2017-11-15T13:13:05-06:00 2016-12-31 743001153 PMB Helin Donovan LLP 12301 Research Blvd Bldg 5 Ste 160 Austin TX 78759 990 2016-01-01 463015773 TMF Foundation TMFF 5123341622 5918 West Courtyard Drive No 300 Austin TX 787305036 Pamela Hoernis Treasurer 5123341622 2017-11-15 1 Kelly Logan P00677048 5122589670 2017-11-15 64.88.174.3 2017-11-15 06:29:38 CS P F51F92EFB232A66CFB20B3FE4CCED7D08AF6D2FD 492A0B02D005BC1433FBCD08222AF8476599CDF2 2016 2021-01-29 14:40:06Z Pamela Hoernis 5918 West Courtyard Drive No 300 Austin TX 787305036 21484 0 X wwww.tmffoundation.org X 2012 TX TMF Foundation will engage in charitable activities to further the charitable and educational activities and purposes of TMF Health Quality Institute which is qualified as an exempt organization pursuant to Section 501(c)(3) of the Internal Revenue Service. The specific activities in which the Foundation will engage are educational and research endeavors, including technological utilization and inter-professional collaboration, designed to advance the delivery of health care services to underserved populations. 7 5 4 33 0 0 1013707 5206 4725 16278 0 0 0 0 1018432 21484 0 0 0 0 98462 110877 0 0 0 123006 106604 221468 217481 796964 -195997 1542655 1327412 36462 17216 1506193 1310196 X TMF Foundation will engage in charitable activities to further the charitable and educational activities and purposes of TMF Health Quality Institute which is qualified as an exempt organization pursuant to Section 501(c)(3) of the Internal Revenue Service. The specific activities in which the Foundation will engage are educational and research endeavors, including technological utilization and inter-professional collaboration, designed to advance the delivery of health care services to underserved populations. 0 0 217481 16278 The specific activities in which the Foundation will engage are educational and research endeavors, including technological utilization and inter-professional collaboration, designed to advance the delivery of health care services to underserved populations. 217481 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 4 1 0 0 0 0 0 0 0 0 0 0 X 7 5 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X Pamela L Hoernis 5123341622 Bridgepoint 1 Suite 300 5918 W Austin TX 787305036 Ortiz Brenda Secretary 0.80 42.60 X 0 94073 17518 Jennifer Zimmerman Trustee 0.80 41.30 X 0 77396 11970 William Kiefer RN PhD Vice President 0.80 0.00 X 0 0 0 Carla F Ortique MD Trustee 0.80 0.00 X 0 0 0 Surendra Varma MD Trustee 0.80 0.00 X 0 0 0 Rana Salman PhD President 0.80 0.00 X 0 0 0 John L Wright DO Trustee 0.80 0.00 X 0 0 0 Ray Langlois Trustee 0.80 0.00 X 0 0 0 David Garza DO Trustee 0.80 0.00 X 0 0 0 Traci L Whitney Executive Director 40.40 0.00 X 75980 0 11862 Hoernis Pamela Chief Financial Officer 0.80 45.40 X 0 358283 36783 Thomas Manley TMF President & CEO 0.00 43.80 X 0 700084 53899 Lowell L Meeks Chief Information Officer 0.00 44.10 X 0 154326 25115 Stephen Drake Thomas Director, Human Resources 0.00 41.00 X 0 189434 40151 Bradley H Treybig Director, Application Development 0.00 54.00 X 0 175002 45934 Smitha Vasireddy Director, Information Technology Operations 0.00 46.10 X 0 169044 21391 75980 1917642 264623 0 0 1 0 0 5206 5206 Other Revenue 621400 16278 16278 16278 21484 16278 0 0 75980 75980 7239 7239 20599 20599 7059 7059 11207 11207 19298 19298 18067 18067 3968 3968 681 681 Allocated Home and HMIT 26797 26797 Outside Services 15718 15718 Fundraising Fees 4780 4780 Legal Fees 2473 2473 3615 3615 217481 217481 0 0 1539904 1327412 2751 0 1542655 1327412 33817 13381 2645 3835 36462 17216 X 1506193 1310196 1506193 1310196 1542655 1327412 -195997 0 X X 0 1 X 1 0 X X 1 TMF Health Quality Institute 521002260 7 1 0 62506 1 0 62506 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 Schedule A, Page 4, Section A, Line 3b TMF Health Quality Institute is exempt from federal income tax under Section 501(c)(3) according to tests performed in the independent audit. 0 Accrued Expense 3835 3835 X 21484 0 21484 0 21484 217481 0 217481 0 217481 Part X, Line 2: TMF Foundation is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. Unrelated business income for TMF Foundation, if any, is subject to federal income taxes. There is no provision or liability for federal income taxes in the accompanying consolidated financial statements related to TMF Foundation. TMF Foundation 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. TMF Foundation is generally no longer subject to income tax examinations for returns submitted past three years. X X X X 0 0 0 0 1 0 1 1 0 Hoernis Pamela Chief Financial Officer 0 265557 0 82465 0 10261 0 27060 0 9723 0 395066 0 0 Thomas Manley TMF President & CEO 0 454638 0 223223 0 22223 0 27060 0 26839 0 753983 0 0 Lowell L Meeks Chief Information Officer 0 109599 0 44727 0 0 0 14422 0 10693 0 179441 0 0 Stephen Drake Thomas Director, Human Resources 0 164969 0 24465 0 0 0 19196 0 20955 0 229585 0 0 Bradley H Treybig Director, Application Development 0 135946 0 27364 0 11692 0 17854 0 28080 0 220936 0 0 Smitha Vasireddy Director, Information Technology Ope 0 141460 0 27584 0 0 0 15763 0 5628 0 190435 0 0 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 it's subsidiary, C2C Innovative Solutions, Inc. 