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TRAUMA CENTER ASSOCIATION OF AMERICA INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
TRAUMA CENTER ASSOCIATION OF AMERICA INC (EIN 61-1470079)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201413219349304021
Schema version
2013v3.1
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

FieldValueIRS element (for citing)
Return2014-11-17T10:38:13-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN850366848PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BEASLEY MITCHELL & CO LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO DRAWER 550AddressLine1
CityLAS CRUCESCity
StateNMState
ZIP Code880040550ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN611470079EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TRAUMA CENTER ASSOCIATION OFBusinessNameLine1
Business Name Line2AMERICA INCBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlTRAUBusinessNameControlTxt
Phone5755259511PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11155 S TELSHOR BLVDAddressLine1
Address Line2ROOM/SUITE 201AddressLine2
CityLAS CRUCESCity
StateNMState
ZIP Code88011ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN BARTON OSBORN MSCPersonNm
Person TitleTREASURERPersonTitleTxt
Phone5755259511PhoneNum
Signature2014-11-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRADLEY M BEASLEY CPAPreparerPersonNm
PTINP00498877PTIN
Phone5755286700PhoneNum
Preparation2014-11-11PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN BARTON OSBORNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11155 S TELSHOR BLVD STE 201AddressLine1
CityLAS CRUCESCity
StateNMState
ZIP Code88011ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$1,218,182GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.TRAUMACENTERS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateNMLegalDomicileStateCd
Activity Or MissionTO SECURE THE ECONOMIC VIABILITY OF AMERICA'S TRAUMA CENTERS AND FOSTER THE DEVELOPMENT OF A NATIONAL SYSTEM OF TRAUMA CARE; SO THAT, ACCESS TO EXCELLENT CARE FOR THE SERIOUSLY INJURED IS ASSURED.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,079,415PYProgramServiceRevenueAmt
CY Program Service Revenue$1,214,693CYProgramServiceRevenueAmt
PY Investment Income$4,218PYInvestmentIncomeAmt
CY Investment Income$2,063CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,083,633PYTotalRevenueAmt
CY Total Revenue$1,216,756CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$252,848PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$235,193CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$592,189PYOtherExpensesAmt
CY Other Expenses$607,239CYOtherExpensesAmt
PY Total Expenses$845,037PYTotalExpensesAmt
CY Total Expenses$842,432CYTotalExpensesAmt
PY Revenues Less Expenses$238,596PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$374,324CYRevenuesLessExpensesAmt
Total Assets BOY$1,224,005TotalAssetsBOYAmt
Total Assets EOY$1,623,313TotalAssetsEOYAmt
Total Liabilities BOY$748,884TotalLiabilitiesBOYAmt
Total Liabilities EOY$773,868TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$475,121NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$849,445NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO SECURE THE ECONOMIC VIABILITY OF AMERICA'S TRAUMA CENTERS AND FOSTER THE DEVELOPMENT OF A NATIONAL SYSTEM OF TRAUMA CARE; SO THAT, ACCESS TO EXCELLENT CARE FOR THE SERIOUSLY INJURED IS ASSURED.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$240,549ExpenseAmt
DescADVOCACY & LOBYING TCAA 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

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$44,490ExpenseAmt
Revenue$133,313RevenueAmt
DescANNUAL CONFERENCE TCAA PROVIDES A COMPREHENSIVE PERFORMANCE IMPROVEMENT COURSE TO "TRAUMA CENTER LEADERSHIP COURSE". THE PATH TO TRAUMA PROGRAM ADMINISTRATION IS OPEN THROUGH THE CLINICAL LADDER WHICH RARELY PREPARES THE MANAGER FOR THE TASKS OF FINANCING AND OPERATING A TRAUMA CENTER. TO ASSURE MANAGERS ARE SUCCESSFUL, WHATEVER THEIR BACKGROUND, TCAA PROVIDES THE FOLLOWING ANNUALLY: A COMPREHENSIVE PERFORMANCE IMPROVEMENT COURSE, A FINANCE AND BUSINESS PLANNING COURSE ALONG WITH THE ANNUAL MEETING (GENERAL SESSIONS, POSTER PRESENTATION AND ANNUAL BUSINESS MEETING). TCAA OFFERS A COUSE TO EDUCATE TRAUMA MEDICAL DIRECTORS ABOUT THE BUSINESS AND LEADERSHIP SKILLS NEEDED IN THEIR CHALLENGING ADMINISTRATIVE ROLE. THE TRAUMA MEDICAL DIRECTOR COUSE IS LIMITED TO A SMALL NUMBER OF PARTICIPANTS TO FACILITATE DISCUSSION AND PROBLEM SOLVING. THE COURSE IS HELD IN CONJUNCTION WITH THE ANNUAL TRAUMA CONFERENCE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$4,600ExpenseAmt
