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      <Desc>Advocacy &amp; LobbyingTCAA has the ability to engage in political advocacy on behalf of trauma centers and systems. The advocacy committee is comprised of government relations professionals from our nation's leading trauma centers along with trauma center leaders. The organization has put up a national agenda and is working with a nationally recognized lobbying firm.Current initiatives supported by the TCAA advocacy committee are:-Monitor UB-04 trauma revenue codes.-Support improved reimbursement for trauma care.-Promote federal support for trauma care solutions.-Monitor trauma system economic status across the nation on a state and regional basis.-Educate the general public and policymakers on the definition of trauma care and the services trauma centers provide.-Enhance the role that trauma centers play at times of mass casualties due to terrorism and non-human caused disasters.-Connect trauma centers with congressional representatives to build a national trauma care political support network.</Desc>
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        <Desc>Annual ConferenceTCAA provides a comprehensive trauma conference annually for all trauma centers, both members and nonmembers. To assure trauma centers are successful in clinical and operational matters, the TCAA provides the following courses at their Annual Conference: an Annual Meeting (with general sessions, poster presentations which address key national trauma issues and an annual business meeting); a Trauma Medical Director Course to educate physicians about business, clinical care and leadership skills in their challenging administrative roles; a Trauma Finance and Business Course to instruct trauma center leaders on financial and operational topics; and a Trauma Center and System Leadership Course to assist trauma leaders in managing the operational and clinical areas of a trauma center or a trauma system.</Desc>
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        <Desc>Hawaii trauma site surveys:During 2016, TCAA provided trauma site surveys with the objective to provide trauma medical directors, trauma nurse coordinators and hospital administrators with information to assist in the development of their respective facilities as trauma centers.The Hawaii site surveys included the following components:Provide a site survey team consisting of a trauma surgeon and a trauma nurse. The team focused on the key commitment and performance requirements established by Hawaii Department of Health,Emergency Medical Services and Injury Prevention Branch.The site survey team reviews a written application from each hospital to be surveyed and operating a trauma center; conducts pre-scheduled, physician-led site visit in each of the applicant hospitals; provided a written report for each applicant trauma center; works in collaboration with Emergency Medical Services and Injury Prevention Branch of Hawaii Department of Health to make a determination of each applicant trauma center's status and recommends actions needed to assure the hospital meets or takes action to meet the expectation of a hospital funtioning at a level consistent with its application; verifies whether the applicant hospitals meet the state's criteria to be designated level III trauma centers.Marketing &amp; Public Relations:As a public health service, the organization engages in marketing and public relations to better inform the public of the essential nature of care of the injured. The organization engages in public advocacy to increase public funding for trauma centers. In addition, the organization supports the efforts of other organizations to build a system of universal access to trauma center care throughout the United States.Additionally, TCAA provides a trauma fellowship program with the objective of increasing the number of trauma program leaders who are knowledgeable about trauma center finance and operational issues using tools and technical materials available through TCAA. The selected fellow participants assist TCAA staff to respond to member queries for information and data, TCAA committee conference calls, and confer with TCAA's president on TCAA member advisory conference calls.Membership:TCAA serves as a resource to trauma centers to foster stable, high quality, cost effective trauma care throughout the United States, and to encourage innovation and excellence. TCAA provides comprehensive information for all trauma center operational and financial needs and connects its member hospitals to other trauma centers and systems. Membership includes over 350+ trauma center hospitals in 40 states and at least 10 state/regional trauma agencies responsible for trauma system development and oversight.TCAA is the premier source for trauma center information. Members receive individualized advice from the nation's most experienced consultants in trauma center operations, finance, and trauma systems. The TCAA houses an extensive information warehouse about trauma center finances and operations so that members never need to invent something that has already been developed.TCAA trauma centers have the most up-to-date advice on optimizing revenue and collections, know how to reduce costs and workload, and keep abreast of state and federal initiatives to help fund their operations. Members also have every document and CMS advisory about the new trauma UB-04 response charges because the TCAA wrote the application for them.Member services include:*Monitoring UB-04 code*Financial Reports for Benchmarking*Job Descriptions*Physician relations and compensation strategies*Payer strategies and managed care contracts*Trauma FTE and salary comparisons*Model policies and procedures*Practice guidelines and protocols*Best practices*Management tactics*Best performer networking*Rapid answers to technical problems*Educational offerings*Advocacy*Consulting services by phone</Desc>
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      <ContractorCompensationGrp>
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        </ContractorName>
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            <CityNm>Orlando</CityNm>
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        <Desc>Exhibit fees</Desc>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>36019</EOYAmt>
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        <EOYAmt>1243099</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <EOYAmt>3299081</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>464644</ReconcilationRevenueExpnssAmt>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
