Civic Intelligence

Brain Trauma Foundation Inc.

990 • Fiscal year 2015 • EIN 13-3764444

Jan 01, 2015 to Dec 31, 2015 • Filed on Nov 14, 2016

1999 S Bascom Avenue No 1040Campbell, CA 95008

(408) 369-9735

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

88th percentile

0.89x

Higher debt load relative to assets than 88% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2015

Liabilities / Revenue

74th percentile

0.62x

Higher debt load relative to revenue than 74% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2015

Net Margin

27th percentile

-3.4%

Higher net margin than 27% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2015

Top Officer Pay

92nd percentile

$371,530

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 4.8% of source-year revenue.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2015

Asset Growth

2nd percentile

-37%

Faster asset growth than 2% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2014 to 2015

Revenue Growth

82nd percentile

26%

Faster revenue growth than 82% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2014 to 2015

Assets

Down

$5,365,559

Down $3,129,228 (-37%) from 2014

Net Assets

Down

$571,220

Down $322,201 (-36%) from 2014

Liabilities

Down

$4,794,339

Down $2,807,027 (-37%) from 2014

Revenue

Up

$7,756,720

Up $1,587,946 (+26%) from 2014

Expenses

Up

$8,023,211

Up $1,530,638 (+24%) from 2014

Net Income

Up

-$266,491

Up $57,308 (+18%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$10M$5.0M$0Assets 2011: $2,496,283Liabilities 2011: $301,601Net Assets 2011: $2,194,6822011Assets 2012: $4,627,229Liabilities 2012: $2,926,546Net Assets 2012: $1,700,6832012Assets 2013: $6,376,235Liabilities 2013: $5,161,415Net Assets 2013: $1,214,8202013Assets 2014: $8,494,787Liabilities 2014: $7,601,366Net Assets 2014: $893,4212014Assets 2015: $5,365,559Liabilities 2015: $4,794,339Net Assets 2015: $571,2202015Assets 2016: $1,754,334Liabilities 2016: $1,435,877Net Assets 2016: $318,4572016Assets 2017: $341,747Liabilities 2017: $20,416Net Assets 2017: $321,3312017Assets 2018: $193,512Liabilities 2018: $8,453Net Assets 2018: $185,0592018Assets 2019: $125,872Liabilities 2019: $674Net Assets 2019: $125,1982019Assets 2020: $92,501Liabilities 2020: $673Net Assets 2020: $91,8282020Assets 2021: $88,425Liabilities 2021: $519Net Assets 2021: $87,9062021Assets 2022: $376,080Liabilities 2022: $1,651Net Assets 2022: $374,4292022Assets 2023: $371,457Liabilities 2023: $3,846Net Assets 2023: $367,6112023Assets 2024: $937,768Liabilities 2024: $2,616Net Assets 2024: $935,1522024

Highlighted filing

2015

Assets$5,365,559
Liabilities$4,794,339
Net Assets$571,220

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$10M$5.0M$0-$5.0MRevenue 2011: $3,392,319Expenses 2011: $3,523,615Net Income 2011: -$131,2962011Revenue 2012: $7,263,975Expenses 2012: $7,393,523Net Income 2012: -$129,5482012Revenue 2013: $5,690,112Expenses 2013: $6,175,975Net Income 2013: -$485,8632013Revenue 2014: $6,168,774Expenses 2014: $6,492,573Net Income 2014: -$323,7992014Revenue 2015: $7,756,720Expenses 2015: $8,023,211Net Income 2015: -$266,4912015Revenue 2016: $6,172,905Expenses 2016: $6,413,457Net Income 2016: -$240,5522016Revenue 2017: $1,052,139Expenses 2017: $924,118Net Income 2017: $128,0212017Revenue 2018: $76,847Expenses 2018: $219,123Net Income 2018: -$142,2762018Revenue 2019: $79,197Expenses 2019: $139,058Net Income 2019: -$59,8612019Revenue 2020: $48,608Expenses 2020: $81,981Net Income 2020: -$33,3732020Revenue 2021: $74,400Expenses 2021: $78,323Net Income 2021: -$3,9232021Revenue 2022: $381,121Expenses 2022: $94,598Net Income 2022: $286,5232022Revenue 2023: $95,984Expenses 2023: $102,804Net Income 2023: -$6,8202023Revenue 2024: $1,161,568Expenses 2024: $597,938Net Income 2024: $563,6302024

Highlighted filing

2015

Revenue$7,756,720
Expenses$8,023,211
Net Income-$266,491
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 14, 2016
Return Version
2015v2.1
Gross Receipts
$7,757,629
Mission and Program Overview

Mission

The brain trauma foundation is the world's leader in evidence-based guidelines for traumatic brain injuries (tbi). The guidelines cover pre- hospital care, and in-hospital pediatric and adult severe tbi care. These guidelines are constantly updated as new knowledge becomes available. Btf also supports expert consensus conferences on tbi to produce best practice care pathways.

