2014-11-12T13:03:25-06:00 2013-12-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2013-01-01 911939741 TRAUMA TRUST TRAU 2534037740 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 DR PAUL INOUYE MEDICAL DIRECTOR 2534037740 2014-11-12 1 SARA ELIZABETH J HYRE P00235495 4254544919 2013 2015-11-30 17:44:51Z DR PAUL INOUYE 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 4739927 0 X N/A X 1998 WA TO PROVIDE EXPERT CARE IN TRAUMA, EMERGENCY GENERAL SURGERY AND SURGICAL CRITICAL CARE. 12 12 34 13 0 0 277502 210365 5357446 4154428 1217 4755 0 370379 5636165 4739927 0 0 0 0 7376390 7686561 0 0 0 3788545 3704540 11164935 11391101 -5528770 -6651174 3446482 2022317 2364445 1630958 1082037 391359 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 10163015 4168671 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, 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 JUNE OF 2011. 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 21,166 TRAUMA PATIENTS SINCE ITS INCEPTION IN 2000, WITH 1,875 OF THOSE PATIENTS BEING SEEN IN 2013. 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 7,933 PATIENTS SINCE 2009 WITH 1,902 OF THOSE PATIENTS BEING SEEN IN 2013.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.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'S SIGNATURE EDUCATION EVENT IS THE ANNUAL TACOMA TRAUMA CONFERENCE HELD AT THE GREATER TACOMA CONVENTION & TRADE CENTER. OUR 7TH ANNUAL EVENT WAS HELD ON NOVEMBER 15, 2013 WITH OVER 320 ATTENDING FROM ALL OVER WASHINGTON STATE. ATTENDEES INCLUDED REPRESENTATIVES FROM THE EMS COMMUNITY, NURSES, PROVIDERS AND ANCILLARY STAFF. THIS ONE DAY MULTIDISCIPLINARY CONFERENCE PROVIDES UP-TO-DATE CLINICAL INFORMATION ON THE CARE AND MANAGEMENT OF INJURED PATIENTS.IN 2013 OUR INJURY PREVENTION EFFORTS WERE PRIMARILY DIRECTED TOWARD THE IMPLEMENTATION OF A NEW INJURY PREVENTION PROGRAM. THIS PROGRAM HAS BEEN DEVELOPED FOR OUR 65 YEARS AND OLDER TRAUMA PATIENTS WHO HAVE SUSTAINED A FALL. THE INJURY PREVENTION PROGRAM HAS BEEN DEVELOPED FOLLOWING THE STOPPING ELDERLY ACCIDENTS, DEATHS, & INJURIES TOOL KIT (STEADI), AN EVIDENCED BASED PROGRAM DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION. INCLUSION CRITERION WAS ESTABLISHED TO SELECT PATIENTS THAT WOULD BENEFIT MOST FROM THIS INNOVATIVE PROGRAM. THE CRITERION INCLUDES:*SIXTY-FIVE YEARS OF AGE OR OLDER,*HAVE FALLEN IN THE PAST 6 MONTHS,*HAVE NO WEIGHT BEARING RESTRICTIONS,*ARE COGNITIVELY INTACT, AND*HAVE PRIMARY CARE PROVIDERS OR A REFERRAL TO ONE. THE INJURY PREVENTION PROGRAM HAS BEEN PILOTED AT ST. JOSEPH TRAUMA CLINIC BEGINNING MAY 2014. TO OFFSET IMPLEMENTATION EXPENSES, A WEST REGION EMS AND TRAUMA COUNCIL MINI GRANT WAS APPLIED FOR. TRAUMA TRUST WAS AWARDED $3,000 AND USED THESE FUNDS FOR BROCHURES, DOCUMENTATION TOOLS AND PATIENT GIVEAWAYS. THE WASHINGTON STATE DEPARTMENT OF HEALTH IS EVALUATING OUR MODEL FOR SENIOR FALL PREVENTION AND HAS INCLUDED THE DEVELOPMENT AND IMPLEMENTATION OF THIS