2022-08-02T13:53:32-05:00 2021-12-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2021-01-01 911939741 TRAUMA TRUST TRAU 2534037537 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 PAUL INOUYE MD MEDICAL DIRECTOR 2534037537 2022-08-01 1 PAUL INOUYE MD 999009999 SARA ELIZABETH H JONES P00235495 4254544919 2022-08-01 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z PAUL INOUYE MD 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 4820277 0 X WWW.TACOMATRAUMA.ORG X 1998 WA TO PROVIDE EXPERT CARE IN TRAUMA, EMERGENCY GENERAL SURGERY AND SURGICAL CRITICAL CARE. 10 10 61 13 0 0 232812 1477527 3380071 3231693 4346 2429 52524 108628 3669753 4820277 0 0 0 0 11842691 12269918 0 0 0 2458954 3040861 14301645 15310779 -10631892 -10490502 4648097 4818338 2953801 2653262 1694296 2165076 X TRAUMA TRUST'S MISSION IS TO PROVIDE EXPERT COMPREHENSIVE CARE IN TRAUMA, EMERGENCY GENERAL SURGERY AND SURGICAL CRITICAL CARE IN THE SOUTH PUGET SOUND AND THE WEST REGION. 0 0 14679879 3255073 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 43,963 TRAUMA PATIENTS SINCE ITS INCEPTION IN 2000 WHICH INCLUDES 4,290 TRAUMA PATIENTS BEING SEEN IN 2021. (AN INCREASE FROM 2020, 3,367 WERE SEEN.)THE TRAUMA TRUST IS COMPRISED OF TRAUMA SURGEONS THAT ARE 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) AND NAVY PERSONNEL. WE HAVE APPROXIMATELY 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 TYPICALLY HOSTS THE TACOMA TRAUMA CONFERENCE AT THE GREATER TACOMA CONVENTION & TRADE CENTER, THOUGH IN 2021 IT WAS HELD AS A VIRTUAL EVENT DUE TO THE CONTINUED GLOBAL COVID-19 PANDEMIC. EACH YEAR WE PARTNER WITH DIFFERENT ORGANIZATIONS TO ENRICH OUR CONFERENCE OFFERINGS. IN 2021 WE PARTNERED WITH MULTIPLE ORGANIZATIONS TO INCLUDE MAMC'S ANDERSON SIMULATION CENTER WHO UTILIZED PERSONNEL TO PUT ON A 7-SERIES RAPID ULTRASOUND FOR SHOCK (RUSH) AT CONFERENCE PARTICIPANTS WERE ABLE TO FOLLOW VIRTUALLY. THIS TRAINING WAS ALSO PLACED ON OUR TRAUMA TRUST WEB PAGE FOR OUR PHYSICIANS AND ADVANCED PRACTICE PROVIDERS TO CONTINUE WITH FURTHER TRAINING. WE ALSO PARTNERED WITH UW MEDICINE AND AIRLIFT NORTHWEST FOR CONFERENCE SESSIONS. THE CONFERENCE HAD TWENTY 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 2021, TRAUMA TRUST PROVIDED 10 SCHOLARSHIPS TO NURSING AND PARAMEDICINE STUDENTS WISHING TO ATTEND THE CONFERENCE. THE CONFERENCE WAS ATTENDED BY 380 PAID PARTICIPANTS. 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 2021 WE WERE LIMITED IN TRAINING EMS PROVIDERS AND HEALTH STUDENTS ON BLEEDING CONTROL. WE HELD A STOP THE BLEED TRAINING AT PACIFIC LUTHERAN UNIVERSITY, TACOMA GENERAL HOSPITAL, AND WEYERHAUSER LUMBER. TRAUMA TRUST PARTNERED WITH PIERCE COUNTY FALL COALITION TO PROVIDE DEVELOPMENT OF A FALL PREVENTION BROCHURE. THE BROCHURES INCLUDE A QUESTIONNAIRE FOR RISK OF FALLING, HOW TO REDUCE RISK OF FALLING, A HOME SAFETY CHECKLIST, AND COMMUNITY RESOURCES. THE BROCHURES ARE NOW LOCATED IN OUR TRAUMA CLINICS AND EMERGENCY DEPARTMENTS AT TACOMA GENERAL AND ST. JOSEPHS HOSPITAL. TRAUMA TRUST ALSO PARTICIPATES IN THE WASHINGTON DEPARTMENT OF HEALTH INJURY & VIOLENCE PREVENTION TECHNICAL ADVISORY COMMITTEE ON FALL PREVENTION, PIERCE COUNTY FALLS COALITION, AND TRAUMA CENTER ASSOCIATION OF AMERICA INJURY PREVENTION. IN 2021 GRAND ROUNDS WERE PRESENTED VIRTUALLY ON THE TOPICS OF RIB FRACTURES IN THE ELDERLY AND SHOCK FOR TRAUMA PATIENTS. THIS EDUCATION WAS WELL ATTENDED BY OUR HOSPITAL STAFF.TWO ADVANCED TRAUMA LIFE SUPPORT COURSES WERE HELD BY TRAUMA