Civic Intelligence

Community Health Choice Inc

990 • Fiscal year 2013 • EIN 76-0495152

Jan 01, 2013 to Dec 31, 2013 • Filed on Nov 13, 2014

2636 South Loop WestSuite 70077054

(713) 295-2222

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

60th percentile

0.48x

Higher debt load relative to assets than 60% of similar nonprofits.

2013 filings • $250M-$1B nonprofits • Source year 2013

Liabilities / Revenue

19th percentile

0.12x

Higher debt load relative to revenue than 19% of similar nonprofits.

2013 filings • $250M-$1B nonprofits • Source year 2013

Net Margin

18th percentile

-0.6%

Higher net margin than 18% of similar nonprofits.

2013 filings • $250M-$1B nonprofits • Source year 2013

Top Officer Pay

41st percentile

$416,249

Higher top officer pay than 41% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

2013 filings • $250M-$1B nonprofits • Source year 2013

Asset Growth

8th percentile

-3.6%

Faster asset growth than 8% of similar nonprofits.

2013 filings • $250M-$1B nonprofits • Annualized from 2012 to 2013

Revenue Growth

62nd percentile

12%

Faster revenue growth than 62% of similar nonprofits.

2013 filings • $250M-$1B nonprofits • Annualized from 2010 to 2013

Assets

Down

$166,631,600

Down $6,173,610 (-3.6%) from 2012

Net Assets

Down

$87,299,179

Down $3,911,677 (-4.3%) from 2012

Liabilities

Down

$79,332,421

Down $2,261,933 (-2.8%) from 2012

Revenue

$667,112,298

No earlier filing loaded for comparison.

Expenses

Up

$671,023,975

Up $15,758,197 (+2.4%) from 2012

Net Income

-$3,911,677

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$400M$300M$200M$100M$0Assets 2010: $123,711,635Liabilities 2010: $49,862,845Net Assets 2010: $73,848,7902010Assets 2011: $179,541,818Liabilities 2011: $68,055,717Net Assets 2011: $111,486,1012011Assets 2012: $172,805,210Liabilities 2012: $81,594,354Net Assets 2012: $91,210,8562012Assets 2013: $166,631,600Liabilities 2013: $79,332,421Net Assets 2013: $87,299,1792013Assets 2014: $192,137,284Liabilities 2014: $91,779,897Net Assets 2014: $100,357,3872014Assets 2015: $239,892,454Liabilities 2015: $138,300,153Net Assets 2015: $101,592,3012015Assets 2016: $305,073,571Liabilities 2016: $223,576,925Net Assets 2016: $81,496,6462016Assets 2017: $259,721,828Liabilities 2017: $204,384,776Net Assets 2017: $55,337,0522017Assets 2018: $175,071,407Liabilities 2018: $117,809,526Net Assets 2018: $57,261,8812018Assets 2019: $179,853,538Liabilities 2019: $113,333,980Net Assets 2019: $66,519,5582019Assets 2020: $220,623,046Liabilities 2020: $128,099,944Net Assets 2020: $92,523,1022020Assets 2021: $271,208,373Liabilities 2021: $194,429,938Net Assets 2021: $76,778,4352021Assets 2022: $280,552,121Liabilities 2022: $180,101,884Net Assets 2022: $100,450,2372022

