2016-08-15T16:27:37-05:00 2015-12-31 850366848 BEASLEY MITCHELL & CO LLP PO DRAWER 550 LAS CRUCES NM 880040550 990 2015-01-01 611470079 TRAUMA CENTER ASSOCIATION OF AMERICA INC TRAU 7043604665 108 GATEWAY BLVD SUITE 103 MOORESVILLE NC 28117 JOHN BARTON OSBORN MSC TREASURER 7043604665 2016-08-04 true BRADLEY M BEASLEY CPA P00498877 5755286700 2016-08-12 2015 2016-12-15 16:53:06Z X BLAINE ENDERSON MD FACS UNIVERSITY OF TENNESSE MEDICAL CTR 1924 ALCOA HIGHWAY BOX U-11 KNOXVILLE TN 37920 1465906 false X WWW.TRAUMACENTERS.ORG X 2002 NC TO SECURE THE VIABILITY OF AMERICA'S TRAUMA CENTERS AND FOSTER A SUSTAINABLE NATIONAL SYSTEM OF TRAUMA CARE. 14 14 6 0 0 1423887 1442795 2707 23111 0 1426594 1465906 0 0 284712 413670 0 0 749893 715318 1034605 1128988 391989 336918 1952334 2383196 710900 831769 1241434 1551427 X TO SECURE THE VIABILITY OF AMERICA'S TRAUMA CENTERS AND FOSTER A SUSTAINABLE NATIONAL SYSTEM OF TRAUMA CARE WITH A VISION OF EVERY INJURED PERSON HAS ACCESS TO OPTIMAL TRAUMA CARE, ANYWHERE AND ANYTIME. false false 287681 1188728 ADVOCACY & 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. 151257 189942 ANNUAL CONFERENCE TCAA PROVIDES A COMPREHENSIVE TRAUMA CONFERENCE ANNUALLY FOR ALL TRAUMA CENTERS, BOTH MEMBERS AND NONMEMBERS. TO ASSURE TRAUMA CENTERS ARE SUCCESSFUL IN CLINICAL AND OPERATIONAL MATTERS, THE TCAA PROVIDES THE FOLLOWING COURSES AT THEIR ANNUAL CONFERENCE: AN ANNUAL MEETING (WITH GENERAL SESSIONS, POSTER PRESENTATIONS WHICH ADDRESS KEY NATIONAL TRAUMA ISSUES AND AN ANNUAL BUSINESS MEETING); A TRAUMA MEDICAL DIRECTOR COURSE TO EDUCATE PHYSICIANS ABOUT BUSINESS, CLINICAL CARE AND LEADERSHIP SKILLS IN THEIR CHALLENGING ADMINISTRATIVE ROLES; A TRAUMA FINANCE AND BUSINESS COURSE TO INSTRUCT TRAUMA CENTER LEADERS ON FINANCIAL AND OPERATIONAL TOPICS; AND A TRAUMA CENTER AND SYSTEM LEADERSHIP COURSE TO ASSIST TRAUMA LEADERS IN MANAGING THE OPERATIONAL AND CLINICAL AREAS OF A TRAUMA CENTER OR A TRAUMA SYSTEM. 28028 43625 EXHIBITS 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. 47209 20500 HAWAII TRAUMA SITE SURVEYS: DURING 2015, 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. 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 ASSIST 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 330+ 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 47209 20500 514175 false false false true false false false false false true false false false true false true false false false false false false false false false false false false true false false false false false false false false false false false false false false true 31 0 true 6 true false false false false false false X 14 14 false false false false true true true true true true false true true true true true true true true false X TRAUMA CENTER ASSOC OF AMERICA 7043604665 108 GATEWAY BLVD SUITE 103 MOORESVILLE NC 28117 BLAINE ENDERSON MD FACS CHAIRMAN 2.00 X X 1250 0 0 DANIEL L GROSS DNSC INMEDIATE PA 2.00 X X 0 0 0 SAMIR M FAKHRY MD FACS VICE-CHAIRMA 2.00 X X 3250 0 0 JOHN BARTON OSBORN MSC TREASURER 2.00 X X 1500 0 0 ANNETTE BERTELSON BSN RN CPHQ SECRETARY 2.00 X X 1000 0 0 HEIDI GARTLAND BA MHA DIRECTOR 1.00 X 0 0 0 GEORGE E HAYES FACHE DIRECTOR 1.00 X 0 0 0 MARY L HILFIKER PHD MD DIRECTOR 1.00 X 0 0 0 KEVIN HICKS MHAMBA DIRECTOR 1.00 X 0 0 0 GREGORY JURKOVICH MD DIRECTOR 1.00 X 0 0 0 MARTIN SCHREIBER MD DIRECTOR 1.00 X 0 0 0 G DOUGLAS SCHMITZ MD FACS DIRECTOR 1.00 X 0 0 0 EILEEN WHALEN RN BSN MHA DIRECTOR 1.00 X 0 0 0 MARY ELLEN ZIMMERMANN RN BSN DIRECTOR 1.00 X 0 0 0 JENNIFER J WARD RN BSN PRESIDENT 48.00 X 161046 0 45572 168046 45572 1 false true false HOLLAND & KNIGHT LLP PO BOX 864084 ORLANDO FL 32886 LOBBYING 245116 1 MEMBERSHIP 1161988 1161988 CONFERENCES 188792 188792 COURSES & WORKSHOPS 