2025-11-11T08:33:01-06:00 2024-12-31 882730877 CHERRY BEKAERT ADVISORY LLC 221 W 6TH STREET STE 1900 AUSTIN TX 78701 990 2024-01-01 473641754 C2C INNOVATIVE SOLUTIONS INC C2CI 5123341622 3107 OAK CREEK DRIVE 200 AUSTIN TX 78727 PAMELA L HOERNIS TREASURER 5123341622 2025-11-07 1 1 STEPHANIE LEW P01080011 5124796000 2024 2025-03-06 01:10:19Z JEFF PETERSON 301 W BAY STREET STE 1110 JACKSONVILLE FL 32202 146833828 0 X WWW.C2CINC.COM X 2015 TX PROVIDE BEST VALUE ADMINISTRATIVE SERVICES AND QUALITY MANAGEMENT PRINCIPLES THAT PROMOTE CONTINUOUS IMPROVEMENT. 5 3 587 0 0 0 31645969 33919247 14669479 105702271 1175504 3769311 0 0 47490952 143390829 6073894 6102967 0 0 24789871 37517891 0 0 0 18488652 34800746 49352417 78421604 -1861465 64969225 65114793 245601419 29416216 143646853 35698577 101954566 X PROVIDE BEST VALUE ADMINISTRATIVE SERVICES AND QUALITY MANAGEMENT PRINCIPLES THAT PROMOTE CONTINUOUS IMPROVEMENT. 0 0 32799244 104709886 C2C WAS CERTIFIED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES TO SERVE AS A SELECTED DISPUTE RESOLUTION ENTITY UNDER THE NO SURPRISES ACT TO RESOLVE DISPUTES BETWEEN PROVIDERS AND HEALTH PLANS. 23903637 C2C INNOVATIVE SOLUTIONS INC. (C2C) SERVES AS A FEDERAL CONTRACTOR FOR THE MEDICARE PROGRAM SINCE THE INCEPTION OF THE SECOND-LEVEL APPEAL PROCESS IN SEPTEMBER 2004. AS A QUALIFIED INDEPENDENT CONTRACTOR (QIC), C2C ADJUDICATES SECOND-LEVEL MEDICARE APPEALS CALLED RECONSIDERATIONS FOR SEVERAL JURISDICTIONS WITH NATIONAL SCOPE. 425122 651872 C2C IS A SUBCONTRACTOR TO THE PRIME CONTRACTOR FOR THE CENTERS FOR MEDICARE & MEDICAID SERVICES, PROVIDER ENROLLMENT APPEALS & REBUTTALS PROGRAM. 650936 340513 PROGRAM 4 - C2C SERVES AS AN INTERNAL REVIEW ORGANIZATION FOR VARIOUS STATES; C2C SERVES AS A PROFESSIONAL SERVICES CONTRACTOR TO SUPPORT CMS IN THE LEVEL III ADMINISTRATOR REVIEW OF MEDICARE ADVANTAGE (MA) RISK ADJUSTMENT DATA VALIDATION (RADV) APPEALS AND C2C WAS CERTIFIED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES TO SERVE AS A SELECTED DISPUTE RESOLUTION ENTITY UNDER THE NO SURPRISES ACT TO RESOLVE DISPUTES BETWEEN UNINSURED OR SELF-PAY INDIVIDUALS AND PROVIDERS, THIS HELPS PROTECT CONSUMERS FROM SURPRISE MEDICAL BILLS.. 6102967 6102967 PROGRAM 5 - DONATIONS TO OTHER PUBLIC CHARITIES. THE CURRENT YEAR ACTIVITY INCLUDED A TRANSFER TO TMF HEALTH QUALITY INSITUTE. 6753903 6102967 340513 63881906 1 1 0 0 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 0 0 0 1 34 0 1 587 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 3 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X PAMELA L HOERNIS 5123341622 3107 OAK CREEK DRIVE 200 AUSTIN TX 78727 LOUIS POLISE TRUSTEE 1.02 0.00 X 13226 0 0 DONALD P FORGIONE TRUSTEE 1.08 0.00 X 14048 0 0 GARY CRAYTON TRUSTEE 0.68 0.00 X 8836 0 0 THOMAS MANLEY CHAIRMAN 34.60 9.60 X X 0 1025494 62528 JEFFREY N PETERSON PRESIDENT 43.50 0.00 X X 786224 0 61851 PAMELA HOERNIS TREASURER 35.00 9.70 X 0 718226 49517 LISA WARD SECRETARY/GENERAL COUNSEL 44.80 0.00 X 250874 0 38835 FABIAN ALZATE DIRECTOR, BUSINESS DEVELOP 46.50 0.00 X 227598 0 36218 JEAN CHENEY PROGRAM DIRECTOR I 43.30 0.00 X 162432 0 36923 BRIAN ANDREW STOTLER PROGRAM DIRECTOR