2020-11-12T10:52:45-06:00 2019-12-31 560574444 CHERRY BEKAERT LLP 221 W 6TH STREET STE 1900 AUSTIN TX 78701 990 2019-01-01 521002260 TMF HEALTH QUALITY INSTITUTE TMFH 5123341622 3107 OAK CREEK DRIVE NO 200 AUSTIN TX 78727 PAMELA HOERNIS CFO 5123341622 2020-11-11 1 KELLY LOGAN P00677048 5124796000 74.194.175.126 2020-11-11 10:43:51 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 86472BABD63B551805D182B648D7FCF54F1029D7 2019 2021-01-29 14:40:06Z PAMELA HOERNIS 3107 OAK CREEK DRIVE NO 200 AUSTIN TX 78727 42223839 0 X WWW.TMF.ORG X 1971 TX TO MAKE MEASURABLE IMPROVEMENTS IN THE QUALITY AND DELIVERY OF HEALTH CARE. 15 15 285 0 0 0 25645114 19375136 22777465 18381112 678706 397516 1051074 981153 50152359 39134917 241829 58590 0 0 31032595 26820434 0 0 0 17191861 13058967 48466285 39937991 1686074 -803074 52663835 53280949 4448372 3382129 48215463 49898820 TO MAKE MEASURABLE IMPROVEMENTS IN THE QUALITY AND DELIVERY OF HEALTH CARE. 0 0 13269273 0 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. 2419383 2992298 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. 2484082 2813790 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. 6143482 58590 12575024 6143482 58590 12575024 24316220 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 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 43 0 1 285 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 NO 200 AUSTIN TX 78727 GARY FLOYD MD CHAIR 2.30 X 15011 0 0 JOHN C MCDONALD DO CHAIR 2.00 X 12888 0 0 TIMOTHY GRAVES VICE CHAIR 0.80 X 4938 0 0 JAMES HUMPHREY SECRETARY/TREASURER 0.70 X 4438 0 0 MICHAEL SULLIVAN SECRETARY/TREASURER 0.80 X 5344 0 0 NANCY ADAMS BOARD OF TRUSTEES 0.50 X 3000 0 0 RUTH ATKINS BOARD OF TRUSTEES 0.30 X 1625 0 0 J NILE BARNES PHARMD BOARD OF TRUSTEES 0.80 X 5313 0 0 LAURIE EAST BOARD OF TRUSTEES 0.50 X 2875 0 0 DEE MARGO BOARD OF TRUSTEES 0.80 X 4875 0 0 DAVID MASON DO BOARD OF TRUSTEES 0.60 X 3625 0 0 KEVIN H MCKINNEY MD BOARD OF TRUSTEES 0.80 X 4875 0 0 MARILYN M PATTILLO BOARD OF TRUSTEES 0.40 X 2625 0 0 MELISSA ROWAN BOARD OF TRUSTEES 0.60 X 4100 0 0 ERICK M SANTO MD PHD BOARD OF TRUSTEES 0.80 X 5375 0 0 JEFF SCHMELTEKOPF BOARD OF TRUSTEES 0.30 X 1750 0 0 GAYLE SEMTNER BOARD OF TRUSTEES 1.00 X 6406 0 0 RUSS STROMBERG BOARD OF TRUSTEES 0.40 X 2500 0 0 RONALD S WALTERS MD BOARD OF TRUSTEES 0.80 X 0 0 0 THOMAS MANLEY PRESIDENT & CEO 43.70 X 904099 0 59511 PAMELA HOERNIS CFO 48.70 X 464637 0 39954 MICHAEL GROSS CHIEF INFORMATION OFFICER 41.30 X 276491 0 28823 DEBRA A LOVATO BUSINESS DEVELOPMENT OFFIC 42.40 X 333467 0 51263 JENNIFER L MARKLEY DIVISION DIRECTOR 42.40 X 209077 0 31626 TARA FREASE RICHARDSON DIVISION DIRECTOR 48.20 X 205631 0 30621 TYRONE CLIFT DIRECTOR, CONTRACTS & COMPLIANCE 41.90 X 183996 0 26047 JESSE CROSSON QI EXECUTIVE, RESEARCH & ASSESSMENT 40.00 X 217253 0 20525 RUSSELL WADE KOHL MD CHIEF MEDICAL OFFICER 37.60 X 342752 0 29519 CLIFFORD KEITH MOY MD MEDICAL DIRECTOR, BEHAVIOR 40.50 X 281305 0 39899 STEPHEN DRAKE THOMAS CHIEF HUMAN RESOURCES OFFICER 41.10 X 236321 0 45090 3746592 0 402878 55 0 1 0 PRIMARIS HOLDINGS 200 N KEENE ST SUITE 101 COLUMBIA MO 65201 SUBCONTRACTOR IN MISSOURI 1888353 ARKANSAS FOUNDATION FOR MEDICAL CARE IN PO BOX 180001 FORT