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      <Desc>TRAUMA TRUST IS A NOT-FOR-PROFIT 501(C)(3) ORGANIZATION THAT WAS ESTABLISHED IN 2000 BY THREE HOSPITAL SYSTEMS: FRANCISCAN HEALTH SYSTEM OPERATING ST. JOSEPH MEDICAL CENTER (SJMC), MULTICARE HEALTH SYSTEM OPERATING TACOMA GENERAL/ALLENMORE HOSPITAL, AND A COLLABORATION WITH MADIGAN ARMY MEDICAL CENTER (MAMC). TRAUMA TRUST WAS ESTABLISHED TO PROVIDE LEVEL 2 ADULT TRAUMA SERVICES IN THE WEST TRAUMA REGION. PRIOR TO THE FORMATION OF TRAUMA TRUST, MAMC WAS THE ONLY LEVEL 2 ADULT TRAUMA CENTER IN THE TACOMA/SOUTH SOUND AREA.SINCE TRAUMA TRUST'S FORMATION, IT HAS MAINTAINED A LEVEL 2 ADULT TRAUMA DESIGNATION FROM THE WASHINGTON STATE DEPARTMENT OF HEALTH WITH MOST RECENT RE-DESIGNATION IN MAY OF 2015. TRAUMA TRUST HAS PROVIDED ADULT TRAUMA CARE TO THE TACOMA/SOUTH SOUND AREA AND HAS SERVED AS A VALUABLE RESOURCE IN THE WEST TRAUMA REGION TO OTHER SURROUNDING TRAUMA CENTERS CARING FOR PATIENTS WITH COMPLEX ORTHOPEDIC, CHEST, ABDOMINAL, FACIAL, AND HEAD AND SPINE INJURIES. TRAUMA TRUST HAS SERVED 23,121 TRAUMA PATIENTS SINCE ITS INCEPTION IN 2000, WITH 1,955 OF THOSE PATIENTS BEING SEEN IN 2014. IN SEPTEMBER OF 2009, TRAUMA TRUST EXPANDED ITS SERVICES TO INCLUDE ACUTE CARE SURGICAL SERVICES (ACSS) AT ST. JOSEPH MEDICAL CENTER AND TACOMA GENERAL/ALLENMORE HOSPITAL. ACSS WAS IDENTIFIED AS A NECESSITY BY THE TWO HOSPITALS FOR A VARIETY OF REASONS INCLUDING: A NEED FOR 24/7 COVERAGE FOR EMERGENCY SURGERY, IMPROVED THROUGHPUT, STANDARDIZED CARE, AND A TEAM BASED APPROACH. THE ACSS SERVICES SAW A RAPID INCREASE IN PATIENT VOLUME AND HAS DOUBLED THE NUMBER OF PATIENTS SEEN BY TRAUMA TRUST PROVIDERS. ACSS HAS SEEN 9,978 PATIENTS SINCE 2009 WITH 2,045 OF THOSE PATIENTS BEING SEEN IN 2014.TRAUMA TRUST PROVIDES EDUCATIONAL OPPORTUNITIES FOR RESIDENT AND PHYSICIAN ASSISTANT STUDENTS INCLUDING MADIGAN ARMY MEDICAL CENTER AND NAVY PERSONNEL. WE HAVE APPROXIMATELY 15-20 ROTATIONS PER YEAR THROUGH OUR SERVICE THAT ALLOWS FOR MONITORED HANDS-ON CARE OF TRAUMA PATIENTS.TRAUMA TRUST SUPPORTS THE WEST TRAUMA REGION 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 STANDARDS OF CARE OF THE CRITICALLY INJURED PATIENT. TRAUMA TRUST ALSO HAS REPRESENTATION ON THE WASHINGTON STATE TRAUMA AND EMERGENCY SERVICES STEERING COMMITTEE AND CHAIRS THE TRAUMA MEDICAL DIRECTOR TECHNICAL ADVISORY COMMITTEE.EDUCATIONEACH YEAR TRAUMA TRUST HOSTS THE TACOMA TRAUMA CONFERENCE AT THE GREATER TACOMA CONVENTION &amp; TRADE CENTER. NOW IN ITS 9TH YEAR THE CONFERENCE HAS EXPANDED TO THE COURTYARD MARRIOTT HOTEL. THIS YEAR WE HAVE PARTNERED WITH 2 DIFFERENT ORGANIZATIONS TO ENRICH OUR CONFERENCE OFFERINGS. IN 2014 WE PARTNERED WITH MADIGAN ARMY MEDICAL CENTER'S ANDERSON SIMULATION CENTER. DR. HAQUE AND HIS TEAM PUT ON AN INTERACTIVE MOCK ACTIVE SHOOTER DRILL THAT WAS WELL ATTENDED BY THE PARTICIPANTS. THIS YEAR WE HAVE AGAIN PARTNERED WITH THE ANDERSON SIMULATION CENTER WHERE DR. HAQUE AND HIS TEAM HAVE ENVISIONED A MASS CASUALTY SIMULATION. OUR SECOND PARTNER IS NORTHWEST HEALTHCARE RESP0NSE NETWORK (NWHRN) WHO IS A CO-HOST FOR THIS YEAR'S CONFERENCE. THEIR ORGANIZATION HAS CONTRACTED WITH A TEAM WHO RESCUED AN INFANT FROM THE OSO MUD SLIDE. THAT TEAM WILL PRESENT THEIR EXPERIENCE AND LESSONS LEARNED FROM THE EVENT. NWHRN IS INCLUDING INTERACTIVE SESSIONS FROM THEIR DISASTER CONFERENCE IN HOPES OF REACHING A WIDER AUDIENCE THROUGH OUR CONFERENCE.EACH YEAR THE PLANNING COMMITTEE SOLICITS DONATIONS FROM VENDORS IN ORDER TO PUT ON A QUALITY CONFERENCE AT THE LOWEST COST POSSIBLE FOR OUR CONSTITUENTS. IN 2014, OUR CONFERENCE ATTENDANCE WAS 259 PAID ATTENDEES.INJURY PREVENTIONINJURY PREVENTION IS A CORE COMPONENT OF EVERY TRAUMA PROGRAM. IN 2013 TRAUMA TRUST WAS AWARDED A $3,000 GRANT TO IMPLEMENT THE TRAUMA INJURY PREVENTION PROGRAM (TRIPP) WHICH PROVIDES AN EVIDENCE-BASED OLDER ADULT FALL PREVENTION RISK ASSESSMENT TO OLDER ADULTS 65 YEARS AND OLDER. IN 2014 THE COMPONENTS OF THE GRANT WERE FINALIZED AND THE INJURY PREVENTION PROGRAM AT SJMC WAS OPENED. ONCE TRIPP WAS OPENED AT SJMC, WE BEGAN WORK ON A SIMILAR PROGRAM AT TACOMA GENERAL HOSPITAL. MUCH OF THE INFRASTRUCTURE FOR THE PROGRAM WAS ALREADY DEVELOPED, ALLOWING US TO MOVE FORWARD QUICKLY WITH THE TGH IMPLEMENTATION. TRIPP WAS OPENED AT TGH IN EARLY 2015.WE RECOGNIZE MORE WORK NEEDS TO BE ACCOMPLISHED AROUND OLDER ADULT FALLS. A PROJECT GROUP HAS BEEN FORMED AT TGH AND SJMC TO ESTABLISH EVIDENCE-BASED EXERCISE PROGRAMS FOR OLDER ADULTS CALLED "TAI JI QUAN: MOVING FOR BETTER BALANCE". TRAUMA TRUST HAS PARTNERED WITH THE DEPARTMENT OF HEALTH TO TRAIN INSTRUCTORS AND IMPLEMENT THIS PROGRAM THAT IS ENDORSED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION.THE PACIFIC NORTHWEST HAD MUCH TO CELEBRATE WITH THE 2013 SUPER BOWL CHAMPION SEAHAWKS AS THEY MADE THEIR SECOND RUN FOR A SUPER BOWL. TRAUMA TRUST PARTNERED WITH THE WASHINGTON STATE TRAFFIC SAFETY COMMISSION TO RAISE PUBLIC AWARENESS AROUND DRINKING AND DRIVING. FLYERS WERE RELEASED PROVIDING STRATEGIES AIMED AT REDUCING IMPAIRED DRIVING DURING FOOTBALL CELEBRATIONS.PRESCRIPTION DRUG ABUSE REMAINS A HIGH PRIORITY. TRAUMA TRUST HAS AN ONGOING PARTNERSHIP WITH THE DEPARTMENT OF HEALTH'S WORKGROUP REGARDING UNINTENTIONAL OPIOID POISONING. THIS GROUP MEETS QUARTERLY TO DISCUSS STRATEGIES TO REDUCE THE ABUSE AND MISUSE OF PRESCRIPTION DRUGS. TRAUMA TRUST IS PART OF WORKGROUP #3 WHICH IS TASKED WITH ENCOURAGING HEALTHCARE ORGANIZATIONS TO INCREASE USAGE OF THE PRESCRIPTION DRUG MONITORING PROGRAM.</Desc>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL NEWHOUSE EMT-P</PersonNm>
