2018-11-12T10:45:38-06:00 2017-12-31 743001153 PMB HELIN DONOVAN LLP 12301 RESEARCH BLVD BLDG 5 160 AUSTIN TX 78759 990 2017-01-01 473641754 C2C INNOVATIVE SOLUTIONS INC C2CI 5123341622 3107 OAK CREEK DRIVE NO 200 AUSTIN TX 78727 PAMELA HOERNIS TREASURER 5123341622 2018-11-12 1 KELLY LOGAN P00677048 5122589670 2018-11-12 64.132.35.130 2018-11-12 10:23:08 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 7AE72855C1CAF46F5D243037B711556D92602D8B 2017 2019-02-21 02:37:17Z X PAMELA HOERNIS 3107 OAK CREEK DRIVE NO 200 AUSTIN TX 78727 54405254 0 X WWW.C2CINC.COM X 2015 TX PROVIDE BEST VALUE ADMINISTRATIVE SERVICES AND QUALITY MANAGEMENT PRINCIPLES THAT PROMOTE CONTINUOUS IMPROVEMENT. 5 3 497 0 0 0 57629565 54400904 0 0 1462 4243 0 0 57631027 54405147 0 13000000 0 0 27186850 30573582 0 0 0 20477842 20048326 47664692 63621908 9966335 -9216761 29411707 21788849 6724793 8359490 22686914 13429359 PROVIDE BEST VALUE ADMINISTRATIVE SERVICES AND QUALITY MANAGEMENT PRINCIPLES THAT PROMOTE CONTINUOUS IMPROVEMENT. 0 0 50343212 0 54400904 C2C INNOVATIVE SOLUTIONS INC. (C2C) SERVES AS A FEDERAL CONTRACTOR FOR THE MEDICARE PROGRAM SINCE THE INCEPTION OF THE SECOND-LEVEL APPEAL PROCESS IN SEPTEMBER 2004. AS A QUALIFIED INDEPENDENT CONTRACTOR (QIC), C2C ADJUDICATES SECOND-LEVEL MEDICARE APPEALS CALLED RECONSIDERATIONS FOR SEVERAL JURISDICTIONS WITH NATIONAL SCOPE. 13278696 13000000 13278696 13000000 63621908 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 0 0 0 1 9 0 497 1 0 0 0 0 0 0 0 0 0 0 X 5 3 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X PAMELA L HOERNIS 5123341622 3107 OAK CREEK DRIVE NO 200 AUSTIN TX 78727 THOMAS MANLEY CHAIRMAN 1.60 44.00 X X 0 774353 70946 LOUIS POLISE BOARD OF TRUSTEES 1.60 X 10500 0 0 DONALD P FORGIONE BOARD OF TRUSTEES 1.60 X 10500 0 0 GARY CRAYTON BOARD OF TRUSTEES 1.60 X 10375 0 0 PAMELA HOERNIS TREASURER 1.60 46.00 X 0 385044 43538 JEFF PETERSON PRESIDENT 43.20 X 425222 0 70143 BRIAN ANDREW STOTLER PROGRAM DIRECTOR 46.00 X 199123 0 57716 SHERI L SOUERS PROGRAM DIRECTOR 46.80 X 187711 0 57521 FRANK A DELLI CARPINI MEDICAL DIRECTOR 49.40 X 402391 0 58526 JANET I LAWRENCE MEDICAL DIRECTOR 41.50 X 329375 0 56731 MICHAEL OWENS MEDICAL DIRECTOR 49.40 X 307691 0 68315 SHERRY ANNE KING MEDICAL DIRECTOR 38.50 X 300484 0 27972 CHARLOTTE STELLY-SEITZ ASSOCIATE MEDICAL DIRECTOR 40.50 X 237191 0 35073 2420563 1159397 546481 19 0 1 0 FEDERAL HEARINGS & APPEALS SERVICES INC 117 WEST MAIN STREET PLYMOUTH PA 18651 A CONTRACTOR PROCESSING QIC APPEALS 4684418 MCMC LLC PO BOX 809302 CHICAGO IL 606809302 A CONTRACTOR PROCESSING QIC APPEALS 851072 HM HEALTH SOLUTIONS INC 4800 DEERWOOD CAMPUS PARKWAY JACKSONVILLE FL 322466498 PRINTING AND MAILING SERVICES 815527 AMKIN WEST BAY LLC 301 WEST BAY STREET SUITE 210 JACKSONVILLE FL 32202 LEASING OF OFFICE SPACE 751887 AMERICAN EXPRESS PO BOX 650448 DALLAS TX 752650448 CORPORATE CREDIT CARD PROVIDER 378013 8 54400904 54400904 4224 4224 126 107 19 19 19 54405147 4224 0 19 13000000 13000000 2420563 2420563 22083308 22083308 1857333 1857333 2450230 2450230 1762148 1762148 179283 179283 314302 314302 492375 