Highlighted filing

2013

Assets$166,631,600
Liabilities$79,332,421
Net Assets$87,299,179

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.5B$1.0B$500M$0-$500MRevenue 2010: $473,883,222Expenses 2010: $472,301,638Net Income 2010: $1,581,5842010Expenses 2011: $473,507,0252011Expenses 2012: $655,265,7782012Revenue 2013: $667,112,298Expenses 2013: $671,023,975Net Income 2013: -$3,911,6772013Revenue 2014: $721,078,553Expenses 2014: $704,520,345Net Income 2014: $16,558,2082014Revenue 2015: $851,462,290Expenses 2015: $850,227,376Net Income 2015: $1,234,9142015Revenue 2016: $1,128,716,711Expenses 2016: $1,148,812,366Net Income 2016: -$20,095,6552016Revenue 2017: $834,206,714Expenses 2017: $857,553,257Net Income 2017: -$23,346,5432017Revenue 2018: $719,245,691Expenses 2018: $683,826,076Net Income 2018: $35,419,6152018Revenue 2019: $748,382,087Expenses 2019: $720,913,355Net Income 2019: $27,468,7322019Revenue 2020: $706,161,754Expenses 2020: $696,622,553Net Income 2020: $9,539,2012020Revenue 2021: $794,944,240Expenses 2021: $810,535,690Net Income 2021: -$15,591,4502021Revenue 2022: $898,426,979Expenses 2022: $894,861,051Net Income 2022: $3,565,9282022

Highlighted filing

2013

Revenue$667,112,298
Expenses$671,023,975
Net Income-$3,911,677
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 13, 2014
Return Version
2013v3.1
Gross Receipts
$667,112,298
Mission and Program Overview

Mission

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.

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)

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$104,839,639$107,758,213▲ $2,918,574
Investments in Publicly Traded Securities$29,500,000$29,997,552▲ $497,552
Cash and Non-Interest-Bearing Accounts$20,347,875$13,182,036▼ $7,165,839
Accounts Receivable$16,580,373$13,174,019▼ $3,406,354
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Land, Buildings, and Equipment, Net$0--
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$172,805,210$166,631,600▼ $6,173,610
Other Assets Total$1,537,323$2,519,780▲ $982,457
Liabilities
Other Liabilities$76,509,535$67,489,120▼ $9,020,415
Accounts Payable and Accrued Expenses$5,084,819$11,843,301▲ $6,758,482
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$81,594,354$79,332,421▼ $2,261,933
Net Assets / Fund Balance
Unrestricted Net Assets$91,210,856$87,299,179▼ $3,911,677
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$91,210,856$87,299,179▼ $3,911,677
Total Liabilities and Net Assets / Fund Balance$172,805,210$166,631,600▼ $6,173,610
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Elana M MarksChairman of the BoardPT$395,079$395,079
Jose Garcia JrSecretary of the Board-$259,393$259,393
Margo a HilliardBoard Member-$218,684$218,684
Charles a MooreBoard MemberPT$201,356$201,356
Raymond J KhouryVice Chairman of the BoardPT$194,034$194,034
Vicki KeiserBoard MemberPT$188,775$188,775
Daisy a StinerBoard Member-$174,917$174,917
Gilbert a HerreraBrd Member Term Ended 5/30/13PT$159,773$159,773
John PetrosinoVP - Compliance & PrivacyFT$123,657$123,657
Charlotte WoodsVP - AdministrationFT$116,970$116,970
Marcella SanchezDirector - ContractingFT$18,676$18,676
John CoakleyDirector - Information SystemsFT$18,595$18,595
Milangela EasonDirector -marketing CommunicationsFT$18,388$18,388
Siva ChanduIseries/database AdministratorFT$15,877$15,877
Peter GrantControllerFT$14,172$14,172
Patricia SmithDirector - Claims Qa ProgramsFT$7,176$7,176

Board Members and Trustees

NameTitle
Kenneth JandaPresident/CEO
Thomas NguyenDirector-managed Care Systems
Aashish ShahMedical Director
Fred BuckwoldSr. Medical Director
Nancy WingstromSr. VP - Admin & Legal Affairs
Richard LeeSr. VP - Finance
Ernest MendezSr. VP - Operations
Alfonso RubioSr. VP -information Technology
Karen LoveSR. VP-STRAT PLANNING& P'SHIPS
Jeffrey AllenVP - Network Management
Tanya NguyenVP - Operations
Pamela HellstromVP - Quality Management
Daisy MoralesVP - Sales & Marketing

Highest Paid Contractors

ContractorServicesLocationCompensation
See Schedule O General Statement 1--$284,364,831
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$666,396,326
Investment Income
$715,972
Other Revenue
$0
Change in Net Assets
$-3,911,677

