |||||||
| 605 CONROE MEDICAL DRIVE | CONROE | TX | 77304 | 300038860 | 501(C)(3) | 100000 | EXPAND ACCESS TO PRIMARY CARE |
| SAN JOSE CLINIC | |||||||
| 2615 FANNIN | HOUSTON | TX | 77002 | 760373703 | 501(C)(3) | 75000 | SUPPORT HEALTH CARE ACCESS |
| SPINDLETOP COMMUNITY CENTER | |||||||
| PO BOX 3486 | BEAUMONT | TX | 77704 | 741684198 | 501(C)(3) | 250000 | EXPAND ACCESS TO PRIMARY CARE |
| SPRING BRANCH COMMUNITY HEALTH CENTER | |||||||
| 1615 HILLENDAHL SUITE 100 | HOUSTON | TX | 77055 | 300198705 | 501(C)(3) | 200000 | EXPAND ACCESS TO PRIMARY CARE |
| THE JESSE TREE | |||||||
| PO BOX 575 | GALVESTON | TX | 77553 | 760518766 | 501(C)(3) | 100000 | IMPROVED HEALTH LITERACY |
| THE TEJANO CENTER | |||||||
| 2950 BROADWAY | HOUSTON | TX | 77017 | 760377101 | 501(C)(3) | 125000 | EXPAND ACCESS TO PRIMARY CARE |
| TOMAGWA HEALTHCARE MINISTRIES | |||||||
| 455 SCHOOL STREET SUITE 30 | TOMBALL | TX | 77375 | 760280324 | 501(C)(3) | 75000 | SUPPORT HEALTH CARE ACCESS |
| BOUNCE (HOUSTON HISPANIC HEALTH COALITION) | |||||||
| 1515 HOLCOMBE BLVD UNIT 21 | HOUSTON | TX | 77030 | 760609180 | 501(C)(3) | 52000 | EXPAND SUMMER OBESITY PREVENTION PROGRAM |
| CHILDREN AT RISK | |||||||
| 2900 WESLAYAN SUITE 400 | HOUSTON | TX | 77027 | 760360533 | 501(C)(3) | 200000 | HEALTHCARE/LIFESTYLE EDUCATION/TRAINING |
| CHRISTO REY JESUIT | |||||||
| 6700 MOUNT CARMEL STREET | HOUSTON | TX | 77087 | 263159838 | 501(C)(3) | 100000 | BETTER NUTRITION AND EDUCATION |
| DEEP EAST TEXAS COUNCIL OF GOVERNMENTS | |||||||
| 210 PREMIER DRIVE | JASPER | TX | 75951 | 751251001 | GOV'T | 100000 | HEALTH EDUCATION ACTIVITIES |
| FAMILIES EMPOWERED | |||||||
| 3900 ESSEX LANE SUITE 1200 | HOUSTON | TX | 77027 | 271912105 | 501(C)(3) | 50000 | EDUCATE PARENTS RE MEDICAID/CHIP |
| MARCH OF DIMES | |||||||
| 3000 WESLAYAN SUITE 100 | HOUSTON | TX | 77027 | 131846366 | 501(C)(3) | 100000 | HEALTHY BABIES ARE WORTH THE WAIT PROGRAM |
| NAMI GULF COAST | |||||||
| PO BOX 4096 | ALVIN | TX | 77512 | 760276724 | 501(C)(3) | 20000 | IMPROVED MENTAL HEALTH LITERACY |
| THE WOMEN'S FUND | |||||||
| 5353 WEST ALABAMA SUITE 615 | HOUSTON | TX | 77056 | 742013710 | 501(C)(3) | 50000 | IMPROVED HEALTH LITERACY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 25 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF PROCEDURES FOR MONITORING | Identifier |
| Return Reference | SCHEDULE I, PART I, LINE 2 | ReturnReference |
