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C2C Innovative Solutions

Austin, TX · EIN 47-3641754 · 501(c)(3) · Publicly supported organization (170(b)(1)(A)(vi))
Latest filing: Form 990 for calendar year 2024 (tax year 2024) · View the filing · Correct or respond

C2C Innovative Solutions reported $143.4 million in revenue and $78.4 million in expenses for calendar year 2024. Of every $100 it spent, $81.46 went to program services, $18.54 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 73.7% of the total. Government grants made up 23.7%. The highest compensation it reported for one person was $1,088,022 (CHAIRMAN). 49 people received more than $100,000 in reportable compensation. Revenue rose 247% between 2019 and 2024. Source: Form 990, 2024.

Where $100 of spending went

Calendar year 2024 · Form 990, Part IX, line 25 · total expenses $78M

For context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).

Where $100 of revenue came from

Calendar year 2024 · Form 990, Part VIII · total revenue $143M

The 990 scorecard · same measures for every charity, no grades

2024 filing. Median across 5,634 covered charities in this category, from their latest filings.
Measure2024Median
Program services
Part IX 25(B) ÷ 25(A)
81.5%85.6%
Management & general
Part IX 25(C) ÷ 25(A)
18.5%13.7%
Fundraising
Part IX 25(D) ÷ 25(A)
0.0%0.0%
Fundraising cost per $1 of contributions
Part IX 25(D) ÷ Part VIII 1h
$0.00$0.00
Contributions & grants share of revenue
Part VIII 1h ÷ 12
23.7%1.3%
Government grants share of revenue
Part VIII 1e ÷ 12
23.7%0.1%
Program service revenue share
Part VIII 2g ÷ 12
73.7%93.7%
Highest reported compensation
Part VII-A, columns D–F
$1,088,022$975,831
Highest compensation as share of expenses
Part VII-A ÷ Part IX 25(A)
1.39%1.34%
People paid over $100,000
Part VII, line 2
4927
Net assets, in months of expenses
Part X 33(B) ÷ monthly expenses
15.66.6
Independent voting board members
Part VI 1a–1b
3 of 588.9%

A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.

What the money paid for, in its own words

2024 · Form 990, Part III · the three largest programs by expense
$33M expenses · 51.3% of program spending · revenue $105M

C2c 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 providers and health plans

$24M expenses · 37.4% of program spending

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

$425K expenses · 0.7% of program spending · revenue $652K

C2c is a subcontractor to the prime contractor for the centers for medicare & medicaid services, provider enrollment appeals & rebuttals program

$6.8M all other programs (line 4d)

Highest reported compensation

2024 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here
RoleFrom this orgFrom related orgsOtherTotal
CHAIRMAN
Director/trustee, officer, 34.60 hrs/week
$0$1,025,494$62,528$1,088,022
PRESIDENT
Director/trustee, officer, 43.50 hrs/week
$786,224$0$61,851$848,075
TREASURER
Officer, 35.00 hrs/week
$0$718,226$49,517$767,743
CHIEF MEDICAL OFFICER
Highest compensated employee, 48.70 hrs/week
$510,278$0$61,551$571,829
MEDICAL DIRECTOR II
Highest compensated employee, 46.40 hrs/week
$380,503$0$63,266$443,769
MEDICAL DIRECTOR I
Highest compensated employee, 40.00 hrs/week
$303,884$0$61,841$365,725
PHYSICIAN REVIEWER II
Highest compensated employee, 40.00 hrs/week
$265,597$0$39,246$304,843
PROGRAM DIRECTOR II
Key employee, 45.20 hrs/week
$236,816$0$59,934$296,750

49 people received more than $100,000 in reportable compensation from C2C Innovative Solutions (Part VII, line 2). Compensation of current officers, directors and key employees totaled $2.7M (Part IX, line 5).

6 years of filings

Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked
RevenueExpenses
$0$50M$100M$150M$200M201920202021202220232024$143M$78M
FilingRevenueExpensesProgramsNet assetsTop pay
2024 ⓘ$143M$78M81.5%$102M$1,088,022
2023 ⓘ$47M$49M84.7%$36M$1,025,129
2022 ⓘ$43M$45M85.1%$36M$1,201,149
2021 ⓘ$39M$34M68.7%$38M$900,632
2020 ⓘ$36M$32M66.2%$34M$905,780
2019 ⓘ$41M$36M72.1%$30M$944,053

Governance answers, as filed

2024 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means
  • Voting board members, and how many are independent Part VI, lines 1a–1b5 · 3 independent
  • Audited financial statements Part XII 2bYes
  • Conflict-of-interest policy Part VI 12aYes
  • Whistleblower policy Part VI 13Yes
  • Document retention policy Part VI 14Yes
  • Independent process for top executive pay Part VI 15aYes
  • Board given the 990 before filing Part VI 11aNo
  • Family or business ties among insiders Part VI 2No
  • Aware of a significant diversion of assets Part VI 5No
  • Excess benefit transaction with an insider Part IV 25aNo
  • Loans to or from insiders outstanding Part IV 26No
  • Lobbying, or a 501(h) election in effect Part IV 4No
  • Over $15,000 of professional fundraising services Part IV 18No
  • Over $10,000 of activity outside the U.S. Part IV 14bNo
  • Employees Part I, line 5587

Largest outside contractors

2024 · Form 990, Part VII, Section B · businesses only
TMF HEALTH QUALITY INSTITUTE
Management services
$15,497,603
J29 INC
Subcontractor-processing of appeals
$14,633,269
FEDERAL HEARINGS & APPEALS SERVICES INC
Subcontractor- processing of appeals
$1,307,351
HM HEALTH SOLUTIONS INC
Printing and mailing services
$409,433
AMKIN WEST BAY LLC
Rent
$370,607

Individuals listed as contractors are left out. 5 contractors were paid more than $100,000 in all.

Correct a figure or respond

Every number above is copied from C2C Innovative Solutions's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for C2C Innovative Solutions, you can publish a response that is linked from this page.

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Questions people ask

How much of C2C Innovative Solutions's spending goes to programs?

In calendar year 2024, C2C Innovative Solutions reported that 81.5% of its $78.4 million in expenses went to program services, 18.5% to management and general and 0.0% to fundraising (Form 990, Part IX).

How much does C2C Innovative Solutions pay its top executive?

The largest total compensation C2C Innovative Solutions reported for one person in calendar year 2024 was $1,088,022, for the role of CHAIRMAN (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does C2C Innovative Solutions get its money?

Of $143.4 million in revenue in calendar year 2024, 23.7% came from contributions and grants (including 23.7% from government grants) and 73.7% from program service revenue (Form 990, Part VIII).

Is C2C Innovative Solutions a registered charity?

The IRS lists EIN 47-3641754 as a 501(c)(3) organization (publicly supported organization (170(b)(1)(a)(vi))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.

Sources

  • 2024: Form 990 for calendar year 2024, object 202503159349301800 · read the filing · XML
  • 2023: Form 990 for calendar year 2023, object 202413189349307981 · read the filing
  • 2022: Form 990 for calendar year 2022, object 202323059349300902 · read the filing
  • 2021: Form 990 for calendar year 2021, object 202213189349301861 · read the filing
  • 2020: Form 990 for calendar year 2020, object 202123199349312047 · read the filing
  • 2019: Form 990 for calendar year 2019, object 202013179349302891 · read the filing

All filings for EIN 47-3641754: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.