2016-10-27T17:27:56-05:00 2015-12-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2015-01-01 911939741 TRAUMA TRUST TRAU 2534037537 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 CAESAR URSIC MD MEDICAL DIRECTOR 2534037537 2016-10-26 1 MEGAN RYAN P00737884 4254544919 2016-10-26 2015 2017-02-10 21:41:12Z CAESAR URSIC MD 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 4621308 0 X WWW.TACOMATRAUMA.ORG X 1998 WA TO PROVIDE EXPERT CARE IN TRAUMA, EMERGENCY GENERAL SURGERY AND SURGICAL CRITICAL CARE. 12 12 49 12 0 0 133611 170669 4817606 4414976 3464 1470 9830 34193 4964511 4621308 0 0 0 0 7741009 7296079 0 0 0 3272305 3052854 11013314 10348933 -6048803 -5727625 1733832 1578939 1319255 908787 414577 670152 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 9198153 4429631 TRAUMA TRUST IS A NOT-FOR PROFIT 501(C)(3) ORGANIZATION ESTABLISHED IN 2000 TO PROVIDE LEVEL 2 TRAUMA CARE IN THE WEST REGION. FRANCISCAN HEALTH SYSTEMS OPERATING ST. JOSEPH MEDICAL CENTER (SJMC) AND MULTICARE HEALTH SYSTEM OPERATING TACOMA GENERAL (TG) WERE THE FOUNDATION OF THE TRAUMA TRUST WITH STRONG COLLABORATION FROM MADIGAN ARMY MEDICAL CENTER (MAMC). THESE THREE HOSPITAL SYSTEMS CAME TOGETHER TO FILL A CRUCIAL VOID IN THE COMMUNITY. PRIOR TO 2000, MAMC WAS THE ONLY PROVIDER OF LEVEL 2 CARE IN THE WEST REGION FORCING THE MAJORITY OF TRAUMA CARE TO BE SENT TO SEATTLE.SINCE THE FORMATION IN 2000, TRAUMA TRUST HAS CONTINUED TO MAINTAIN LEVEL 2 DESIGNATION FROM THE WASHINGTON STATE DEPARTMENT OF HEALTH WITH THE MOST RECENT DESIGNATION IN MAY OF 2015. 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 25,407 TRAUMA PATIENTS SINCE ITS INCEPTION IN 2000 WHICH INCLUDES 2,286 TRAUMA PATIENTS BEING SEEN IN 2015 (AN INCREASE FROM 2014 WHERE 1,955 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 TRAM 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 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 WEST REGION BY SERVING AS A RESOURCE AND PROVIDING EDUCATION TO SURROUNDING TRAUMA CENTERS AND EMERGENCY MEDICAL SERVICES (EMS). TRAUMA TRUST ATTENDS, 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 AND CHAIRS THE TRAUMA MEDICAL DIRECTOR TECHNICAL ADVISORY COMMITTEE.EDUCATIONEACH YEAR IN NOVEMBER, TRAUMA TRUST HOSTS THE TACOMA TRAUMA CONFERENCE AT THE GREATER TACOMA CONVENTION & TRADE CENTER. THIS YEAR WAS THE 10TH ANNUAL CONFERENCE. EACH YEAR WE PARTNER WITH DIFFERENT ORGANIZATIONS TO ENRICH OUR CONFERENCE OFFERINGS. THIS YEAR WE PARTNERED WITH THE MAMC'S ANDERSON SIMULATION CENTER WHO UTILIZED BOTH MILITARY AND CIVILIAN PERSONNEL TO PUT ON A MOCK BOMBING MASS CASUALITY SCENARIO THAT CONFERENCE PARTICIPANTS TOOK AN ACTIVE PART IN. THE CONFERENCE COVERS TOPICS IN BOTH ADULT & PEDIATRIC TRAUMA AND IS TAILORED TO NURSES & PARAMEDICS AS WELL AS ADVANCED PRACTITIONERS AND PHYSICIANS. THIS YEAR TRAUMA TRUST PROVIDED 10 SCHOLARSHIPS TO STUDENTS WISHING TO ATTEND THE CONFERENCE. IN 2015 THE CONFERENCE WAS ATTENDED BY 225 PAID ATTENDEES. THE STRENGTH OF THE TRAUMA TEAM COULDN'T