2018-11-13T15:40:30-06:00 2017-12-31 743001153 PMB HELIN DONOVAN LLP 12301 RESEARCH BLVD BLDG 5 160 AUSTIN TX 78759 990 2017-01-01 521002260 TMF HEALTH QUALITY INSTITUTE TMFH 5123341622 3107 OAK CREEK DRIVE NO 200 AUSTIN TX 78727 PAMELA HOERNIS CFO 5123341622 2018-11-13 1 KELLY LOGAN P00677048 5122589670 2018-11-07 64.132.35.130 2018-11-13 11:57:39 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 7AE72855C1CAF46F5D243037B711556D92602D8B 2017 2019-02-21 02:37:17Z X PAMELA HOERNIS 3107 OAK CREEK DRIVE NO 200 AUSTIN TX 78727 67181528 0 X WWW.TMF.ORG X 1971 TX TO MAKE MEASURABLE IMPROVEMENTS IN THE QUALITY AND DELIVERY OF HEALTH CARE. 17 17 301 0 0 0 29451031 39714304 13544594 22010959 511889 771750 0 1029995 43507514 63527008 176477 94647 0 0 22336258 27117997 0 0 0 18042070 18227363 40554805 45440007 2952709 18087001 34075957 54564327 5107458 6610188 28968499 47954139 TO MAKE MEASURABLE IMPROVEMENTS IN THE QUALITY AND DELIVERY OF HEALTH CARE. 0 0 18231297 19735613 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. 3234507 4363359 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. 2798624 2969136 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. 21175579 94647 20461076 21175579 94647 20461076 45440007 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 1 1 0 0 1 53 0 301 1 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 1 1 1 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 STEVEN GATES DO CHAIRMAN 4.40 X 28375 0 0 JOHN C MCDONALD DO VICE-CHAIR 0.90 X 5844 0 0 JAMES HUMPHREY SECRETARY/TREASURER 1.00 X 6188 0 0 ROBERT B MORROW MD MBA IMMEDIATE PAST CHAIR 1.10 X 0 0 0 MARILYN M PATTILLO BOARD OF TRUSTEES 0.60 X 3625 0 0 TIM GRAVES BOARD OF TRUSTEES 1.60 X 4938 0 0 MELISSA INGALLS-ROWAN BOARD OF TRUSTEES 0.70 X 4750 0 0 DEE MARGO BOARD OF TRUSTEES 0.80 X 5313 0 0 J NILE BARNES PHARMD BOARD OF TRUSTEES 0.80 X 5000 0 0 KEVIN H MCKINNEY MD BOARD OF TRUSTEES 0.80 X 4969 0 0 GARY FLOYD MD BOARD OF TRUSTEES 0.80 X 4979 0 0 LUIS BENAVIDES MD BOARD OF TRUSTEES 0.50 X 3250 0 0 GAYLE SEMTNER BOARD OF TRUSTEES 0.50 X 4625 0 0 ERICK M SANTO MD PHD BOARD OF TRUSTEES 0.80 X 4950 0 0 RUSS STROMBERG BOARD OF TRUSTEES 0.80 X 5125 0 0 MICHAEL SULLIVAN BOARD OF TRUSTEES 0.80 X 5000 0 0 RONALD S WALTERS MD BOARD OF TRUSTEES 0.50 X 0 0 0 MANLEY THOMAS PRESIDENT & CEO 44.00 X 774353 0 70946 HOERNIS PAMELA CFO 46.00 X 385044 0 43538 GROSS MICHAEL CHIEF INFORMATION OFFICER 40.90 X 207543 0 19909 RICHARDSON TARA FREASE DIVISION DIRECTOR 43.40 X 187920 0 50234 MCCABE JUDI CAGIANO DIVISION DIRECTOR 40.70 X 189158 0 42467 MARKLEY JENNIFER L DIVISION DIRECTOR 42.00 X 194714 0 34785 LOVATO DEBRA A BUSINESS DEVELOPMENT OFFIC 43.70 X 266948 0 62986 HAECK ADAM CHIEF INFORMATION SECURITY OFFICER 40.90 X 181796 0 63977 TREYBIG BRADLEY H DIRECTOR, APPLICATION DEVE 46.20 X 167117 0 60531 KOHL RUSSELL WADE CHIEF MEDICAL OFFICER 37.80 X 260620 0 29202 MOY CLIFFORD KEITH MEDICAL DIRECTOR, BEHAVIOR 41.00 X 264015 0 42928 THOMAS STEPHEN DRAKE DIRECTOR, HUMAN RESOURCES 40.80 X 204754 0 54216 