        <TitleTxt>DIRECTER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL INOUYE MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>418498</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48431</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS FERRER MD</PersonNm>
        <TitleTxt>TRAUMA SURGEON</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AML RAAFAT MD</PersonNm>
        <TitleTxt>TRAUMA SURGEON</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>347697</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48431</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID PATTERSON MD</PersonNm>
        <TitleTxt>TRAUMA SURGEON</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>44073</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LONG TRAN MD</PersonNm>
        <TitleTxt>TRAUMA SURGEON</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39093</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE STRONG MD</PersonNm>
        <TitleTxt>TRAUMA SURGEON</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>351240</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33984</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>2181206</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>247902</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>24</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MANSOUR SHIRBACHEH MD</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1708 SOUTH YAKIMA AVENUE SUITE 11</AddressLine1Txt>
            <CityNm>TACOMA</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98405</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL</ServicesDesc>
        <CompensationAmt>419302</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ASH CONSULTING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>304 189TH PLACE SW</AddressLine1Txt>
            <CityNm>BOTHELL</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98102</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>153544</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>A ALEX MOHIT MD</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1608 SOUTH J ST 5TH FLOOR</AddressLine1Txt>
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            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98405</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL</ServicesDesc>
        <CompensationAmt>125800</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>PETER BROWN</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>915 SIXTH AVENUE 200</AddressLine1Txt>
            <CityNm>TACOMA</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98405</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>MEDICAL</ServicesDesc>
        <CompensationAmt>110500</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MARC GOLDMAN</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1608 SOUTH J ST 5TH FLOOR</AddressLine1Txt>
            <CityNm>TACOMA</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98405</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL</ServicesDesc>
        <CompensationAmt>105400</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>118211</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>15400</AllOtherContributionsAmt>
      <TotalContributionsAmt>133611</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>621400</BusinessCd>
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      <ProgramServiceRevenueGrp>
        <Desc>CALL BURDEN</Desc>
        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1727150</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CONFERENCE FEES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>43140</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>43140</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>4817606</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>3464</TotalRevenueColumnAmt>
        <ExclusionAmt>3464</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>TRAINING FEES</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>5880</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>TESTIMONY FEES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>3950</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3950</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>9830</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>9344</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>466929</TotalAmt>