To help improve the treatment and recovery of patients with traumatic brain injury and neurological diseases by developing best practice guidelines, conducting clinical research, and educating medical professionals and consumers.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$1,887,003$1,937,244▲ $50,241
Land, Buildings, and Equipment, Net$225,367$1,382,181▲ $1,156,814
Accounts Receivable$1,128,058$1,211,311▲ $83,253
Cash and Non-Interest-Bearing Accounts$5,094,955$714,769▼ $4,380,186
Inventories for Sale or Use$56,379--
Prepaid Expenses and Deferred Charges$43,877$52,943▲ $9,066
Receivable From Disqualified Prsn-$15,703-
Loans From Officers Directors$12,403$0▼ $12,403
Pledges and Grants Receivable$748--
Investments Other Securities$400$400→ $0
Total Assets$8,494,787$5,365,559▼ $3,129,228
Other Assets Total$58,000$51,008▼ $6,992
Liabilities
Deferred Revenue$6,607,264$2,485,058▼ $4,122,206
Accounts Payable and Accrued Expenses$943,655$2,301,980▲ $1,358,325
Other Liabilities$38,044$7,301▼ $30,743
Total Liabilities$7,601,366$4,794,339▼ $2,807,027
Net Assets / Fund Balance
Unrestricted Net Assets$883,421$561,220▼ $322,201
Permanently Rstr Net Assets$10,000$10,000→ $0
Total Net Assets Fund Balance$893,421$571,220▼ $322,201
Total Liabilities and Net Assets / Fund Balance$8,494,787$5,365,559▼ $3,129,228

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,298,771$673,815$1,972,586
Other Land Buildings$83,410$4,390$87,800
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jamshid Ghajar Md PhdPresidentFT$365,719$5,811$371,530
Katheleen StevensCFOFT$180,252-$180,252
Jun MarutaScientistFT$125,231$1,801$127,032
Meredith KleinEducation DirectorFT$120,252$88$120,340
Irene D TseretopoulosNeuropsychologistFT$107,225$5,819$113,044

Board Members and Trustees

NameTitle
Alan G QuashaChairman/treasurer as July 2015
Christina H WilsonDirector
Deborah WardDirector
Elizabeth H Van MerkensteijnDirector
George SorosDirector
Pamela J NewmanDirector
Paul ManafortDirector
Sarah Jessica ParkerDirector
Francois M ChateauSecretary
Edgar Cullman JrTreasurer Thru July 2015

Highest Paid Contractors

ContractorServicesLocationCompensation
Stanford UniversityResearch Services450 SERRA MALL, Stanford, CA 94305$1,367,208
Oregon Health Sciences UniversiryResearch Services0690 SW BANCROFT STREET MC L106SPA, Portland, OR 97239$911,954
The Geneva FoundationResearch Services917 PACIFIC AVE STE 600, Tacoma, WA 98402$268,981
Ny Neuroscience Associates PCResearch Services705 OAK KNOLL LANE, Menlo Park, CA 94025$245,497
Portland State UniversityResearch Services1825 SW BROADWAY, Portland, OR 97232$230,557
Revenue and Support

Revenue Composition

Contributions and Grants
$91,890
Program Service Revenue
$7,655,504
Investment Income
$511
Other Revenue
$8,815
All Other Contributions
$91,890
Change in Net Assets
$-266,491

Audited Revenue Reconciliation

Revenue per Audited Statements
$7,756,720
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$-239
Total Revenue per Audited Statements
$7,756,481
Total Revenue per Form 990
$7,756,720
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$4,860,682
Salaries, Compensation, and Employee Benefits$3,142,529
Grants and Similar Amounts Paid$20,000
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,407,754$504,522-$1,912,276
Current Officers, Directors, Trustees, and Key Employees$406,230$145,552-$551,782
Fees for Services Other$357,809$163,952-$521,761
Occupancy-$285,981-$285,981
Travel$190,287$95,214-$285,501
Information Technology$172,220$101,399-$273,619
Other Employee Benefits$184,341$64,516-$248,857
Comp Disqual Persons-$245,497-$245,497
Depreciation Depletion$153,119$43,824-$196,943
Payroll Taxes$136,385$47,732-$184,117
Office Expenses$6,524$134,325-$140,849
Fees for Services Accounting$4,685$47,440-$52,125
Fees for Services Legal$3,258$32,989-$36,247
Insurance-$31,941-$31,941
Grants to Domestic Individuals$20,000--$20,000
Conferences and Meetings$19,618--$19,618
Other Expenses$132,494$16,099-$16,099
All Other Expenses$27$856-$883
Interest$94$347-$441
Total Functional Expenses$6,036,577$1,986,634$0$8,023,211

