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      <Desc>TRAUMA TRUST CONTINUES TO PROVIDE ADULT TRAUMA CARE TO THE TACOMA/SOUTH SOUND AREA WHICH SERVES AS A VALUABLE RESOURCE FOR THE WEST REGIONS AND OTHER SURROUNDING TRAUMA CENTERS CARING FOR PATIENTS WITH COMPLEX ORTHOPEDIC, CHEST, ABDOMINAL, FACIAL, HEAD AND SPINE INJURIES. TRAUMA TRUST HAS SERVED 49,535 TRAUMA PATIENTS SINCE ITS INCEPTION IN 2000 WHICH INCLUDES 2,869 TRAUMA PATIENTS SEEN IN 2023. TRAUMA TRUST IS COMPRISED OF TRAUMA SURGEONS SUPPORTED BY PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS. DUE TO A NECESSITY FOR 24/7 COVERAGE FOR EMERGENCY SURGERY IN 2009 THE GROUP EXPANDED ITS SERVICE TO INCLUDE ACUTE CARE SURGICAL SERVICES (ACSS). THIS EXPANSION HAS IMPROVED THROUGHPUT, STANDARDIZED CARE AND ALLOWS FOR A TEAM APPROACH. THE ACSS HAS SEEN A RAPID INCREASE IN PATIENT VOLUME WHICH HAS DOUBLED THE NUMBER OF PATIENTS SEEN BY TRAUMA TRUST PROVIDERS. TRAUMA TRUST PROVIDES EDUCATIONAL OPPORTUNITIES FOR RESIDENT AND PHYSICIAN ASSISTANT STUDENTS INCLUDING MADIGAN ARMY MEDICAL CENTER (MAMC). WE HAVE 15-20 ROTATIONS PER YEAR THROUGH OUR SERVICE THAT ALLOWS FOR MONITORED HANDS-ON CARE OF TRAUMA AND SURGICAL PATIENTS. TRAUMA TRUST SUPPORTS THE WESTERN WASHINGTON TRAUMA COMMUNITY BY SERVING AS A RESOURCE AND PROVIDING EDUCATION TO SURROUNDING TRAUMA CENTERS AND EMERGENCY MEDICAL SERVICES (EMS) TRAUMA TRUST ATTENDS AND HOSTS EVENTS AND PROVIDES EDUCATION AND FEEDBACK ON THE STANDARDS OF THE CRITICALLY INJURED PATIENT. TRAUMA TRUST ALSO HAS REPRESENTATION ON THE WASHINGTON STATE TRAUMA AND EMERGENCY SERVICES COMMITTEE, THE PIERCE COUNTY FALLS COALITION, AND THE NORTHWEST HEALTHCARE RESPONSE NETWORK. EDUCATIONONE OF OUR LARGER EDUCATION PROJECTS IS IN NOVEMBER EACH YEAR. TRAUMA TRUST HOSTS THE TACOMA TRAUMA CONFERENCE. WE WERE IN-PERSON IN 2023 AFTER A LONG HIATUS OF VIRTUAL CONFERENCES. THE CONFERENCE WAS HELD AT THE GREATER TACOMA CONVENTION &amp; TRADE CENTER. WE PARTNER WITH DIFFERENT ORGANIZATIONS TO ENRICH OUR CONFERENCE OFFERINGS. IN 2023 WE PARTNERED WITH MULTIPLE ORGANIZATIONS TO INCLUDE MAMC'S ANDERSON SIMULATION CENTER WHO UTILIZED PERSONNEL TO PUT ON A MASSIVE HEMORRHAGE CONTROL SKILLS SESSION. WE ALSO PARTNERED WITH UW MEDICINE AND AIRLIFT NORTHWEST FOR CONFERENCE SESSIONS. THE CONFERENCE HAD TWENTY-TWO NATIONAL AND LOCAL SPEAKERS. THE CONFERENCE COVERS TOPICS IN BOTH ADULT AND PEDIATRIC TRAUMA, PREHOSPITAL MEDICINE, AND DISASTER PREPAREDNESS. THE CONFERENCE IS TAILORED TO NURSES AND PARAMEDICS AS WELL AS MID-LEVEL PROVIDERS AND PHYSICIANS. IN 2023 THE CONFERENCE WAS ATTENDED BY 250 PAID PARTICIPANTS FROM SIX STATES. THE STRENGTH OF THE TRAUMA TEAM COULD NOT BE POSSIBLE WITHOUT THE EXCELLENT CARE PROVIDED BY THE PREHOSPITAL (EMS) PROVIDERS AND NURSES. TRAUMA TRUST PROVIDES EDUCATION TO EMS, ED, AND ICU TO IMPROVE THE CARE PROVIDED. IN 2023 WE HELD MULTIPLE STOP THE BLEED TRAININGS AT MULTIPLE LOCATIONS IN