        <ProgramServicesAmt>466929</ProgramServicesAmt>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>5274595</ProgramServicesAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>540317</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>426827</ProgramServicesAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>464830</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>741</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>184650</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>2200623</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28840</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>98</TotalAmt>
        <ManagementAndGeneralAmt>98</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>3139</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13921</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ManagementAndGeneralAmt>349</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>71323</ProgramServicesAmt>
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        <ProgramServicesAmt>359584</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>207009</TotalAmt>
        <ManagementAndGeneralAmt>207009</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>B&amp;O TAXES</Desc>
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        <ManagementAndGeneralAmt>159090</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DUES &amp; LICENSES</Desc>
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        <ManagementAndGeneralAmt>4955</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>5820</ProgramServicesAmt>
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        <ProgramServicesAmt>9832195</ProgramServicesAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>52395</EOYAmt>
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        <EOYAmt>657440</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>103738</EOYAmt>
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        <EOYAmt>1733832</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>646287</EOYAmt>
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        <EOYAmt>672968</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>1319255</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>391359</BOYAmt>
        <EOYAmt>414577</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>391359</BOYAmt>
        <EOYAmt>414577</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2022317</BOYAmt>
        <EOYAmt>1733832</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-6048803</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>6072021</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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        <CurrentTaxYearMinus3YearsAmt>270787</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>277502</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>210365</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>133611</CurrentTaxYearAmt>
        <TotalAmt>2691704</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>5348478</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5357446</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4154428</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4817606</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>5619265</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5634948</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4364793</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4951217</CurrentTaxYearAmt>
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      <SubstAndDsqlfyPrsnsTotGrp>
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        <CurrentTaxYearMinus3YearsAmt>2390</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1217</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4755</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3464</CurrentTaxYearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>2390</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1217</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4755</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3464</CurrentTaxYearAmt>
        <TotalAmt>17716</TotalAmt>
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        <CurrentTaxYearAmt>9830</CurrentTaxYearAmt>
        <TotalAmt>33114</TotalAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus2YearsAmt>5636165</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4392832</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4964511</CurrentTaxYearAmt>
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      <PublicSupportPY509Pct>0.99850</PublicSupportPY509Pct>
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      <InvestmentIncomePYPct>0.00080</InvestmentIncomePYPct>