DescEXHIBITS THE ORGANIZATION STAFF PARTICIPATES IN AT LEAST THREE ANNUAL INDUSTRY TRADE SHOWS ATTENDED BY TRAUMA PROFESSIONALS NATIONWIDE. THE ORGANIZATION ALSO MARKETS TO MEDICAL SUPPLIERS AND OTHER TRADE PARTNERS WHO CAN BECOME CORPORATE ORGANIZATION MEMBERS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$103,707ExpenseAmt
Revenue$64,050RevenueAmt
DescHAWAII TRAUMA SITE SURVEYS: DURING 2013, 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 AND THE AMERICAN COLLEGE OF SURGEONS COMMITTEE ON TRAUMA. THE SITE SURVEY TEAM REVIEWED A WRITTEN APPLICATION FROM EACH HOSPITAL TO BE SURVEYED AND OPERATING A TRAUMA CENTER. THE SITE SURVEY TEAM CONDUCTED PRE-SCHEDULED, PHYSICIAN-LED SITE VISIT IN EACH OF THE APPLICANT HOSPITALS. THE SITE SURVEY TEAM PROVIDED A WRITTEN REPORT FOR EACH APPLICANT TRAUMA CENTER. THE SITE SURVEY TEAM WORKED 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 RECOMMENDED 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. THE SITE SURVEY TEAM VERIFIED WHETHER THE APPLICANT HOSPITALS MEET THE STATE'S CRITERIA TO BE DESIGNATED LEVEL III TRAUMA CENTERS. MARKETING & 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 IN ASSISTING 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 AND 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 300 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 COSTS, CHARGES AND RESOURCES BENCHMARKING 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 PHONEDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$103,707TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$64,050TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$393,346TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxYes (true)SubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document26IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee4EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressYes (true)OfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBEASLEY MITCHELL CO LLPPersonNm
Phone5755286700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1509 S MAIN - SUITE AAddressLine1
CityLAS CRUCESCity
StateNMState
ZIP Code88001ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JENNIFER J WARD RN BSN
PRESIDENT48.00Yes (X)Yes (X)$128,596$0$0
DANIEL L GROSS DNSC
INMEDIATE PA2.00Yes (X)$0$0$0
GEORGE E HAYES FACHE
DIRECTOR1.00Yes (X)$0$0$0
BLAINE ENDERSON MD FACS
CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
DONALD TRUNKEY MD FACS
EMERITUS1.00Yes (X)$0$0$0
G DOUGLAS SCHMITZ MD FACS
DIRECTOR1.00Yes (X)$0$0$0
SAMIR M FAKHRY MD FACS
VICE-CHAIRMA2.00Yes (X)Yes (X)$0$0$0
RUSS MOLLOY ESQ JD
DIRECTOR1.00Yes (X)$0$0$0
JOHN BARTON OSBORN MSC
TREASURER2.00Yes (X)Yes (X)$0$0$0
JORIE KLEIN RN MA
EMERITUS1.00Yes (X)$0$0$0
RON ANDERSON MD MACP
EMERITUS1.00Yes (X)$0$0$0
DIANNE WHEATON RN MBA
SECRETARY2.00Yes (X)Yes (X)$0$0$0
GREGORY JURKOVICH MD
DIRECTOR1.00Yes (X)$0$0$0
MARY L HILFIKER PHD MD
DIRECTOR1.00Yes (X)$0$0$0
MARTIN SCHREIBER MD
DIRECTOR1.00Yes (X)$0$0$0
KEVIN HICKS MHAMBA
DIRECTOR1.00Yes (X)$0$0$0
DAVID E JAFFE MPA
EMERITUS1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$128,596TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOLLAND & KNIGHT LLPBusinessNameLine1

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 864084AddressLine1
CityORLANDOCity
StateFLState
ZIP Code32886ZIPCode
FieldValueIRS element (for citing)
ServicesLOBBYINGServicesDesc
Compensation$216,949CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEMBERSHIP$1,017,330$1,017,330
CONFERENCES$133,313$133,313
SURVEY AND REVIEW$64,050$64,050
FieldValueIRS element (for citing)
Total Program Service Revenue$1,214,693TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,489TotalRevenueColumnAmt
Related Or Exempt Func Income$3,489RelatedOrExemptFuncIncomeAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$1,426OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$1,426OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,426TotalRevenueColumnAmt
Related Or Exempt Func Income-$1,426RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,216,756TotalRevenueColumnAmt
Related Or Exempt Func Income$1,216,756RelatedOrExemptFuncIncomeAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$166,926TotalAmt
Management And General$166,926ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$55,092TotalAmt
Management And General$55,092ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,175TotalAmt
Management And General$13,175ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$50,830TotalAmt
Management And General$50,830ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$32,004TotalAmt
Management And General$32,004ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$25,239TotalAmt
Management And General$25,239ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$20,254TotalAmt
Management And General$20,254ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$67,557TotalAmt
Program Services$67,557ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$44,490TotalAmt
Program Services$44,490ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,002TotalAmt
Management And General$12,002ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,552TotalAmt
Management And General$4,552ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
ADVOCACY FEES$240,549$240,549
CONTRACT LABOR$55,009$55,009
HONORARIA$36,150$36,150
EQUIPMENT RENTAL$12,279$12,279

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,324TotalAmt
Program Services$4,600ProgramServicesAmt
Management And General$1,724ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$842,432TotalAmt
Program Services$393,346ProgramServicesAmt
Management And General$449,086ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$300BOYAmt
EOY$300EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$982,974BOYAmt
EOY$1,336,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$110,240BOYAmt
EOY$161,732EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$13,823BOYAmt
EOY$15,154EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$40,307LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$26,595LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,971BOYAmt
EOY$13,712EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$103,697BOYAmt
EOY$95,415EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$1,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,224,005BOYAmt
EOY$1,623,313EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$81,359BOYAmt
EOY$65,773EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$667,525BOYAmt
EOY$690,024EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$18,071EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$748,884BOYAmt
EOY$773,868EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$475,121BOYAmt
EOY$849,445EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$475,121BOYAmt
EOY$849,445EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,224,005BOYAmt
EOY$1,623,313EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$374,324ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Substantially All Dues NondedfalseSubstantiallyAllDuesNondedInd
Only In House LobbyingfalseOnlyInHouseLobbyingInd
Agree Carryover Prior YearfalseAgreeCarryoverPriorYearInd
Dues Assessments$1,017,330DuesAssessmentsAmt
Non Deductible Lbbyng Pltcl CY$240,549NonDeductibleLbbyngPltclCYAmt
Non Deductible Lbbyng Pltcl Tot$240,549NonDeductibleLbbyngPltclTotAmt
Aggregate Reported Dues Ntc$295,026AggregateReportedDuesNtcAmt
Taxable-$54,477TaxableAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$40,307OtherCostOrOtherBasisAmt
Depreciation$26,595DepreciationAmt
Book Value$13,712BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$13,712TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCRUED COMPENSATED ABSENCES$13,824
ACCRUED LIABILITIES$4,247
FieldValueIRS element (for citing)
Total Liability$18,071TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,216,756TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$1,216,756RevenueSubtotalAmt
Total Revenue Per Form990$1,216,756TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$842,432TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$842,432ExpensesSubtotalAmt
Total Expenses Per Form990$842,432TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4A-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.
FORM 990, PAGE 2, PART III, LINE 4BAND LEADERSHIP SKILLS NEEDED IN THEIR CHALLENGING ADMINISTRATIVE ROLE. THE TRAUMA MEDICAL DIRECTOR COUSE IS LIMITED TO A SMALL NUMBER OF PARTICIPANTS TO FACILITATE DISCUSSION AND PROBLEM SOLVING. THE COURSE IS HELD IN CONJUNCTION WITH THE ANNUAL TRAUMA CONFERENCE.
FORM 990, PAGE 2, PART III, LINE 4DHAWAII TRAUMA SITE SURVEYS: DURING 2013, 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 AND THE AMERICAN COLLEGE OF SURGEONS COMMITTEE ON TRAUMA. THE SITE SURVEY TEAM REVIEWED A WRITTEN APPLICATION FROM EACH HOSPITAL TO BE SURVEYED AND OPERATING A TRAUMA CENTER. THE SITE SURVEY TEAM CONDUCTED PRE-SCHEDULED, PHYSICIAN-LED SITE VISIT IN EACH OF THE APPLICANT HOSPITALS. THE SITE SURVEY TEAM PROVIDED A WRITTEN REPORT FOR EACH APPLICANT TRAUMA CENTER. THE SITE SURVEY TEAM WORKED 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 RECOMMENDED 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. THE SITE SURVEY TEAM VERIFIED WHETHER THE APPLICANT HOSPITALS MEET THE STATE'S CRITERIA TO BE DESIGNATED LEVEL III TRAUMA CENTERS. MARKETING & 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 IN ASSISTING 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 AND 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 300 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 COSTS, CHARGES AND RESOURCES BENCHMARKING 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
FORM 990, PAGE 6, PART VI, LINE 6VOTING MEMBERS--THE VOTING MEMBERS OF THE ORGANIZATION SHALL CONSIST OF THE FOLLOWING CATEGORIES: PRINCIPAL MEMBERS--PRINCIPAL MEMBERS ARE DEFINED AS AN INDIVIDUAL, PROPRIETORSHIP OR CORPORATION IN THE BUSINESS OF TRAUMA CENTERS. THE PRINCIPAL MEMBER, IF NOT AN INDIVIDUAL, SHALL DESIGNATE ONE PERSON AS ITS REPRESENTATIVE TO THE ORGANIZATION WHO SHALL HAVE THE RIGHT AND OBLIGATION TO VOTE, CONSENT AND OTHERWISE EXERCISE ALL MEMBERSHIP RIGHTS AND OBLIGATIONS ON BEHALF OF THE MEMBER, WHICH MEMBER SHALL BE BOUND BY SUCH ACTS. AFFILIATE MEMBERS--AFFILIATE MEMBERS SHALL INCLUDE CERTAIN PARTIES THAT CURRENTLY AND ACTIVELY PROVIDE SPECIAL ADVISORY OR SIMILAR SERVICES TO PRINCIPAL MEMBERS AS THEIR PRIMARY LINE OF BUSINESS, SUCH AS, BUT NOT LIMITED TO, ATTORNEYS, ACCOUNTANTS, BUSINESS CONSULTANTS WHO POSSESS PARTICULAR KNOWLEDGE AND EXPERIENCE IN AREAS OF TRAUMA AND ARE RECOGNIZED AS EXPERTS IN THIS AREA BY THE TCAA IN ITS SOLE DISCRETION. 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. NON- VOTING MEMBERS MAY BE APPOINTED IN THE FOLLOWING CATEGORIES: ASSOCIATE MEMBERS--IT IS THE INTENT OF THE TCAA AND OF THESE BYLAWS THAT ONE MEMBERSHIP VOTE ONLY BE PERMITTED PER LEGAL ENTITY OF AFFILIATED GROUP OF LEGAL ENTITIES UNDER COMMON OWNERSHIP OR CONTROL. ACCORDINGLY, THE ASSOCIATE MEMBER CATEGORY HAS BEEN ESTABLISHED TO PERMIT NON-VOTING MEMBERSHIP FOR RELATED PARTIES. ASSOCIATE MEMBERS SHALL CONSIST OF OWNERS, EMPLOYEES OR CONTRACTORS OF PRINCIPAL MEMBERS OR AFFILIATE MEMBERS. CORPORATE PARTNER MEMBERS--CORPORATE PARTNER MEMBERS SHALL INCLUDE ONE DESIGNATED PERSON FROM A SUPPLIER OF PRODUCTS AND SERVICES WHO IS NOT ELIGIBLE FOR AFFILIATE MEMBERSHIP AND 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.
FORM 990, PAGE 6, PART VI, LINE 7AVOTING MEMBERS ELECT THE BOARD OF DIRECTORS ON AN ANNUAL BASIS, EITHER IN PERSON, BY FAX, OR ELECTRONICALLY.
FORM 990, PAGE 6, PART VI, LINE 7BVOTING MEMBERS APPROVE OR DISAPPROVE DECISIONS OF THE BOARD OF DIRECTORS WITH THEIR RIGHT TO VOTE ON THE ELECTION OF THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 9BLAINE ENDERSON, MD, FACS UNIVERSITY OF TENNESSE MEDICAL CENTE KNOXVILLE, TN 37920 DANIEL L. GROSS, DNSC SHARP HEALTHCARE SAN DIEGO, CA 92123 SAMIR M. FAKHRY, MD, FACS MEDICAL UNIVERSITY OF SOUTH CAROLINA CHARLESTON, SC 29425 JOHN BARTON OSBORN, M.SC. MAYO CLINIC ROCHESTER, MN 55905 DIANNE WHEATON, RN, MBA TRAUMA SERVICE LINE CONSULTANT WINSTON-SALEM, NC 27104 MARY L. HILFIKER, PHD, MD UNIVERSITY OF CALIFORNIA, RADY CHILD SAN DIEGO, CA 92123 KEVIN HICKS, MHA/MBA RESEARCH MEDICAL CENTER KANSAS CITY, MO 64132 GREGORY JURKOVICH, MD DENVER HEALTH & HOSPITAL AUTHORITY DENVER, CO 80207 RUSS MOLLOY, ESQ., JD MERIDIAN HEALTH-JERSEY SHORE UNIVERS NEPTUNE, NJ 07753 G. DOUGLAS SCHMITZ, MD, FACS CHEYENNE REGIONAL MEDICAL CENTER CHEYENNE, WY 82001 MARTIN SCHREIBER, MD OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR 97239 GEORGE E. HAYES, FACHE MEDICAL CENTER OF THE ROCKIES LOVELAND, CO 80538 JORIE KLEIN, RN, MA PARKLAND HEALTH & HOSPITAL SYSTEM DALLAS, TX 75235 RON ANDERSON MD, MACP FOUNDING CO-CHAIRMAN TCAA DUNCANVILLE, TX 75137 DAVID E. JAFFE, MPA SWEDISH EDMONDS EDMONDS, WA 98026 DONALD TRUNKEY MD, FACS OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR 97239
FORM 990, PAGE 6, PART VI, LINE 11BAFTER 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 WHICH 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.
FORM 990, PAGE 6, PART VI, LINE 12CIN 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.
FORM 990, PAGE 6, PART VI, LINE 15ATHE ONLY COMPENSATED OFFICER OF THE ORGANIZATION IS THE PRESIDENT. EACH YEAR SUCH 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. APPROVAL OF THE OFFICER'S COMPENSATION IS MADE THROUGH APPROVAL OF THE ORGANIZATION'S DETAILED ANNUAL BUDGET.
FORM 990, PAGE 6, PART VI, LINE 15BTHE ONLY COMPENSATED OFFICER OF THE ORGANIZATION IS THE PRESIDENT. SEE FORM 990, PART VI, LINE 15A ABOVE.
FORM 990, PAGE 6, PART VI, LINE 19THE 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.