TMA Specialty Services is a wholly-owned subsidiary of the Texas Medical Association, and following the traditional model of the parent organization, the company is governed by a board of managers comprised of five physicians and the TMA Executive Director/CEO: 

  • A. Tomas Garcia, MD, past President of the TMA

  • Russ Juno, III, MD, Vice Chair of TMA Specialty Services and board chair of TMA Insurance Trust

  • David Henkes, MD, past Board Chair of the TMA Board of Trustees

  • Rick Snyder, MD, current TMA Board of Trustees



Dave Spalding

Dave Spalding, the CEO of TMA Specialty Services, has led the founding and launch of 3 physician-oriented value-based care companies since 2013 including TMA PracticeEdge wherein he concurrently serves as the COO.  At the national level, Dave serves on the board of PEPC, an advocacy organization prioritizing physician-led value-based care models, and he advises Patient-Centered Episode System (“PACES”), a public private initiative dedicated to creating a single industry standard for defining clinical episodes of care using the current medical record and payment systems.   Prior to joining the TMA family of companies, he spent 15 years working at the Blues including Health Care Services Corporation and BCBS of Minnesota.  Dave was a subsidiary business and joint venture executive for high growth platforms including roles as the CEO of SelectAccount (a national HSA custodian) and the board chair of Availity, LLC, a healthcare IT company owned by several large Blues Plans and Humana.  Dave’s professional career began in 1990 with a decade in corporate finance and investment banking.

Connect with Dave.


Erica Maltby

Erica Maltby, the Vice President of Operations, was instrumental in the founding of TMA Specialty Services, as she spearheaded the initial development and successful launch of the company’s proprietary analytics and technology platform.  A former IT management consultant with Trexin and Optum product development leader, she has accountability for the operations of the company which includes the advancement of the platform to achieve scale and product development for the analytics suite.  Erica’s data warehousing experience dates back to her time as a management consultant with Trexin, where she led several data warehouse engagements as a Principal in the Data and Analytics capability. Prior to Trexin, she worked on the development of analytic products as part of the Innovation Research and Development team at Optum.

Connect with Erica.


Jon Waddell

Jon Waddell, a technologist and executive, serves as the CTO of TMA Specialty Services. With over 20 years of experience, Jon has worked with both startups and Fortune 500 companies, bringing strong leadership and technology vision to all types of organizations. His architecture expertise covers virtually all IT platforms and domains, including mainframe, client/server, internet and integration architectures, as well as newer areas such as mobile. He oversees TMA Specialty Services infrastructure, architecture, and security. In addition, Jon is the Co-Founder and CTO of Trexin Consulting.