43625 43625 SURVEY AND REVIEW 20500 20500 ADVOCACY INCOME 16240 16240 11650 11650 1442795 23111 23111 1465906 1465906 316524 316524 77185 77185 19961 19961 704 704 22139 22139 62755 62755 27210 27210 167751 151257 16494 11354 11354 ADVOCACY FEES 287681 287681 OPERATING EXPENSE 54721 54721 EXHIBIT FEES 28028 28028 MEMBERSHIP EXPENSES 21980 20502 1478 30995 26707 4288 1128988 514175 614813 0 735867 463837 815780 733420 146232 227551 6919 11595 39817 29064 14608 10753 184220 893032 47708 40208 1000 2800 1952334 2383196 13476 6006 684131 803161 13293 22602 710900 831769 X 1241434 1551427 1241434 1551427 1952334 2383196 336918 -26925 X false true X true false false false false 1178227 287681 287681 341686 -54005 39817 29064 10753 10753 ACCRUED LIABILITIES 11644 ACCRUED COMPENSATED ABSENCES 10958 22602 1438981 -26925 -26925 1465906 1465906 1128988 1128988 1128988 X X X false false false JENNIFER J WARD RN BSN PRESIDENT 161046 45572 206618 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 4B LEADERS IN MANAGING THE OPERATIONAL AND CLINICAL AREAS OF A TRAUMA CENTER OR A TRAUMA SYSTEM. FORM 990, PAGE 2, PART III, LINE 4D HAWAII TRAUMA SITE SURVEYS: DURING 2015, 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. 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 ASSIST 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 330+ 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 6 VOTING MEMBERS--THE VOTING MEMBERS OF THE ORGANIZATION SHALL CONSIST OF THE FOLLOWING CATEGORIES: PRINCIPAL MEMBERS--PRINCIPAL MEMBERS ARE DEFINED AS A PROPRIETORSHIP OR CORPORATION IN THE BUSINESS OF TRAUMA CENTERS. EACH PRINCIPAL MEMBER SHALL DESIGNATE ONE PERSON AS ITS REPRESENTATIVE TO THE CORPORATION 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. 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. CORPORATE PARTNER MEMBERS--ONE CATEGORY OF NON-VOTING MEMBERS SHALL BE CORPORATE PARTNER MEMBERS. CORPORATE PARTNER MEMBERS SHALL INCLUDE ONE DESIGNATED PERSON FROM A SUPPLIER OF PRODUCTS AND SERVICES 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 7A VOTING MEMBERS ELECT THE BOARD OF DIRECTORS ON AN ANNUAL BASIS, EITHER IN PERSON, BY FAX, OR ELECTRONICALLY. FORM 990, PAGE 6, PART VI, LINE 7B VOTING 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 9 BLAINE ENDERSON, MD, FACS UNIVERSITY OF TENNESSE MEDICAL CTR 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 ANNETTE BERTELSON, BSN, RN, CPHQ FROEDTERT HOSPITAL MILWAUKEE, WI 53226 HEIDI GARTLAND, BA, MHA UNIVERSITY HOSPITALS CLEVELAND, OH 44106 GEORGE E. HAYES, FACHE MEMORIAL HOSPITAL - UC HEALTH COLORADO SPRINGS, CO 80909 MARY L. HILFIKER, PHD, MD UNIVERSITY OF CALIFORNIA SAN DIEGO, CA 92123 KEVIN HICKS, MHA/MBA OVERLAND PARK REGIONAL MED CTR OVERLAND PARK, KS 66215 GREGORY JURKOVICH, MD DENVER HEALTH & HOSPITAL AUTHORITY DENVER, CO 80207 MARTIN SCHREIBER, MD OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR 97239 G. DOUGLAS SCHMITZ, MD, FACS CHEYENNE REGIONAL MEDICAL CENTER CHEYENNE, WY 82001 EILEEN WHALEN, RN, BSN, MHA UNIVERSITY OF VERMONT MEDICAL CTR BURLINGTON, VT 05401 MARY ELLEN ZIMMERMANN, RN, BSN NEW YORK HOSPITAL QUEENS FLUSHING , NY 11355 FORM 990, PAGE 6, PART VI, LINE 11B 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. FORM 990, PAGE 6, PART VI, LINE 12C 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. FORM 990, PAGE 6, PART VI, LINE 15A 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. FORM 990, PAGE 6, PART VI, LINE 15B THE PRESIDENT IS HIRED BY THE BOARD OF DIRECTORS AND RECEIVES A PERFORMANCE EVALUATION ANNUALLY. COMPENSATION IS REVIEWED AND ADJUSTED ACCORDING TO PERFORMANCE AND COMPARISON DATA. FORM 990, PAGE 6, PART VI, LINE 19 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.