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$8,023,211
Total Expenses per Audited Statements$8,023,211
Total Expenses per Form 990$8,023,211
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Majority Owner of Sync Think Inc. Is Foundation PresidentIN 2015, THE FOUNDATION ENTERED INTO AN AGREEMENT WITH STI TO PURCHASE EYE GOGGLE EQUIPMENT AT A 25% DISCOUNT FOR $978,750.No$978,750
-Owner of Organization Is the President of FoundationTHE PRESIDENT OF THE FOUNDATION IS THE SOLE OWNER OF NYN. IN 2015, THE FOUNDATION PAID $245,497 TO NYN FOR THE PRESIDENT'S ROLE AS PRINCIPAL INVESTIGATOR FOR THE EYE-TRAC1, EYETRAC ADVANCE AND CONCUSSION DEFINITION PROJECTS. NO FORMAL WRITTEN AGREEMENT HAS BEEN EXECUTED.No$245,497

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$15,703-
Loans from Officers, Directors, Trustees, and Key Employees$12,403$0▼ $12,403
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Third Parties$7,301
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Jamshid ghajar has a business relationship with kathleen stevens and alan g. Quasha.

Form 990, Part VI, Section B, Line 11

Brain trauma foundation, inc. Has its form 990 prepared by an outside accounting firm and have established the following review process to ensure that the information reported is complete and accurate. When the form 990 has been prepared, reviewed by management and is ready to be filed with the internal revenue service, it is electronically sent to the board members of the organization for any comments. Any comments are then grouped, summarized and provided to the outside accountants. Each issue is documented and addressed until the return is finalized and approved for filing.

Form 990, Part VI, Section B, Line 12C

The board chair inquires at all quarterly meetings whether any updates are required to the conflict of interest statements. Also, key employees are required to update their conflict of interest statements during their annual review. Conflicts and/or potential conflicts are disclosed, discussed and resolved at board meetings and noted in the minutes. Follow up is conducted at future meetings if deemed necessary. All board members must submit conflict of interest statements each year. The last time this was completed was november 9, 2015. When a conflict or potential conflict arises, it is normally introduced at a board meeting. Between meetings, the "conflicted" person notifies other board members so that the issue can be addressed, and the board secretary may refer the matter to legal counsel. When a conflict is introduced for board discussion, the nature of the conflict is defined, the board determines whether or not it is an acceptable conflict, and an agreement is reached concerning how the conflict should be managed or resolved. Discussion is duly noted in the minutes (including the basis for accepting the conflict); legal opinions are solicited if needed; and the conflict and the handling of the conflict are revisited at year-end.

Form 990, Part VI, Section B, Line 15A

The presidents compensation is reviewed and approved annually by the board of directors compensation committee. His compensation package includes salary, standard company-paid benefits, and a fee paid to his pc (new york neuroscience associate) for program related services, all of which are subject to review and approval. The compensation committee reviews the compensation package and makes a reommendation for approval of the board. The executive board then votes, and approval is documented in the minutes to the compensation committee meeting. In addition, a formal independent 3rd party compensation study was conducted in 2014, and was presented by the compensation committee to the executive board. The board approved the president's compensation for 2014 and 2015.

Form 990, Part VI, Section C, Line 19

The organization makes its form 990 and form 1023 available for public inspection as required under section 6104 of the internal revenue code. The return is posted on guidestar.org and other similar types of websites. In addition, the financial statements, conflict of interest policy, articles of incorporation, form 990, form 1023, and by-laws are also available upon written request or by calling the organization directly.

Filing and Contact Details

Filer

Filer Name
Brain Trauma Foundation Inc
EIN
13-3764444
Phone
4083699735
Address
1999 S BASCOM AVENUE NO 1040, CAMPBELL, CA 95008

Signing Officer

Name
Jamshid Ghajar Md Phd
Title
President
Phone
4083699735
Signed
2016-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jamshid Ghajar Md Phd
Formed
1994
Legal Domicile
Ny
Voting Board Members
10
Independent Board Members
9
Employees
40
Volunteers
10

Preparer

Firm
PKF O'CONNOR DAVIES LLP
Address
500 MAMARONECK AVENUE, HARRISON, NY 10528-1633
Preparer
Garrett M Higgins
Phone
9143818900
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Loss on disposal of inventory -55,471.

FORM 990, PART XII, LINE 2C:

The brain trauma foundation, inc. Audit committee assumes responsibility for the oversight of the audit of its financial statements and selection of its independent auditor. The policy for selection and oversight of the independent auditors has not changed since last year.

Financial Statement Notes

PART X, LINE 2:

The foundation recognizes the effect of income tax positions only when they are more likely than not to be sustained. Management has determined that the foundation had no uncertain tax positions that would require financial statement recognition or disclosure. The foundation is no longer subject to examinations by the applicable taxing jurisdictions for periods prior to december 31, 2012.

