TRAUMA TRUST: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- TRAUMA TRUST (EIN 91-1939741)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-09-29
- IRS object ID
- 202022739349300537
- Schema version
- 2019v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-09-29T13:24:21-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 911194016 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK NUBER PS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4TH STREET SUITE 1400 | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911939741 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRAUMA TRUST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TRAU | BusinessNameControlTxt |
| Phone | 2534037537 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 315 MARTIN LUTHER KING JR WAY | AddressLine1Txt |
| City | TACOMA | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98405 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CAESAR URSIC MD | PersonNm |
| Person Title | MEDICAL DIRECTOR | PersonTitleTxt |
| Phone | 2534037537 | PhoneNum |
| Signature | 2020-09-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SARA ELIZABETH J HYRE | PreparerPersonNm |
| PTIN | P00235495 | PTIN |
| Phone | 4254544919 | PhoneNum |
| Preparation | 2020-09-12 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 65.158.230.194 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-09-12 | IPDt |
| IP Tm | 13:27:15 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 89717B589FD00BFA15541EEC558887732FC50FBC | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CAESAR URSIC MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 315 MARTIN LUTHER KING JR WAY | AddressLine1Txt |
| City | TACOMA | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98405 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,311,926 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.TACOMATRAUMA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE EXPERT CARE IN TRAUMA, EMERGENCY GENERAL SURGERY AND SURGICAL CRITICAL CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 53 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $160,199 | PYContributionsGrantsAmt |
| CY Contributions Grants | $187,255 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,745,187 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,052,456 | CYProgramServiceRevenueAmt |
| PY Investment Income | $107 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,423 | CYInvestmentIncomeAmt |
| PY Other Revenue | $41,675 | PYOtherRevenueAmt |
| CY Other Revenue | $70,792 | CYOtherRevenueAmt |
| PY Total Revenue | $4,947,168 | PYTotalRevenueAmt |
| CY Total Revenue | $4,311,926 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,975,725 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,984,261 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,810,797 | PYOtherExpensesAmt |
| CY Other Expenses | $2,695,156 | CYOtherExpensesAmt |
| PY Total Expenses | $13,786,522 | PYTotalExpensesAmt |
| CY Total Expenses | $13,679,417 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$8,839,354 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$9,367,491 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,190,107 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,237,323 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,161,130 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,733,629 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,028,977 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,503,694 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $13,022,532 | ExpenseAmt |
| Revenue | $4,055,103 | RevenueAmt |
| 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 34,759 TRAUMA PATIENTS SINCE ITS INCEPTION IN 2000 WHICH INCLUDES 1,638 TRAUMA PATIENTS BEING SEEN IN 2019. IN 2018, THERE WERE 1,498 PATIENTS 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 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 AT THE GREATER TACOMA CONVENTION & TRADE CENTER. EACH YEAR WE PARTNER WITH DIFFERENT ORGANIZATIONS TO ENRICH OUR CONFERENCE OFFERINGS. IN 2019 WE PARTNERED WITH MAMC'S ANDERSON SIMULATION CENTER WHO UTILIZED BOTH MILITARY AND CIVILIAN PERSONNEL TO PUT ON A MASS CAUSALITY TRIAGE SCENARIO THAT CONFERENCE PARTICIPANTS TOOK AN ACTIVE PART. THE CONFERENCE COVERS TOPICS IN BOTH ADULT AND PEDIATRIC TRAUMA. THE CONFERENCE IS TAILORED TO NURSES AND PARAMEDICS AS WELL AS MID-LEVEL PROVIDERS AND PHYSICIANS. IN 2019 TRAUMA TRUST PROVIDED 10 SCHOLARSHIPS TO NURSING AND MED STUDENTS WISHING TO ATTEND THE CONFERENCE. THE CONFERENCE WAS ATTENDED BY 570 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 2019 WE TRAINED MULTIPLE EMS PROVIDERS ON BLEEDING CONTROL AND FALL PREVENTION. OUR PHYSICIANS SPOKE TO THE TACOMA GENERAL HOSPITAL AND ST. JOSEPHS EMERGENCY DEPARTMENT AND ICU STAFF ON; RESUSCITATIVE