HUGHES KIM SMITH DIRECTOR, FINANCE & GOVERNMENT ACCOUNTING 42.40 X 184611 0 17968 3565524 0 593687 52 0 1 0 PRIMARIS HOLDINGS 200 N KEENE ST SUITE 101 COLUMBIA MO 65201 SERVE AS REGIONAL SUBCONTRACTOR FOR QINQ 2721323 ARKANSAS FOUNDATION FOR MEDICAL CARE IN PO BOX 180001 FORT SMITH AR 72918 SERVE AS REGIONAL SUBCONTRACTOR FOR QINQ 2009468 QUALITY IMPROVEMENT PROFESSIONAL RESEARC CENTRO INTERNACIONAL DE MERCADEO T GUAYNABO PR 09568 SERVE AS REGIONAL SUBCONTRACTOR FOR QINQ 1445225 PONCE MEDICAL SCHOOL FOUNDATION 388 ZONA IND REPARADA 2 PONCE PR 00731 SERVED AS A REGIONAL SUBCONTRACTOR FOR Q 418183 SHI INTERNATIONAL CORP PO BOX 952121 DALLAS TX 75395 SERVED AS A CONTRACTOR FOR IT SOLUTIONS 254763 8 7954 14188125 25518225 39714304 CONTRACTS 621400 22010959 22010959 22010959 366115 366115 1029995 0 1029995 1029995 1029995 4060155 3641547 12973 418608 -12973 405635 405635 63527008 23446589 0 366115 94647 94647 3571082 3571082 18316541 18316541 1520294 1520294 2154417 2154417 1555663 1555663 246117 246117 225035 225035 104566 104566 1711428 1711428 2851887 2851887 812684 812684 819057 819057 330271 330271 17238 17238 1977783 1977783 252582 252582 CONSULTING & SUBCONTRAC 7312498 7312498 TELEPHONE 624945 624945 PROXY TAXES 333972 333972 BAD DEBT EXPENSE 190008 190008 417292 417292 45440007 45440007 0 0 2934714 6697260 11289052 12122342 2159341 1912154 22855514 5203513 3095558 17652001 13347292 14930570 1250000 1250000 34075957 54564327 3869593 6113646 1237865 496542 5107458 6610188 X 28968499 47954139 28968499 47954139 34075957 54564327 18087001 898639 0 X X 0 1 X 1 1 1 X 29451031 39714304 69165335 29451031 39714304 69165335 69165335 279032 1396110 1675142 70840477 35573030 X 2301701 2301701 12620450 232727 12387723 6007480 4179538 1827942 1925883 791248 1134635 17652001 DEFERRED LEASE OBLIGATION 452295 DEFERRED REVENUE CONTRACT 44247 496542 X 64438620 898639 12973 911612 63527008 0 63527008 45452980 12973 12973 45440007 0 45440007 PART X, LINE 2: TMF HEALTH QUALITY INSTITUTE IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. UNRELATED BUSINESS INCOME, OF WHICH THE INSTITUTE HAD NONE FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016, IS SUBJECT TO FEDERAL INCOME TAXES. 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, 2017 OR 2016. THE INSTITUTE IS GENERALLY NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR RETURNS SUBMITTED AFTER THREE YEARS. PART XI, LINE 2D - OTHER ADJUSTMENTS: GAIN/LOSS ON SALES OF FIXED ASSETS 12,973. PART XII, LINE 2D - OTHER ADJUSTMENTS: GAIN/LOSS ON SALES OF FIXED ASSETS 12,973. 1 MEALS ON WHEELS AND MORE 3227 EAST 5TH STREET AUSTIN TX 78702 237202594 501 ( C) 3 5000 DONATION NORTH TEXAS ASSOCIATION FOR HEALTHCARE QUALITY PO BOX 1574 DENSION TX 750211574 203418760 501 ( C) 3 4000 EDUCATION AT ANNUAL CONFERENCE TEXAS OSTEOPATHIC MEDICAL ASSOCIATION FOUNDATION 1415 LAVACA ST AUSTIN TX 78701 752221904 501 ( C) 3 42647 SUPPORT EDUCATIONAL TRACKS AT TOMA ANNUAL CONFERENCE; EDUCATION AT TOMA MIDWINTER MEETING TEXAS MEDICAL ASSOCIATION 401 W 15TH ST