2013-11-04T13:26:31-06:00 2012-12-31 743001153 PMB HELIN DONOVAN LLP 5918 W COURTYARD DR SUITE 500 AUSTIN TX 78730 990 2012-01-01 521002260 TMF HEALTH QUALITY INSTITUTE TMFH 5123341622 BRIDGEPOINT I 5918 W COURTYARD DR NO 300 AUSTIN TX 787305036 PAMELA HOERNIS 5123341622 2013-11-04 1 JACLYN ROBERTS P01430592 5122589670 2012 2016-03-07 17:11:31Z PAMELA HOERNIS BRIDGEPOINT I 5918 W COURTYARD DR NO 300 AUSTIN TX 787305036 28008170 0 X WWW.TMF.ORG X 1971 TX TO MAKE MEASURABLE IMPROVEMENTS IN THE QUALITY AND DELIVERY OF HEALTH CARE. 18 18 263 0 0 0 11461 11461 23080373 26945277 962957 991788 -25705 59644 24029086 28008170 86296 119540 0 0 13933628 16508138 0 0 0 8592551 8997483 22612475 25625161 1416611 2383009 23762579 27454405 2318890 3371777 21443689 24082628 TO PROMOTE HIGH QUALITY HEALTH CARE AND IMPROVE OPERATIONAL PERFORMANCE THROUGH QUALITY IMPROVEMENT AND MEDICAL RECORD REVIEW CONTRACTS WITH THE FEDERAL, STATE AND LOCAL GOVERNMENTS AND PRIVATE ENTITIES. 0 0 TMF WORKS WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) TO PROTECT MEDICARE PATIENT RIGHTS AND IMPROVE THE QUALIY OF HEALTH CARE THROUGH MEDICAL RECORD REVIEW AND STATEWIDE QUALITY IMPROVEMENT PROJECTS. TMF PERFORMS MEDICAL RECORD REVIEW OF TEXAS MEDICAID PROVIDERS TO DETERMINE MEDICAL NECESSITY AND COMPLIANCE WITH MEDICAID POLICIES. TMF ALSO ASSISTS IN THE DEVELOPMENT AND REVIEW OF MEDICAID AND CHILDREN WITH SPECIAL HEALTH CARE NEEDS SERVICES PROGRAM MEDICAL AND DENTAL POLICY AND PROVIDES THE MEDICAL AND DENTAL DIRECTORS RESPONSIBLE FOR PERFORMING PRE-AUTHORIZATION AND MEDICAL AND DENTAL RECORD REVIEWS. TMF CONDUCTS INDIVIDUAL OFFICE ASSESSMENTS FOR PROVIDERS PARTICIPATING IN THE TEXAS, DELAWARE, ARIZONA AND KANSAS VACCINES FOR CHILDREN PROGRAM AND ASSISTS WITH QUALITY IMPROVEMENT ACTIVITIES AIMED AT INCREASING IMMUNIZATION RATES FOR CHILDREN. 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 100 0 1 263 1 0 0 0 0 0 0 X 18 18 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X PAMELA L HOERNIS 5123341622 BRIDGEPOINT 1 SUITE 300 5918 W AUSTIN TX 787305036 DAVID E GARZA MD 3.50 X 18000 2875 0 CARLA F ORTIQUE MD 0.80 X 4300 0 0 ROBERT VALLILEE 2.50 X 13200 0 0 JOHN L WRIGHT JR DO 2.90 X 15250 2500 0 MAYA BLEDSOE MD 0.90 X 4617 0 0 TIMOTHY VON DOHLEN 0.80 X 4250 0 0 PATRICK H COFFEY 1.00 X 5275 0 0 DAVID CONEJO 1.10 X 5700 0 0 DAVID FLEEGER MD 1.10 X 5750 0 0 ELIZABETH FLORES 0.90 X 4650 0 0 ROBERT B MORROW MD 0.80 X 4200 0 0 WALTER TOMLINSON 0.70 X 3600 0 0 ROXANNE M TYROCH MD 1.20 X 6450 0 0 SURENDRA VARMA MD 0.90 X 4900 0 0 STARR WEST 0.90 X 4900 0 0 LUIS BENAVIDES MD 0.80 X 4350 0 0 STEVE GATES DO 0.50 X 2600 0 0 HARRISON M MARKLEY JR 0.90 X 4600 0 0 TINA MISENHEIMER 0.80 X 4075 0 0 GHASSON SALMAN MD 0.50 X 2650 0 0 PAMELA HOERNIS 46.50 X 246387 0 33226 THOMAS MANLEY 43.30 X 441060 0 47828 EARL SMITH MD 43.20 X 317630 0 25596 JAMES STRONG MD 47.00 X 161661 0 27588 DEBBIE LOVATO 42.60 X 203810 0 39370 RACHAEL PRZYBYLA MD 47.90 X 187843 0 36561 JENNIFER CARTER MD 46.50 X 165212 0 20995 LOWELL MEEKS 46.30 X 129155 0 16571 1976075 5375 247735 8 0 1 0 ROSANNE P WINCHESTER 518 W CRAIG SAN ANTONIO TX 78212 MEDICAL RECORD REVIEWS AND SITE VISITS 574408 DODD & BATLA PC 3811 BEE CAVES RD STE 105 AUSTIN TX 78746 LEGAL SERVICES 176000 FASTECH INVESTMENT GROUP LLC 2101 KENNEDY STREET NE MINNEAPOLIS MN 55413 PURCHASE OF PHONE SYSTEM AND SUPPORT 171916 LK JORDAN 321 TEXAS TRL STE 100 CORPUS CHRISTI TX 78411 MEDICAL RECORD REVIEW AND SITE VISITS 114232 4 11461 11461 CONTRACTS 621400 26945277 26945277 26945277 417216 417216 574572 0 574572 574572 574572 EQUITY GAIN IN SUB 900099 59644 59644 59644 28008170 27579493 0 417216 119540 2117538 10823125 865748 1715347 986380 218655 72101 156684 713143 529303 