2019-11-13T11:21:17-06:00 2018-12-31 743001153 PMB HELIN DONOVAN LLP 12301 RESEARCH BLVD BLDG 5 160 AUSTIN TX 78759 990 2018-01-01 521002260 TMF HEALTH QUALITY INSTITUTE TMFH 5123341622 3107 OAK CREEK DRIVE NO 200 AUSTIN TX 78727 PAMELA HOERNIS CFO 5123341622 2019-11-13 1 KELLY LOGAN P00677048 5122589670 2019-11-07 64.132.35.130 2019-11-13 11:08:08 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 7AE72855C1CAF46F5D243037B711556D92602D8B 2018 2020-03-31 21:24:44Z PAMELA HOERNIS 3107 OAK CREEK DRIVE NO 200 AUSTIN TX 78727 53214187 0 X WWW.TMF.ORG X 1971 TX TO MAKE MEASURABLE IMPROVEMENTS IN THE QUALITY AND DELIVERY OF HEALTH CARE. 14 14 322 0 0 1068 39714304 25645114 22010959 22777465 771750 678706 1029995 1051074 63527008 50152359 94647 241829 0 0 27117997 31032595 0 0 0 18227363 17191861 45440007 48466285 18087001 1686074 54564327 52663835 6610188 4448372 47954139 48215463 TO MAKE MEASURABLE IMPROVEMENTS IN THE QUALITY AND DELIVERY OF HEALTH CARE. 0 0 22157728 22709246 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. 2684149 2840725 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. 4093930 4224105 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. 9746436 241829 18604254 9746436 241829 18604254 38682243 1 1 0 1 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 46 0 1 322 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 1 0 0 0 0 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 2.90 X 18650 0 0 JOHN C MCDONALD DO VICE-CHAIR 2.10 X 13719 0 0 JAMES HUMPHREY BOARD OF TRUSTEES 0.90 X 5938 0 0 J NILE BARNES PHARMD BOARD OF TRUSTEES 0.80 X 5063 0 0 DEE MARGO BOARD OF TRUSTEES 0.80 X 5063 0 0 TIM GRAVES BOARD OF TRUSTEES 0.80 X 5000 0 0 GAYLE SEMTNER BOARD OF TRUSTEES 0.50 X 4906 0 0 MELISSA INGALLS-ROWAN BOARD OF TRUSTEES 0.70 X 4844 0 0 MARILYN M PATTILLO BOARD OF TRUSTEES 0.70 X 4844 0 0 ERICK M SANTO MD PHD BOARD OF TRUSTEES 0.70 X 4844 0 0 KEVIN H MCKINNEY MD BOARD OF TRUSTEES 0.70 X 4813 0 0 RUSS STROMBERG BOARD OF TRUSTEES 0.70 X 4750 0 0 GARY FLOYD MD BOARD OF TRUSTEES 0.70 X 4427 0 0 MICHAEL SULLIVAN BOARD OF TRUSTEES 0.60 X 3625 0 0 LUIS BENAVIDES MD BOARD OF TRUSTEES 0.20 X 1250 0 0 RONALD S WALTERS MD BOARD OF TRUSTEES 0.50 X 0 0 0 THOMAS MANLEY PRESIDENT & CEO 44.00 X 859772 0 73398 PAMELA HOERNIS CFO 45.60 X 412041 0 44929 DEBRA A LOVATO BUSINESS DEVELOPMENT OFFIC 44.10 X 331676 0 60925 MICHAEL GROSS CHIEF INFORMATION OFFICER 40.40 X 259762 0 26104 ADAM HAECK CHIEF INFORMATION SECURITY 41.20 X 218393 0 60494 JENNIFER L MARKLEY DIVISION DIRECTOR 40.80 X 198000 0 35766 TARA FREASE RICHARDSON DIVISION DIRECTOR 48.50 X 201063 0 37639 RUSSELL WADE KOHL MD CHIEF MEDICAL OFFICER 38.10 X 308075 0 30793 CLIFFORD KEITH MOY MD MEDICAL