TRUST FOR PHYSICIANS AND ADVANCED PRACTICE PROVIDERS INVOLVED IN THE CARE OF TRAUMA PATIENTS.INJURY PREVENTIONINJURY PREVENTION IS A CORE COMPONENT OF EVERY TRAUMA PROGRAM. TRUST'S COMMUNITY OUTREACH AND EDUCATION IN 2021 WAS AGAIN LIMITED DUE TO THE PANDEMIC. IN 2021, TRAUMA TRUST WAS AGAIN AWARDED FUNDING BY THE WASHINGTON DEPARTMENT OF HEALTH TO PROVIDE RURAL TRAUMA TEAM DEVELOPMENT COURSES. ONE COURSE WAS SCHEDULED AT TRI-STATE MEMORIAL HOSPITAL. THE COURSE IS PROVIDED FOR PREHOSPITAL, HOSPITAL EMERGENCY DEPARTMENT, AND ICU STAFF. THE COURSE WAS WELL ATTENDED BY THE COMMUNITY AND NEIGHBORING HOSPITALS AND EMS SERVICES.TRAUMA TRUST UPDATED OUR WEBSITE WHICH IS AVAILABLE 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.THE RAVEN NEWSLETTER IS PUBLISHED BY TRAUMA TRUST. THE RAVEN SHARES INFORMATION ON INJURY PREVENTION PROGRAMS AND RESOURCES, TRAUMA EDUCATION AND TRAINING OPPORTUNITIES, AND COMMUNITY PREVENTION PROGRAMS. TWO ISSUES WERE PUBLISHED IN 2021 AND SHARED WITH OUR TRAUMA CENTER, RURAL HOSPITALS, PREHOSPITAL AND COMMUNITY PARTNERS.WE PROVIDED FALL PREVENTION TRAINING THROUGH OUR ALLIANCE WITH PIERCE COUNTY FALL PREVENTION. WE PARTICIPATED IN VIDEO FALL PREVENTION TRAINING AND HOW TO PREPARE YOUR HOME TO PREVENT FALLS. OUR TRAUMA MEDICAL DIRECTOR WAS INTERVIEWED ON FALL PREVENTION TECHNIQUES AND INJURIES SUSTAINED IN FALLS FOR THE PRODUCTION OF AGING WISELY, WHICH WAS PRODUCED AND AIRED ON PUBLIC TELEVISION.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. OUR TRAUMA TRUST STAFF ALSO PARTICIPATED IN ADMINISTERING COVID VACCINES FOR OUR COMMUNITY. 14679879 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 61 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 0 0 0 X KAREN ABBOTT 2534034570 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 PAUL MATTHEWS MD BOARD CHAIR 1.00 X X 0 0 0 AARON LARID MD BOARD VICE CHAIR 1.00 X X 0 0 0 DIANE CECCHETTINI BOARD SECRETARY/TREASURER 1.00 X X 0 0 0 LAUREEN DRISCOLL BOARD MEMBER 1.00 X 0 0 0 JENNIFER SCHOMBURG BOARD MEMBER 1.00 X 0 0 0 ALEX MOHIT MD BOARD MEMBER 1.00 X 0 0 0 BRUCE DAMMEIER BOARD MEMBER 1.00 X 0 0 0 STEVE HARLOW BOARD MEMBER 1.00 X 0 0 0 BENJAMIN CONSTANCE MD BOARD MEMBER 1.00 X 0 0 0 JACQUES COLON BOARD MEMBER 1.00 X 0 0 0 COL JONATHAN C TAYLOR BOARD MEMBER 1.00 X 0 0 0 DAVID SCHULTZ BOARD MEMBER 1.00 X 0 0 0 CAESAR URSIC MD MEDICAL DIRECTOR 40.00 X 556112 0 61813 VERONICA BUSTILLO-ARUCA MD PHYSICIAN 40.00 X 477274 0 49266 JENNIFER HUBBARD MD PHYSICIAN 40.00 X 507740 0 63326 JOHN LAM MD PHYSICIAN 40.00 X 472764 0 47243 PAULESH SHAH MD PHYSICIAN 40.00 X 474822 0 63659 CABRINI SUTHERLAND MD PHYSICIAN 40.00 X 475513 0 61355 2964225 0 346662 35 0 1 0 PROLIANCE SURGEONS INC PS 7308 BRIDGEPORT WAY W SUITE 201 LAKEWOOD WA 98499 CONTRACTED ORTHOPEDIC SURGEONS 196400 1 1464027 13500 1477527 PATIENT SERVICE 621400 3017463 3017463 CALL BURDEN 621400 194700 194700 CONFERENCE FEES 621400 19530 19530 3231693 2429 2429 REIMBURSEMENTS 900099 74248 74248 TRAINING FEES 900099 19425 19425 PEER REVIEW STIPEND 900099 11000 11000 3955 3955 108628 4820277 3235648 0 107102 X 617925 617925 9616474 9450703 165771 725985 711738 14247 771023 747353 23670 538511 529736 8775 2092 2092 38642 38642 1732449 1457937 274512 36038 5233 30805 20280 20280 913548 899913 13635 B & O TAXES 227590 227590 RECRUITING & RETENTION 48795 48795 DUES, LICENSES, MEMBERS 5968 5968 15459 11471 3988 15310779 14679879 630900 0 2834328 1423419 210804 210851 1354809 2914856 248156 269212 4648097 4818338 747199 