| Explanation | THE COMMUNITY HEALTH CHOICE, INC.'S (CHC) BOARD OF DIRECTORS APPROVED OF THE ALLOCATION OF FUNDS TO THE FHP PROJECT, A FUNDERS' COLLABORATIVE INVOLVING OTHER HOUSTON AREA PHILANTHROPIC ORGANIZATIONS, INCLUDING HARRIS COUNTY HEALTHCARE ALLIANCE (HCHA), WITH THE GOAL OF ESTABLISHING MORE SECURE FUNDING AND STAFFING FOR SYSTEM-BUILDING INITIATIVES IN SEVERAL HEALTH CLINICS IN HARRIS COUNTY. CHC WILL PROVIDE QUARTERLY ACCOUNTING TO ITS BOARD OF DIRECTORS, HCHA, AND OTHER FUNDERS' COLLABORATIVE MEMBERS OF THE FUNDS AS THEY ARE ALLOCATED, SPENT, AND OF THE REMAINING BALANCE. AS PART OF THE FHP PROJECT, A PORTION OF THE FUNDING WILL BE USED TO PAY CLAIMS ON BEHALF OF QUALIFIED INDIVIDUALS TO FEDERALLY QUALIFIED HEALTH CLINICS. QUALIFIED INDIVIDUALS INCLUDE PARENTS OF MEDICAID OR CHIP ELIGIBLE CHILDREN WHO ARE THEMSELVES UNINSURED AND OTHERWISE ELIGIBLE FOR CHARITY CARE SERVICES. IN SEPTEMBER OF 2012, THE COMPANY'S BOARD OF DIRECTORS APPROVED THE ALLOCATION OF $7,000,000 OF THE COMPANY'S FUNDS FOR A COMMUNITY BENEFITS PROGRAM DESIGNED TO ASSIST BOTH THE HEALTH SYSTEM ($3,500,000) AS WELL AS OTHER LOCAL NON-PROFIT ORGANIZATIONS IN THE FULFILLMENT OF THE PROJECTS OUTLINED IN THE APPLICATIONS THEY SUBMITTED TO THE PROGRAM, $2,750,000 IN TOTAL. ADDITIONALLY, $750,000 WAS APPROVED AS A NON-SPECIFIC RESERVE FOR THE PROGRAM. MEMORANDA OF UNDERSTANDING WERE SIGNED WITH 22 OF THE 23 UNAFFILIATED ORGANIZATIONS BY NOVEMBER AND $2,650,000 WAS DISTRIBUTED TO THESE ORGANIZATIONS DURING 2012 AND WAS REPORTED AS NON-OPERATING EXPENSE. DISTRIBUTION OF THE FUNDING APPROVED FOR THE HEALTH SYSTEM IS PENDING APPROVAL OF THAT ORGANIZATION'S BOARD OF MANAGERS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARLOTTE WOODS | ||||||||||||||
| VP - ADMINISTRATION | 0 | 116979 | 0 | 20882 | 0 | 6629 | 0 | 0 | 0 | 6079 | 0 | 150569 | 0 | 0 |
| RICHARD LEE | ||||||||||||||
| SR. VP - FINANCE | 0 | 146963 | 0 | 28961 | 0 | 26564 | 0 | 10124 | 0 | 15840 | 0 | 228452 | 0 | 0 |
| THOMAS NGUYEN | ||||||||||||||
| DIRECTOR -MANAGED CARE SYSTEMS | 0 | 139068 | 0 | 20582 | 0 | 15503 | 0 | 8758 | 0 | 6145 | 0 | 190056 | 0 | 0 |
| KENNETH W JANDA | ||||||||||||||
| PRESIDENT/CEO | 0 | 347801 | 0 | 61086 | 0 | 20724 | 0 | 11784 | 0 | 6540 | 0 | 447935 | 0 | 0 |
| ERNEST MENDEZ | ||||||||||||||
| SR. VP - OPERATIONS | 0 | 134419 | 0 | 23338 | 0 | 26253 | 0 | 9193 | 0 | 15812 | 0 | 209015 | 0 | 0 |
| ALFONSO RUBIO | ||||||||||||||
| SR. VP -INFORMATION TECHNOLOGY | 0 | 162371 | 0 | 31299 | 0 | 27815 | 0 | 11074 | 0 | 16141 | 0 | 248700 | 0 | 0 |
| TANYA NGUYEN | ||||||||||||||
| VP - OPERATIONS | 0 | 134210 | 0 | 18911 | 0 | 13524 | 0 | 0 | 0 | 12924 | 0 | 179569 | 0 | 0 |
| MARK KLINE | ||||||||||||||
| VP - NETWORK MANAGEMENT | 0 | 208191 | 0 | 26487 | 0 | 23579 | 0 | 8913 | 0 | 12816 | 0 | 279986 | 0 | 0 |
