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      <RecipientTable>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>220936</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VASIREDDY SMITHA</PersonNm>
        <TitleTxt>DIRECTOR, INFORMATION TECHNOLOGY OPE</TitleTxt>
        <BaseCompensationFilingOrgAmt>141460</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>27584</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>TMF HAS CHANGED STATUS FROM A 501(C)(6) TO A 501(C)(3).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS ELECT TRUSTEES FROM A SLATE OF CANDIDATES CHOSEN BY THE NOMINATING COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2015. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS ARE AVAILABLE ON THE WEBSITE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS ARE AVAILABLE ON THE WEBSITE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS OF OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CHANGE IN TAX EXEMPT STATUS</FormAndLineReferenceDesc>
        <ExplanationTxt>TMF HEALTH QUALITY INSTITUTE HAS CHANGED FROM A 501(C)(6) TO 501(C)(3) AS OF 4/25/2016. THE ORGANIZATION WAS SUBJECT TO PROXY TAX FOR MEMBERSHIP DUES DURING THIS TIME. THE ORGANIZATION DID FILE A 990-T IN RELATION TO THESE DUES AND HAS PAID THE APPROPRIATE PROXY TAX.</ExplanationTxt>
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        </DisregardedEntityName>
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          <AddressLine1Txt>5918 W COURTYARD DR STE 300</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78730</ZIPCd>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78730</ZIPCd>
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        <EIN>473641754</EIN>
        <PrimaryActivitiesTxt>PROMOTE, DEVELOP AND ENCOURAGE THE DELIVERY OF HIGH QUALITY MEDICAL CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>170(B)(1)(A)(VI)</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>TMF FOUNDATION</BusinessNameLine1Txt>
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