AUSTIN TX 78701 741078510 501 ( C) 6 28000 EDUCATION EVENTS TMA TX QUALITY SUMMIT; SUPPORT EDUCATIONAL TRACKS AT TOMA ANNUAL CONFERENCE TEXAS MEDICAL HOME INITIATIVE PO BOX 601777 DALLAS TX 75360 264300250 501 ( C) 3 15000 HOME HEALTH SUMMIT 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 0 0 1 1 1 1 1 0 MANLEY THOMAS PRESIDENT & CEO 531766 0 222376 0 20211 0 27312 0 43634 0 845299 0 0 0 HOERNIS PAMELA CFO 289889 0 89563 0 5592 0 27312 0 16226 0 428582 0 0 0 GROSS MICHAEL CHIEF INFORMATION OFFICER 193536 0 14007 0 0 0 19763 0 146 0 227452 0 0 0 RICHARDSON TARA FREASE DIVISION DIRECTOR 149887 0 25789 0 12244 0 18669 0 31565 0 238154 0 0 0 MCCABE JUDI CAGIANO DIVISION DIRECTOR 152376 0 25059 0 11723 0 17707 0 24760 0 231625 0 0 0 MARKLEY JENNIFER L DIVISION DIRECTOR 156678 0 25792 0 12244 0 18584 0 16201 0 229499 0 0 0 LOVATO DEBRA A BUSINESS DEVELOPMENT OFFIC 229652 0 32776 0 4520 0 27312 0 35674 0 329934 0 0 0 HAECK ADAM CHIEF INFORMATION SECURITY OFFICER 159153 0 22643 0 0 0 18909 0 45068 0 245773 0 0 0 TREYBIG BRADLEY H DIRECTOR, APPLICATION DEVE 145472 0 9485 0 12160 0 16573 0 43958 0 227648 0 0 0 KOHL RUSSELL WADE CHIEF MEDICAL OFFICER 241858 0 18762 0 0 0 26273 0 2929 0 289822 0 0 0 MOY CLIFFORD KEITH MEDICAL DIRECTOR, BEHAVIOR 242519 0 21496 0 0 0 26866 0 16062 0 306943 0 0 0 THOMAS STEPHEN DRAKE DIRECTOR, HUMAN RESOURCES 175484 0 29270 0 0 0 20773 0 33443 0 258970 0 0 0 HUGHES KIM SMITH DIRECTOR, FINANCE & GOVERNMENT ACCOU 160666 0 23945 0 0 0 16889 0 1079 0 202579 0 0 0 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 A, LINE 6 MEMBERSHIP IS LIMITED TO PHYSICIANS WHO ARE LICENSED TO PRACTICE MEDICINE IN THE STATE OF TEXAS AND ARE MEMBERS OF EITHER THE TEXAS MEDICAL ASSOCIATION OR THE TEXAS OSTEOPATHIC MEDICAL ASSOCIATION. 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 A, LINE 7B EACH MEMBER SHALL BE ENTITLED TO ONE VOTE ON ALL MATTERS WHICH ARE SUBMITTED TO THE MEMBERSHIP. DURING ANY PERIOD IN WHICH MEMBERSHIP IN TMF IS SUSPENDED, THAT MEMBER WILL NOT BE ELIGIBLE TO VOTE. THE BOARD NOW MAKES A RECOMMENDATION ON BYLAW CHANGES (AMENDMENTS) AND THE MEMBERS APPROVE THE BYLAW CHANGES. 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 SUBMITTED TO TMF'S GENERAL COUNSEL WHO CONDUCTS A CONFLICTS OF INTEREST ASSESSMENT. GENERAL COUNSEL PROVIDES THE RESULTS OF THE CONFLICTS ASSESSMENT IN WRITTEN FORM TO TMF'S COMPLIANCE OFFICER FOR REVIEW. 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 HR DIRECTOR, 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 2017. THE CEO REVIEWS THE RECOMMENDATIONS OF THE HR DIRECTOR 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. TMF FOUNDATION 3107 OAK CREEK DRIVE STE 200 AUSTIN TX 78727 463015773 SUPPORTING ORGANIZATION FOR TMF HEALTH QUALITY INSTITUTE TX 501(C)3 509(A)(3) TYPE I TMF HEALTH QUALITY INSTITUTE 1 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 1 1 0 0 0 0 1 0 0 1 0 1 1 0 1 0 0 C2C INNOVATIVE SOLUTIONS INC L 11122078 FMV TMF FOUNDATION C 1188125 CASH C2C INNOVATIVE SOLUTIONS INC C 13000000 CASH