Civic Intelligence

C2C Innovative Solutions Inc.

990 • Fiscal year 2021 • EIN 47-3641754

Jan 01, 2021 to Dec 31, 2021 • Filed on Nov 10, 2022

3107 Oak Creek Drive 200Austin, TX 78727

(512) 334-1622

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

37th percentile

0.10x

Higher debt load relative to assets than 37% of similar nonprofits.

2021 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2021

Liabilities / Revenue

28th percentile

0.11x

Higher debt load relative to revenue than 28% of similar nonprofits.

2021 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2021

Net Margin

51st percentile

12%

Higher net margin than 51% of similar nonprofits.

2021 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2021

Top Officer Pay

92nd percentile

$900,632

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 2.3% of source-year revenue.

2021 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2021

Asset Growth

58th percentile

13%

Faster asset growth than 58% of similar nonprofits.

2021 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2020 to 2021

Revenue Growth

43rd percentile

8.1%

Faster revenue growth than 43% of similar nonprofits.

2021 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2020 to 2021

Assets

Up

$42,788,543

Up $4,940,006 (+13%) from 2020

Net Assets

Up

$38,482,024

Up $4,770,044 (+14%) from 2020

Liabilities

Up

$4,306,519

Up $169,962 (+4.1%) from 2020

Revenue

Up

$38,806,145

Up $2,916,368 (+8.1%) from 2020

Expenses

Up

$34,018,606

Up $2,101,483 (+6.6%) from 2020

Net Income

Up

$4,787,539

Up $814,885 (+21%) from 2020

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$300M$200M$100M$0Assets 2015: $18,538,852Liabilities 2015: $7,592,837Net Assets 2015: $10,946,0152015Assets 2016: $29,411,707Liabilities 2016: $6,724,793Net Assets 2016: $22,686,9142016Assets 2017: $21,788,849Liabilities 2017: $8,359,490Net Assets 2017: $13,429,3592017Assets 2018: $30,115,798Liabilities 2018: $5,845,215Net Assets 2018: $24,270,5832018Assets 2019: $35,440,248Liabilities 2019: $5,745,960Net Assets 2019: $29,694,2882019Assets 2020: $37,848,537Liabilities 2020: $4,136,557Net Assets 2020: $33,711,9802020Assets 2021: $42,788,543Liabilities 2021: $4,306,519Net Assets 2021: $38,482,0242021Assets 2022: $49,638,612Liabilities 2022: $13,189,740Net Assets 2022: $36,448,8722022Assets 2023: $65,114,793Liabilities 2023: $29,416,216Net Assets 2023: $35,698,5772023Assets 2024: $245,601,419Liabilities 2024: $143,646,853Net Assets 2024: $101,954,5662024

Highlighted filing

2021

Assets$42,788,543
Liabilities$4,306,519
Net Assets$38,482,024

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$150M$100M$50M$0-$50MRevenue 2015: $11,368,425Expenses 2015: $9,775,720Net Income 2015: $1,592,7052015Revenue 2016: $57,631,027Expenses 2016: $47,664,692Net Income 2016: $9,966,3352016Revenue 2017: $54,405,147Expenses 2017: $63,621,908Net Income 2017: -$9,216,7612017Revenue 2018: $54,356,212Expenses 2018: $43,483,621Net Income 2018: $10,872,5912018Revenue 2019: $41,284,880Expenses 2019: $35,897,268Net Income 2019: $5,387,6122019Revenue 2020: $35,889,777Expenses 2020: $31,917,123Net Income 2020: $3,972,6542020Revenue 2021: $38,806,145Expenses 2021: $34,018,606Net Income 2021: $4,787,5392021Revenue 2022: $42,946,386Expenses 2022: $44,909,702Net Income 2022: -$1,963,3162022Revenue 2023: $47,490,952Expenses 2023: $49,352,417Net Income 2023: -$1,861,4652023Revenue 2024: $143,390,829Expenses 2024: $78,421,604Net Income 2024: $64,969,2252024

Highlighted filing

2021

Revenue$38,806,145
Expenses$34,018,606
Net Income$4,787,539
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Nov 10, 2022
Return Version
2021v4.2
Gross Receipts
$38,883,706
Mission and Program Overview

Mission

Provide best value administrative services and quality management principles that promote continuous improvement.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$25,505,700$30,505,700▲ $5,000,000
Accounts Receivable$4,380,029$6,311,307▲ $1,931,278
Cash and Non-Interest-Bearing Accounts$6,762,776$4,767,751▼ $1,995,025
Prepaid Expenses and Deferred Charges$741,559$832,875▲ $91,316
Intangible Assets$365,264$365,264→ $0
Land, Buildings, and Equipment, Net$93,209$5,646▼ $87,563
Total Assets$37,848,537$42,788,543▲ $4,940,006
Liabilities
Accounts Payable and Accrued Expenses$2,784,823$3,544,831▲ $760,008
Other Liabilities$1,277,488$761,688▼ $515,800
Deferred Revenue$74,246$0▼ $74,246
Total Liabilities$4,136,557$4,306,519▲ $169,962
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$33,711,980$38,482,024▲ $4,770,044
Total Net Assets Fund Balance$33,711,980$38,482,024▲ $4,770,044
Total Liabilities and Net Assets / Fund Balance$37,848,537$42,788,543▲ $4,940,006

