2022-11-11T13:48:53-06:00 2021-12-31 560574444 CHERRY BEKAERT LLP 221 W 6TH STREET STE 1900 AUSTIN TX 78701 990 2021-01-01 521002260 TMF HEALTH QUALITY INSTITUTE TMFH 5123341622 3107 OAK CREEK DRIVE 200 AUSTIN TX 78727 PAMELA L HOERNIS CHIEF FINANCIAL OFFICER 5123341622 2022-11-10 1 PAMELA HOERNIS 999009999 KELLY LOGAN P00677048 5124796000 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z THOMAS J MANLEY 3107 OAK CREEK DRIVE 200 AUSTIN TX 78727 34454411 0 X WWW.TMF.ORG X 1971 TX TO MAKE MEASURABLE IMPROVEMENTS IN THE QUALITY AND DELIVERY OF HEALTH CARE. 15 15 227 0 0 0 14405679 11706544 18439752 19783815 1461815 837729 1034472 1072458 35341718 33400546 43202 117500 0 0 23541582 23388542 0 0 0 10004557 9892153 33589341 33398195 1752377 2351 56271983 58268096 3510096 3627664 52761887 54640432 X TO MAKE MEASURABLE IMPROVEMENTS IN THE QUALITY AND DELIVERY OF HEALTH CARE. 0 0 9735676 TMF WORKS WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) TO PROTECT MEDICARE PATIENT RIGHTS AND IMPROVE THE QUALITY OF HEALTH CARE THROUGH REGIONAL QUALITY IMPROVEMENT PROJECTS. 2337741 2892750 TMF PERFORMS MEDICAL RECORD REVIEW OF TEXAS MEDICAID PROVIDERS TO DETERMINE MEDICAL NECESSITY AND COMPLIANCE WITH MEDICAID POLICIES. TMF ALSO PROVIDES THE MEDICAL AND DENTAL DIRECTORS RESPONSIBLE FOR PERFORMING PRE-AUTHORIZATION AND MEDICAL AND DENTAL RECORD REVIEWS. 1272881 1705034 TMF WORKS WITH THE CENTER FOR MEDICARE AND MEDICAID INNOVATION AND THEIR CONTRACTOR TO SUPPORT THE COMPREHENSIVE PRIMARY CARE INITIATIVE BY PROVIDING AND MANAGING A NATIONAL LEARNING NETWORK COMPRISED OF SEVEN REGIONS AND FACILITATING MULTI-STAKEHOLDER ENGAGEMENT IN EACH REGION. THE INTENT OF THIS NETWORK IS TO SUPPORT PHYSICIAN PRACTICES IN SUCCESSFULLY TRANSFORMING THEIR DELIVERY OF PRIMARY CARE. 9607996 117500 15186031 TMF HEALTH QUALITY INSTITUTE WORKS WITH PATIENTS, PROVIDERS, GOVERNMENT AGENCIES AND OTHER GROUPS TO PROMOTE HIGH QUALITY HEALTH CARE BY PROVIDING SERVICES AND SUPPORT WITH HEALTH CARE PAYMENT MODELS, PRACTICE TRANSFORMATION, QUALITY IMPROVEMENT, COMMUNITY HEALTH AND QUALITY ASSURANCE. 9607996 117500 15186031 22954294 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 32 0 1 227 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X PAMELA L HOERNIS 5123341622 3107 OAK CREEK DRIVE 200 AUSTIN TX 78727 KEVIN HOOD MCKINNEY MD CHAIR 2.00 0.00 X X 13063 0 0 NANCY R ADAMS TRUSTEE 0.50 0.00 X 3406 0 0 RUTH ATKINS TRUSTEE 0.80 0.00 X 4906 0 0 JAMES NILE BARNES TRUSTEE 0.50 0.00 X 3000 0 0 WENDY CHUNG MD TRUSTEE 0.00 0.00 X 0 0 0 LAURIE MACDONALD EAST TRUSTEE 0.50 0.00 X 3125 0 0 LISA L EHRLICH MD TRUSTEE 0.40 0.00 X 2881 0 0 GARY W FLOYD MD TRUSTEE 2.30 0.00 X 15000 0 0 JAMES R HINE TRUSTEE 0.60 0.00 X 3913 0 0 ELIZABETH LOPEZ TRUSTEE 0.20 0.00 X 1563 