THE COMMUNITY AND TACOMA GENERAL HOSPITAL. OUR STOP THE BLEED TRAINING EQUIPMENT WAS BORROWED BY MULTIPLE COMMUNITY PARTNERS FOR TRAINING STOP THE BLEED CLASSES AT SCHOOLS IN PIERCE COUNTY, HOSPITALS, AND COMMUNITY ORGANIZATIONS. TRAUMA TRUST PARTNERED WITH PIERCE COUNTY FALL COALITION TO OFFER MULTIPLE FALL INJURY PREVENTION PRESENTATIONS AT LOCAL ORGANIZATIONS, SENIOR CENTERS, AND COMMUNITY FAIRS. TRAUMA TRUST CONTINUES TO PARTICIPATE IN THE WASHINGTON DEPARTMENT OF HEALTH INJURY &amp; VIOLENCE PREVENTION TECHNICAL ADVISORY COMMITTEE ON FALL PREVENTION, PIERCE COUNTY FALLS COALITION, AND TRAUMA CENTER ASSOCIATION OF AMERICA INJURY PREVENTION. IN 2023 MULTIPLE VIRTUAL PRESENTATIONS ON TRAUMA TOPICS WERE PRESENTED FOR PROVIDERS, PREHOSPITAL AND NURSING STAFF. THIS EDUCATION WAS WELL ATTENDED WITH POSITIVE FEEDBACK FROM ATTENDEES. THREE ADVANCED TRAUMA LIFE SUPPORT COURSES WERE HELD BY TRAUMA TRUST FOR PHYSICIANS AND ADVANCED PRACTICE PROVIDERS INVOLVED IN THE CARE OF TRAUMA PATIENTS IN 2023. INJURY PREVENTIONINJURY PREVENTION IS A CORE COMPONENT OF EVERY TRAUMA PROGRAM. TRAUMA TRUST'S COMMUNITY OUTREACH AND EDUCATION PROGRAM IN 2023 WAS ROBUST. TRAUMA TRUST'S WEBSITE CONTINUES TO BE RESOURCE TO THE COMMUNITY. WE PROVIDE CURRENT OUTREACH PROGRAMS TO INCLUDE FALL PREVENTION, DISTRACTED DRIVING, AND BLEEDING CONTROL. WE OFFER FREE TRAUMA EDUCATION IN THE FORM OF TRAUMA LEARNING MODULES FOR NURSING STAFF. WE PROVIDE LINKS ON OUR WEBSITE TO OTHER FREE EDUCATIONAL TRAINING TO PROVIDE QUALITY EVIDENCED-BASED TRAUMA EDUCATION. USERS CAN FIND OUR AVAILABLE COURSES ON THE WEBSITE. TRAUMA TRUST PUBLISHED THE RAVEN NEWSLETTER QUARTERLY. THE RAVEN SHARES INFORMATION ON INJURY PREVENTION PROGRAMS AND RESOURCES, TRAUMA EDUCATION AND TRAINING OPPORTUNITIES, AND COMMUNITY PROGRAMS. FOUR ISSUES WERE PUBLISHED IN 2023 AND SHARED WITH OUR TRAUMA CENTER, RURAL HOSPITALS, PREHOSPITAL AND COMMUNITY PARTNERS. WE PROVIDED FALL PREVENTION EDUCATION THROUGH OUR ALLIANCE WITH PIERCE COUNTY FALL PREVENTION. TRAUMA TRUST PROVIDED OUTREACH AND EDUCATION BY ATTENDING MULTIPLE HEALTH FAIRS FOR SENIORS IN 2023. TRAUMA TRUST IS CONTINUING THEIR INVOLVEMENT WITH THE WA FIREARM TRAGEDY PREVENTION NETWORK TO WORK TOGETHER TO PREVENT FIREARM TRAGEDIES. TRAUMA TRUST HAS INSTRUCTORS FOR IN THEIR SHOES: TEENS AND DATING VIOLENCE, WITH THE WASHINGTON STATE COALITION AGAINST DOMESTIC VIOLENCE. THIS TRAINING INCREASES AWARENESS OF TEEN DATING VIOLENCE THROUGHOUT WASHINGTON. TRAUMA TRUST ALSO TEACHES "IMPACT TEEN DRIVERS" A PROGRAM FOR MIDDLE AND HIGH SCHOOL STUDENTS ON DISTRACTED DRIVING.</Desc>
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        <ManagementAndGeneralAmt>21405</ManagementAndGeneralAmt>
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        <PersonNm>PAUL INOUYE MD</PersonNm>