DIRECTOR, BEHAVIOR 40.40 X 275388 0 44823 STEPHEN DRAKE THOMAS DIRECTOR, HUMAN RESOURCES 40.70 X 223540 0 53638 BRADLEY H TREYBIG DIRECTOR, APPLICATION DEVE 44.80 X 173043 0 62093 3552489 0 530602 55 0 1 0 PRIMARIS HOLDINGS 200 N KEENE ST SUITE 101 COLUMBIA MO 65201 SERVE AS REGIONAL SUBCONTRACTOR FOR QINQ 2834672 ARKANSAS FOUNDATION FOR MEDICAL CARE IN PO BOX 180001 FORT SMITH AR 72918 SERVE AS REGIONAL SUBCONTRACTOR FOR QINQ 2251865 QUALITY IMPROVEMENT PROFESSIONAL RESEARC CENTRO INTERNACIONAL DE MERCADEO T GUAYNABO PR 09568 SERVE AS REGIONAL SUBCONTRACTOR FOR QINQ 1572891 SHI INTERNATIONAL CORP PO BOX 952121 DALLAS TX 75395 SERVED AS A CONTRACTOR FOR IT SOLUTIONS 1114808 SWINERTON BUILDERS 5707 SOUTHWEST PARKWAY BUILDING ON AUSTIN TX 78735 SERVED AS A CONTRACTOR FOR OAK CREEK BUI 623847 32 44247 25600867 25645114 CONTRACTS 621400 22777465 22777465 22777465 678606 678606 1051074 0 1051074 1051074 1051074 3061928 3053392 8436 8536 -8436 100 100 50152359 23828639 0 678606 241829 241829 2572443 1996438 576005 22522807 17479641 5043166 1738234 1349020 389214 2341603 1788975 552628 1857508 1441586 415922 220984 55338 165646 100345 25128 75217 769683 192741 576942 3497548 2682595 814953 66391 50921 15470 1248628 1032253 216375 349415 288865 60550 3196 1494 1702 2182519 2042056 140463 276903 37876 239027 CONSULTING & SUBCONTRAC 6660624 6657109 3515 COMMUNICATION 870518 827867 42651 PROPERTY TAXES 329490 252717 76773 CONTINUING EDUCATION 171983 80396 91587 443634 157398 286236 48466285 38682243 9784042 0 6697260 8322877 12122342 10020933 1912154 1643230 24402791 6940328 17652001 17462463 14930570 13964332 1250000 1250000 54564327 52663835 6113646 4138565 496542 309807 6610188 4448372 X 47954139 48215463 47954139 48215463 54564327 52663835 1686074 -1424750 0 X X 0 1 X 1 1 1 X 29451031 39714304 25645114 94810449 29451031 39714304 25645114 94810449 94810449 279032 1396110 1729680 3404822 98215271 58350495 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3972 3972 0 PART II-B, LINE 1: PAID FOR MEMBERSHIP DUES TO THE AMERICAN HEALTH QUALITY ASSOCIATION (AHQA) 2301701 2301701 13173228 713058 12460170 20801 15822 4979 6608447 5128122 1480325 2298614 1083326 1215288 17462463 DEFERRED REVENUE CONTRACT 24261 PROPERTY TAX PAYABLE 285546 309807 X 48736045 -1424750 8436 -1416314 50152359 0 50152359 48474721 8436 8436 48466285 0 48466285 PART X, LINE 2: TMF HEALTH QUALITY INSTITUTE IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. 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, 2018 OR 2017. THE INSTITUTE IS GENERALLY NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR RETURNS SUBMITTED AFTER THREE YEARS. UNRELATED BUSINESS TAXABLE INCOME WAS NOMINAL FOR THE INSTITUTE AS OF DECEMBER 31, 2018 AND 2017. PART XI, LINE 2D - OTHER ADJUSTMENTS: GAIN/LOSS ON SALES OF FIXED ASSETS 8,436. PART XII, LINE 2D - OTHER ADJUSTMENTS: GAIN/LOSS ON SALES OF FIXED ASSETS 8,436. 