0 0 DAVID C MASON DO TRUSTEE 0.70 0.00 X 4413 0 0 KERI PEARLSON PHD TRUSTEE 0.40 0.00 X 2813 0 0 ERICK M SANTOS MD TRUSTEE 0.60 0.00 X 3850 0 0 JEFFREY J SCHMELTEKOPF TRUSTEE 0.60 0.00 X 4063 0 0 GAYLE L SEMTNER TRUSTEE 0.80 0.00 X 5000 0 0 RONALD S WALTERS MD TRUSTEE 0.10 0.00 X 0 0 0 BETTY ANN WHARTON TRUSTEE 0.30 0.00 X 1694 0 0 THOMAS J MANLEY PRESIDENT & CEO 23.70 19.40 X 825096 0 75536 PAMELA L HOERNIS CFO 24.20 19.80 X 443839 0 47194 MICHAEL GROSS CIO 16.40 25.60 X 210293 0 16952 DEBRA A LOVATO BUSINESS DEVELOPMENT OFFICER 41.80 0.00 X 196210 0 26174 JENNIFER L MARKLEY DIVISION DIRECTOR 40.90 0.00 X 209494 0 35264 TARA FREASE RICHARDSON BUSINESS DEVELOPMENT OFFICER 45.30 0.00 X 224527 0 38742 WENDY MEDCALF DIVISION DIRECTOR 41.60 0.00 X 159965 0 34418 RUSSEL WADE KOHL MD CHIEF MEDICAL OFFICER 39.00 0.00 X 334663 0 30606 CLIFFORD KEITH MOY MD MEDICAL DIRECTOR, BEHAVIORAL HEALTH 40.20 0.00 X 290647 0 47029 STEPHEN DRAKE THOMAS CHIEF HUMAN RESOURCES OFFICER 15.80 26.10 X 242461 0 58768 TYRONE CLIFT DIRECTOR, CONTRACTS & COMPLIANCE 23.20 19.00 X 200331 0 34500 BRADLEY H TREYBIG DIRECTOR, APPLICATION DEVELOPMENT 18.80 29.30 X 198318 0 52850 3608534 0 498033 53 0 1 0 ARKANSAS FOUNDATION FOR MEDICAL CARE IN PO BOX 180001 FORT SMITH AR 72918 SUBCONTRACTOR 1217669 CARROT HEALTH INC 807 BROADWAY ST NE SUITE 285 MINNEAPOLIS MN 55413 SUBCONTRACTOR 486826 SAFE & RELIABLE HEALTHCARE 1152 WOODLAND LANE EVERGREEN CO 80439 SUBCONTRACTOR 329875 MODIS INC 9442 N CAPITAL OF TEXAS HWY PLAZA AUSTIN TX 78759 TEMPORARY SERVICES 231119 DODD AND BATLA PC 10941 CIRCLE DR AUSTIN TX 78736 LEGAL COUNSEL 217788 10 11706544 11706544 QUALITY ASSURANCE SERVICES 621400 11303209 11303209 MANAGEMENT SERVICES 541900 8480606 8480606 19783815 572665 572665 1072458 0 1072458 1072458 1072458 1318929 1053865 265064 265064 265064 33400546 19783815 0 1910187 117500 117500 2616395 1835783 780612 16411337 11726503 4684834 1500574 1082959 417615 1485115 1071802 413313 1375121 992420 382701 72000 2809 69191 240410 9380 231030 97250 3794 93456 109646 109646 3291438 2644156 647282 1616217 1200513 415704 2601992 1476194 1125798 364886 253355 111531 78 78 1061032 520097 540935 284833 6716 278117 EMPLOYEE RELATIONS 85373 10308 75065 RECRUITING 39275 5 39270 BOARD EXPENSES 27723 27723 33398195 22954294 10443901 0 4381982 3400678 5237792 3500500 9305457 8328249 1828976 2268815 22876576 8976994 14649541 13899582 19618235 25620272 1250000 1250000 56271983 58268096 3484568 3602532 25528 25132 3510096 3627664 X 52761887 54640432 52761887 54640432 56271983 58268096 2351 1876194 0 X 0 1 X 1 1 1 X 39714304 25645114 19375136 14405679 11706544 110846777 39714304 25645114 19375136 14405679 11706544 110846777 110846777 1396110 1729680 1378669 1475489 1645123 7625071 118471848 101410580 0.93560 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4035 4035 0 PART II-B, LINE 1: PAID FOR MEMBERSHIP DUES TO THE AMERICAN HEALTH QUALITY ASSOCIATION (AHQA). 