Audited Revenue Reconciliation

Revenue per Audited Statements
$667,112,298
Total Revenue per Audited Statements
$667,112,298
Total Revenue per Form 990
$667,112,298
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$29,519,514
Salaries, Compensation, and Employee Benefits$23,796,739
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members$617,707,722--$617,707,722
Other Salaries and Wages$11,439,782$2,859,945-$14,299,727
Fees for Services Other$5,247,401$1,405,510-$6,652,911
Other Employee Benefits$2,790,932$1,086,338-$3,877,270
Current Officers, Directors, Trustees, and Key Employees$348,916$3,140,241-$3,489,157
Office Expenses$2,431,676$607,919-$3,039,595
Information Technology$1,906,480$476,620-$2,383,100
Payroll Taxes$867,810$410,981-$1,278,791
Occupancy$962,585$240,646-$1,203,231
Advertising$867,395$216,849-$1,084,244
All Other Expenses$831,437$113,843-$945,280
Pension Plan Contributions$681,435$170,359-$851,794
Fees for Services Accounting-$677,420-$677,420
Travel$186,436$46,609-$233,045
Insurance$81,446$20,361-$101,807
Fees for Services Legal-$52,820-$52,820
Other Expenses$-910,612$0$0$-910,612
Total Functional Expenses$657,048,537$13,975,438$0$671,023,975

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$671,023,975
Expenses per Audited Statements$670,361,767
Total Expenses per Audited Statements$670,361,767
Expenses Not Reported on Financial Statements$662,208
Other Expense Adjustments$662,208
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Medical Claims Payable$62,429,698
Amounts Due to District$5,059,422
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No
Filing and Contact Details

Filer

EIN
76-0495152
In Care Of
% RICHARD LEE CPA
Phone
7132952222

Signing Officer

Name
Richard Lee
Title
Sr. VP - Finance
Phone
7132952222
Signed
2014-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kenneth W Janda
Formed
1996
Legal Domicile
TX
Voting Board Members
7
Independent Board Members
7
Employees
403
Volunteers
8

Preparer

Preparer
405-239-6411
Phone
7132952222
Supplemental Narrative

Additional Explanations

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 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 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 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 4

Form 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 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 $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

Financial Statement Notes

Part XII, Line 4B

Reclass of change in non-admitted assets $662,208

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IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIRMAN OF THE BOARD
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE CHAIRMAN OF THE BOARD
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY OF THE BOARD
IRS990/Form990PartVIISectionAGrp/TitleTxt3BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt4BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt5BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt6BRD MEMBER TERM ENDED 5/30/13
IRS990/Form990PartVIISectionAGrp/TitleTxt7BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt8PRESIDENT/CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt9SR. VP - FINANCE
IRS990/Form990PartVIISectionAGrp/TitleTxt10SR. MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11SR. VP -INFORMATION TECHNOLOGY
IRS990/Form990PartVIISectionAGrp/TitleTxt12MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt13SR. VP - OPERATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt14VP - OPERATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt15SR. VP-STRAT PLANNING& P'SHIPS
IRS990/Form990PartVIISectionAGrp/TitleTxt16VP - SALES & MARKETING
IRS990/Form990PartVIISectionAGrp/TitleTxt17VP - ADMINISTRATION
IRS990/Form990PartVIISectionAGrp/TitleTxt18VP - COMPLIANCE & PRIVACY
IRS990/Form990PartVIISectionAGrp/TitleTxt19SR. VP - ADMIN & LEGAL AFFAIRS
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IRS990/Form990PartVIISectionAGrp/TitleTxt21VP - NETWORK MANAGEMENT
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IRS990/Form990PartVIISectionAGrp/TitleTxt23CONTROLLER
IRS990/Form990PartVIISectionAGrp/TitleTxt24ISERIES/DATABASE ADMINISTRATOR
IRS990/Form990PartVIISectionAGrp/TitleTxt25DIRECTOR - INFORMATION SYSTEMS
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