920378 1265617 0 940985 1732884 2953801 2653262 X 1694296 2165076 1694296 2165076 4648097 4818338 X -10490502 10961282 X 0 1 X 1 0 X 167279 160199 187255 232812 1477527 2225072 4120404 4746687 4055103 3383124 3235648 19540966 4287683 4906886 4242358 3615936 4713175 21766038 0 0 0 21766038 42 107 1423 4346 2429 8347 42 107 1423 4346 2429 8347 57655 40175 68145 49471 104673 320119 4345380 4947168 4311926 3669753 4820277 22094504 0.98510 0.98200 0.00040 0.00030 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2020 AMOUNT: $ 8,522. TRAINING FEES - 2017 AMOUNT: $ 12,050. 2018 AMOUNT: $ 28,175. 2019 AMOUNT: $ 46,586. 2020 AMOUNT: $ 27,949. 2021 AMOUNT: $ 19,425. REBATES AND REFUNDS - 2017 AMOUNT: $ 33,605. 2019 AMOUNT: $ 9,559. 2021 AMOUNT: $ 74,248. PEER STIPEND REVIEW - 2017 AMOUNT: $ 12,000. 2018 AMOUNT: $ 12,000. 2019 AMOUNT: $ 12,000. 2020 AMOUNT: $ 13,000. 2021 AMOUNT: $ 11,000. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 SETTLEMENTS RESERVE 975000 RETIREMENT PLAN CONTRIBUTION PAYABLE 757884 1732884 5149286 329009 329009 4820277 0 4820277 15639788 329009 329009 15310779 0 15310779 X X 0 0 0 0 0 0 0 0 0 CAESAR URSIC MD MEDICAL DIRECTOR 522000 0 34112 0 0 0 31900 0 29913 0 617925 0 0 0 JENNIFER HUBBARD MD PHYSICIAN 467000 0 40740 0 0 0 31900 0 31426 0 571066 0 0 0 PAULESH SHAH MD PHYSICIAN 420000 0 54822 0 0 0 31900 0 31759 0 538481 0 0 0 CABRINI SUTHERLAND MD PHYSICIAN 417000 0 58513 0 0 0 31900 0 29455 0 536868 0 0 0 VERONICA BUSTILLO-ARUCA MD PHYSICIAN 417000 0 60274 0 0 0 31900 0 17366 0 526540 0 0 0 JOHN LAM MD PHYSICIAN 417000 0 55764 0 0 0 31900 0 15343 0 520007 0 0 0 FORM 990, PART I, LINE 6: THE NUMBER OF VOLUNTEERS WAS DETERMINED BY THE NUMBER OF NON-PAID BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 6 THERE ARE FOUR CORPORATE MEMBERS: CATHOLIC HEALTH INITIATIVES, MULTICARE HEALTH SYSTEM, MADIGAN ARMY MEDICAL CENTER, AND PIERCE COUNTY MEDICAL SOCIETY. FORM 990, PART VI, SECTION A, LINE 7A 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. FORM 990, PART VI, SECTION A, LINE 7B 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 CORPORATION OR ADOPT A PLAN FOR DISTRIBUTION OF THE ASSETS OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE 990 WAS DISBURSED TO EVERYONE ON THE BOARD OF DIRECTORS AND THEY ALL HAD THE OPPORTUNITY TO REVIEW, ASK QUESTIONS, AND PROVIDE INPUT BEFORE IT WAS SUBMITTED. FORM 990, PART VI, SECTION B, LINE 12C 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. FORM 990, PART VI, SECTION B, LINE 15 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 SPRING 2022. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINES 13 & 14: TRAUMA TRUST RELIES ON THE WHISTLEBLOWER POLICY AND THE DOCUMENT RETENTION AND DESTRUCTION POLICY OF MULTICARE HEALTH SYSTEM. FORM 990, PART IX, LINE 11G CALL BURDEN PAYMENTS TO CONTRACTED SURGEONS: PROGRAM SERVICE EXPENSES 194,700. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 194,700. LOCUM: PROGRAM SERVICE EXPENSES 948,473. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 948,473. EMPLOYEE BENEFIT MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 18,309. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,309. PROFESSIONAL FEES - OTHER: PROGRAM SERVICE EXPENSES 314,764. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 314,764. MHS BILLING FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 256,203. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 256,203. FORM 990, PART XI, LINE 9: MEMBER CAPITAL CONTRIBUTIONS 10,961,282.