THORACOTOMY, GERIATRIC TRAUMA, AND BRAIN DEATH, HANGING, AND ASPHYXIA TO INCLUDE SPECIFIC CASE REVIEWS. IN 2019 GRAND ROUNDS WERE PRESENTED ON THE TOPIC OF IMPACT OF TRAUMA SYSTEMS ON PATIENT SURVIVAL. FOR EDUCATION TO OUR EMS AND HOSPITAL STAFF AT NO COST.IN 2019, TRAUMA TRUST PROVIDED RURAL TRAUMA TEAM DEVELOPMENT COURSES FOR SUMMIT PACIFIC MEDICAL CENTER AND PROVIDENCE CENTRALIA HOSPITAL. THE COURSES WERE PROVIDED FOR PREHOSPITAL AND HOSPITAL EMERGENCY DEPARTMENT AND ICU STAFF. MULTIPLE RURAL HOSPITALS FROM WESTERN WASHINGTON COMMUNITIES TRAUMA TRUST SERVES ALSO ATTENDED THE COURSES.TRAUMA TRUST HAS 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 TO OTHER FREE EDUCATIONAL TRAINING TO PROVIDE QUALITY EVIDENCED-BASED TRAUMA EDUCATION.INJURY PREVENTIONINJURY PREVENTION IS A CORE COMPONENT OF EVERY TRAUMA PROGRAM. TRUST ALSO FOCUSED ON NO COST COMMUNITY OUTREACH AND EDUCATION IN 2019. WE TAUGHT THE STOP THE BLEED COURSES TO ELEMENTARY, MIDDLE AND HIGH SCHOOL STUDENTS AND TEACHERS, COMMUNITY GROUPS, SENIOR COMMUNITY GROUPS, AND RURAL HOSPITALS AND EMS AGENCIES. IN 2019 WE PARTNERED WITH MULTIPLE COMMUNITY AGENCIES TO PROVIDE IMPACT TEEN DRIVERS TRAINING TO MIDDLE AND HIGH SCHOOL STUDENTS IN WESTERN WASHINGTON. WE PROVIDED FALL PREVENTION TRAINING WITH OUR ALLIANCE WITH PIERCE COUNTY FALL PREVENTION TO SENIOR AGENCIES AND HEALTH FAIRS. TRAUMA TRUST ALSO WAS ACTIVE WITH THE NORTHWEST HEALTHCARE RESPONSE NETWORK IN 2019 TO PROVIDE DISASTER PREPAREDNESS TRAINING. 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 CONTINUED TO PUBLISH IN 2019 A QUARTERLY NEWSLETTER, THE RAVEN, WHICH IS SHARED WITH OUR MEDICAL COMMUNITY. THE RAVEN PUBLISHES INFORMATION ON INJURY PREVENTION PROGRAMS AND RESOURCES, TRAUMA EDUCATION AND TRAINING OPPORTUNITIES, AND COMMUNITY PROGRAMS TRAUMA TRUST PARTNERS WITH. | Desc |
| Total Program Service Expenses | $13,022,532 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 4 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 53 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KAREN ABBOTT | PersonNm |
| Phone | 2534034570 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 315 MARTIN LUTHER KING JR WAY | AddressLine1Txt |
| City | TACOMA | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98405 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| BILL ROBERTSON | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID SWEDLER | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BRUCE DAMMEIER | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| STEVEN HARLOW | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| AARON LARID MD | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL NEWHOUSE | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CYNDE RIVERS | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PAUL MATTHEWS MD | ||||||||
| BOARD CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| SYD BERSANTE | ||||||||
| BOARD VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| DIANE CECCHETTINI | ||||||||
| BOARD SECRETARY/TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| CAESAR URSIC MD | ||||||||
| MEDICAL DIRECTOR | 40.00 | $514,902 | $0 | $48,305 | Yes (X) | |||
| MANSOUR SHIRBACHEH MD | ||||||||
| PHYSICIAN | 40.00 | $695,859 | $0 | $38,611 | Yes (X) | |||
| JOHN LAM MD | ||||||||
| PHYSICIAN | 40.00 | $418,722 | $0 | $35,172 | Yes (X) | |||
| VERONICA BUSTILLO-ARUCA MD | ||||||||
| PHYSICIAN | 40.00 | $414,575 | $0 | $35,172 | Yes (X) | |||
| AML RAAFAT MD | ||||||||
| PHYSICIAN | 40.00 | $411,575 | $0 | $48,305 | Yes (X) | |||
| JENNIFER HUBBARD MD | ||||||||
| PHYSICIAN | 40.00 | $407,547 | $0 | $47,769 | Yes (X) | |||
| PAUL INOUYE MD | ||||||||
| PHYSICIAN | 40.00 | $411,892 | $0 | $48,305 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,275,072 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $301,639 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 31 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROLIANCE SURGEONS INC PS | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7308 BRIDGEPORT WAY W SUITE 201 | AddressLine1Txt |
| City | LAKEWOOD | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98499 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | CONTRACTED ORTHOPEDIC SURGEONS | ServicesDesc |
| Compensation | $220,900 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $141,955 | GovernmentGrantsAmt |
| All Other Contributions | $45,300 | AllOtherContributionsAmt |
| Total Contributions | $187,255 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE | 621400 | $3,676,571 | $3,676,571 |
| CALL BURDEN | 621400 | $306,350 | $306,350 |
| CONFERENCE FEES | 621400 | $66,035 | $66,035 |
| STUDENT ROTATIONS | 621400 | $3,500 | $3,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,052,456 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,423 | TotalRevenueColumnAmt |
