TMF HEALTH QUALITY INSTITUTE

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1971

Legal Domicile

Principal Officer

THOMAS J MANLEY

Phone

5123341622

Tax Period

2023-01-01 to 2023-12-31

TMF HEALTH QUALITY INSTITUTE, founded in 1971, is a mid-sized nonprofit in the Health Care sector that reported $55.9M in total revenue in fiscal year 2023. Revenue surged 22% from the prior year, signaling strong growth momentum. The organization ran a surplus of $12.6M, a strong 23% operating margin.

Mission

TO MAKE MEASURABLE IMPROVEMENTS IN THE QUALITY AND DELIVERY OF HEALTH CARE.

Program Service Accomplishments

Program 1

Expenses: $19,760,858

TMF WORKS TO PROTECT MEDICARE PATIENT RIGHTS AND IMPROVE THE QUALITY OF HEALTH CARE THROUGH REGIONAL QUALITY IMPROVEMENT PROJECTS UNDER CONTRACT WITH THE CENTERS FOR MEDICARE & MEDICAID SERVICES...

TMF WORKS TO PROTECT MEDICARE PATIENT RIGHTS AND IMPROVE THE QUALITY OF HEALTH CARE THROUGH REGIONAL QUALITY IMPROVEMENT PROJECTS UNDER CONTRACT WITH THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS).

Program 2

Expenses: $2,070,148 Revenue: $2,998,964

AS A SUBCONTRACTOR TMF SUPPORTS THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION BY PERFORMING MEDICAID SURVEILLANCE AND UTILIZATION REVIEWS. TMF PERFORMS MEDICAL RECORD REVIEW OF TEXAS MEDICAID...

AS A SUBCONTRACTOR TMF SUPPORTS THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION BY PERFORMING MEDICAID SURVEILLANCE AND UTILIZATION REVIEWS. TMF PERFORMS MEDICAL RECORD REVIEW OF TEXAS MEDICAID PROVIDERS TO DETERMINE MEDICAL NECESSITY AND COMPLIANCE WITH MEDICAID POLICIES. TMF WORKS CLOSELY WITH THE OFFICE OF INSPECTOR GENERAL (HHSC-OIG) TO PERFORM RETROSPECTIVE MEDICAL RECORD REVIEW FOR BOTH FEE-FOR-SERVICE AND MEDICAID MANAGED CARE TO ASSESS MEDICAL NECESSITY AND QUALITY, AND TO IDENTIFY COMPLIANCE WITH MEDICAID MEDICAL/DENTAL AND PROGRAM POLICIES AND CORRECT CODING.

Program 3

Expenses: $1,401,758 Revenue: $1,197,650

THE STATE OF TEXAS GOVERNMENT RELIES ON TMF'S EXPERIENCED PROFESSIONALS TO SHARE VALUABLE TRAINING AND INFORMATION WITH PROVIDERS. TMF HELPS PROMOTE QUALITY VACCINE MANAGEMENT AND IMMUNIZATION...

THE STATE OF TEXAS GOVERNMENT RELIES ON TMF'S EXPERIENCED PROFESSIONALS TO SHARE VALUABLE TRAINING AND INFORMATION WITH PROVIDERS. TMF HELPS PROMOTE QUALITY VACCINE MANAGEMENT AND IMMUNIZATION PRACTICES BY REINFORCING POSITIVE BEHAVIORS AND IDENTIFYING AREAS THAT NEED MORE IMMEDIATE ATTENTION. TMF WORKS WITH PROVIDERS TO ENSURE VACCINE STORAGE AND HANDLING ARE IN ACCORDANCE WITH PROGRAM REQUIREMENTS AND TO IMPROVE MANAGEMENT OF VACCINE INVENTORIES AND OVERSIGHT REQUIREMENTS.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $33,932,048

Program Service Revenue $19,349,166

Investment Income $1,693,850

Other Revenue $961,240

TOTAL REVENUE $55,936,304

Expense Breakdown

Grants Paid $105,749

Salaries & Benefits $28,952,614

Fundraising Expenses $0

Program Expenses $31,704,396

Other Expenses $14,284,857

TOTAL EXPENSES $43,343,220

Year-over-Year Comparison

	2023	2022	Change
Revenue	$55,936,304	$45,670,770	+0.2%
Expenses	$43,343,220	$35,736,089	+0.2%
Net Income	$12,593,084	$9,934,681	+0.3%

