TMF Health Quality Institute

Nonprofit profile at a glance

EIN
521002260
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Austin, TX, United States
Phone
1-800-725-9216
Rating
69
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Research Institutes and/or Public Policy Analysis

Official website

Reported finances

Revenue
$53,160,586
Expenses
$44,827,969
Assets
$92,763,163
Liabilities
$5,240,011

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

27 people listed

Executive titles in this filing

  • THOMAS J MANLEY (PRESIDENT & CEO)

Highest reported compensation

  • THOMAS J MANLEY (PRESIDENT & CEO): $1,088,022 total reported compensation
  • PAMELA L HOERNIS (CFO): $767,743 total reported compensation
  • RUSSEL WADE KOHL MD (CMO & COO): $533,353 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To make measurable improvements in the quality and delivery of health care. TMF Health Quality Institute promotes quality health care through contracts with federal, state and local governments, as well as private organizations. For more than 50 years, TMF has been a trusted health care consulting partner that offers solutions to accomplish program goals. We help government agencies and other organizations accomplish the goals of better health care, better health for people and communities, and affordable care. As health care quality improvement experts, we can assist physician practices, health systems and other health care providers in transforming care delivery and improving health outcomes. What We Do TMF develops and implements a broad array of health care qual.

What it reported doing in 2024

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.

Operating model

Revenue model
Mixed. Its operating money came from several sources; no one source provided a clear majority.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - The filed numbers largely add up and most voting board members are independent. A relatively small share of available resources goes toward mission work and the filing does not identify recipients for some grant dollars.

Rating breakdown

  • Financial Efficiency: 50
  • Transparency & Controls: 76
  • Accountability: 100
  • Sustainability: 68
  • Growth: 60

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 53.7%; rating input score 54
  • Program expense ratio: 61.4%; rating input score 61
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
  • Pay-setting controls: 5 of 6 controls in place; rating input score 83
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 12.6%; rating input score 13; 6th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 15.7%; rating input score 83; 83rd percentile among comparable filings
  • Total-asset coverage ratio: 2.07; rating input score 64; 64th percentile among comparable filings
  • Liabilities to assets ratio: 0.06; rating input score 88; 88th percentile among comparable filings
  • Officer compensation ratio: 11.6%; rating input score 2; 2nd percentile among comparable filings

Growth

  • Program expense growth: -6.1% per year; rating input score 0; 2nd percentile among comparable filings
  • Revenue growth: 5.4% per year; rating input score 100; 46th percentile among comparable filings
  • Asset growth: 10% per year; rating input score 100; 70th percentile among comparable filings

Details

  • What they do: 6 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 53.7% of revenue deployed · 61.4% of spending went to programs
  • Governance: 15 of 15 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $27.5M in reported program spending
  • Leadership: top reported pay $1.1M · 27 people listed · 5 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $5.8M reported
  • Consistency: 31 of 32 current checks pass · 1 finding to review
  • Schedules: 8 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 28 filed money-flow records
  • Related organizations: 2 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Financial Efficiency: Mission deployment rate scored 54/100.
  • High — Transparency & Controls: Grant itemization coverage scored 13/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Sustainability: Officer compensation ratio scored 2/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.