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        <ExplanationTxt>ADMIN FEES - 2013 AMOUNT: $ 9,000. TESTIMONY FEES - 2013 AMOUNT: $ 14,243. 2014 AMOUNT: $ 3,950. MISCELLANEOUS - 2013 AMOUNT: $ 41. 2014 AMOUNT: $ 0. TRAINING FEES - 2014 AMOUNT: $ 5,880.</ExplanationTxt>
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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      <OtherLiabilitiesOrgGrp>
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        <Amt>112501</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>RETIREMENT PLAN CONTRIBUTION PAYABLE</Desc>
        <Amt>560467</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>672968</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>5248078</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>283567</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>283567</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>4964511</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>4964511</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>11296881</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>283567</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>283567</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>11013314</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>11013314</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TRUST HAS ACCOUNTED FOR UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND WAS REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2014, THE TRUST HAS NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL OR DISCLOSURE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL INOUYE MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>20150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28281</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>466929</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS FERRER MD</PersonNm>
        <TitleTxt>TRAUMA SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>359682</BaseCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>393572</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AML RAAFAT MD</PersonNm>
        <TitleTxt>TRAUMA SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>347697</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>20150</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>28281</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>396128</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID PATTERSON MD</PersonNm>
        <TitleTxt>TRAUMA SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>358942</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LONG TRAN MD</PersonNm>
        <TitleTxt>TRAUMA SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>345147</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>384240</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE STRONG MD</PersonNm>
        <TitleTxt>TRAUMA SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>351240</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>20150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13834</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>385224</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NUMBER OF VOLUNTEERS WAS DETERMINED BY THE NUMBER OF NON-PAID BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE FOUR CORPORATE MEMBERS: CATHOLIC HEALTH INITIATIVES, MULTICARE HEALTH SYSTEM, MADIGAN ARMY MEDICAL CENTER, AND PIERCE COUNTY MEDICAL SOCIETY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>TOP MANAGEMENT OFFICIALS OF MULTICARE HEALTH SYSTEM AND FRANCISCAN HEALTH SYSTEM AUTHORIZE COMPENSATION FOR OFFICERS, DIRECTORS AND KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINES 13 &amp; 14:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRAUMA TRUST RELIES ON THE WHISTLEBLOWER POLICY AND THE DOCUMENT RETENTION AND DESTRUCTION POLICY OF MULTICARE HEALTH SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CALL BURDEN PAYMENTS TO CONTRACTED SURGEONS: PROGRAM SERVICE EXPENSES 1,727,150. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,727,150. LOCUM COVERAGE: PROGRAM SERVICE EXPENSES 144,428. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 144,428. CONTRACTED SUBSPECIALTY: PROGRAM SERVICE EXPENSES 116,085. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 116,085. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 10,666. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,666. EMPLOYEE BENEFIT MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 17,324. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,324. CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 850. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 850. PROFESSIONAL FEES - OTHER: PROGRAM SERVICE EXPENSES 212,960. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 212,960.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBER CAPITAL CONTRIBUTIONS 6,072,021.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>