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IRS990/Desc0EYE-TRAC ADVANCETHERE ARE APPROXIMATELY 2 MILLION EMERGENCY DEPARTMENT VISITS A YEAR IN THE UNITED STATES FOR HEAD INJURY; IT IS ESTIMATED THAT OVER THE PAST TEN YEARS APPROXIMATELY 170,000 SOLDIERS HAVE SUSTAINED A TRAUMATIC BRAIN INJURY (TBI). THESE NUMBERS GROSSLY UNDERESTIMATE THE TRUE INCIDENCE OF TBI IN THAT THE MAJORITY OF THESE PATIENTS DO NOT SEEK IMMEDIATE ATTENTION AT A HEALTH CARE FACILITY. RECENT LITERATURE HAS DEMONSTRATED THAT PATIENTS WHO SUSTAIN A TBI MAY BE SUSCEPTIBLE TO DELAYED MANIFESTATIONS OF THE INJURY INCLUDING BEHAVIORAL AND COGNITIVE DISABILITIES.RAPID AND ACCURATE DIAGNOSIS OF THESE INDIVIDUALS EARLY AFTER A HEAD TRAUMA WOULD ENABLE TRIAGE FOR HIGHER LEVEL DIAGNOSTICS AND REMOVE THEM FROM THE RISK OF REPEAT CONCUSSIONS. IN ADDITION, AN ACCURATE COGNITIVE DIAGNOSTIC THAT IS RELIABLE WOULD BE A MARKER FOR RETURN TO MILITARY DUTY. CURRENTLY, COGNITIVE TESTING IS NOT PORTABLE, IS LENGTHY AND UNRELIABLE IN TEST-RETEST SCORING IN THAT IT CAN BE INFLUENCED BY THE EFFORT OF THE INDIVIDUAL TAKING THE TEST.THIS PROPOSED STUDY IS THE ADVANCEMENT OF THE DOD FUNDED EYE-TRAC STUDY, WHICH DEVELOPED A RESEARCH PROTOTYPE PORTABLE EYE TRACKER (EYE-TRACKING RAPID ATTENTION COMPUTATION [EYE-TRAC] GOGGLES) FOR ATTENTION ASSESSMENT FOLLOWING MILD TBI (MTBI) AS WELL AS ASSESSED THE RELIABILITY, VALIDITY, SENSITIVITY AND SELECTIVITY OF THE EYE-TRACKING PARADIGM USING A DESKTOP EYE TRACKING SYSTEM.THE MAIN HYPOTHESIS OF THIS PROJECT IS THAT PREDICTIVE EYE TRACKING OR DYNAMIC VISUAL SYNCHRONIZATION (DVS), A METRIC OF ATTENTION, HAS NORMAL POPULATION VALUES AND THAT MTBI SUBJECTS WILL HAVE ABNORMAL RESULTS IN COMPARISON. IN ADDITION, WE HYPOTHESIZE THAT THE FULLY-INTEGRATED, PORTABLE EYE-TRAC GOGGLES CAN BE ROBUST ENOUGH TO RAPIDLY ASSESS DVS ATTENTION PERFORMANCE AND IDENTIFY INTRA-INDIVIDUAL CHANGES IN EYE MOVEMENT BEHAVIOR USING A PREDICTIVE VISUAL TRACKING PARADIGM. WE WILL USE A PREDICTIVE VISUAL TRACKING PARADIGM THAT HAS BEEN DEMONSTRATED TO BE A SENSITIVE METRIC OF ATTENTION IMPAIRMENT IN MTBI SUBJECTS (1). WE PROPOSE TO PROSPECTIVELY STUDY SUBJECTS AT RISK FOR CONCUSSION USING THE EYE-TRAC GOGGLES. BASELINE EYE TRACKING DATA WILL BE OBTAINED FROM APPROXIMATELY 5,000 ATHLETES FROM COLLEGES AND HIGH SCHOOLS AS WELL AS 5,500 MILITARY PERSONNEL FROM FT. HOOD MILITARY BASE. SOME ATHLETES AND SOLDIERS WILL BE RE-TESTED WITH GOGGLES FOR RELIABILITY MEASUREMENT PURPOSES. ATHLETES WHO SUSTAIN A CONCUSSION WILL BE RECRUITED INTO A LONGITUDINAL STUDY THAT TRACKS UP TO 300 MTBI SUBJECTS. ANOTHER 360 NORMAL CIVILIANS (WITHOUT A HISTORY OF HEAD INJURY) AND 140 CIVILIANS WITH ABNORMAL EYESIGHT (MYOPIA, PRESBYOPIA, FARSIGHTEDNESS, ASTIGMATISM, CONTACT LENS WEARER, COLOR BLINDNESS, AND MACULAR DEGENERATION) WILL BE TESTED. THE PORTABLE EYE-TRAC GOGGLES WILL BE THE INSTRUMENT USED TO COLLECT EYE-TRACKING DATA AND WILL UNDERGO SEVERAL ITERATIONS OF HARDWARE AND SOFTWARE ENHANCEMENTS OVER THE COURSE OF THE STUDY TO IMPROVE THE ACCURACY AND RELIABILITY. WE PLAN TO RELEASE REVISED VERSIONS OF THE EYE-TRAC GOGGLES TO THE TESTING SITES FOR USE AND EVALUATION EVERY 9-12 MONTHS. SPECIFICALLY, WE HYPOTHESIZE THE FOLLOWING: 1. THE EYE-TRAC GOGGLES WILL MEASURE THE PREDICTIVE EYE TRACKING IN AGE AND EDUCATION DEFINED NORMAL POPULATIONS TO PRODUCE DISTRIBUTIONS OF NORMAL VALUES TO COMPARE TO TBI SUBJECTS. 