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 it's subsidiary, C2C Innovative Solutions, Inc. 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 the other performance of the organization and it's subsidiary, C2C Innovative Solutions, Inc. Form 990, Part VI, Section A, line 6 The Corporation shall have a single member, which shall be the TMF Health Quality Institute. Form 990, Part VI, Section A, line 7a The manner of electing successors to the directors, filling vacancies and filling directorships by reason of an increase in the number of directors shall be as follows: Upon the expiration of the respective terms of the directors, and at every succeeding election, successors to directors whose terms shall have expired shall be selected by the Institute, and vacancies and new directorships shall be filled in the same manner. Any director whose term of office shall have expired may be elected to succeed himself or herself, subject to the term limits set forth in Section 4.4 of these bylaws. In case of election to fill a vacancy, the term of the successor shall be for the unexpired term for which the former occupant thereof was elected. A vacancy shall be declared in any seat on the Board upon the death or resignation of the occupant thereof, or upon the disability of any occupant rendering him or her permanently incapable of participating in the management and affairs of the Foundation. Unless removed in accordance with the provisions of Section 4.6, each director shall hold office for the term for which he or she is elected or appointed and until his or her successor shall have been elected, appointed or designated and qualified. Form 990, Part VI, Section A, line 7b The affairs of the Foundation shall be managed by, and the control and disposition of its properties and funds shall be vested in, the Board of Directors, which may exercise all powers of the Foundation and do all such lawful acts and things as are not by law or by the Certificate of Formation or by these Bylaws directed or required to be done by the members. Form 990, Part VI, Section B, line 11b The Treasurer of the TMF Foundation Board of trustees will receive a copy of the IRS form 990 tax return prior to its filing with the IRS. The Treasurer will review the form. The review will include the following: Review of new IRS requirements and revisions to the form 990 from the previous year and review of all schedules and relate 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. All related organization information will be redacted as this information isn't necessary for the Board of Trustees to fulfill their fiduciary responsibility. Form 990, Part VI, Section B, line 12c Each year, Board members, officers and key employees are required to provide TMF Foundation (TMFF) with a disclosure of entities and relationships that could give rise to a potential conflict of interest. This information is provided to and review by outside general counsel. Before TMFF enters into a contract or other financial relationship with a third party, the contract or substance of the financial relationship is submitted to general counsel who conducts a conflicts of interest assessment. General counsel provides the results of the conflicts assessment in written form to TMF Health Quality Institute's (TMF) compliance officer for review. If general counsel and TMF's compliance officer are satisfied that the contract or other relationship would not result in a conflict of interest, TMFF will proceed with the contract relationship. If a conflict or the appearance of a conflict is determined, TMFF will not proceed with the contract or relationship unless an acceptable mitigation plan can be developed. 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 2016. The compensation committee makes a recommendation to the board about the Executive Director. The board then sets what it determines to be appropriate compensation for the Executive Director. The process and information reviewed in making these determinations is documented contemporaneously. Form 990, Part VI, Section C, line 18 The governing documents, the conflict of interest policy and financial statements are available on request. Form 990, Part VI, Section C, line 19 The governing documents, the conflict of interest policy and financial statements are available on request. 990, Part XII, Line 2c The organization did not change either its oversight process or selection process during the tax year. TMF Health Quality Institute Bridgepoint I 5918 W Courtyard Dr S Austin TX 787305036 521002260 Health Care TX 501(c)3 170(b)(1)(A)(vi) 0 C2C Innovative Solutions Bridgepoint I 5918 W Courtyard Dr S Austin TX 787305036 473641754 Medicare Admin TX 501(c)3 170(b)(1)(A)(vi) TMF Health Quality Institute 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 TMF Health Quality Institute M 62506 FMV