TRAUMA TRUST: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- TRAUMA TRUST (EIN 91-1939741)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2013-11-25
- IRS object ID
- 201323299349300712
- Schema version
- 2011v1.5
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-25T10:38:51-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910189318 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 A STREET SUITE 600 | AddressLine1 |
| City | TACOMA | City |
| State | WA | State |
| ZIP Code | 984024205 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911939741 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRAUMA TRUST | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | TRAU | NameControl |
| Phone | 2534034570 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 315 MARTIN LUTHER KING JR WAY | AddressLine1 |
| City | TACOMA | City |
| State | WA | State |
| ZIP Code | 98405 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DR PAUL INOUYE | Name |
| Title | INTERIM MEDICAL DIRECTOR | Title |
| Phone | 2534034570 | Phone |
| Date Signed | 2013-11-21 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | NANCY J SCHAUER | Name |
| PTIN | P01326437 | PTIN |
| Phone | 2535724100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | X | AmendedReturn |
| Name Of Principal Officer Person | DR PAUL INOUYE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 315 MARTIN LUTHER KING JR WAY | AddressLine1 |
| City | TACOMA | City |
| State | WA | State |
| ZIP Code | 98405 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 5621655 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1998 | YearFormation |
| State Legal Domicile | WA | StateLegalDomicile |
| Activity Or Mission Description | TRAUMA TRUST'S MISSION IS TO PROVIDE PREMIER EMERGENCY SURGERY SERVICES TO PATIENTS SERVED BY MULTICARE HEALTH SYSTEM AND FRANCISCAN HEALTH SYSTEM, AND TO ACT AS A REGIONAL RESOURCE FOR THE WEST REGION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 34 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 270787 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 7704057 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5348478 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5890 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2390 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 7709947 | TotalRevenuePriorYear |
| Total Revenue Current Year | 5621655 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5897365 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 7043607 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6348214 | OtherExpensePriorYear |
| Other Expenses Current Year | 4906608 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 12245579 | TotalExpensesPriorYear |
| Total Expenses Current Year | 11950215 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -4535632 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -6328560 | RevenuesLessExpensesCY |
| Total Assets BOY | 2738616 | TotalAssetsBOY |
| Total Assets EOY | 2368037 | TotalAssetsEOY |
| Total Liabilities BOY | 1343390 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1513696 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1395226 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 854341 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TRAUMA TRUST'S MISSION IS TO PROVIDE PREMIER EMERGENCY SURGERY SERVICES TO PATIENTS SERVED BY MULTICARE HEALTH SYSTEM AND FRANCISCAN HEALTH SYSTEM, AND TO ACT AS A REGIONAL RESOURCE FOR THE WEST REGION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 11319009 | Expense |
| Revenue | 5348478 | Revenue |
| Description | TRAUMA TRUST IS A NON-PROFIT ORGANIZATION ESTABLISHED BY THREE HOSPITAL SYSTEMS, FRANCISCAN HEALTH SYSTEM OPERATING ST. JOSEPH'S 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 TACOMA AREA. PRIOR TO THE FORMATION OF TRAUMA TRUST, MAMC WAS THE ONLY LEVEL 2 ADULT TRAUMA CENTER IN THE 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 2011. TRAUMA TRUST HAS DELIVERED ADULT TRAUMA CARE TO THE TACOMA AREA AND HAS SERVED AS A VALUABLE RESOURCE IN THE WEST REGION TO OTHER SURROUNDING TRAUMA CENTERS. TRAUMA TRUST HAS SERVED OVER 17,500 PATIENTS SINCE ITS INCEPTION IN 2000, CARING FOR PATIENTS WITH COMPLEX ORTHOPEDIC INJURIES, CHEST, ABDOMINAL, FACIAL AND HEAD AND SPINE INJURIES. 