BE POSSIBLE WITHOUT THE EXCELLENT CARE PROVIDED BY THE PRE-HOSPITAL (EMS) PROVIDERS AND THE NURSES. TRAUMA TRUST PROVIDES EDUCATION TO EMS AND NURSING UNITS TO ENHANCE CARE PROVIDED. IN 2016 WE SPOKE TO SEVERAL EMS GROUPS ON GERIATRIC UNDER-TRIAGE, THORACIC TRAUMA AND HEAD TRAUMA. WE PROVIDED EDUCATION ON CERVICAL SPINE AND ORTHOPEDIC INJURY CARE TO THE ORTHO NURSING UNITS AT SJMC AND WE PROVIDED TRAUMA SKILLS EDUCATION TO BOTH TG AND SJMC EMERGENCY DEPARTMENT NURSES.TRAUMA TRUST HAS A WEBSITE THAT WE SHARE WITH THE COMMUNITY AND WE HAVE FREE TRAUMA EDUCATION IN THE FORM OF LEARNING MODULES TO HELP NURSING STAFF KEEP UP TO DATE WITH TRAUMA CARE.INJURY PREVENTIONINJURY PREVENTION IS A CORE COMPONENT OF EVERY TRAUMA PROGRAM. TRAUMA TRUST WORKS CLOSELY WITH THE PIERCE COUNTY FALLS PREVENTION COALITION (PCFPC) TO INCREASE AWARENESS OF FALLS AND PROMOTE PREVENTION TO COMMUNITY DWELLING SENIORS. WITH THE COLLABORATION OF TRAUMA TRUST, PCFPC WAS AWARDED A GRANT OF $2,300 TO BE USED TO ERECT SAIL SIGNS IN TWO PARKS, ONE IN PUYALLUP AND ONE IN FIRCREST. THE PURPOSE OF THE SIGNS IS TO GET SENIORS OUT WALKING AND DOING STRENGTH EXERCISES. STUDIES SHOW THAT THE BEST WAY TO PREVENT FALLS IS TO KEEP ACTIVE AND KEEP STRENGTH.TRAUMA TRUST HAS PROVIDED FALL PREVENTION/HEAD INJURY EDUCATION TO SEVERAL SENIOR COMMUNITY CENTERS THAT WAS VERY WELL RECEIVED. 9198153 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 44 0 1 49 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 0 0 0 X KAREN DONJEE 2534034570 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 BRAD PATTISON MD CHAIR 1.00 X X 0 0 0 SHELLY MULLIN RN MHA VICE CHAIR 1.00 X X 0 0 0 HEATHER MARSHALL MD SECRETARY/TREASURER 1.00 X X 0 0 0 MARK ADAMS MD DIRECTOR 1.00 X 0 0 0 MAGGIE BAKER RN DIRECTOR 1.00 X 0 0 0 WILLIAM CAMMARANO MD DIRECTOR 1.00 X 0 0 0 DIANE CECCHETTINI RN DIRECTOR 1.00 X 0 0 0 GRAHAM HUNT DIRECTOR 1.00 X 0 0 0 STEVE LITSKY MD DIRECTOR 1.00 X 0 0 0 CYNDE RIVERS DIRECTOR 1.00 X 0 0 0 BILL ROBERTSON DIRECTOR 1.00 X 0 0 0 MICHAEL NEWHOUSE EMT-P DIRECTER 1.00 X 0 0 0 PAUL INOUYE MD MEDICAL DIRECTOR 40.00 X 444313 0 60088 CAESAR URSIC MD MEDICAL DIRECTOR 40.00 X 31539 0 0 THOMAS FERRER MD TRAUMA SURGEON 40.00 X 371103 0 44726 DAVID PATTERSON MD TRAUMA SURGEON 40.00 X 378202 0 53664 LISA SCHOMOGYI MD GENERAL SURGEON 40.00 X 395433 0 60088 EDWARD WENG MD GENERAL SURGEON 40.00 X 387689 0 45213 MICHELLE STRONG MD TRAUMA SURGEON 40.00 X 365988 0 44726 2374267 0 308505 20 0 1 0 MANSOUR SHIRBACHEH MD 1708 SOUTH YAKIMA AVENUE SUITE 11 TACOMA WA 98405 MEDICAL 503182 PROLIANCE SURGEONS INC 7308 BRIDGEPORT WAY W SUITE 201 LAKEWOOD WA 98499 MEDICAL 107800 2 118269 52400 170669 PATIENT SERVICES 621400 3395102 3395102 CALL BURDEN 621400 962900 962900 CONFERENCE FEES 621400 47599 47599 STUDENT ROTATIONS 621400 9375 9375 4414976 1470 1470 TESTIMONY FEES 621400 14655 14655 INSURANCE PROCEEDS 900099 10000 10000 MALPRACTICE DIVIDEND 900099 9514 9514 24 24 34193 4621308 4429631 0 21008 X 525340 525340 5454806 4941198 513608 