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$0$1,715,027$1,715,027
Equipment$5,646$846,557$852,203
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jeff PetersonPresidentFT$344,212$157,034$501,246
Frank a Delli Carpini MdChief Medical OfficerFT$340,652$140,615$481,267
Michael Owens MdMedical DirectorFT$255,001$129,469$384,470
Dylan Deatrich MdMedical DirectorFT$206,842$95,158$302,000
Brian Andrew StotlerProgram DirectorFT$163,536$99,203$262,739
David Feig MdPhysician ReviewerFT$188,513$66,776$255,289
Lisa HansonSecretary/general CounselFT$166,070$72,524$238,594
Sheri L SouersProgram DirectorFT$158,562$77,327$235,889
Melissa Horner MdPhysician ReviewerPT$168,850$42,162$211,012
Barbara YakimowiczProgram DirectorFT$157,389$49,808$207,197
Nicholette WarnerProgram DirectorFT$166,867$34,525$201,392
Madelyn GruberProgram DirectorFT$146,267$50,960$197,227
Donald P ForgioneTrustee-$10,000-$10,000
Gary CraytonTrustee-$10,000-$10,000
Louis PoliseTrustee-$10,000-$10,000

Board Members and Trustees

NameTitle
Thomas ManleyChairman
Pamela HoernisTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Tmf Health Quality InstituteManagement Services3107 OAK CREEK DRIVE STE 200, Austin, TX 78727$8,480,605
Federal Hearings & Appeals Services INCSubcontractor- Processing Of Appeals117 WEST MAIN STREET, Plymouth, PA 18651$1,107,182
Robert HalfTemporary Services12400 COLLECTIONS CENTER DRIVE, Chicago, IL 60693$1,088,099
Hm Health Solutions INCPrinting And Mailing Services4800 DEERWOOD CAMPUS PARKWAY, Jacksonville, FL 32246-6498$265,182
Vaco LLCStaffing And Recruiting5501 VIRGINIA WAY SUITE 120, Brentwood, TN 37027$243,199
Revenue and Support

Revenue Composition

Contributions and Grants
$38,578,186
Program Service Revenue
$133,865
Investment Income
$94,094
Other Revenue
$0
Change in Net Assets
$4,787,539
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$21,736,337
Other Expenses$12,242,182
Grants and Similar Amounts Paid$40,087
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$14,139,649$1,520,343-$15,659,992
Fees for Services Other$2,809,482$8,487,832-$11,297,314
Current Officers, Directors, Trustees, and Key Employees$1,700,375$173,909-$1,874,284
Other Employee Benefits$1,434,341$146,700-$1,581,041
Pension Plan Contributions$1,251,252$127,974-$1,379,226
Payroll Taxes$1,126,572$115,222-$1,241,794
Occupancy$404,736$10,310-$415,046
Office Expenses$360,490$29,581-$390,071
Depreciation Depletion$87,754$5,749-$93,503
Grants to Domestic Orgs$40,087--$40,087
Conferences and Meetings$237$16,895-$17,132
Other Expenses$535$7,318-$7,318
Interest-$137-$137
Total Functional Expenses$23,366,139$10,652,467$0$34,018,606
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
City Rescue Mission IncJacksonville, FL501(c)(3)Donation$10,000
Ronald Mcdonald House CharitiesJacksonville, FL501(c)(3)Donation$10,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Payable to Tmf Health Quality Institute$734,343
Deferred Leases$27,345
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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 appointed board member of c2c innovative solutions, inc.'s board of trustees will receive a redacted copy of the irs form 990 tax return prior to its filing with the irs. The appointed board member 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 chief human resources officer, 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 2021. The president reviews the recommendations of the chief human resources officer 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 president's determination or modify it. The board sets what it determines to appropriate compensation for the president. The process and information reviewed in making these determinations is documented contemporaneously.

Form 990, Part VI, Section C, Line 19

The governing documents, the conflict of interest policy and the financial statements are available upon request.