SMITH AR 72918 SUBCONTRACTOR IN ARKANSAS 1274548 QUALITY IMPROVEMENT PROFESSIONAL RESEARC CENTRO INTERNACIONAL DE MERCADEO T GUAYNABO PR 09568 SUBCONTRACTOR IN PUERTO RICO 1064895 CARROT HEALTH INC 807 BROADWAY ST NE SUITE 285 MINNEAPOLIS MN 55413 DATA MODELING OF SOCIAL DETERMINATES OF 492467 DODD AND BATLA PC 3811 BEE CAVES ROAD SUITE 105 AUSTIN TX 78746 CORPORATE LEGAL COUNSEL 217788 10 19375136 19375136 CONTRACTS 621400 18381112 18381112 18381112 509266 509266 981153 0 981153 981153 981153 2977172 3075907 13015 -98735 -13015 -111750 -111750 39134917 19250515 0 509266 58590 58590 2622908 1543095 1079813 19628380 11547665 8080715 1411264 830267 580997 1467744 819620 648124 1690138 994333 695805 232837 9669 223168 111243 4620 106623 677552 28136 649416 2315006 1308648 1006358 57303 32393 24910 793228 478455 314773 321016 193629 127387 476 52 424 1943262 893189 1050073 264836 264836 CONSULTING & SUBCONTRAC 4842580 4810540 32040 COMMUNICATION 574129 513352 60777 PROPERTY TAXES 341174 192862 148312 DUES & SUBSCRIPTIONS 239290 26111 213179 345035 30994 314041 39937991 24316220 15621771 0 8322877 2531906 10020933 9772951 1643230 1724635 23040714 7281514 17462463 15759200 13964332 22242257 1250000 1250000 52663835 53280949 4138565 3378650 309807 3479 4448372 3382129 X 48215463 49898820 48215463 49898820 52663835 53280949 -803074 2486431 0 X X 0 1 X 1 1 1 X 29451031 39714304 25645114 19375136 114185585 29451031 39714304 25645114 19375136 114185585 114185585 279032 1396110 1729680 1378669 4783491 118969076 76731607 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 0 1 0 0 PART II-B, LINE 1: PAID FOR MEMBERSHIP DUES TO THE AMERICAN HEALTH QUALITY ASSOCIATION (AHQA) 2301701 2301701 13195195 1215918 11979277 6133855 4690192 1443663 1409963 1375404 34559 15759200 DEFERRED REVENUE CONTRACT 3479 3479 X 41634363 2486431 13015 2499446 39134917 0 39134917 39951006 13015 13015 39937991 0 39937991 PART X, LINE 2: THE INSTITUTE IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE INSTITUTE ASSESSES UNCERTAINTIES IN INCOME TAX RECOGNITION IN ITS 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, 2019 OR 2018. 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, 2019 AND 2018. PART XI, LINE 2D - OTHER ADJUSTMENTS: GAIN/LOSS ON SALES OF FIXED ASSETS 13,015. PART XII, LINE 2D - OTHER ADJUSTMENTS: GAIN/LOSS ON SALES OF FIXED ASSETS 13,015. 1 TEXAS MEDICAL ASSOCIATION FOUNDATION 401 W 15TH ST AUSTIN TX 78701 746073346 501 ( C) 3 5000 SUPPORT FOR BE WISE-IMMUNIZE PROGRAM MISSISSIPPI CHAPTER- AMERICAN ACADEMY OF PEDIATRICS-PO003071 PO BOX 395 CLINTON MS 39060 640679086 501 ( C) 3 5000 SUPPORT FOR PROJECT ESPERANZA MEALS ON WHEELS AND MORE 3227 EAST 5TH STREET AUSTIN TX 78702 237202594 501 ( C) 3 5000 DONATION TEXAS OSTEOPATHIC MEDICAL ASSOCIATION FOUNDATION 1415 LAVACA ST AUSTIN TX 78701 752221904 501 ( C) 3 5000 SUPPORT EDUCATIONAL TRACKS AT TOMA ANNUAL CONFERENCE; EDUCATION AT TOMA MIDWINTER MEETING PASO DEL NORTE COMMUNITY FOUNDATION 221 N KANSAS ST 1900 EL PASO TX 79901 461997449 501 ( C) 3 5000 DONATION 3 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 MANLEY PRESIDENT & CEO 562638 0 303970 0 37491 0 28284 0 31227 0 963610 0 0 0 PAMELA HOERNIS CFO 320401 