| Exclusion | $1,423 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| TRAINING FEES | 900099 | $46,586 | $46,586 | |
| PEER REVIEW STIPEND | 900099 | $12,000 | $12,000 | |
| TESTIMONY FEES | 621400 | $2,647 | $2,647 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,559 | TotalRevenueColumnAmt |
| Exclusion | $9,559 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $70,792 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,311,926 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,055,103 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $69,568 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $563,207 | TotalAmt |
| Program Services | $563,207 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,497,143 | TotalAmt |
| Program Services | $8,335,571 | ProgramServicesAmt |
| Management And General | $161,572 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $743,228 | TotalAmt |
| Program Services | $729,291 | ProgramServicesAmt |
| Management And General | $13,937 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $703,293 | TotalAmt |
| Program Services | $684,283 | ProgramServicesAmt |
| Management And General | $19,010 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $477,390 | TotalAmt |
| Program Services | $468,831 | ProgramServicesAmt |
| Management And General | $8,559 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,780 | TotalAmt |
| Management And General | $47,780 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,020 | TotalAmt |
| Management And General | $36,020 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,710,866 | TotalAmt |
| Program Services | $1,411,410 | ProgramServicesAmt |
| Management And General | $299,456 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,606 | TotalAmt |
| Program Services | $7,544 | ProgramServicesAmt |
| Management And General | $36,062 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,105 | TotalAmt |
| Management And General | $1,105 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,678 | TotalAmt |
| Program Services | $99,678 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $539,922 | TotalAmt |
| Program Services | $528,358 | ProgramServicesAmt |
| Management And General | $11,564 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| B & O TAXES | $179,222 | $179,222 | |
| DUES, LICENCES, MEMBERS | $12,603 | $12,603 | |
| RECRUITING & RETENTION | $9,217 | $9,217 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,137 | TotalAmt |
| Program Services | $15,137 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,679,417 | TotalAmt |
| Program Services | $13,022,532 | ProgramServicesAmt |
| Management And General | $656,885 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,487,353 | BOYAmt |
| EOY | $1,528,435 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,568 | BOYAmt |
| EOY | $210,693 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,345,735 | BOYAmt |
| EOY | $1,242,200 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,451 | BOYAmt |
| EOY | $255,995 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,190,107 | BOYAmt |
| EOY | $3,237,323 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $707,479 | BOYAmt |
| EOY | $659,090 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $410,092 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,043,559 | BOYAmt |
| EOY | $1,074,539 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,161,130 | BOYAmt |
| EOY | $1,733,629 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,028,977 | BOYAmt |
| EOY | $1,503,694 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,028,977 | BOYAmt |
| EOY | $1,503,694 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,190,107 | BOYAmt |
| EOY | $3,237,323 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$9,367,491 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $9,842,208 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $170,669 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $214,885 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $167,279 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $160,199 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $187,255 | CurrentTaxYearAmt |
| Total | $900,287 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,414,976 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,525,425 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,120,154 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,745,187 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,052,456 | CurrentTaxYearAmt |
| Total | $21,858,198 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,585,645 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,740,310 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,287,433 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,905,386 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,239,711 | CurrentTaxYearAmt |