2. THE EYE-TRAC GOGGLES WILL HAVE HIGH TEST-RETEST RELIABILITY. 3. THE PREDICTIVE EYE TRACKING PARAMETERS WILL BE VALIDATED AGAINST OTHER CLINICALLY VALIDATED ATTENTION COGNITIVE TESTS. 4. THE DEGREE OF SHEARING IN THE RIGHT PRE-FRONTAL ANTERIOR WHITE MATTER DETECTED WITH MRI-DTI WILL CORRELATE WITH THE DEGREE OF IMPAIRED PREDICTIVE EYE TRACKING. 5. ACUTE MTBI, WITH AN ATTENTION IMPAIRMENT, WILL BE DETECTED BY MEASUREMENT OF PREDICTIVE EYE TRACKING. 6. ACUTE MTBI SUBJECTS STUDIED LONGITUDINALLY OVER A YEAR WITH RESOLUTION OF ATTENTION IMPAIRMENT WILL HAVE NORMALIZED PREDICTIVE EYE TRACKING.7. THE FULLY-INTEGRATED, PORTABLE EYE-TRACKING GOGGLES W
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IRS990/MissionDesc0TO HELP IMPROVE THE TREATMENT AND RECOVERY OF PATIENTS WITH TRAUMATIC BRAIN INJURY AND NEUROLOGICAL DISEASES BY DEVELOPING BEST PRACTICE GUIDELINES, CONDUCTING CLINICAL RESEARCH, AND EDUCATING MEDICAL PROFESSIONALS AND CONSUMERS.
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IRS990/ProgSrvcAccomActy2Grp/Desc0EYE-TRAC ADVANCE: TECHNOLOGY VERIFICATION1. OBJECTIVEWE PROPOSE TO PROSPECTIVELY STUDY A COHORT OF 18-25 YEAR OLD ATHLETES TO ESTABLISH THE RELIABILITY OF EYE-SYNC DATA AND THE UTILITY OF THE EYE-SYNC GOGGLES AS A SIDELINE CONCUSSION ASSESSMENT TOOL. A CLINICAL TRIAL WILL BE CONDUCTED TO 1) DETERMINE IF EYE-TRACKING, ASSESSED ON THE SIDELINE BY EYE-SYNC GOGGLES, IS A POTENTIAL MARKER OF INJURY THAT CAN BE USED IN CONJUNCTION WITH OTHER SIDELINE EVALUATIONS TO INFORM DECISIONS REGARDING REMOVAL OF ATHLETES FROM PLAY AND 2) TO USE THE EYE-SYNC GOGGLE DATA AS A POST- INJURY RECOVERY CURVE MONITOR.THE EXISTING EYE-TRAC ADVANCE (ETA) STUDY INCLUDES ACUTE EYE-SYNC DATA CAPTURE AT A SINGLE TIMEPOINT WITHIN TWO WEEKS OF A CONCUSSIVE EVENT, AND SUBSEQUENTLY AT 1, 3 AND 12 MONTHS. THIS PROPOSAL WOULD EXPAND THE CAPABILITIES OF ETA TO ALLOW FOR MULTIPLE OBSERVATIONS AND THE DEVELOPMENT OF INDIVIDUALIZED EYE-SYNC SCORE TRAJECTORIES IN THE CRITICAL FIRST 10 DAYS FOLLOWING INJURY. ADDITIONALLY, PERFORMANCE ON A TEST OF SIMPLE REACTION TIME (ANAM-SRT) AND SACCADIC EYE-MOVEMENT/ VISUAL TRACKING (KING DEVICK TEST), AND ACCELEROMETER DATA WILL BE OBTAINED AND CORRELATED WITH THE EYE-SYNC TEST. 2. BACKGROUNDTHE EFFECT OF MILD TRAUMATIC BRAIN INJURY (MTBI) OR CONCUSSION ON THE COGNITIVE FUNCTIONING OF ATHLETES IS A MAJOR AREA OF RECENT RESEARCH THAT HAS GAINED INCREASING ATTENTION IN THE MEDIA. UNITED STATES EMERGENCY DEPARTMENTS ENCOUNTER APPROXIMATELY 1.74 MILLION CASES OF MTBI