II 45.20 0.00 X 236816 0 59934 NICHOLETTE WARNER PROGRAM DIRECTOR I 43.60 0.00 X 214142 0 40332 BARBARA YAKIMOWICZ PROGRAM DIRECTOR II 45.40 0.00 X 240293 0 37816 AARON PLEINES PROGRAM DIRECTOR II 46.60 0.00 X 215317 0 55856 FRANK DELLI CARPINI MD CHIEF MEDICAL OFFICER 48.70 0.00 X 510278 0 61551 MICHAEL OWENS MD MEDICAL DIRECTOR II 46.40 0.00 X 380503 0 63266 DYLAN DEATRICH MD MEDICAL DIRECTOR I 40.00 0.00 X 303884 0 61841 DAVID FEIG PHYSICIAN REVIEWER II 40.00 0.00 X 265597 0 39246 ROBERT MARCUS MEDICAL DIRECTOR I 30.60 0.00 X 246048 0 23604 MADELYN GRUBER FORMER PROGRAM DIRECTOR I 33.20 0.00 X 123124 0 24621 4199240 1743720 753939 49 1 1 0 TMF HEALTH QUALITY INSTITUTE 3107 OAK CREEK DRIVE AUSTIN TX 78727 MANAGEMENT SERVICES 15497603 J29 INC 1111 BENFIELD BLVD SUITE 114 MILLERSVILLE MD 21108 SUBCONTRACTOR-PROCESSING OF APPEALS 14633269 FEDERAL HEARINGS & APPEALS SERVICES INC 117 WEST MAIN STREET PLYMOUTH PA 18651 SUBCONTRACTOR- PROCESSING OF APPEALS 1307351 HM HEALTH SOLUTIONS INC 8501 WESTSIDE INDUSTRIAL DR JACKSONVILLE FL 32219 PRINTING AND MAILING SERVICES 409433 AMKIN WEST BAY LLC 301 WEST BAY STREET SUITE 210 JACKSONVILLE FL 32202 RENT 370607 5 33919247 33919247 IDRE REVENUE 524298 104709886 104709886 PROJECT REVENUE 524298 992385 992385 105702271 3757597 3757597 3454713 3442999 11714 11714 11714 143390829 105702271 0 3769311 X 6102967 6102967 2737571 2301893 435678 28106631 23949432 4157199 2178850 1856580 322270 2320619 1977381 343238 2174220 1852635 321585 34882 34882 57528 57528 33093042 24414903 8678139 885097 863661 21436 540707 530964 9743 81544 19463 62081 11609 11609 EMPLOYEE RELATIONS 80990 418 80572 BAD DEBT 11302 11302 TAXES 2907 2907 BOARD EXPENSES 1138 1138 78421604 63881906 14539698 0 15053005 13693691 25498846 198990651 5857006 5440718 308965 1487612 2673007 2584823 86199 88184 15524763 23368119 365264 365264 2420745 2167180 65114793 245601419 24722959 138975682 4693257 4671171 29416216 143646853 X 35698577 101954566 35698577 101954566 65114793 245601419 64969225 1286764 0 X 1 X 1 X 1 0 X 35343989 38578186 40812641 31645969 33919247 180300032 35343989 38578186 40812641 31645969 33919247 180300032 180300032 146340 94084 406601 1172810 3757597 5577432 185877464 122605337 0.97000 0.98850 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1776849 1721227 55622 896158 863596 32562 88184 PAYABLE TO TMF HEALTH QUALITY INSTITUTE 2338189 OPERATING LEASE LIABILITY 2332982 4671171 X PART X, LINE 2: C2C IS A NON-PROFIT CORPORATION AND IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. UNRELATED BUSINESS TAXABLE INCOME WAS NOMINAL FOR C2C AS OF DECEMBER 31, 2024 AND 2023. C2C 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. C2C HAS NOT RECORDED ANY UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2024 OR 2023. 