2301701 2301701 13205461 2221236 10984225 6045464 5499976 545488 1323950 1255782 68168 13899582 X PART X, LINE 2: THE INSTITUTE ASSESSES UNCERTAINTIES IN INCOME TAX RECOGNITION IN ITS CONSOLIDATED FINANCIAL STATEMENTS AND USES A THRESHOLD OF MORE LIKELY THAN NOT FOR RECOGNITION AND DERECOGNITION OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN. THE INSTITUTE HAS NOT RECORDED ANY UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2021 AND 2020. THE INSTITUTE IS GENERALLY NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR RETURNS SUBMITTED AFTER THREE YEARS. UNRELATED BUSINESS TAXABLE INCOME WAS NOMINAL FOR THE INSTITUTE AS OF DECEMBER 31, 2021 AND 2020. 1 TEXAS MEDICAL ASSOCIATION FOUNDATION 401 W 15TH ST AUSTIN TX 78701 746073346 501(C)(3) 30000 0 VACCINES DEFEND WHAT MATTERS AND TMA GALA 1 0 PART I, LINE 2: IN SOME INSTANCES, TMF STAFF WILL GO TO THE EVENTS AND MONITOR THEM PERSONALLY AND IN OTHER INSTANCES TMF RECEIVES FEEDBACK ABOUT THE EVENT FROM THE GRANT RECIPIENT. X X X X X 0 1 0 1 1 1 1 1 0 THOMAS J MANLEY PRESIDENT & CEO 560117 0 222133 0 42846 0 29088 0 46448 0 900632 0 0 0 PAMELA L HOERNIS CFO 338631 0 95400 0 9808 0 29088 0 18106 0 491033 0 0 0 RUSSEL WADE KOHL MD CHIEF MEDICAL OFFICER 300510 0 34153 0 0 0 29088 0 1518 0 365269 0 0 0 CLIFFORD KEITH MOY MD MEDICAL DIRECTOR, BEHAVIORAL HEALTH 274071 0 16576 0 0 0 29088 0 17941 0 337676 0 0 0 STEPHEN DRAKE THOMAS CHIEF HUMAN RESOURCES OFFICER 200123 0 40319 0 2019 0 24664 0 34104 0 301229 0 0 0 TARA FREASE RICHARDSON BUSINESS DEVELOPMENT OFFICER 189244 0 20283 0 15000 0 21716 0 17026 0 263269 0 0 0 BRADLEY H TREYBIG DIRECTOR, APPLICATION DEVELOPMENT 173346 0 11126 0 13846 0 19429 0 33421 0 251168 0 0 0 JENNIFER L MARKLEY DIVISION DIRECTOR 175749 0 20283 0 13462 0 19339 0 15925 0 244758 0 0 0 TYRONE CLIFT DIRECTOR, CONTRACTS & COMPLIANCE 168190 0 25602 0 6539 0 18641 0 15859 0 234831 0 0 0 MICHAEL GROSS CIO 136862 0 45431 0 28000 0 16199 0 753 0 227245 0 0 0 DEBRA A LOVATO BUSINESS DEVELOPMENT OFFICER 136446 0 59764 0 0 0 17752 0 8422 0 222384 0 0 0 WENDY MEDCALF DIVISION DIRECTOR 147267 0 3383 0 9315 0 14093 0 20325 0 194383 0 0 0 PART I, LINE 4B THE INSTITUTE MAINTAINS A DEFINED CONTRIBUTION SUPPLEMENTAL RETIREMENT PLAN IN WHICH A SELECT GROUP OF HIGHLY COMPENSATED EMPLOYEES PARTICIPATES. THE PLAN IS INTENDED TO BE, AND SHALL BE CONSTRUED AS, UNFUNDED FOR TAX PURPOSES AND FOR PURPOSES OF ERISA. EACH PARTICIPATING EMPLOYEE WILL BECOME 100 PERCENT VESTED IN THE BALANCE AND BE PAID ON OR WITHIN 30 DAYS OF ONE OF THE FOLLOWING: ATTAINMENT OF AGE 63 WHILE STILL EMPLOYED, SEPARATION