ANNUALLY. NEARLY 100,000 SOLDIERS ACQUIRED AN MTBI BETWEEN 1997 AND 2007. THESE STATISTICS DO NOT TAKE INTO ACCOUNT TBI CASES THAT WENT UNREPORTED, WHICH MAY NUMBER AS MANY AS 3 MILLION FOR SPORTS-RELATED HEAD INJURIES[3][4] AND 40% FOR ACTIVE MILITARY MEMBERS. FORTY-EIGHT PERCENT OF COLLEGIATE ATHLETES REPORT EXPERIENCING AN IMPACT FOLLOWED BY SIGNS AND SYMPTOMS OF CONCUSSION; HOWEVER, ONLY 17% OF ATHLETES WERE CLINICALLY IDENTIFIED AS SUSTAINING A CONCUSSION. THERE IS A LACK OF UNDERSTANDING REGARDING THE MECHANISMS THAT CAUSE CONCUSSIVE SIGNS AND SYMPTOMS, AND THERE IS NO DEFINITIVE CONSENSUS ON HOW TO BEST EVALUATE OR TREAT AN INDIVIDUAL WITH CONCUSSION. STUDIES UTILIZING CT IMAGING FOR CONCUSSED INDIVIDUALS HAVE FOUND LESS THAN 15% OF THE PATIENTS HAVE VISIBLE TRAUMATIC LESIONS. AS A RESULT, IT IS DIFFICULT TO EVALUATE WHEN IT IS NECESSARY FOR AN ATHLETE TO BE REMOVED FROM PLAY AFTER A POSSIBLE HEAD INJURY. SPORTS-RELATED CONCUSSIONS ARE CURRENTLY VIEWED AS ONE OF THE MOST COMPLICATED INJURIES FACED BY ATHLETIC TRAINERS; THUS PUTTING A HEAVY DEPENDENCE ON SIDELINE DIAGNOSTIC TOOLS. EVALUATIVE TOOLS SUCH AS SPORTS CONCUSSION ASSESSMENT TOOL (SCAT)-3 TEST AS WELL AS THE IMMEDIATE POST-CONCUSSION AND COGNITIVE TESTING (IMPACT) HAVE BEEN WIDELY USED IN PROFESSIONAL AND INTERNATIONAL ATHLETIC ORGANIZATIONS TO AID TRAINERS IN ASSESSING INJURED ATHLETES. THESE EVALUATIVE TOOLS INCLUDE COGNITIVE AND PHYSICAL QUESTIONS TO PROVIDE THE TRAINER WITH ADEQUATE INFORMATION PERTAINING TO THE ATHLETES' RETURN-TO-PLAY STATUS AS WELL AS THE ATHLETES' OVERALL HEALTH. HOWEVER, REVIEW OF RECENT LITERATURE SUGGESTS THAT UPON SERIAL ADMINISTRATION OF SIDELINE NEUROCOGNITIVE TESTS, ATHLETES SHOW INCREASED PERFORMANCE AS A RESULT OF A LEARNING EFFECT. FURTHERMORE, THERE IS EVIDENCE THAT ATHLETES MAY PURPOSEFULLY EXERT POOR EFFORT DURING BASELINE ASSESSMENTS, WHICH WOULD ULTIMATELY LEAD TO INACCURATE INTERPRETATIONS OF TEST SCORES FOLLOWING A POTENTIAL CONCUSSION. TO AVOID INACCURATE VARIABILITY IN PERFORMANCE THAT MAY COMPLICATE TRAINERS' DECISIONS, THERE IS A HIGH DEMAND FOR AN OBJECTIVE SIDELINE MEASURE TO BETTER DETERMINE THE OUTCOME OF AN ATHLETIC HEAD INJURY. THE CURRENT EYE-TRAC ADVANCE (ETA) STUDY USES A PREDICTIVE VISUAL TRACKING PARADIGM TO MEASURE DYNAMIC GAZE ERROR VARIABILITY. THE ADDITION OF ETA: TECHNOLOGY VERIFICATION WILL HELP TO FILL KNOWLEDGE GAPS THAT EXIST IN THE CURRENT ETA PROTOCOL AND CONTRIBUTE TO THE OVERALL GOAL OF ACCURATELY ASSESSING POSSIBLE IMPAIRMENT FOLLOWING
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IRS990/ProgSrvcAccomActy3Grp/Desc0CONCUSSION PROPOSAL: THERE ARE APPROXIMATELY 2 MILLION EMERGENCY DEPARTMENT (ED) VISITS A YEAR IN THE UNITED STATES FOR HEAD INJURY; IT IS ESTIMATED THAT OVER THE PAST TEN YEARS APPROXIMATELY 170,000 SOLDIERS HAVE SUSTAINED A TRAUMATIC BRAIN INJURY (TBI).1 THESE NUMBERS GROSSLY UNDERESTIMATE THE TRUE INCIDENCE OF TBI IN THAT THE MAJORITY OF THESE PATIENTS DO NOT SEEK