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. ACUTE CARE SURGICAL SERVICES WAS IDENTIFIED AS A NECESSITY BY THE TWO HOSPITALS FOR A VARIETY OF REASONS, INCLUDING 24/7 COVERAGE FOR EMERGENCY SURGERY, IMPROVED THROUGHPUT, STANDARDIZED CARE, AND A TEAM BASED APPROACH. THE ACSS SERVICE SAW A RAPID INCREASE IN PATIENT VOLUME AND HAS DOUBLED THE NUMBER OF PATIENTS SEEN BY TRAUMA TRUST PROVIDERS. ACSS HAS SEEN OVER 4,000 PATIENTS SINCE 2009 WITH OVER 1,700 OF THOSE PATIENTS SEEN IN 2011 ALONE. AS A LEADER, TRAUMA TRUST SUPPORTS THE WEST REGION BY SERVING AS A RESOURCE AND PROVIDING EDUCATION TO SURROUNDING TRAUMA CENTERS AND EMS. TRAUMA TRUST ATTENDS EVENTS, GIVES LECTURES AND PROVIDES FEEDBACK ON STANDARD OF CARE OF THE CRITICALLY INJURED PATIENT, AS WELL AS SPONSORING A LARGE TRAUMA CONFERENCE ANNUALLY THAT IS ATTENDED BY TRAUMA CLINICIANS THROUGHOUT THE STATE OF WASHINGTON. 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 ALSO PROVIDES EDUCATIONAL OPPORTUNITIES FOR RESIDENTS 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 THE TRAUMA PATIENT. ANOTHER ACCOMPLISHMENT TRAUMA TRUST REALIZED THIS PAST YEAR WAS A SUCCESSFUL SURVEY FOR THE DRUG FREE COMMUNITIES GRANT THAT WAS AWARDED IN 2009. THIS 5 YEAR GRANT CONSISTS OF $621,155.00, WHICH IS SPREAD EVENLY OVER THE 5 YEAR SPAN. AS A PART OF THE GRANT RESPONSIBILITY, TRAUMA TRUST HAS SHOWN ITS COMMITMENT BY DEVOTING .5 FTE TO THIS ENDEAVOR. SUCCESSES INCLUDE: WORKING WITH THE TACOMA PIERCE COUNTY HEALTH DEPARTMENT TO DEVELOP A POLICY FOR ADDRESSING PRESCRIPTION DRUG ABUSE; PARTNERING WITH PUYALLUP/PIERCE COUNTY SHERIFF DEPARTMENTS FOR THE "TAKE BACK YOUR MEDS" PROGRAM, WHICH IS HELD TWICE A YEAR; CONDUCTING SUBSTANCE ABUSE TOWN HALL MEETINGS WHICH INCLUDE STATE LEGISLATORS AND LOCAL GOVERNMENT; AND HOSTING THE DUI PREVENTION SUMMIT, WHICH ALSO INTEGRATED LOCAL GOVERNMENT AND LAW ENFORCEMENT TO SPEAK AND EDUCATE THE COMMUNITY. | Description |
| Total Program Service Expense | 11319009 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 60 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 34 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JANA IRVINE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2534034570 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 315 MARTIN LUTHER KING JR WAY | AddressLine1 |
| City | TACOMA | City |
| State | WA | State |
| ZIP Code | 98405 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| MAGGIE BAKER | |||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | ||
| DIANE CECCHETTINI | |||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | ||
| BILL CAMMARANO | |||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | ||
| TORY GREEN | |||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | ||
| LINDA TIEMAN | |||||||
| VICE CHAIR | 5.00 | X | 0 | 0 | 0 | X | |
| JANET WEST | |||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | ||
| JIM CRABBE | |||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | ||
| BRAD PATTISON | |||||||
| SECRETARY/TREASURER | 5.00 | X | 0 | 0 | 0 | X | |
| VICTORIA SILAS | |||||||
| CHAIR | 5.00 | X | 0 | 0 | 0 | X | |
| SCOTT D WINSHIP | |||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | ||
| ROBERT JACOBY | |||||||
| DIRECTOR | 40.00 | X | 420233 | 0 | 49551 | ||
| BRIAN EBERSOLE | |||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | ||
| GREG SEMERDJIAN | |||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | ||
| STEPHEN YOEST | |||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | ||
| PAUL INOUYE | |||||||
| HIGHEST COMPENSATED EMPLOY | 40.00 | 362325 | 0 | 50405 | X | ||
| DAVID PATTERSON | |||||||
| HIGHEST COMPENSATED EMPLOY | 40.00 | 341824 | 0 | 45043 | X | ||
| THOMAS FERRER | |||||||
| HIGHEST COMPENSATED EMPLOY | 40.00 | 366070 | 0 | 38724 | X | ||
| MICHELLE STRONG | |||||||
| HIGHEST COMPENSATED EMPLOY | 40.00 | 337404 | 0 | 37398 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1827856 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 221121 | TotalOtherCompensation |
| Number Individuals GT100 K | 22 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MANSOUR SHIRBACHEH MD | |||||
| 1708 YAKIMA AVE 115 | TACOMA | WA | 98405 | MEDICAL | 990054 |
| R STEVEN NORTON MD | |||||
| 4825 BAYSHORE LN NW | OLYMPIA | WA | 98502 | MEDICAL | 149600 |
| DOUGLAS SUTHERLAND MD | |||||
| 3124 S 19TH ST 320 | TACOMA | WA | 98405 | MEDICAL | 143640 |
| PETER G BROWN MD | |||||
| 3305 N 31ST STREET | TACOMA | WA | 98407 | MEDICAL | 130300 |
| MARK OLSON MD | |||||