PROGRAM IN THEIR STRATEGIC PLAN AS A POTENTIAL PROGRAM TO REPLICATE THROUGHOUT THE STATE. THIS MODEL WILL BE REPLICATED AT TACOMA GENERAL TRAUMA CLINIC IN THE FALL 2014. EACH YEAR THE WEST REGION EMS & TRAUMA COUNCIL HOSTS A LARGE CONFERENCE ATTENDED BY OVER 350 EMERGENCY MEDICAL PERSONNEL. TRAUMA TRUST SPONSORS THIS EVENT PROVIDING AN INJURY PREVENTION TOPIC IN A POSTER PRESENTATION. IN 2013, OUR INJURY PREVENTION TOPIC WAS THE PREVENTION OF SENIOR FALLS. TRAUMA TRUST ALSO PARTNERED WITH THE PIERCE COUNTY FALLS PREVENTION COALITION TO HOST A SENIOR FALLS FAIR AT THE LAKEWOOD SENIOR ACTIVITY CENTER. 50 SENIORS ATTENDED THE FAIR, VISITING OVER 15 DIFFERENT VENDORS AND ATTENDING PRESENTATIONS AND EXERCISE DEMONSTRATIONS.TRAUMA TRUST, WITH THE COOPERATION OF THE LIVE FREE COALITION, SUCCESSFULLY HOSTED A DRIVING UNDER THE INFLUENCE (DUI) PREVENTION SUMMIT. THE SUMMIT GATHERED COMMUNITY PARTNERS FROM LAW ENFORCEMENT, THE PIERCE COUNTY PROSECUTORS OFFICE, ATTORNEYS, THE WASHINGTON STATE TRAFFIC SAFETY COMMISSION, THE DUI TASKFORCE, AND SEVERAL STATE LEGISLATORS TO DISCUSS CURRENT ISSUES OF IMPAIRED DRIVING, CHALLENGES BEING FACED BY ORGANIZATIONS AND CREATE AREAS OF COLLABORATION TO REDUCE OR ELIMINATE IMPAIRED DRIVING. 10163015 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 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 43 0 1 34 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 WA X DARIA CARDIN 2063565410 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 BRAD PATTISON MD CHAIR 5.00 X X 0 0 0 SHELLY MULLIN RN MHA VICE CHAIR 5.00 X X 0 0 0 HEATHER MARSHALL MD SECRETARY/TREASURER 5.00 X X 0 0 0 MARK ADAMS MD DIRECTOR 5.00 X 0 0 0 MAGGIE BAKER RN DIRECTOR 5.00 X 0 0 0 WILLIAM CAMMARANO MD DIRECTOR 5.00 X 0 0 0 DIANE CECCHETTINI RN DIRECTOR 5.00 X 0 0 0 BRIAN EBERSOLE DIRECTOR 5.00 X 0 0 0 TORYONO GREEN EMT-P SEI DIRECTOR 5.00 X 0 0 0 STEVE LITSKY MD DIRECTOR 5.00 X 0 0 0 CYNDE RIVERS DIRECTOR 5.00 X 0 0 0 SCOTT D WINSHIP DIRECTOR 5.00 X 0 0 0 PAUL INOUYE MD MEDICAL DIRECTOR 40.00 X 405864 0 30015 ROBERT JACOBY MD MEDICAL DIRECTOR (THRU 5/2013) 40.00 X 210163 0 23315 THOMAS FERRER MD TRAUMA SURGEON 40.00 X 369868 0 33265 AML RAAFAT TRAUMA SURGEON 40.00 X 337314 0 30015 DAVID PATTERSON MD TRAUMA SURGEON 40.00 X 337305 0 33902 STEVEN NORTON ACUTE CARE SURGEON 40.00 X 334839 0 36465 MICHELLE STRONG TRAUMA SURGEON 40.00 X 329309 0 32965 2324662 0 219942 24 0 1 0 MANSOUR SHIRBACHEH MD 1708 SOUTH YAKIMA AVENUE SUITE 11 TACOMA WA 98405 MEDICAL 468961 MED-LINK STAFFING INC 163 HAMPTON POINT DRIVE SAINT AUGUSTINE FL 32092 MEDICAL 340540 COMPHEALTH PO BOX 972651 DALLAS TX 75397 MEDICAL 254109 MULTICARE HEALTH SYSTEMS 1901 SOUTH UNION AVENUE TACOMA WA 98405 MEDICAL 197446 A ALEX MOHIT MD 6205 28TH AVENUE NW GIG HARBOR WA 98335 MEDICAL 109000 6 200465 9900 210365 PATIENT SERVICES 621400 2429469 2429469 CALL BURDEN 621400 1681000 1681000 CONFERENCE FEES 621400 42309 42309 STUDENT ROTATIONS 621400 1650 1650 