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      <AgreeCarryoverPriorYearInd>0</AgreeCarryoverPriorYearInd>
      <DuesAssessmentsAmt>1305738</DuesAssessmentsAmt>
      <NonDeductibleLbbyngPltclCYAmt>164334</NonDeductibleLbbyngPltclCYAmt>
      <NonDeductibleLbbyngPltclTotAmt>164334</NonDeductibleLbbyngPltclTotAmt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
      <EquipmentGrp>
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        <DepreciationAmt>11455</DepreciationAmt>
        <BookValueAmt>14395</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>14395</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Publicly traded securities</Desc>
        <BookValueAmt>661556</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>661556</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued expenses - other</Desc>
        <Amt>2568</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued vacation pay</Desc>
        <Amt>19023</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued salaries and wages</Desc>
        <Amt>14428</Amt>
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      <TotalLiabilityAmt>36019</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>1687448</TotalRevEtcAuditedFinclStmtAmt>
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      <SeverancePaymentInd>0</SeverancePaymentInd>
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        <PersonNm>Jennifer J Ward RN BSN</PersonNm>
        <TitleTxt>President</TitleTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>32392</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>189519</TotalCompensationFilingOrgAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Voting Members--The voting members of the organization shall consist of the following categories: Principal Members--principal members are defined as proprietorships or corporations in the business of operating trauma centers. Each principal member shall designate one person as its representative who shall have the right and obligation to vote, consent and otherwise exercise all membership rights and obligations on behalf of the member, who member is bound by such acts. Non-Voting Members--rights and privileges of a non-voting member shall be the same as voting members except they shall not be able to vote on a TCAA business, run for office, or hold a seat on the board of directors. Corporate Partner Members--One category of non-voting members shall be Corporate Partner Members. Corporate Partner Members shall include one designated person from a supplier of products and services who is otherwise determined to be an active and ethical participant in the trauma care industry, as determined in the sole discretion of the Board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Voting members elect the board of directors on an annual basis, either in person, by fax, or electronically.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>Voting members approve or disapprove decisions of the board of directors with their right to vote on the election of the board of directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>After the form 990 is prepared, a draft is submitted to the finance committee for approval. After any revisions are made and finance committee approval is made, the finance committee chairman submits the form 990 to the board of directors at the next regular meeting, at that time, the board of directors reviews and approval is granted, or revisions are proposed. If such proposed revisions are approved by the board of directors, the form 990 is revised and re-submitted to the finance committee, and then subsequently to the board of directors for final approval, either by conference call, electronically, or at the next regular meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>In order to qualify as board directors, officers, and/or employment, individuals are required annually to review the organizations' conflict of interest policy and affirmm, or re-affirm, their individual compliance in writing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The President is the only officer who receives a salary. Certain other officers receive $1,500 or less in compensation for services they provide in excess of those customarily associated with the position held. Each year the President's compensation is reviewed by the board of directors, taking into account reasonableness, comparability with others in the profession, and evaluation of the officer's accomplishments relating to the organization's goals and objectives. The President is hired by the board of directors and receives a performance evaluation annually. Compensation is reviewed and adjusted according to performance and comparison data.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's form 1024, including the IRS approval letter, and forms 990 are made available for public inspection at the organization's offices upon request. The organization's governing documents, articles of information, bylaws, and conflict of interest policy are, likewise, made available for public inspection at the organization's offices upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII Contact Addresses for Officers, Directors, Etc</FormAndLineReferenceDesc>
        <ExplanationTxt>Samir M. Fakhry, MD, FACS - 96 Jonathan Lucas St. CSB 426, MSC 613, Charleston, SC 29425. Blaine Enderson, MD, FACS - 1924 Alcoa Highway Box U-11, Knoxville, TN 37920. Eileen Whalen, MHA, RN - 111 Colchester Ave., Medical Center Campus, Burlington, VT 05401. John Barton Osborn, M.Sc. - 200 First Street SW, Rochester, MN 55905. Annette Bertelson, BSN, RN, CPHQ - 9200 West Wisconsin Avenue, Milwaukee, WI 53226. Heidi Gartland, BA, MHA - 11100 Euclid Avenue, MS MTV6003, Cleveland, OH 44106. George E. Hayes, FACHE - 1400 E. Boulder Street, Colorado Springs, CO 80909. Mary L. Hilfiker, PhD, MD, FACS - 3030 Children's Way, Suite 107, San Diego, CA 92123. Kevin Hicks, MHA/MBA - 10500 Quivira Road, Overland Park, KS 66215. Gregory Jurkovich, MD, FACS - 777 Bannock Street, Denver, CO 80207. Martin Schreiber, MD, FACS - 3181 SW Sam Jackson Park Rd. MSC L611, Portland, OR 97239. G. Douglas Schmitz, MD, FACS - 433 E. 19th Street, Cheyenne, WY 82001. MaryEllen Zimmermann, RN, BSN - 56-45 Main Street, Flushing, NY 11355.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c:</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's Board of Directors Finance Committee is responsible for the oversight of the audit of its financial statements and selection of the independent public accountant.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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</Return>