| 1112 6TH AVE 300 | TACOMA | WA | 98405 | MEDICAL | 126825 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| Government Grants | 270787 | GovernmentGrants |
| Total Contributions | 270787 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| TRAUMA RVU PROFESSIONA | 621400 | 2868200 | 2868200 |
| CALL BURDEN | 621400 | 2423222 | 2423222 |
| CONFERENCE | 621400 | 50789 | 50789 |
| OTHER REVENUE | 621400 | 6267 | 6267 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5348478 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2390 | TotalRevenueColumn |
| Exclusion | $2,390 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5621655 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5348478 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,390 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 420233 | Total |
| Program Services | 168093 | ProgramServices |
| Management And General | 252140 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5278371 | Total |
| Program Services | 5278371 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 588045 | Total |
| Program Services | 588045 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 467485 | Total |
| Program Services | 467485 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 289473 | Total |
| Program Services | 289473 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28442 | Total |
| Management And General | 28442 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66171 | Total |
| Management And General | 66171 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37810 | Total |
| Management And General | 37810 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51767 | Total |
| Management And General | 51767 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 496537 | Total |
| Program Services | 486432 | ProgramServices |
| Management And General | 10105 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROFESSIONAL FEES | 3720680 | 3720680 | |
| TAXES | 178314 | 178314 | |
| OTHER | 171755 | 171755 | |
| DUES, EDUCATION, LICENS | 142116 | 142116 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13016 | Total |
| Management And General | 13016 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11950215 | Total |
| Program Services | 11319009 | ProgramServices |
| Management And General | 631206 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 351914 | BOY |
| EOY | 1126747 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2209172 | BOY |
| EOY | 581564 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 148306 | BOY |
| EOY | 620340 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29224 | BOY |
| EOY | 39386 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2738616 | BOY |
| EOY | 2368037 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1343390 | BOY |
| EOY | 1513696 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1343390 | BOY |
| EOY | 1513696 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1395226 | BOY |
| EOY | 854341 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1395226 | BOY |
| EOY | 854341 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2738616 | BOY |
| EOY | 2368037 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -6328560 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 5787675 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1252798 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 800025 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1200750 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1799439 | CurrentTaxYearMinus1Year |
| Current Tax Year | 270787 | CurrentTaxYear |
| Total | 5323799 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4529285 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8236694 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6574584 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5904618 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5348478 | CurrentTaxYear |
| Total | 30593659 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5782083 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9036719 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7775334 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7704057 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5619265 | CurrentTaxYear |
