2021-08-31T15:26:39-05:00 2020-12-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2020-01-01 911939741 TRAUMA TRUST TRAU 2534037537 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 CAESAR URSIC MD MEDICAL DIRECTOR 2534037537 2021-08-18 1 CAESAR URSIC MD 999009999 SARA ELIZABETH J HYRE P00235495 4254544919 2021-08-18 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z CAESAR URSIC MD 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 3669753 0 X WWW.TACOMATRAUMA.ORG X 1998 WA TO PROVIDE EXPERT CARE IN TRAUMA, EMERGENCY GENERAL SURGERY AND SURGICAL CRITICAL CARE. 8 8 55 13 0 0 187255 232812 4052456 3380071 1423 4346 70792 52524 4311926 3669753 0 0 0 0 10984261 11842691 0 0 0 2695156 2458954 13679417 14301645 -9367491 -10631892 3237323 4648097 1733629 2953801 1503694 1694296 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 13705656 3383124 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 39,673 TRAUMA PATIENTS SINCE ITS INCEPTION IN 2000 WHICH INCLUDES 3,3367 TRAUMA PATIENTS BEING SEEN IN 2020. (AN INCREASE FROM 2019, WHERE 3,181 PATIENTS 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 2020 IT WAS HELD AS A VIRTUAL EVENT DUE TO THE GLOBAL COVID-19 PANDEMIC. EACH YEAR WE PARTNER WITH DIFFERENT ORGANIZATIONS TO ENRICH OUR CONFERENCE OFFERINGS. IN 2020 WE PARTNERED WITH MULTIPLE ORGANIZATIONS TO INCLUDE MAMC'S ANDERSON SIMULATION CENTER WHO UTILIZED PERSONNEL TO PUT ON A TRIAGE SCENARIO THAT CONFERENCE PARTICIPANTS WERE ABLE TO FOLLOW VIRTUALLY. WE ALSO PARTNERED WITH UW MEDICINE AND AIRLIFT NORTHWEST TO PROVIDE A DIFFICULT AIRWAY VIRTUAL TRAINING. 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 2020, TRAUMA TRUST PROVIDED 10 SCHOLARSHIPS TO NURSING AND PARAMEDICINE STUDENTS WISHING TO ATTEND THE CONFERENCE. THE CONFERENCE WAS ATTENDED BY 375 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 2020 WE WERE LIMITED IN TRAINING EMS PROVIDERS AND HEALTH STUDENTS ON BLEEDING CONTROL. WE HELD A STOP THE BLEED TRAINING AT HIGHLINE SCHOOL AND AT TACOMA GENERAL HOSPITAL PRIOR TO THE CLOSE OF COURSES DUE TO THE PANDEMIC.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. TRAUMA TRUST ALSO PARTICIPATES IN THE NEWLY FORMED WASHINGTON DEPARTMENT OF HEALTH INJURY & VIOLENCE PREVENTION TECHNICAL ADVISORY COMMITTEE ON FALL PREVENTION.IN 2020 GRAND ROUNDS WERE PRESENTED VIRTUALLY ON THE TOPIC OF PALLIATIVE CARE FOR TRAUMA PATIENTS AND RESUSCITATIVE THORACOTOMY. THIS EDUCATION WAS WELL ATTENDED BY OUR AND 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. TRAUMA TRUST'S COMMUNITY OUTREACH AND EDUCATION IN 2020 WAS LIMITING DUE TO THE PANDEMIC.IN 2020, TRAUMA TRUST WAS AGAIN AWARDED FUNDING BY THE WASHINGTON DEPARTMENT OF HEALTH TO PROVIDE RURAL TRAUMA TEAM DEVELOPMENT COURSES. TWO COURSES WERE SCHEDULED AT TRI-STATE MEMORIAL HOSPITAL AND WILLAPA HARBOR HOSPITAL. THE COURSES ARE PROVIDED FOR PREHOSPITAL, HOSPITAL EMERGENCY DEPARTMENT, AND ICU STAFF. BOTH COURSES WERE POSTPONED DUE TO COVID-19 RESTRICTIONS.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 2020 AND SHARED WITH OUR TRAUMA CENTER, RURAL HOSPITALS, PREHOSPITAL AND COMMUNITY PARTNERS.IN 2020 WE PARTICIPATED IN VIRTUAL TRAINING FOR IMPACT TEEN DRIVERS TRAINING TO MIDDLE AND HIGH SCHOOL STUDENTS IN WESTERN WASHINGTON.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.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. 