229815 2944 374674 138437 CONSULTING & SUBCONTRAC 2331802 TEMPORARY HELP 2017043 TELEPHONE 537808 MAINTENANCE & REPAIRS 356206 1318868 25625161 400 400 1121496 1643497 6825015 8754263 649499 397988 3352087 1245474 829044 2106613 13045702 13110516 1224295 1371500 67128 69628 23762579 27454405 2025894 2349635 109506 98040 125000 125000 58490 799102 2318890 3371777 X 21443689 24082628 21443689 24082628 23762579 27454405 2383009 168368 87562 0 X X 0 1 X 1 1 1 0 0 1 11461 19195 271639 290834 11461 1020012 531105 488907 2332075 714369 1617706 2106613 DEFERRED LEASE OBLIGATION 799102 799102 47865023 168368 23550322 23718690 24146333 3861837 3861837 28008170 45313646 23490678 23490678 21822968 3802193 3802193 25625161 PART XI, LINE 2D - OTHER ADJUSTMENTS: C2C INC. 23,550,322. PART XI, LINE 4B - OTHER ADJUSTMENTS: ELIMINATION ENTRY 3,861,837. PART XII, LINE 2D - OTHER ADJUSTMENTS: C2C INC. 23,490,678. PART XII, LINE 4B - OTHER ADJUSTMENTS: ELIMINATION ENTRY 3,802,193. 1 TEXAS MEDICAL ASSOCIATION 401 W 15TH STREET AUSTIN TX 78701 741078510 501(C)6 20000 FINANCIAL ASSISTANCE FOR TEXMED 2012 TMA PREMIER MEDICAL CONFERENCE. TEXAS MEDICAL ASSOCIATION FOUNDATION 401 W 15TH STREET AUSTIN TX 78701 746073346 501(C)3 25000 GRANT FOR TMA FOUNDATION'S IMMUNIZATION PROGRAM FOR $50,000. $25,000 PAYABLE IN 2011 AND $25,000 PAYABLE IN 2012. TEXAS OSTEOPATHIC MEDICAL ASSOCIATION FOUNDATION 1415 LAVACA STREET AUSTIN TX 78701 752221904 501(C)3 16080 FINANCIAL ASSITANCE FOR TOMA/TXACOFP JOINT ANNUAL CONVENTION. TEXAS OSTEOPATHIC MEDICAL ASSOCIATION FOUNDATION 1415 LAVACA STREET AUSTIN TX 78701 752221904 501(C)3 14700 FINANCIAL ASSISTANCE FOR TOMA MIDWINTER CONFERENCE.FINANCIAL ASSISTANCE FOR TOMA MIDWINTER CONFERENCE. TEXAS ASSOCIATION FOR HEALTHCARE QUALITY PO BOX 852789 MESQUITE TX 75185 421537244 501(C)3 9200 FINANCIAL ASSISTANCE FOR TAHQ 2102 ANNUAL CONFERENCE "THE NEW AGE OF QUALITY" HELD ON 10/18 - 10/19/2012. NORTH TEXAS ASSOCIATION FOR HEALTHCARE QUALITY PO BOX 1574 DENISON TX 75021 203418760 501(C)3 6700 FINANCIAL ASSISTANCE FOR "VALUING QUALITY IN AGE OF PERFORMANCE" CONFERENCE HELD ON 4/13/2012. TEXAS MEDICAL ASSOCIATION 401 W 15TH STREET AUSTIN TX 78701 741078510 501(C)6 20000 FINANCIAL ASSISTANCE IN DEVELOPING A PREVENTIVE CALCULATOR. 4 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 1 0 0 PAMELA HOERNIS 192111 0 54276 0 0 0 25418 0 7808 0 279613 0 0 0 THOMAS MANLEY 331087 0 109973 0 0 0 25596 0 22232 0 488888 0 0 0 EARL SMITH MD 249617 0 68013 0 0 0 25596 0 0 0 343226 0 0 0 JAMES STRONG MD 156742 0 4919 0 0 0 14077 0 13511 0 189249 0 0 0 DEBBIE LOVATO 152753 0 45449 0 5608 0 21258 0 18112 0 243180 0 0 0 RACHAEL PRZYBYLA MD 176302 0 11541 0 0 0 18559 0 18002 0 224404 0 0 0 JENNIFER CARTER MD 160334 0 4878 0 0 0 14197 0 6798 0 186207 0 0 0 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 11 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 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 2011. 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. TEH 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 THE GOVERNING DOCUMENTS ARE AVAILABLE ON THE WEBSITE, THE CONFLICT OF INTEREST POLICY AND FINANICAL STATEMENTS ARE AVAILABLE ON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS ARE AVAILABLE ON THE WEBSITE, THE CONFLICT OF INTEREST POLICY AND FINANICAL STATEMENTS ARE AVAILABLE ON REQUEST. 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 SOLUTIONS INC 301 W BAY STREET 6TH FLOOR EVERBANK JACKSONVILLE FL 32202 412235948 PROMOTE, DEVELP AND ENCOURAGE THE DELIVERY OF HIGH QUALITY MEDICAL CARE FL TMF HEALTH QUALITY INSTITUTE C 23550322 5851298 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 C2C SOLUTIONS INC N 3779359 FMV C2C SOLUTIONS INC O 22834 FMV