Filing and Contact Details

Filer

Filer Name
C2c Innovative Solutions Inc
EIN
47-3641754
Phone
5123341622
Address
3107 OAK CREEK DRIVE 200, AUSTIN, TX 78727

Signing Officer

Name
Pamela L Hoernis
Title
Treasurer
Phone
5123341622
Signed
2022-11-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Pamela L Hoernis
Formed
2015
Legal Domicile
TX
Voting Board Members
5
Independent Board Members
3
Employees
297
Volunteers
0

Preparer

Firm
Cherry Bekaert Llp
Address
221 W 6TH STREET STE 1900, AUSTIN, TX 78701
Preparer
Kelly Logan
Phone
5124796000
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Management services: program service expenses 0. Management and general expenses 8,480,605. Fundraising expenses 0. Total expenses 8,480,605. Subcontractors: program service expenses 2,809,482. Management and general expenses 7,227. Fundraising expenses 0. Total expenses 2,816,709.

Financial Statement Notes

PART X, LINE 2:

Unrelated business taxable income was nominal for c2c as of december 31, 2021 and 2020. 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, 2021 or 2020.

Raw XML AppendixShowing 400 of 833 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/PersonNm2DONALD P FORGIONE
IRS990/Form990PartVIISectionAGrp/PersonNm3GARY CRAYTON
IRS990/Form990PartVIISectionAGrp/PersonNm4JEFF PETERSON
IRS990/Form990PartVIISectionAGrp/PersonNm5PAMELA HOERNIS
IRS990/Form990PartVIISectionAGrp/PersonNm6LISA HANSON
IRS990/Form990PartVIISectionAGrp/PersonNm7BRIAN ANDREW STOTLER
IRS990/Form990PartVIISectionAGrp/PersonNm8SHERI L SOUERS
IRS990/Form990PartVIISectionAGrp/PersonNm9BARBARA YAKIMOWICZ
IRS990/Form990PartVIISectionAGrp/PersonNm10NICHOLETTE WARNER
IRS990/Form990PartVIISectionAGrp/PersonNm11MADELYN GRUBER
IRS990/Form990PartVIISectionAGrp/PersonNm12FRANK A DELLI CARPINI MD
IRS990/Form990PartVIISectionAGrp/PersonNm13DYLAN DEATRICH MD
IRS990/Form990PartVIISectionAGrp/PersonNm14MICHAEL OWENS MD
IRS990/Form990PartVIISectionAGrp/PersonNm15MELISSA HORNER MD
IRS990/Form990PartVIISectionAGrp/PersonNm16DAVID FEIG MD
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt160
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IRS990/Form990PartVIISectionAGrp/TitleTxt1TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt2TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt3TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt4PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt5TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt6SECRETARY/GENERAL COUNSEL
IRS990/Form990PartVIISectionAGrp/TitleTxt7PROGRAM DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8PROGRAM DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9PROGRAM DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10PROGRAM DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11PROGRAM DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12CHIEF MEDICAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt13MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15PHYSICIAN REVIEWER
IRS990/Form990PartVIISectionAGrp/TitleTxt16PHYSICIAN REVIEWER
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IRS990/MinutesOfCommitteesInd01
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IRS990/MissionDesc0PROVIDE BEST VALUE ADMINISTRATIVE SERVICES AND QUALITY MANAGEMENT PRINCIPLES THAT PROMOTE CONTINUOUS IMPROVEMENT.
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IRS990/OfficeExpensesGrp/ProgramServicesAmt0360490
IRS990/OfficeExpensesGrp/TotalAmt0390071
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
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IRS990/ProgSrvcAccomActy2Grp/Desc0C2C WAS CERTIFIED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES TO SERVE AS A SELECTED DISPUTE RESOLUTION ENTITY UNDER THE NO SURPRISES ACT TO RESOLVE DISPUTES BETWEEN UNINSURED OR SELF-PAY INDIVIDUALS AND PROVIDERS, THIS HELPS PROTECT CONSUMERS FROM SURPRISE MEDICAL BILLS.
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IRS990/ProgSrvcAccomActy3Grp/Desc0C2C SERVICES AS AN INTERNAL REVIEW ORGANIZATION FOR VARIOUS STATES.
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IRS990/ProgSrvcAccomActyOtherGrp/Desc0C2C SERVES AS A SUBCONTRACTOR CONDUCTING CODING AND COVERAGE REVIEWS OF MCO (MANAGED CARE ORGANIZATIONS) TO DETERMINE WHETHER MEDICARE CLAIMS WERE PAID IN ACCORDANCE WITH CMS COVERAGE, CODING, PAYMENT AND BILLING POLICIES, AND ALLOW FOR THE RECOUPMENT OF ANY OVERPAYMENT AS A RESULT OF IDENTIFIED ERRORS.
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IRS990/PYOtherRevenueAmt00
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IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
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IRS990/SavingsAndTempCashInvstGrp/EOYAmt030505700
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt038578186
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt035343989
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt040725250
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt054345416
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt054400904
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IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt094084
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt0146340
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IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt04224
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IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X

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