| Total | 35917458 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 35917458 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 33274 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 23924 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9411 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5890 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2390 | CurrentTaxYear |
| Total | 74889 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 33274 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 23924 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9411 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5890 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2390 | CurrentTaxYear |
| Total | 74889 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5815357 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9060643 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7784745 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7709947 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5621655 | CurrentTaxYear |
| Total | 35992347 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99790 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99770 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00210 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00230 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
| Total Revenue | 5621655 | TotalRevenue |
| Total Expenses | 11950215 | TotalExpenses |
| Excess Or Deficit For Year | -6328560 | ExcessOrDeficitForYear |
| Other | $5,787,675 | OtherAmount |
| Total Adjustments | 5787675 | TotalAdjustments |
| Excess Or Deficit Per FS | -540885 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 6051714 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 430059 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 430059 | RevenueNotRptdF990 |
| Revenue Subtotal | 5621655 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 5621655 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 12380274 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 430059 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 430059 | ExpensesNotRptdF990 |
| Expenses Subtotal | 11950215 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 11950215 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE TRUST IS A TAX-EXEMPT ORGANIZATION AND IS NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES, EXCEPT FOR UNRELATED BUSINESS INCOME, IN ACCORDANCE WITH SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ADDITION, THE TRUST QUALIFIED FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. UNRELATED BUSINESS INCOME TAX, IF ANY, IS INSIGNIFICANT AND NO TAX PROVISION HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE TRUST HAS ACCOUNTED FOR UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCETAINITY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND WAS REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2011 THE TRUST HAS NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS REQUIRING ADDITIONAL DISCLOSURE. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CAPITAL CONTRIBUTION FROM MEMBERS 5,787,675. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT JACOBY | |||||||||||||
| 420233 | 0 | 0 | 0 | 0 | 0 | 32434 | 0 | 17117 | 0 | 469784 | 0 | 0 | 0 |
| PAUL INOUYE | |||||||||||||
| 362325 | 0 | 0 | 0 | 0 | 0 | 33288 | 0 | 17117 | 0 | 412730 | 0 | 0 | 0 |
| DAVID PATTERSON | |||||||||||||
| 341824 | 0 | 0 | 0 | 0 | 0 | 32641 | 0 | 12402 | 0 | 386867 | 0 | 0 | 0 |
| THOMAS FERRER | |||||||||||||
| 366070 | 0 | 0 | 0 | 0 | 0 | 33288 | 0 | 5436 | 0 | 404794 | 0 | 0 | 0 |
| MICHELLE STRONG | |||||||||||||
| 337404 | 0 | 0 | 0 | 0 | 0 | 31962 | 0 | 5436 | 0 | 374802 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | GOVERNING BODY REVIEWED THE TAX RETURN BEFORE IT WAS FILED WITH THE IRS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE GOVERNING BODY EXAMINES ANY PENDING CONFLICT OF INTEREST AT ANNUAL BOARD MEETINGS. | |
| 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 18 | THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| 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 XI, LINE 5: | CAPITAL CONTRIBUTION FROM MEMBERS 5,787,675. TOTAL TO FORM 990, PART XI, LINE 5: 5,787,675. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990 | 2011 FORM 990 IS BEING AMENDED TO REFLECT PROPER PRESENTATION OF CAPITAL CONTRIBUTIONS FROM MEMBERS. SPECIFICALLY, FORM 990, PARTS VIII AND XI, AND SCHEDULE D, PARTS XI AND XII HAVE BEEN UPDATED TO RECLASSIFY CAPITAL CONTRIBUTIONS FROM PROGRAM REVENUE TO A DIRECT CHANGE TO NET ASSETS. | AMENDED TAX RETURN |