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 NTAHQ 2018 ANNUAL CONFERENCE TEXAS MEDICAL ASSOCIATION FOUNDATION 401 W 15TH ST AUSTIN TX 78701 746073346 501 ( C) 3 133000 TEXMED 2018 CONFERENCE; TEXMED 2019 CONFERENCE; SPONSOR 26TH GALA; BE WISE IMMUNIZE TEXAS MEDICAL HOME INITIATIVE PO BOX 601777 DALLAS TX 75360 264300250 501 ( C) 3 15000 2018 TX PRIMARY CARE HEALTH HOME SUMMIT TEXAS OSTEOPATHIC MEDICAL ASSOCIATION FOUNDATION 1415 LAVACA ST AUSTIN TX 78701 752221904 501 ( C) 3 69429 SUPPORT EDUCATIONAL TRACKS AT TOMA ANNUAL CONFERENCE; EDUCATION AT TOMA MIDWINTER MEETING THE CHOICE FOUNDATION INC OF MISSOURI CITY CHAPTER OF THE LINKS INC PO BOX 273196 HOUSTON TX 77277 800154677 501 ( C) 3 10400 ONE YEAR EVENT WITH THE COMMUNITY UNIVERSITY OF TEXAS SYSTEM 601 COLORADO STREET AUSTIN TX 78701 746000203 501 ( C) 3 5000 SPONSORSHIP FOR THE TEXAS COLLABORATIVE FOR HEALTHY MOTHERS AND BABIES SUMMIT 7 0 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 1 0 1 1 1 1 1 0 THOMAS MANLEY PRESIDENT & CEO 548928 0 288986 0 21858 0 27864 0 45534 0 933170 0 0 0 PAMELA HOERNIS CFO 297700 0 114341 0 0 0 27864 0 17065 0 456970 0 0 0 DEBRA A LOVATO BUSINESS DEVELOPMENT OFFIC 238476 0 82815 0 10385 0 27864 0 33061 0 392601 0 0 0 MICHAEL GROSS CHIEF INFORMATION OFFICER 217293 0 42469 0 0 0 25928 0 176 0 285866 0 0 0 ADAM HAECK CHIEF INFORMATION SECURITY 179404 0 38989 0 0 0 22542 0 37952 0 278887 0 0 0 JENNIFER L MARKLEY DIVISION DIRECTOR 163666 0 28043 0 6291 0 18701 0 17065 0 233766 0 0 0 TARA FREASE RICHARDSON DIVISION DIRECTOR 160412 0 28040 0 12611 0 19508 0 18131 0 238702 0 0 0 RUSSELL WADE KOHL MD CHIEF MEDICAL OFFICER 265476 0 42599 0 0 0 27864 0 2929 0 338868 0 0 0 CLIFFORD KEITH MOY MD MEDICAL DIRECTOR, BEHAVIOR 249561 0 22927 0 2900 0 27864 0 16959 0 320211 0 0 0 STEPHEN DRAKE THOMAS DIRECTOR, HUMAN RESOURCES 182573 0 40967 0 0 0 22802 0 30836 0 277178 0 0 0 BRADLEY H TREYBIG DIRECTOR, APPLICATION DEVE 150749 0 9769 0 12525 0 17172 0 44921 0 235136 0 0 0 PART I, LINE 4B TOM MANLEY: $81,187 PAMELA HOERNIS: $14,976 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 4 TMF HEALTH QUALITY INSTITUTE DID AWAY WITH MEMBERS IN THE BYLAWS AMENDMENTS EFFECTIVE 11/19/2018. 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 REVIEWED BY TMF'S COMPLIANCE OFFICER AND TMF'S GENERAL COUNSEL. 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 2018. 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. 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 9431197 FMV