0 120465 0 23771 0 28284 0 11670 0 504591 0 0 0 MICHAEL GROSS CHIEF INFORMATION OFFICER 228069 0 48422 0 0 0 27847 0 976 0 305314 0 0 0 DEBRA A LOVATO BUSINESS DEVELOPMENT OFFIC 244831 0 83847 0 4789 0 28284 0 22979 0 384730 0 0 0 JENNIFER L MARKLEY DIVISION DIRECTOR 167997 0 28078 0 13002 0 19896 0 11730 0 240703 0 0 0 TARA FREASE RICHARDSON DIVISION DIRECTOR 165865 0 28390 0 11376 0 19832 0 10789 0 236252 0 0 0 TYRONE CLIFT DIRECTOR, CONTRACTS & COMPLIANCE 158646 0 25350 0 0 0 17021 0 9026 0 210043 0 0 0 JESSE CROSSON QI EXECUTIVE, RESEARCH & ASSESSMENT 217253 0 0 0 0 0 20525 0 0 0 237778 0 0 0 RUSSELL WADE KOHL MD CHIEF MEDICAL OFFICER 296796 0 45956 0 0 0 28284 0 1235 0 372271 0 0 0 CLIFFORD KEITH MOY MD MEDICAL DIRECTOR, BEHAVIOR 258092 0 23213 0 0 0 28284 0 11615 0 321204 0 0 0 STEPHEN DRAKE THOMAS CHIEF HUMAN RESOURCES OFFICER 193269 0 43052 0 0 0 24135 0 20955 0 281411 0 0 0 PART I, LINE 4B TOM MANLEY: $83,550 PAMELA HOERNIS: $15,451 RUSSELL KOHL: $12,753 PART I, LINE 5 TMF HAS AN EXECUTIVE INCENTIVE COMPENSATION PLAN WHERE THE PAYMENT IS ACCRUED AND PAID THAT IS CONTINGENT ON THE REVENUES OF THE ORGANIZATION AND IT'S SUBSIDIARY, C2C INNOVATIVE SOLUTIONS, INC. PART I, LINE 6 TMF HAS AN EXECUTIVE INCENTIVE COMPENSATION PLAN WHERE THE PAYMENT IS ACCRUED AND PAID THAT IS CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION AND IT'S SUBSIDIARY, C2C INNOVATIVE SOLUTIONS, INC. PART I, LINE 7 TMF HAS AN EXECUTIVE INCENTIVE COMPENSATION PLAN WHERE THE PAYMENT IS ACCRUED AND PAID THAT IS CONTINGENT ON THE OTHER PERFORMANCE INCLUDING BUT NOT LIMITED TO NEW BUSINESS GOALS, PROFIT MARGIN AND COMPLIANCE REQUIREMENTS OF THE ORGANIZATION AND IT'S SUBSIDIARY, C2C INNOVATIVE SOLUTIONS, INC. 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 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 THE 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 MEMEBERS TO ASK QUESTIONS REGARDING THE TAX RETURN. DURING THE FINANCE COMMITEE 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 REVIEWED BY TMF'S COMPLIANCE OFFICER AND TMF'S GENERAL COUNSEL. IF GENERAL COUNSEL AND TMF'S COMPLIANCE OFFICER ARE SATISFIED THAT THE CONTRACT OR OTHER RELATIONSHIP WOULD NOT RESULT ON 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 2019. THE CEO REVIEWS THE RECOMMENDATIONS OF THE CHIEF HUMAN RESOURCES OFFICER AND ANY INDEPENDENT CONSULTANT AND ADVISES THE COMPENSATION COMMITTEE OF THE DETERMINATION CONCERNING THE COMPENSATION OF ALL OFFICERS AND KEY EMPLOYEES OTHER THAN THE CEO. THE COMPENSATION COMMITTEE AND THE BOARD MAY ACCEPT THE CEO'S DETERMINATION OR MODIFY IT. THE COMPENSATION COMMITTEE MAKES A RECOMMENDATION TO THE BOARD ABOUT THE CEO. THE BOARD THEN SETS WHAT IT DETERMINES TO BE APPROPRIATE COMPENSATION FOR THE CEO. THE PROCESS AND INFORMATION REVIEWED IN MAKING THESE DETERMINATIONS IS DOCUMENTED CONTEMPORANEOUSLY. FORM 990, PART VI, SECTION C, LINE 18 TMF'S CERTIFICATE OF FORMATION, BI-LAWS AND THE IRS FORM 1023 ARE AVAILABLE UPON REQUEST. 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. FORM 990, PART XII, LINE 2C: THE PROCESS OF OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. 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 7894160 FMV