1 RONALD MCDONALD HOUSE 924 CHILDRENS WAY JACKSONVILLE FL 32207 592625008 501(C)(3) 14500 0 DONATION ST JUDE CHILDREN'S 262 DANNY THOMAS PLACE MEMPHIS TN 381053678 620646012 501(C)(3) 10000 0 DONATION WOUNDED WARRIOR PROJECT 4899 BELFORT ROAD JACKSONVILLE FL 32256 202370934 501(C)(3) 10000 0 DONATION DREAMS COME TRUE 6803 SOUTHPOINT PKWY JACKSONVILLE FL 32216 592967803 501(C)(3) 7200 0 DONATION DANIEL MEMORIAL INC 4203 SOUTHPOINT BLVD JACKSONVILLE FL 32216 593067752 501(C)(3) 5500 0 DONATION GABRIEL HOUSE OF CARE 4599 WORRALL WAY JACKSONVILLE FL 32224 311489868 501(C)(3) 5100 0 DONATION AMERICAN RED CROSS PO BOX 37839 BOONE IA 500370839 530196605 501(C)(3) 5050 0 DONATION AMERICAN CANCER SOCIETY PO BOX 17127 TAMPA FL 33682 131788491 501(C)(3) 5005 0 DONATION CITY RESCUE MISSION 426 S MCDUFF AVE JACKSONVILLE FL 32254 730713833 501(C)(3) 5001 0 DONATION CECIL FIELD POW MIA MEMORIAL INC 6112 POW MIA MEMORIAL PKWY JACKSONVILLE FL 322218137 812973800 501(C)(3) 5001 0 DONATION TMF HEALTH QUALITY INSTITUTE 3107 OAK CREEK DRIVE AUSTIN TX 78727 521002260 501(C)(3) 6000000 0 GRANT 11 0 PART I, LINE 2: THE ORGANIZATION ONLY MAKES GRANTS TO ESTABLISHED 501(C)(3) ORGANIZATIONS FOR GENERAL SUPPORT SO MONITORING THE USE OF THE GRANT FUNDS IS NOT CONSIDERED NECESSARY. X X X X 0 1 0 1 1 1 1 1 0 THOMAS MANLEY CHAIRMAN 0 640842 0 361694 0 22958 0 34656 0 27872 0 1088022 0 0 JEFFREY N PETERSON PRESIDENT 470660 0 315564 0 0 0 34656 0 27195 0 848075 0 0 0 PAMELA HOERNIS TREASURER 0 372318 0 345908 0 0 0 34656 0 14861 0 767743 0 0 FRANK DELLI CARPINI MD CHIEF MEDICAL OFFICER 378422 0 104017 0 27839 0 34656 0 26895 0 571829 0 0 0 MICHAEL OWENS MD MEDICAL DIRECTOR II 297707 0 82796 0 0 0 34656 0 28610 0 443769 0 0 0 DYLAN DEATRICH MD MEDICAL DIRECTOR I 227267 0 63434 0 13183 0 31490 0 30351 0 365725 0 0 0 DAVID FEIG PHYSICIAN REVIEWER II 206030 0 51976 0 7591 0 25671 0 13575 0 304843 0 0 0 BRIAN ANDREW STOTLER PROGRAM DIRECTOR II 178703 0 50918 0 7195 0 24094 0 35840 0 296750 0 0 0 LISA WARD SECRETARY/GENERAL COUNSEL 198862 0 52012 0 0 0 24048 0 14787 0 289709 0 0 0 BARBARA YAKIMOWICZ PROGRAM DIRECTOR II 189490 0 50803 0 0 0 22741 0 15075 0 278109 0 0 0 AARON PLEINES PROGRAM DIRECTOR II 172311 0 37474 0 5532 0 21506 0 34350 0 271173 0 0 0 ROBERT MARCUS MEDICAL DIRECTOR I 186929 0 50181 0 8938 0 22499 0 1105 0 269652 0 0 0 FABIAN ALZATE DIRECTOR, BUSINESS DEVELOP 165864 0 60191 0 1543 0 21143 0 15075 0 263816 0 0 0 NICHOLETTE WARNER PROGRAM DIRECTOR I 176655 0 37487 0 0 0 19718 0 20614 0 254474 0 0 0 JEAN CHENEY PROGRAM DIRECTOR I 128966 0 28404 0 5062 0 14121 0 22802 0 199355 0 0 0 MADELYN GRUBER FORMER PROGRAM DIRECTOR I 97137 0 25987 0 0 0 10046 0 14575 0 147745 0 0 0 PART I, LINE 4B THE ORGANIZATION 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: $222,251.12 PAMELA HOERNIS: $7,934.08 - A FULL DISTRIBUTION OF THE ACCOUNT WAS MADE DURING THE YEAR PART I, LINE 5 C2C INNOVATIVE SOLUTIONS, INC. HAS AN EXECUTIVE INCENTIVE COMPENSATION PLAN WHERE THE PAYMENT IS ACCRUED AND PAID THAT IS CONTINGENT ON THE REVENUES OF THE ORGANIZATION. 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 C2C EXECUTIVES ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. PART I, LINE 6 C2C INNOVATIVE SOLUTIONS, INC. HAS AN EXECUTIVE INCENTIVE COMPENSATION PLAN WHERE THE PAYMENT IS ACCRUED AND PAID THAT IS CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION. THE ORGANIZATION HAS AN ANNUAL SCORECARD OF WHICH REVENUE AND NET INCOME ARE MEASURED. THERE IS A MINIMUM, TARGET AND MAXIMUM AND THE AMOUNT OF THE INCENTIVE IS BASED ON WHERE THE FINAL NET EARNINGS ENDS 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 C2C EXECUTIVES ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. PART I, LINE 7 C2C INNOVATIVE SOLUTIONS, INC. 