Civic Intelligence

Tmf Health Quality Institute

EIN 52-1002260 • 501(c)6 • Austin, TX

Profile

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.

3107 Oak Creek Drive 200Austin, TX 78727

www.tmf.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

25th percentile

0.06x

Higher debt load relative to assets than 25% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

20th percentile

0.10x

Higher debt load relative to revenue than 20% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

72nd percentile

16%

Higher net margin than 72% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

88th percentile

$1,088,022

Higher top officer pay than 88% of similar nonprofits.

Top officer pay equals 2.0% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

77th percentile

15%

Faster asset growth than 77% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

21st percentile

-5.0%

Faster revenue growth than 21% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Up

$92,763,163

Up $11,986,742 (+15%) from 2023

Liabilities

Up

$5,240,011

Up $873,468 (+20%) from 2023

Net Assets

Up

$87,523,152

Up $11,113,274 (+15%) from 2023

Revenue

Down

$53,160,586

Down $2,775,718 (-5.0%) from 2023

Expenses

Up

$44,827,969

Up $1,484,749 (+3.4%) from 2023

Net Income

Down

$8,332,617

Down $4,260,467 (-34%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$100M$50M$0Assets 2010: $22,547,007Liabilities 2010: $1,941,202Net Assets 2010: $20,605,8052010Assets 2011: $23,762,579Liabilities 2011: $2,318,890Net Assets 2011: $21,443,6892011Assets 2012: $27,454,405Liabilities 2012: $3,371,777Net Assets 2012: $24,082,6282012Assets 2013: $29,589,193Liabilities 2013: $4,107,052Net Assets 2013: $25,482,1412013Assets 2014: $31,377,980Liabilities 2014: $5,068,428Net Assets 2014: $26,309,5522014Assets 2015: $30,945,525Liabilities 2015: $5,011,849Net Assets 2015: $25,933,6762015Assets 2016: $34,075,957Liabilities 2016: $5,107,458Net Assets 2016: $28,968,4992016Assets 2017: $54,564,327Liabilities 2017: $6,610,188Net Assets 2017: $47,954,1392017Assets 2018: $52,663,835Liabilities 2018: $4,448,372Net Assets 2018: $48,215,4632018Assets 2019: $53,280,949Liabilities 2019: $3,382,129Net Assets 2019: $49,898,8202019Assets 2020: $56,271,983Liabilities 2020: $3,510,096Net Assets 2020: $52,761,8872020Assets 2021: $58,268,096Liabilities 2021: $3,627,664Net Assets 2021: $54,640,4322021Assets 2022: $64,723,343Liabilities 2022: $4,363,320Net Assets 2022: $60,360,0232022Assets 2023: $80,776,421Liabilities 2023: $4,366,543Net Assets 2023: $76,409,8782023Assets 2024: $92,763,163Liabilities 2024: $5,240,011Net Assets 2024: $87,523,1522024

Highlighted filing

2024

Assets$92,763,163
Liabilities$5,240,011
Net Assets$87,523,152

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$80M$60M$40M$20M$0-$20MExpenses 2010: $17,548,3082010Expenses 2011: $22,612,4752011Expenses 2012: $25,625,1612012Revenue 2013: $31,300,298Expenses 2013: $30,394,249Net Income 2013: $906,0492013Revenue 2014: $36,290,658Expenses 2014: $35,368,101Net Income 2014: $922,5572014Revenue 2015: $38,068,075Expenses 2015: $37,553,598Net Income 2015: $514,4772015Revenue 2016: $43,507,514Expenses 2016: $40,554,805Net Income 2016: $2,952,7092016Revenue 2017: $63,527,008Expenses 2017: $45,440,007Net Income 2017: $18,087,0012017Revenue 2018: $50,152,359Expenses 2018: $48,466,285Net Income 2018: $1,686,0742018Revenue 2019: $39,134,917Expenses 2019: $39,937,991Net Income 2019: -$803,0742019Revenue 2020: $35,341,718Expenses 2020: $33,589,341Net Income 2020: $1,752,3772020Revenue 2021: $33,400,546Expenses 2021: $33,398,195Net Income 2021: $2,3512021Revenue 2022: $45,670,770Expenses 2022: $35,736,089Net Income 2022: $9,934,6812022Revenue 2023: $55,936,304Expenses 2023: $43,343,220Net Income 2023: $12,593,0842023Revenue 2024: $53,160,586Expenses 2024: $44,827,969Net Income 2024: $8,332,6172024