13705656 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 55 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 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 SYD BERSANTE BOARD VICE CHAIR 1.00 X X 0 0 0 CYNDE RIVERS BOARD MEMBER 1.00 X 0 0 0 MICHAEL NEWHOUSE BOARD MEMBER 1.00 X 0 0 0 COL THOMAS BUNDT BOARD MEMBER 1.00 X 0 0 0 COL CHRISTOPHER WARNER BOARD MEMBER 1.00 X 0 0 0 BILL ROBERTSON BOARD MEMBER 1.00 X 0 0 0 AARON LARID MD BOARD VICE CHAIR 1.00 X 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 DAVID SCHULTZ BOARD MEMBER 1.00 X 0 0 0 STEVE HARLOW BOARD MEMBER 1.00 X 0 0 0 PAUL MATTHEWS MD BOARD CHAIR 1.00 X X 0 0 0 DIANE CECCHETTINI BOARD SECRETARY/TREASURER 1.00 X X 0 0 0 CAESAR URSIC MD MEDICAL DIRECTOR 40.00 X 561329 0 58906 PAULESH SHAH MD PHYSICIAN 40.00 X 440167 0 46099 CABRINI SUTHERLAND MD PHYSICIAN 40.00 X 447930 0 59473 VERONICA BUSTILLO-ARUCA MD PHYSICIAN 40.00 X 440441 0 45545 JOHN LAM MD PHYSICIAN 40.00 X 449459 0 43848 JENNIFER HUBBARD MD PHYSICIAN 40.00 X 473299 0 61316 PAUL INOUYE MD PHYSICIAN 40.00 X 441579 0 69341 3254204 0 384528 37 1 1 0 PROLIANCE SURGEONS INC PS 7308 BRIDGEPORT WAY W SUITE 201 LAKEWOOD WA 98499 CONTRACTED ORTHOPEDIC SURGEONS 262500 1 210062 22750 232812 PATIENT SERVICE 621400 3099951 3099951 CALL BURDEN 621400 260800 260800 CONFERENCE FEES 621400 19320 19320 3380071 4346 4346 TRAINING FEES 900099 27949 27949 PEER REVEIW STIPEND 900099 13000 13000 TESTIMONY FEES 621400 3053 3053 8522 8522 52524 3669753 3383124 0 53817 620235 620235 510920 510920 8785440 8625853 159587 714313 700976 13337 697436 674914 22522 514347 505961 8386 40311 40311 37336 37336 1208595 968541 240054 35435 7179 28256 15995 15995 31730 31730 862587 850285 12302 B & O TAXES 204623 204623 RECRUITING & RETENTION 10000 10000 DUES, LICENCES, MEMBERS 4530 4530 7812 4439 3373 14301645 13705656 595989 0 1528435 2834328 210693 210804 1242200 1354809 255995 248156 3237323 4648097 659090 747199 0 1265617 1074539 940985 1733629 2953801 X 1503694 1694296 1503694 1694296 3237323 4648097 X -10631892 178293 10644201 X 0 1 X 1 0 X 214885 167279 160199 187255 232812 962430 4525925 4120404 4746687 4055103 3383124 20831243 4740810 4287683 4906886 4242358 3615936 21793673 0 0 0 21793673 132 42 107 1423 4346 6050 132 42 107 1423 4346 6050 178443 57655 40175 68145 49471 393889 4919385 4345380 4947168 4311926 3669753 22193612 0.98200 0.98330 0.00030 0.00010 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2016 AMOUNT: $ 1,253. 2020 AMOUNT: $ 8,522. TRAINING FEES - 2017 AMOUNT: $ 12,050. 2018 AMOUNT: $ 28,175. 2019 AMOUNT: $ 46,586. 2020 AMOUNT: $ 27,949. REBATES AND REFUNDS - 2016 AMOUNT: $ 170,190. 2017 AMOUNT: $ 33,605. 2019 AMOUNT: $ 9,559. PEER STIPEND REVIEW - 2016 AMOUNT: $ 7,000. 2017 AMOUNT: $ 12,000. 2018 AMOUNT: $ 12,000. 2019 AMOUNT: $ 12,000. 2020 AMOUNT: $ 13,000. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 SETTLEMENTS RESERVE 163973 RETIREMENT PLAN CONTRIBUTION PAYABLE 777012 940985 4085216 415463 415463 3669753 0 3669753 14717108 415463 415463 14301645 0 14301645 X X 0 0 0 0 0 0 0 0 0 CAESAR URSIC MD MEDICAL DIRECTOR 517522 0 43807 0 0 0 31350 0 27556 0 620235 0 0 0 JENNIFER HUBBARD MD PHYSICIAN 426000 0 47299 0 0 0 31350 0 29966 0 534615 0 0 0 PAUL INOUYE MD PHYSICIAN 401000 0 40579 0 0 0 31350 0 37991 0 510920 0 0 0 CABRINI SUTHERLAND MD PHYSICIAN 401000 0 46930 0 0 0 31350 0 28123 0 507403 0 0 0 JOHN LAM MD PHYSICIAN 401000 0 48459 0 0 0 31350 0 12498 0 493307 0 0 0 PAULESH SHAH MD PHYSICIAN 401000 0 39167 0 0 0 21450 0 24649 0 486266 0 0 0 VERONICA BUSTILLO-ARUCA MD PHYSICIAN 401000 0 39441 0 0 0 31350 0 14195 0 485986 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 FALL 2019. 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 XI, LINE 9: MEMBER CAPITAL CONTRIBUTIONS 10,644,201.