IMMEDIATE ATTENTION AT A HEALTH CARE FACILITY. RECENT LITERATURE HAS DEMONSTRATED THAT PATIENTS WHO SUSTAIN A TBI MAY BE SUSCEPTIBLE TO DELAYED MANIFESTATIONS OF THE INJURY INCLUDING BEHAVIORAL AND COGNITIVE DISABILITIES.ATHLETES AND SOLDERS ARE AT HIGH RISK FOR BOTH INITIAL AND REPEAT HEAD INJURY SOME OF WHICH MAY BE CATASTROPHIC. SEVERAL YEARS AGO, ZACKERY LYSTEDT, A MIDDLE-SCHOOL FOOTBALL PLAYER, SUSTAINED A TBI DURING A GAME. HE WAS DIAGNOSED WITH A "SECOND IMPACT CONCUSSION." THREE YEARS LATER HE IS WHEELCHAIR-BOUND, AND PROFOUNDLY DISABLED. SUBSEQUENTLY THE STATE OF WASHINGTON ADOPTED THE "ZACKERY LYSTEDT LAW" WHICH SPECIFIES THAT THE APPROVAL OF A MEDICAL PROFESSIONAL IS REQUIRED BEFORE ANY YOUNG ATHLETE WITH SIGNS OF CONCUSSION CAN RETURN TO THE GAME. THE LAW IS PREDICATED ON THE DEFINITION OF A CONCUSSION AND POSES A FUNDAMENTAL PUBLIC POLICY QUESTION I.E. DOES A SINGLE EVENT REPRESENT SOMETHING UNIQUE AND UNCOMMON OR DOES IT CALL TO ATTENTION A PUBLIC HEALTH CONCERN THAT NEEDS TO BE ADDRESSED. WELL DESIGNED RESEARCH IS NEEDED TO ANSWER THESE TYPES OF QUESTIONS.IN 2007-2008, THE CENTERS FOR DISEASE CONTROL, FUNDED A MULTI-DISCIPLINARY GROUP TO DEVELOP A PRACTICE GUIDELINE ON THE DIAGNOSIS AND MANAGEMENT OF MILD TRAUMATIC BRAIN INJURY. 3 THIS TASK FORCE USED WELL DEFINED METHODOLOGY TO GENERATE EVIDENCE BASED GUIDELINES. THE GUIDELINE PROCESS UNCOVERED A NUMBER OF CHALLENGES WHICH CONFRONT THE MEDICAL COMMUNITY IN DIAGNOSING AND TREATING TBI, THE MOST BASIC OF WHICH IS WHAT IS THE DEFINITION OF A "MILD" TBI AND DOES IT DIFFER FROM A CONCUSSION. TYPES OF QUESTIONS UNCOVERED DURING THIS PROCESS INCLUDED, "IS CONCUSSION A CLINICAL DIAGNOSIS OR A DIAGNOSTIC TEST DEFINITION?; "IS PROGNOSIS THE SAME FOR A PATIENTS WITH A MILD TBI ON CLINICAL EXAM THE SAME REGARDLESS OF NEUROIMAGING OR SERUM BIOMARKER FINDINGS?" "ARE THERE PREDICTORS OF COGNITIVE OR BEHAVIORAL SEQUELAE AND ARE THERE INTERVENTIONS THAT WOULD CHANGE THE OUTCOME?" PART OF THE DIFFICULTY IN EVEN BEGINNING TO ANSWER THESE QUESTIONS AND OTHERS IS THAT THE LITERATURE HAS NO STANDARDIZED DEFINITION AND THE HETEROGENEITY OF STUDY DESIGN PRECLUDE META-ANALYSIS OF DATABASES. MULTIPLE DEFINITIONS FOR THE TERM "CONCUSSION" EXIST FROM SOURCES INCLUDING THE AMERICAN ACADEMY OF NEUROLOGY, AMERICAN CONGRESS OF REHABILITATION MEDICINE, CENTERS FOR DISEASE CONTROL AND PREVENTION, DEFENSE AND VETERANS BRAIN INJURY CENTER, AND THE WORLD HEALTH ORGANIZATION. HOWEVER, ALL APPEAR TO HAVE BEEN DEVELOPED THROUGH CONSENSUS PROCESSES, AND ALL, TO VARYING DEGREES, LACK OPERATIONAL CRITERIA.SPORTS INJURIES, TOGETHER WITH BLAST INJURIES AND OTHER "MILD" BRAIN TRAUMAS HAVE SPAWNED A GROWING AWARENESS OF CONCUSSION AND MILD TBI AS A SERIOUS PUBLIC HEALTH PROBLEM. HOWEVER, SCREENING, DIAGNOSIS, AND TREATMENT SUFFER FROM WIDESPREAD PRACTICE VARIATION, SIGNALING SUBSTANTIAL UNDERLYING UNCERTAINTY ABOUT THE DISEASE. USEFUL RESEARCH ABOUT CONCUSSION AND MILD TBI CAN ONLY PROCEED FROM A