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. THE MAXIMUM PAYOUT IS 120% OF TARGET PERCENTAGE AND IS ADJUSTED BASED ON TOTAL RESULTS ACHIEVED. ALL C2C EXECUTIVES ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. FORM 990, PART VI, SECTION A, LINE 6 TMF HEALTH QUALITY INSTITUTE IS THE ONLY MEMBER. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS ELECT TRUSTEES FROM A SLATE OF CANDIDATES CHOSEN BY THE NOMINATING COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11B THE APPOINTED BOARD MEMBER OF C2C INNOVATIVE SOLUTIONS, INC.'S BOARD OF TRUSTEES WILL RECEIVE A REDACTED COPY OF THE IRS FORM 990 TAX RETURN PRIOR TO ITS FILING WITH THE IRS. THE APPOINTED BOARD MEMBER 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 REDACTED FORM 990 PRIOR TO FILING OF THE IRS FORM 990. DURING THE NEXT SCHEDULED BOARD MEETING, THE BOARD WILL DISCUSS THE IRS FORM 990. THERE WILL BE AN OPPORTUNITY FOR ALL BOARD MEMBERS TO ASK QUESTIONS REGARDING THE TAX RETURN, 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 C2C 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 C2C'S COMPLIANCE OFFICER. BEFORE C2C ENTERS INTO A CONTRACT OR OTHER FINANCIAL RELATIONSHIP WITH A THIRD PARTY, THE CONTRACT OR SUBSTANCE OF THE FINANCIAL RELATIONSHIP IS SUBMITTED TO C2C'S COMPLIANCE OFFICER WHO CONDUCTS A CONFLICTS OF INTEREST ASSESSMENT. IF C2C'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, C2C WILL PROCEED WITH THE CONTRACT OR RELATIONSHIP. IF A CONFLICT OR THE APPEARANCE OF A CONFLICT IS DETERMINED, C2C 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 BOARD OF TRUSTEES OBTAINS INFORMATION FROM SOURCES IT DEEMS RELEVANT AND NECESSARY TO DETERMINE REASONABLE COMPENSATION FOR OFFICERS AND KEY EMPLOYEES. IN ADDITION TO C2C'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 BOARD. THE CONSULTANT WAS LAST OBTAINED IN 2024. THE PRESIDENT REVIEWS THE RECOMMENDATIONS OF THE CHIEF HUMAN RESOURCES OFFICER AND ANY INDEPENDENT CONSULTANT AND ADVISES THE BOARD OF THE DETERMINATION CONCERNING THE COMPENSATION OF ALL OFFICERS AND KEY EMPLOYEES OTHER THAN THE PRESIDENT. THE BOARD MAY ACCEPT THE PRESIDENT'S DETERMINATION OR MODIFY IT. THE BOARD SETS WHAT IT DETERMINES TO BE APPROPRIATE COMPENSATION FOR THE PRESIDENT. THE PROCESS AND INFORMATION REVIEWED IN MAKING THESE DETERMINATIONS IS DOCUMENTED CONTEMPORANEOUSLY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G MANAGEMENT SERVICES: PROGRAM SERVICE EXPENSES 6,824,355. MANAGEMENT AND GENERAL EXPENSES 8,673,248. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,497,603. SUBCONTRACTORS: PROGRAM SERVICE EXPENSES 17,590,548. MANAGEMENT AND GENERAL EXPENSES 4,891. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,595,439. TMF HEALTH QUALITY INSTITUTE 3107 OAK CREEK DRIVE STE 200 AUSTIN TX 78727 521002260 PROMOTE, DEVELOP AND ENCOURAGE THE DELIVERY OF HIGH QUALITY MEDICAL CARE TX 501(C)(3) 170(B)(1)(A)(VI) N/A 0 0 1 0 0 1 0 0 0 0 1 1 0 1 1 1 1 0 0 0