492375 269135 269135 409741 409741 INTERCOMPANY 11165495 11165495 CONTRACTOR 6013650 6013650 POSTAGE 699552 699552 MAINTENANCE & REPAIRS 126241 126241 378552 378552 63621908 63621908 0 0 18112278 9992606 9297200 10082282 132037 157748 2555964 1540680 1449004 1015284 55924 175665 365264 365264 29411707 21788849 3642665 4197014 148151 479713 2933977 3682763 6724793 8359490 X 22686914 13429359 22686914 13429359 29411707 21788849 X -9216761 15749 -56543 X X 0 1 X 1 0 X 11368425 57629565 54400904 123398894 11368425 57629565 54400904 123398894 123398894 1462 4224 5686 123404580 X 1715027 896582 818445 840937 644098 196839 1015284 PAYABLE TO TMF HEALTH QUALITY INSTITUTE 2553473 DEFERRED LEASES 1129290 3682763 X 54420896 15749 15749 54405147 0 54405147 63678451 56543 56543 63621908 0 63621908 PART X, LINE 2: DURING 2015, C2C CONVERTED TO A NON-PROFIT CORPORATION AND IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. UNRELATED BUSINESS INCOME, OF WHICH C2C HAD NONE FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016, IS SUBJECT TO INCOME TAX. AS A RESULT OF THE CONVERSION TO A NOT FOR PROFIT STATUS, C2C PAID TAX ON THE FAIR VALUE OF C2C ON THE CONVERSION DATE. C2C CALCULATED AND PAID $6,094,128 IN ADDITION OF FEDERAL AND STATE INCOME TAX EXPENSE IN 2015. DURING 2016, C2C RECOGNIZED A FEDERAL INCOME TAX BENEFIT OF $1,770,101 DUE TO THE OVERPAYMENT OF 2015 INCOME TAXES. C2C 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. C2C HAS NOT RECORDED ANY UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2017 OR 2016. C2C IS GENERALLY NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR RETURNS SUBMITTED AFTER THREE YEARS. PART XII, LINE 2D - OTHER ADJUSTMENTS: PRIOR YEAR FEDERAL INCOME TAX BENEFIT 56,543. 0 TMF HEALTH QUALITY INSTITUTE 3107 OAK CREEK DRIVE STE 200 AUSTIN TX 78727 521002260 501(C)3 13000000 GENERAL SUPPORT 1 X X X X 0 0 0 1 1 1 1 1 0 THOMAS MANLEY CHAIRMAN 0 531766 0 222376 0 20211 0 27312 0 43634 0 845299 0 0 PAMELA HOERNIS TREASURER 0 289889 0 89563 0 5592 0 27312 0 16226 0 428582 0 0 JEFF PETERSON PRESIDENT 313642 0 111580 0 0 0 27312 0 42831 0 495365 0 0 0 BRIAN ANDREW STOTLER PROGRAM DIRECTOR 161443 0 37680 0 0 0 19914 0 37802 0 256839 0 0 0 SHERI L SOUERS PROGRAM DIRECTOR 144114 0 37680 0 5917 0 18411 0 39110 0 245232 0 0 0 FRANK A DELLI CARPINI MEDICAL DIRECTOR 318450 0 71722 0 12219 0 27312 0 31214 0 460917 0 0 0 JANET I LAWRENCE MEDICAL DIRECTOR 263370 0 66005 0 0 0 27312 0 29419 0 386106 0 0 0 MICHAEL OWENS MEDICAL DIRECTOR 245324 0 62367 0 0 0 27312 0 41003 0 376006 0 0 0 SHERRY ANNE KING MEDICAL DIRECTOR 243064 0 57420 0 0 0 27316 0 656 0 328456 0 0 0 CHARLOTTE STELLY-SEITZ ASSOCIATE MEDICAL DIRECTOR 209118 0 28073 0 0 0 23307 0 11766 0 272264 0 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. C2C INNOVATIVE SOLUTIONS, INC. HAS AN EXECUTIVE INCENTIVE COMPENSATION PLAN WHERE THE PAYMENT IS ACCRUED AND PAID THAT IS CONTINGENT ON THE REVENUES OF THE ORGANIZATION. 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.C2C INNOVATIVE SOLUTIONS, INC. HAS AN EXECUTIVE INCENTIVE COMPENSATION PLAN WHERE THE PAYMENT IS ACCRUED AND PAID THAT IS CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION. 