465559 465559 487390 378051 109339 362984 362984 22393 22393 56335 56335 1759710 1694690 65020 33389 2859 30530 1946 1946 7766 7766 58498 58498 392083 381153 10930 BAD DEBT EXPENSE 374006 374006 BILLING FEES 221477 221477 B & O TAXES 87826 87826 DUES & LICENSES 26413 10962 15451 11012 2853 8159 10348933 9198153 1150780 0 52395 72282 657440 374326 920259 1010112 103738 122219 1733832 1578939 646287 341240 672968 567547 1319255 908787 X 414577 670152 414577 670152 1733832 1578939 X -5727625 5983200 X 0 1 X 1 0 X 270787 277502 210365 133611 170669 1062934 5348478 5357446 4154428 4817606 4414976 24092934 5619265 5634948 4364793 4951217 4585645 25155868 0 0 0 25155868 2390 1217 4755 3464 1470 13296 2390 1217 4755 3464 1470 13296 23284 9830 34193 67307 5621655 5636165 4392832 4964511 4621308 25236471 0.99680 0.99820 0.00050 0.00060 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: ADMIN FEES - 2013 AMOUNT: $ 9,000. TESTIMONY FEES - 2013 AMOUNT: $ 14,243. 2014 AMOUNT: $ 3,950. 2015 AMOUNT: $ 14,655. MISCELLANEOUS - 2013 AMOUNT: $ 41. 2015 AMOUNT: $ 24. TRAINING FEES - 2014 AMOUNT: $ 5,880. INSURANCE PROCEEDS - 2015 AMOUNT: $ 10,000. MALPRACTICE DIVIDEND - 2015 AMOUNT: $ 9,514. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 SETTLEMENTS RESERVE 52500 RETIREMENT PLAN CONTRIBUTION PAYABLE 515047 567547 4536701 289399 -374006 -84607 4621308 0 4621308 10264326 289399 289399 9974927 374006 374006 10348933 PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -374,006. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 374,006. X X 0 0 0 0 0 0 0 0 0 PAUL INOUYE MD MEDICAL DIRECTOR 444313 0 0 0 0 0 31175 0 28913 0 504401 0 0 0 THOMAS FERRER MD TRAUMA SURGEON 371103 0 0 0 0 0 31175 0 13551 0 415829 0 0 0 DAVID PATTERSON MD TRAUMA SURGEON 378202 0 0 0 0 0 31175 0 22489 0 431866 0 0 0 LISA SCHOMOGYI MD GENERAL SURGEON 395433 0 0 0 0 0 31175 0 28913 0 455521 0 0 0 EDWARD WENG MD GENERAL SURGEON 387689 0 0 0 0 0 31175 0 14038 0 432902 0 0 0 MICHELLE STRONG MD TRAUMA SURGEON 365988 0 0 0 0 0 31175 0 13551 0 410714 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 11 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 DATE OF THE LAST COMPENSATION REVIEW WAS IN DECEMBER 2015. 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 962,900. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 962,900. LOCUM COVERAGE: PROGRAM SERVICE EXPENSES 376,877. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 376,877. CONTRACTED SUBSPECIALTY: PROGRAM SERVICE EXPENSES 191,562. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 191,562. EMPLOYEE BENEFIT MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 15,700. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,700. CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 49,320. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,320. PROFESSIONAL FEES - OTHER: PROGRAM SERVICE EXPENSES 163,351. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 163,351. FORM 990, PART XI, LINE 9: MEMBER CAPITAL CONTRIBUTIONS 5,983,200.