Highlighted filing

2024

Revenue$53,160,586
Expenses$44,827,969
Net Income$8,332,617

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$92.8$5.24$87.5$53.2$44.8$8.33
2023Summary only. Only limited summary data is available for this year.$80.8$4.37$76.4$55.9$43.3$12.6
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$64.7$4.36$60.4$45.7$35.7$9.93
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$58.3$3.63$54.6$33.4$33.4$0.00
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$56.3$3.51$52.8$35.3$33.6$1.75
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$53.3$3.38$49.9$39.1$39.9$0.80
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$52.7$4.45$48.2$50.2$48.5$1.69
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$54.6$6.61$48.0$63.5$45.4$18.1
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$34.1$5.11$29.0$43.5$40.6$2.95
2015Detailed filing. Detailed filing data is available for this year.$30.9$5.01$25.9$38.1$37.6$0.51
2014Detailed filing. Detailed filing data is available for this year.$31.4$5.07$26.3$36.3$35.4$0.92
2013Detailed filing. Detailed filing data is available for this year.$29.6$4.11$25.5$31.3$30.4$0.91
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$27.5$3.37$24.1$25.6
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$23.8$2.32$21.4$22.6
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$22.5$1.94$20.6$17.5
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 5, 2025
Return Version
2024v5.2
Gross Receipts
$56,861,186
Mission and Program Overview

Mission

To make measurable improvements in the quality and delivery of health care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$30,785,022$34,912,110▲ $4,127,088
Savings and Temporary Cash Investments$17,006,548$24,999,551▲ $7,993,003
Land, Buildings, and Equipment, Net$13,274,646$13,917,219▲ $642,573
Prepaid Expenses and Deferred Charges$3,183,400$4,917,731▲ $1,734,331
Investments Other Securities$2,769,114$4,411,879▲ $1,642,765
Cash and Non-Interest-Bearing Accounts$5,605,874$4,333,491▼ $1,272,383
Accounts Receivable$6,032,332$2,932,993▼ $3,099,339
Total Assets$80,776,421$92,763,163▲ $11,986,742
Other Assets Total$2,119,485$2,338,189▲ $218,704
Liabilities
Accounts Payable and Accrued Expenses$4,366,543$5,240,011▲ $873,468
Total Liabilities$4,366,543$5,240,011▲ $873,468
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$76,409,878$87,523,152▲ $11,113,274
Total Net Assets Fund Balance$76,409,878$87,523,152▲ $11,113,274
Total Liabilities and Net Assets / Fund Balance$80,776,421$92,763,163▲ $11,986,742

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$10,190,387$3,735,549$13,925,936
Equipment$1,397,168$5,233,289$6,630,457
Land$2,301,701-$2,301,701
Other Land Buildings$27,963$1,330,896$1,358,859
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Thomas J ManleyPresident & CEOPT$640,842$447,180$1,088,022
Pamela L HoernisCFOPT$372,318$395,425$767,743
Russel Wade Kohl MdCMO & COOFT$398,199$135,154$533,353
Clifford Keith Moy MdMedical Director, Behavioral HealthFT$292,367$94,080$386,447
Stephen Drake ThomasChief Human Resources OfficerPT$228,012$128,224$356,236
Joseph VasquezCIOPT$200,702$127,116$327,818
Tara Frease RichardsonBusiness Development OfficerFT$211,369$101,766$313,135
Tyrone CliftDirector, Contracts & CompliancePT$188,827$94,469$283,296
Bradley H TreybigDirector, Application DevelopmentPT$211,927$55,913$267,840
Kanakadurga GovindarajuMedical DirectorFT$204,524$62,812$267,336
Wendy MedcalfSenior DirectorFT$167,708$61,945$229,653
Preetha PrithivathiSenior DirectorFT$173,718$43,968$217,686
David C Mason DoChair-$25,400-$25,400
Ruth Elise AtkinsTrustee-$16,125-$16,125
Jeffrey Schmeltekopf Clu ChfcTrustee-$12,300-$12,300
Lisa L Ehrlich MdTrustee-$12,300-$12,300
Linda VillarrealTrustee-$10,500-$10,500
Elizabeth LopezTrustee-$10,500-$10,500
Mathew GarberTrustee-$10,500-$10,500
Nancy AdamsTrustee-$10,300-$10,300
Glenn RobinsonTrustee-$10,300-$10,300
Janet LietoTrustee-$10,250-$10,250
Betty WhartonTrustee-$10,000-$10,000
Wendy ChungTrustee-$10,000-$10,000
Laurie East Mba CPA FacmpeTrustee-$9,250-$9,250
Eddie PattonTrustee-$8,750-$8,750
Keri PearlsonTrustee-$8,250-$8,250