| DAISY MORALES | ||||||||||||||
| VP - SALES & MARKETING | 0 | 128336 | 0 | 23049 | 0 | 8963 | 0 | 8017 | 0 | 346 | 0 | 168711 | 0 | 0 |
| FRED BUCKWOLD | ||||||||||||||
| SR. MEDICAL DIRECTOR | 0 | 218187 | 0 | 40605 | 0 | 21341 | 0 | 8269 | 0 | 12472 | 0 | 300874 | 0 | 0 |
| AASHISH SHAH | ||||||||||||||
| MEDICAL DIRECTOR | 0 | 164052 | 0 | 15114 | 0 | 25362 | 0 | 10226 | 0 | 12736 | 0 | 227490 | 0 | 0 |
| KAREN LOVE | ||||||||||||||
| SR. VP-STRAT PLANNING& P'SHIPS | 0 | 143926 | 0 | 0 | 0 | 2150 | 0 | 0 | 0 | 13230 | 0 | 159306 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART I, LINE 3: | Identifier |
| 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. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 174,861 MEDICAID, 34,416 CHIP AND 9,920 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 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 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 174,861 MEDICAID, 34,416 CHIP AND 9,920 CHIP PERINATAL MEMBERS WITHIN A PRIMARY SERVICE AREA OF HARRIS AND CONTIGUOUS COUNTIES IN THE STATE OF TEXAS. |
| GENERAL STATEMENT 4 | FORM 990, PART V, LINE 2A: NUMBER OF EMPLOYEES | THE NUMBER OF EMPLOYEES REPORTED IN PART V, LINE 2A IS 298. 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 | TEXAS CHILDREN'S HOSPITAL CONTRACT HOSPITAL SVCS $70,425,627 6621 FANNIN ST. HOUSTON, TX 77030 NAVITUS HEALTH SOLUTIONS PHARMACY BENEFIT $62,780,076 MEDICAL BRANCH 301 UNIVERSITY BLVD. GALVESTON, TX 77550 UNIVERSITY OF TEXAS CONTRACT HOSPITAL SVCS $34,611,495 MEDICAL BRANCH 301 UNIVERSITY BLVD. GALVESTON, TX 77555 CLEAR LAKE REGIONAL MED. CENTER CONTRACT HOSPITAL SVCS $27,676,052 500 MEDICAL CENTER BLVD. WEBSTER, TX 77598 THE WOMEN'S HOSPITAL OF TEXAS CONTRACT HOSPITAL SVCS $24,702,649 7600 FANNIN ST. HOUSTON, TX 77054 ============ TOTAL $220,195,899 |
| GENERAL STATEMENT 13 | FORM 990, PART XI, LINE 5: | OTHER ADJUSTMENTS TO NET ASSETS OR FUND BALANCES: CLINIC & MEDICAL HOME PROJECT FUNDING TRANSFER TO HCHD (2,900,556) |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARRIS COUNTY HOSPITAL DISTRICT | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2525 HOLLY HALL | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 77054 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 741536936 | EIN |
| Primary Activities | HEALTH CARE | PrimaryActivities |
| Legal Domicile State | TX | LegalDomicileState |
| Exempt Code Section | GOV'T | ExemptCodeSection |
| Public Charity Status | N/A | PublicCharityStatus |
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |