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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>-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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>HAWAII 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 &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 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</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, 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 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, 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, PAGE 6, PART VI, 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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>BLAINE 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 &amp; 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 &amp; SCIENCE UNIVERSITY PORTLAND, OR 97239 GEORGE E. HAYES, FACHE MEDICAL CENTER OF THE ROCKIES LOVELAND, CO 80538 JORIE KLEIN, RN, MA PARKLAND HEALTH &amp; 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 &amp; SCIENCE UNIVERSITY PORTLAND, OR 97239</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, 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 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, 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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ONLY COMPENSATED OFFICER OF THE ORGANIZATION IS THE PRESIDENT. SEE FORM 990, PART VI, LINE 15A ABOVE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, 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>
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