FROM SERVICE BY REASON OF DEATH OR DISABILITY, SEPARATION FROM SERVICE FOR GOOD REASON OR INVOLUNTARY SEPARATION OF SERVICE. DURING THE TAX YEAR, THE FOLLOWING AMOUNTS WERE CONTRIBUTED TO THE PLAN ON BEHALF OF THE LISTED INDIVIDUALS: TOM MANLEY: $83,550 PAMELA HOERNIS: $17,001 RUSSELL KOHL: $36,019 PART I, LINE 5 TMF HEALTH QUALITY INSTITUTE HAS AN EXECUTIVE INCENTIVE COMPENSATION PLAN WHERE THE PAYMENT IS ACCRUED AND PAID THAT IS CONTINGENT ON THE REVENUES OF THE ORGANIZATION AND ITS SUBSIDIARY, C2C INNOVATIVE SOLUTIONS, INC. THE ORGANIZATION HAS AN ANNUAL SCORECARD WHERE REVENUE IS MEASURED. THERE IS A MINIMUM, TARGET AND MAXIMUM AND THE AMOUNT OF THE INCENTIVE IS BASED ON WHERE THE FINAL REVENUES END UP IN COMPARISON TO THE MINIMUM, TARGET AND MAXIMUM. THE MAXIMUM PAYOUT IS 120% OF TARGET PERCENTAGE AND IS ADJUSTED BASED ON REVENUE ACHIEVED. ALL TMF EXECUTIVES ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. PART I, LINE 6 TMF HEALTH QUALITY INSTITUTE HAS AN EXECUTIVE INCENTIVE COMPENSATION PLAN WHERE THE PAYMENT IS ACCRUED AND PAID THAT IS CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION AND ITS SUBSIDIARY, C2C INNOVATIVE SOLUTIONS, INC. THE ORGANIZATION HAS AN ANNUAL SCORECARD WHERE NET EARNINGS ARE MEASURED. THERE IS A MINIMUM, TARGET AND MAXIMUM AND THE AMOUNT OF THE INCENTIVE IS BASED ON WHERE THE FINAL NET EARNINGS END UP IN COMPARISON TO THE MINIMUM, TARGET AND MAXIMUM. THE MAXIMUM PAYOUT IS 120% OF TARGET PERCENTAGE AND IS ADJUSTED BASED ON NET EARNINGS ACHIEVED. ALL TMF EXECUTIVES ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. PART I, LINE 7 TMF HEALTH QUALITY INSTITUTE HAS AN EXECUTIVE INCENTIVE COMPENSATION PLAN WHERE THE PAYMENT IS ACCRUED AND PAID THAT IS CONTINGENT ON OTHER PERFORMANCE INCLUDING BUT NOT LIMITED TO NEW BUSINESS GOALS, PROFIT MARGIN AND COMPLIANCE REQUIREMENTS OF THE ORGANIZATION AND ITS SUBSIDIARY, C2C INNOVATIVE SOLUTIONS, INC. THE MAXIMUM PAYOUT IS 120% OF TARGET PERCENTAGE AND IS ADJUSTED BASED ON THE TOTAL RESULTS ACHIEVED. ALL TMF EXECUTIVES ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. FORM 990, PART VI, SECTION B, LINE 11B THE SECRETARY/TREASURER OF THE FINANCE COMMITTEE OF THE TMF HEALTH QUALITY INSTITUTE BOARD OF TRUSTEES WILL RECEIVE A COMPLETE COPY OF THE IRS FORM 990 TAX RETURN PRIOR TO ITS FILING WITH THE IRS. THE SECRETARY/TREASURER AND THE CFO WILL REVIEW THE FORM. THE REVIEW WILL INCLUDE THE FOLLOWING: * DISCUSSION OF NEW IRS REQUIREMENTS AND REVISIONS TO THE FORM 990 FROM THE PREVIOUS YEAR. * A BRIEF DESCRIPTION OF SCHEDULES AND RELATED ATTACHMENTS ALL MEMBERS OF THE BOARD OF TRUSTEES WILL RECEIVE A PRINTED OR ELECTRONIC COPY OF THE COMPLETED FORM 990 PRIOR TO FILING OF THE IRS FORM 990. DURING THE NEXT SCHEDULED BOARD MEETING, THE FINANCE COMMITTEE WILL DISCUSS THE IRS FORM 990 AND REPORT TO THE FULL BOARD. THERE WILL BE AN OPPORTUNITY FOR ALL BOARD MEMBERS TO ASK QUESTIONS REGARDING THE TAX RETURN. DURING THE FINANCE COMMITTEE REPORT TO THE BOARD, ANY DISCUSSIONS OF THE COMPLETED IRS FORM 990 WILL BE DOCUMENTED IN THE MINUTES. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO PROVIDE TMF WITH A DISCLOSURE OF ENTITIES AND RELATIONSHIPS THAT COULD GIVE RISE TO A POTENTIAL CONFLICT OF INTEREST. THIS INFORMATION IS PROVIDED TO AND REVIEWED BY TMF'S COMPLIANCE OFFICER AND OUTSIDE GENERAL COUNSEL. BEFORE TMF ENTERS INTO A CONTRACT OR OTHER FINANCIAL RELATIONSHIP WITH A THIRD PARTY, THE CONTRACT OR SUBSTANCE OF THE FINANCIAL RELATIONSHIP IS SUBMITTED TO TMF'S COMPLIANCE OFFICER AND TMF'S GENERAL COUNSEL. IF GENERAL COUNSEL AND TMF'S COMPLIANCE OFFICER IS SATISFIED THAT THE CONTRACT OR OTHER RELATIONSHIP WOULD NOT RESULT IN A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST, TMF WILL PROCEED WITH THE CONTRACT OR RELATIONSHIP. IF A CONFLICT OR THE APPEARANCE OF A CONFLICT IS DETERMINED, TMF WILL NOT PROCEED WITH THE CONTRACT OR RELATIONSHIP UNLESS AN ACCEPTABLE MITIGATION PLAN CAN BE DEVELOPED AND IMPLEMENTED. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OBTAINS INFORMATION FROM SOURCES IT DEEMS RELEVANT AND NECESSARY TO DETERMINE REASONABLE COMPENSATION FOR OFFICERS AND KEY EMPLOYEES. IN ADDITION TO TMF'S CHIEF HUMAN RESOURCES OFFICER, AN INDEPENDENT CONSULTANT IS OBTAINED PERIODICALLY, TO REVIEW APPROPRIATE LEVELS OF COMPENSATION FOR ALL THESE PEOPLE AND MAKE RECOMMENDATIONS TO THE COMPENSATION COMMITTEE OF THE BOARD. THE CONSULTANT WAS LAST OBTAINED IN 2021. THE PRESIDENT & CEO REVIEWS THE RECOMMENDATIONS OF THE CHIEF HUMAN RESOURCES OFFICER AND ANY INDEPENDENT CONSULTANT AND ADVISES THE COMPENSATION COMMITTEE OF THE BOARD OF THE DETERMINATION CONCERNING THE COMPENSATION OF ALL OFFICERS AND KEY EMPLOYEES OTHER THAN THE PRESIDENT & CEO. THE COMPENSATION COMMITTEE AND THE BOARD MAY ACCEPT THE PRESIDENT & CEO'S DETERMINATION OR MODIFY IT. THE COMPENSATION COMMITTEE MAKES A RECOMMENDATION TO THE BOARD ABOUT THE PRESIDENT & CEO. THE BOARD THEN SETS WHAT IT DETERMINES TO BE APPROPRIATE COMPENSATION FOR THE PRESIDENT & CEO. THE PROCESS AND INFORMATION REVIEWED IN MAKING THESE DETERMINATIONS IS DOCUMENTED CONTEMPORANEOUSLY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS ARE AVAILABLE ON THE WEBSITE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. C2C INNOVATIVE SOLUTIONS INC 3107 OAK CREEK DRIVE STE 200 AUSTIN TX 78727 473641754 PROMOTE, DEVELOP AND ENCOURAGE THE DELIVERY OF HIGH QUALITY MEDICAL CARE TX 501(C)3 170(B)(1)(A)(VI) TMF HEALTH QUALITY INSTITUTE 1 0 0 0 1 0 0 0 0 1 1 1 1 0 1 1 0 1 0 0 C2C INNOVATIVE SOLUTIONS INC L 8480606 FMV