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        <TotalCompensationFilingOrgAmt>715387</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VIMUKTA MAHADEV MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MEGAN CECCHINI MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMISON NIELSEN DO</PersonNm>
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        <BaseCompensationFilingOrgAmt>534000</BaseCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VERONICA BUSTILLO-ARUCA MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>509000</BaseCompensationFilingOrgAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NUMBER OF VOLUNTEERS WAS DETERMINED BY THE NUMBER OF NON-PAID BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE FOUR CORPORATE MEMBERS: CATHOLIC HEALTH INITIATIVES, MULTICARE HEALTH SYSTEM, MADIGAN ARMY MEDICAL CENTER, AND PIERCE COUNTY MEDICAL SOCIETY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS ONE CLASS OF MEMBER. MEMBERS HAVE THE POWER TO ELECT, APPOINT OR REMOVE ANY MEMBER OF ANY BOARD COMMITTEE OR ANY DIRECTOR OR OFFICER OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>CORPORATE MEMBERS HAVE THE POWER TO AMEND, ALTER OR REPEAL THE BYLAWS AND ARTICLES OF INCORPORATION. MEMBERS ALSO HAVE THE POWER TO AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE COPORATION OR ADOPT A PLAN FOR DISTRIBUTION OF THE ASSETS OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 WAS DISTRIBUTED TO EVERYONE ON THE BOARD OF DIRECTORS AND THEY ALL HAD THE OPPORTUNITY TO REVIEW, ASK QUESTIONS, AND PROVIDE INPUT BEFORE IT WAS SUBMITTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL EMPLOYEES AND MEMBERS OF THE BOARD ARE RESPONSIBLE FOR READING AND UNDERSTANDING THE CONFLICT OF INTEREST POLICY. THE GOVERNING BODY EXAMINES ANY PENDING CONFLICTS OF INTEREST AT ANNUAL BOARD MEETINGS. WHEN A CONFLICT OF INTEREST ARISES, OR WHEN A POTENTIAL CONFLICT OF INTEREST EMERGES, BOARD MEMBERS ARE REQUIRED TO DISCLOSE THAT CONFLICT, OR POTENTIAL CONFLICT, TO THE DIRECTOR OF TRAUMA TRUST OR TO THE CHAIRMAN OF ITS BOARD OF DIRECTORS AND SEEK RESOLUTION OF THAT ISSUE. IN ALL MATTERS THAT COME BEFORE THE BOARD OF DIRECTORS FOR A VOTE THAT MAY FAVORABLY IMPACT THE FINANCIAL INTEREST OF A BOARD MEMBER, OR THE PRIVATE INTEREST OF OTHERS WITH WHOM THEY HAVE A FINANCIAL RELATIONSHIP, MEMBERS ARE REQUIRED TO REVEAL THAT RELATIONSHIP AND ABSTAIN FROM A VOTE IN THE MATTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>TOP MANAGEMENT OFFICIALS OF MULTICARE HEALTH SYSTEM AND FRANCISCAN HEALTH SYSTEM AUTHORIZE COMPENSATION FOR OFFICERS, DIRECTORS AND KEY EMPLOYEES. THE LAST COMPENSATION REVIEW OCCURRED IN FALL 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINES 13 &amp; 14:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRAUMA TRUST RELIES ON THE WHISTLEBLOWER POLICY AND THE DOCUMENT RETENTION AND DESTRUCTION POLICY OF MULTICARE HEALTH SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBER CAPITAL CONTRIBUTIONS 12,671,280.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>