| Total | $22,758,485 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $22,758,485 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,470 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $132 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $42 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $107 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,423 | CurrentTaxYearAmt |
| Total | $3,174 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,470 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $132 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $42 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $107 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,423 | CurrentTaxYearAmt |
| Total | $3,174 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $34,193 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $178,943 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $57,905 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $41,675 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $70,792 | CurrentTaxYearAmt |
| Total | $383,508 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,621,308 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,919,385 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,345,380 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,947,168 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,311,926 | CurrentTaxYearAmt |
| Total | $23,145,167 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98330 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98620 | PublicSupportPY509Pct |
| Investment Income CY | 0.00010 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00020 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | TESTIMONY FEES - 2015 AMOUNT: $ 14,655. 2016 AMOUNT: $ 500. 2017 AMOUNT: $ 250. 2018 AMOUNT: $ 1,500. 2019 AMOUNT: $ 2,647. MISCELLANEOUS - 2015 AMOUNT: $ 24. 2016 AMOUNT: $ 1,253. TRAINING FEES - 2017 AMOUNT: $ 12,050. 2018 AMOUNT: $ 28,175. 2019 AMOUNT: $ 46,586. INSURANCE PROCEEDS - 2015 AMOUNT: $ 10,000. MALPRACTICE DIVIDEND - 2015 AMOUNT: $ 9,514. 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. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| SETTLEMENTS RESERVE | $308,910 |
| RETIREMENT PLAN CONTRIBUTION PAYABLE | $765,629 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,074,539 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $4,686,081 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $374,155 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $374,155 | RevenueNotReportedAmt |
| Revenue Subtotal | $4,311,926 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $4,311,926 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $14,053,572 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $374,155 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $374,155 | ExpensesNotReportedAmt |
| Expenses Subtotal | $13,679,417 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $13,679,417 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CAESAR URSIC MD | ||||||||||||||
| MEDICAL DIRECTOR | $490,364 | $0 | $24,538 | $0 | $0 | $0 | $22,400 | $0 | $25,905 | $0 | $563,207 | $0 | $0 | $0 |
| MANSOUR SHIRBACHEH MD | ||||||||||||||
| PHYSICIAN | $225,000 | $0 | $470,859 | $0 | $0 | $0 | $22,000 | $0 | $16,611 | $0 | $734,470 | $0 | $0 | $0 |
| JOHN LAM MD | ||||||||||||||
| PHYSICIAN | $380,000 | $0 | $38,722 | $0 | $0 | $0 | $22,400 | $0 | $12,772 | $0 | $453,894 | $0 | $0 | $0 |
| VERONICA BUSTILLO-ARUCA MD | ||||||||||||||
| PHYSICIAN | $380,000 | $0 | $34,575 | $0 | $0 | $0 | $22,400 | $0 | $12,772 | $0 | $449,747 | $0 | $0 | $0 |
| AML RAAFAT MD | ||||||||||||||
| PHYSICIAN | $380,000 | $0 | $31,575 | $0 | $0 | $0 | $22,400 | $0 | $25,905 | $0 | $459,880 | $0 | $0 | $0 |
| JENNIFER HUBBARD MD | ||||||||||||||
| PHYSICIAN | $380,000 | $0 | $27,547 | $0 | $0 | $0 | $22,400 | $0 | $25,369 | $0 | $455,316 | $0 | $0 | $0 |
| PAUL INOUYE MD | ||||||||||||||
| PHYSICIAN | $380,000 | $0 | $31,892 | $0 | $0 | $0 | $22,400 | $0 | $25,905 | $0 | $460,197 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 IX, LINE 11G | CALL BURDEN PAYMENTS TO CONTRACTED SURGEONS: PROGRAM SERVICE EXPENSES 306,350. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 306,350. LOCUM: PROGRAM SERVICE EXPENSES 449,886. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 449,886. EMPLOYEE BENEFIT MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 15,875. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,875. PROFESSIONAL FEES - OTHER: PROGRAM SERVICE EXPENSES 655,174. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 655,174. MHS BILLING FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 283,581. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 283,581. |
| FORM 990, PART XI, LINE 9: | MEMBER CAPITAL CONTRIBUTIONS 9,842,208. |