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 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. C2C INNOVATIVE SOLUTIONS, INC. HAS AN EXECUTIVE INCENTIVE COMPENSATION PLAN WHERE THE PAYMENT IS ACCRUED AND PAID THAT IS CONTINGENT ON OTHER PERFORMANCE INCLUDING BUT NOT LIMITED TO NEW BUSINESS GOALS, PROFIT MARGIN AND COMPLIANCE REQUIREMENTS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 TMF HEALTH QUALITY INSTITUTE IS THE ONLY MEMBER. 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 B, LINE 11B THE CHAIR OF C2C INNOVATIVE SOLUTIONS, INC.'S BOARD OF TRUSTEES WILL RECEIVE A COPY OF THE IRS FORM 990 TAX RETURN PRIOR TO ITS FILING WITH THE IRS. THE CHAIR 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 FILING OF THE IRS FORM 990. DURING THE NEXT SCHEDULED BOARD MEETING, THE BOARD WILL DISCUSS THE IRS FORM 990. THERE WILL BE AN OPPORTUNITY FOR ALL BOARD MEMBERS TO ASK QUESTIONS REGARDING THE TAX RETURN. 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 C2C 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 C2C'S COMPLIANCE OFFICER. BEFORE C2C ENTERS INTO A CONTRACT OR OTHER FINANCIAL RELATIONSHIP WITH A THIRD PARTY, THE CONTRACT OR SUBSTANCE OF THE FINANCIAL RELATIONSHIP IS SUBMITTED TO C2C'S COMPLIANCE OFFICER WHO CONDUCTS A CONFLICTS OF INTEREST ASSESSMENT. IF C2C'S COMPLIANCE OFFICER IS SATISFIED THAT THE CONTRACT OR OTHER RELATIONSHIP WOULD NOT RESULT IN A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST, C2C WILL PROCEED WITH THE CONTRACT OR RELATIONSHIP. IF A CONFLICT OR THE APPEARANCE OF A CONFLICT IS DETERMINED, C2C 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 BOARD OF TRUSTEES OBTAINS INFORMATION FROM SOURCES IT DEEMS RELEVANT AND NECESSARY TO DETERMINE REASONABLE COMPENSATION FOR OFFICERS AND KEY EMPLOYEES. IN ADDITION TO C2C'S HR DIRECTOR, AN INDEPENDENT CONSULTANT IS OBTAINED PERIODICALLY, TO REVIEW APPROPRIATE LEVELS OF COMPENSATION FOR ALL THESE PEOPLE AND MAKE RECOMMENDATIONS TO THE BOARD. THE CONSULTANT WAS LAST OBTAINED IN 2017. THE PRESIDENT REVIEWS THE RECOMMENDATIONS OF THE HR DIRECTOR AND ANY INDEPENDENT CONSULTANT AND ADVISES THE BOARD OF THE DETERMINATION CONCERNING THE COMPENSATION OF ALL OFFICERS AND KEY EMPLOYEES OTHER THAN THE PRESIDENT. THE BOARD MAY ACCEPT THE PRESIDENTS'S DETERMINATION OR MODIFY IT. THE BOARD SETS WHAT IT DETERMINES TO BE APPROPRIATE COMPENSATION FOR THE PRESIDENT. 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 UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: FEDERAL INCOME TAX EXPENSE -56,543. FORM 990, PART XII, LINE 2C: THE PROCESS OF OVERSEEING THE AUDIT OF THE FINANACIAL 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 PROMOTE HIGH QUALITY HEALTH CARE TX 501(C)3 509(A)(3) TYPE I TMF HEALTH QUALITY INSTITUTE 0 TMF HEALTH QUALITY INSTITUTE 3107 OAK CREEK DRIVE STE 200 AUSTIN TX 78727 521002260 HEALTH CARE TX 501(C)3 170(B)(1)(A)(VI) 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 TMF HEALTH QUALITY INSTITUTE O 11121996 FMV TMF HEALTH QUALITY INSTITUTE B 13000000 CASH