Highest Paid Contractors

ContractorServicesLocationCompensation
Arkansas Foundation For Medical Care InSubcontractorPO BOX 180001, Fort Smith, AR 72918$2,206,286
Akkodis INC Dba ModisSubcontractor9442 N CAPITAL OF TEXAS HWY PLAZA, Austin, TX 78759$1,833,060
Real Time Medical Systems LLCSubcontractorPO BOX 6458, Pittsburgh, PA 15264-5256$1,151,700
Maloba Builders & Services LLCContractor9300 REASEARCH BLVD SUITE 300, Austin, TX 78759$380,709
Rainmakers Strategic Solutions LLCSubcontractor18444 N 25TH AVE SUITE 420, Phoenix, AZ 85023$271,404
Revenue and Support

Revenue Composition

Contributions and Grants
$29,616,634
Program Service Revenue
$21,912,611
Investment Income
$2,096,305
Other Revenue
$-464,964
Change in Net Assets
$8,332,617
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$28,282,002
Other Expenses$16,427,292
Grants and Similar Amounts Paid$118,675
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$10,885,145$7,777,072-$18,662,217
Fees for Services Other$5,854,426$1,282,611-$7,137,037
Occupancy$2,659,879$1,039,935-$3,699,814
Current Officers, Directors, Trustees, and Key Employees$2,028,275$1,623,860-$3,652,135
Other Employee Benefits$1,574,365$1,124,831-$2,699,196
Office Expenses$1,139,666$905,549-$2,045,215
Payroll Taxes$973,859$695,790-$1,669,649
Pension Plan Contributions$932,538$666,267-$1,598,805
Depreciation Depletion$820,748$542,698-$1,363,446
Conferences and Meetings$441,694$315,342-$757,036
Insurance$37,426$412,758-$450,184
Fees for Services Legal$47,998$246,155-$294,153
Fees for Service Investment Mgmnt Fees-$120,910-$120,910
Grants to Domestic Orgs$118,675--$118,675
Fees for Services Accounting$18,683$95,813-$114,496
Other Expenses$1$47,692-$47,692
Fees for Services Lobbying-$2,880-$2,880
Interest-$501-$501
Total Functional Expenses$27,540,644$17,287,325$0$44,827,969
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Meals on WheelsAustin, TX501(c)3Donation$15,000
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
Yes
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
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 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 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 members to ask questions regarding the tax return. During the finance committee 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 submitted to tmf's compliance officer and tmf's general counsel. If general counsel and tmf'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, 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 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 compensation committee of the board. The consultant was last obtained in 2024. The president & ceo reviews the recommendations of the chief human resources officer and any independent consultant and advises the compensation committee of the board of the determination concerning the compensation of all officers and key employees other than the president & ceo. The compensation committee and the board may accept the president & ceo's determination or modify it. The compensation committee makes a recommendation to the board about the president & ceo. The board then sets what it determines to be appropriate compensation for the president & ceo. The process and information reviewed in making these determinations is documented contemporaneously.

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.

Filing and Contact Details

Filer

Filer Name
Tmf Health Quality Institute
EIN
52-1002260
Phone
5123341622
Address
3107 OAK CREEK DRIVE 200, AUSTIN, TX 78727

Signing Officer

Name
Pamela L Hoernis
Title
Chief Financial Officer
Phone
5123341622
Signed
2025-11-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Thomas J Manley
Formed
1971
Legal Domicile
TX
Voting Board Members
15
Independent Board Members
15
Employees
266
Volunteers
0

Preparer

Firm
Cherry Bekaert Advisory LLC
Address
221 W 6TH STREET STE 1900, AUSTIN, TX 78701
Preparer
Stephanie Lew
Phone
5124796000
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Consulting & subcontractors: program service expenses 5,854,426. Management and general expenses 1,282,611. Fundraising expenses 0. Total expenses 7,137,037.

Financial Statement Notes

PART X, LINE 2:

The 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 consolidated 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, 2024 and 2023. Unrelated business taxable income was nominal for the institute as of december 31, 2024 and 2023.

Raw XML AppendixShowing 400 of 932 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.

Path#Value
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IRS990/ActivitiesConductedPrtshpInd00
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