4154428 4755 4755 PY ACCRD EXP REVERSAL 900099 347095 347095 TESTIMONY FEES 621400 14243 14243 ADMIN FEES 900099 9000 9000 41 41 370379 4739927 4168671 0 360891 X 669357 669357 5621174 5122863 498311 496341 496341 570530 453425 117105 329159 329159 156857 156857 2590537 2554948 35589 60248 6461 53787 426 426 6569 6569 46592 46592 384103 372874 11229 BILLING FEES 197446 197446 DFC GRANT EXPENSES 102576 102576 B&O TAXES 93635 93635 65551 8419 57132 11391101 10163015 1228086 0 1714107 376940 700653 828634 864070 714714 167652 102029 3446482 2022317 2364445 923433 0 707525 2364445 1630958 X 1082037 391359 1082037 391359 3446482 2022317 X -6651174 5960496 X 0 1 X 1 0 X 1200750 1799439 270787 277502 210365 3758843 6574584 5904918 5348478 5357446 4154428 27339854 7775334 7704357 5619265 5634948 4364793 31098697 0 0 0 31098697 9411 5890 2390 1217 4755 23663 9411 5890 2390 1217 4755 23663 23284 23284 7784745 7710247 5621655 5636165 4392832 31145644 0.99850 0.99880 0.00080 0.00120 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: ADMIN FEES - 2013 AMOUNT: $ 9,000. TESTIMONY FEES - 2013 AMOUNT: $ 14,243. MISCELLANEOUS - 2013 AMOUNT: $ 41. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 SETTLEMENTS RESERVE 157854 RETIREMENT PLAN CONTRIBUTION PAYABLE 549671 707525 X 5017366 277439 277439 4739927 0 4739927 11668540 277439 277439 11391101 0 11391101 PART X, LINE 2: 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, 2013, THE TRUST HAS NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL OR DISCLOSURE. X X 0 0 0 0 0 0 0 0 0 PAUL INOUYE MD MEDICAL DIRECTOR 405864 0 0 0 0 0 30015 0 0 0 435879 0 0 0 ROBERT JACOBY MD MEDICAL DIRECTOR (THRU 5/2013) 210163 0 0 0 0 0 23315 0 0 0 233478 0 0 0 THOMAS FERRER MD TRAUMA SURGEON 369868 0 0 0 0 0 30015 0 3250 0 403133 0 0 0 AML RAAFAT TRAUMA SURGEON 337314 0 0 0 0 0 30015 0 0 0 367329 0 0 0 DAVID PATTERSON MD TRAUMA SURGEON 337305 0 0 0 0 0 30015 0 3887 0 371207 0 0 0 STEVEN NORTON ACUTE CARE SURGEON 334839 0 0 0 0 0 30015 0 6450 0 371304 0 0 0 MICHELLE STRONG TRAUMA SURGEON 329309 0 0 0 0 0 30015 0 2950 0 362274 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. 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 1,681,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,681,000. LOCUM COVERAGE: PROGRAM SERVICE EXPENSES 728,802. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 728,802. CONTRACTED SUBSPECIALTY: PROGRAM SERVICE EXPENSES 138,103. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 138,103. MEDICAL OPINION/CHART REVIEW SERVICES: PROGRAM SERVICE EXPENSES 7,043. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,043. CODING/BILLING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 12,539. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,539. EMPLOYEE BENEFIT MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 23,050. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,050. FORM 990, PART XI, LINE 9: MEMBER CAPITAL CONTRIBUTIONS 5,960,496.