Key Indicators

✓ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

312

Volunteers

N/A

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$1,606,112

Total Directors

$161,975

Key Employees

$1,459,843

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
DAVID C MASON DO	CHAIR	2.06	Officer Director	$26,725	$0	$26,725
NANCY R ADAMS	TRUSTEE	0.37	Director	$10,000	$0	$10,000
RUTH ATKINS	TRUSTEE	0.44	Director	$11,000	$0	$11,000
WENDY CHUNG MD	TRUSTEE	0.27	Director	$5,000	$0	$5,000
LAURIE MACDONALD EAST	TRUSTEE	0.62	Director	$10,125	$0	$10,125
LISA L EHRLICH MD	TRUSTEE	0.69	Director	$12,250	$0	$12,250
MATHEW C GARBER	TRUSTEE (08/04/23-12/31/23)	0.27	Director	$5,000	$0	$5,000
JAMES HINE	TRUSTEE (01/01/23-05/06/23)	0.13	Director	$5,500	$0	$5,500
JANET LIETO DO	TRUSTEE	0.54	Director	$10,000	$0	$10,000
ELIZABETH LOPEZ	TRUSTEE	0.36	Director	$10,000	$0	$10,000
EDDIE PATTON MD	TRUSTEE	0.55	Director	$10,500	$0	$10,500
KERI PEARLSON PHD	TRUSTEE	0.36	Director	$5,000	$0	$5,000
GLEN ROBINSON	TRUSTEE (08/04/23-12/31/23)	0.27	Director	$5,000	$0	$5,000
JEFFREY J SCHMELTEKOPF	TRUSTEE	0.44	Director	$6,625	$0	$6,625
GAYLE SEMTNER	TRUSTEE (01/01/23-07/13/23)	0.39	Director	$7,375	$0	$7,375
LINDA VILLARREAL MD	TRUSTEE	0.44	Director	$11,375	$0	$11,375
BETTY ANN WHARTON	TRUSTEE	0.51	Director	$10,500	$0	$10,500
THOMAS J MANLEY	PRESIDENT & CEO	17.60	Officer	$965,256	$59,873	$1,025,129
PAMELA L HOERNIS	CFO	17.50	Officer	$506,847	$47,411	$554,258
RUSSEL WADE KOHL MD	CMO & COO	37.20	Key Emp	$408,892	$34,627	$443,519
WENDY MEDCALF	SENIOR DIRECTOR	41.40	Key Emp	$189,886	$30,578	$220,464
PREETHA PRITHIVATHI	SENIOR DIRECTOR	40.30	Key Emp	$162,353	$13,038	$175,391
TARA FREASE RICHARDSON	BUSINESS DEVELOPMENT OFFICER	47.60	Key Emp	$266,521	$39,117	$305,638
JOSEPH VASQUEZ	CIO	14.60	Key Emp	$253,717	$61,114	$314,831
TYRONE CLIFT	DIRECTOR, CONTRACTS & COMPLIANCE	16.60	Highest	$225,934	$32,644	$258,578
GLORI EUWER	CHIEF INFORMATION SECURITY OFFICER	17.40	Highest	$213,992	$29,160	$243,152
CLIFFORD KEITH MOY MD	MEDICAL DIRECTOR, BEHAVIORAL HEALTH	40.10	Highest	$307,953	$44,865	$352,818
STEPHEN DRAKE THOMAS	CHIEF HUMAN RESOURCES OFFICER	18.10	Highest	$283,900	$55,905	$339,805
BRADLEY H TREYBIG	DIRECTOR, APPLICATION DEVELOPMENT	15.00	Highest	$212,569	$47,122	$259,691

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	No data	No data	No data	No data
2023	$55,936,304	$43,343,220	$80,776,421	$12,593,084
2022	$45,670,770	$35,736,089	$64,723,343	$9,934,681
2021	$33,400,546	$33,398,195	$58,268,096	$2,351
2020	$35,341,718	$33,589,341	$56,271,983	$1,752,377
2019	$39,134,917	$39,937,991	$53,280,949	$-803,074
2018	$50,152,359	$48,466,285	$52,663,835	$1,686,074