UNIFORM DEFINITION DERIVED FROM EVIDENCE ABOUT PATIENT AND DISEASE CHARACTERISTICS, INCIDENCE AND PREVALENCE, AND OUTCOMES.NEITHER THE TERM "CONCUSSION" NOR "MILD TBI" PROVIDE A CLEAR DEFINITION TO ENABLE RESEARCHERS, CLINICIANS AND SPORTS SUPERVISORS THE ABILITY TO PROPERLY ADDRESS THIS PUBLIC EPIDEMIC. THE TERM "CONCUSSION" DOES NOT PROVIDE CLEAR INDICATORS OF THE FUNCTIONAL DEFICITS THAT WOULD BE USED TO ASSESS DIAGNOSTICS, THERAPEUTICS AND LONG-TERM NEUROLOGICAL SEQUELAE.WE PROPOSE TO USE SYSTEMATIC METHODS TO CREATE AN EVIDENCE-BASED DEFINITION OF "CONCUSSION." THE GOAL IS TO PROVIDE A CLEAR DEFINITION THAT WILL ENABLE RESEARCHERS, CLINICIANS, AND
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt0122019
IRS990/ProgSrvcAccomActyOtherGrp/Desc0THE PRIMARY TOOL OF BTF'S QUALITY IMPROVEMENT PROGRAM, A CLINICAL DATABASE, IS A SECURE INTERNET BASED DATABASE THAT PERMITS A TRAUMA CENTER TO EXAMINE ITS OWN PERFORMANCE AS WELL AS BENCHMARK WITH OTHER INSTITUTIONS. TBI-TRAC IS DESIGNED TO HELP TRAUMA CENTERS MEASURE AND MONITOR THEIR PERFORMANCE ON KEY CLINICAL INDICATORS BASED ON ESTABLISHED EVIDENCE-BASED GUIDELINES. PARTICIPANTS USE TBI-TRAC AS A ROUTINE PART OF THEIR ONGOING MONITORING AND EVALUATION ACTIVITIES TO IDENTIFY OPPORTUNITIES FOR IMPROVEMENT AND FOR SHARING INFORMATION WITH CLINICAL DEPARTMENT CHAIRS, QUALITY PERFORMANCE COORDINATORS, AND SENIOR ADMINISTRATION. CENTERS CAN COMBINE TBI-TRAC DATA WITH OTHER INTERNAL DATA SOURCES TO REVEAL COST SAVINGS OPPORTUNITIES ASSOCIATED WITH IMPROVEMENT STRATEGIES.
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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.94$0.00$0.94$1.16$0.60$0.56
2023Detailed filing. Detailed filing data is available for this year.$0.37$0.00$0.37$0.10$0.10$0.01
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.38$0.00$0.37$0.38$0.09$0.29
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.09$0.00$0.09$0.07$0.08$0.00
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.09$0.00$0.09$0.05$0.08$0.03
2019Detailed filing. Detailed filing data is available for this year.$0.13$0.00$0.13$0.08$0.14$0.06
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.19$0.01$0.19$0.08$0.22$0.14
2017Detailed filing. Detailed filing data is available for this year.$0.34$0.02$0.32$1.05$0.92$0.13
2016Detailed filing. Detailed filing data is available for this year.$1.75$1.44$0.32$6.17$6.41$0.24
2015Detailed filing. Detailed filing data is available for this year.$5.37$4.79$0.57$7.76$8.02$0.27
2014Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$8.49$7.60$0.89$6.17$6.49$0.32
2013Detailed filing. Detailed filing data is available for this year.$6.38$5.16$1.21$5.69$6.18$0.49
2012Summary only. Only limited summary data is available for this year.$4.63$2.93$1.70$7.26$7.39$0.13
2011Summary only. Only limited summary data is available for this year.$2.50$0.30$2.19$3.39$3.52$0.13
Peer Organizations

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