Liabilities / Assets
86th percentile
Higher debt load relative to assets than 86% of similar nonprofits.
Trauma Trust
EIN 91-1939741 • 501(c)3 • Tacoma, WA
Profile
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.
Refreshing map…
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.61x
Liabilities / Revenue
87th percentile
Higher debt load relative to revenue than 87% of similar nonprofits.
Net Margin
1st percentile
Higher net margin than 1% of similar nonprofits.
Top Officer Pay
98th percentile
Higher top officer pay than 98% of similar nonprofits.
Top officer pay equals 40.9% of source-year revenue.
Asset Growth
30th percentile
Faster asset growth than 30% of similar nonprofits.
Revenue Growth
5th percentile
Faster revenue growth than 5% of similar nonprofits.
Balance Sheet
Assets
Down$2,922,599
Down $69,659 (-2.3%) from 2023
Liabilities
Down$1,783,255
Down $918,546 (-34%) from 2023
Net Assets
Up$1,139,344
Up $848,887 (+292%) from 2023
Revenue
Down$1,859,488
Down $1,983,024 (-52%) from 2023
Expenses
Down$11,757,859
Down $5,653,074 (-32%) from 2023
Net Income
Up-$9,898,371
Up $3,670,050 (+27%) from 2023
Trend Graphs
Filings
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
- Assets
- $2,922,599
- Liabilities
- $1,783,255
- Net assets
- $1,139,344
- Revenue
- $1,859,488
- Expenses
- $11,757,859
- Net income
- -$9,898,371
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2024 to Dec 31, 2024
- Signed
- Jun 17, 2025
- Return Version
- 2024v5.2
- Gross Receipts
- $1,859,488
Mission and Program Overview
Mission
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.
Provide trauma, general surgery, & surgical critical care; provide clinical & public education
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Accounts Receivable | $1,540,490 | $2,078,186 | ▲ $537,696 |
| Cash and Non-Interest-Bearing Accounts | $942,686 | $431,458 | ▼ $511,228 |
| Savings and Temporary Cash Investments | $211,416 | $211,970 | ▲ $554 |
| Prepaid Expenses and Deferred Charges | $297,666 | $200,985 | ▼ $96,681 |
| Total Assets | $2,992,258 | $2,922,599 | ▼ $69,659 |
| Liabilities | |||
| Other Liabilities | $1,098,386 | $953,073 | ▼ $145,313 |
| Accounts Payable and Accrued Expenses | $1,072,724 | $830,182 | ▼ $242,542 |
| Deferred Revenue | $530,691 | $0 | ▼ $530,691 |
| Total Liabilities | $2,701,801 | $1,783,255 | ▼ $918,546 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $290,457 | $1,139,344 | ▲ $848,887 |
| Total Net Assets Fund Balance | $290,457 | $1,139,344 | ▲ $848,887 |
| Total Liabilities and Net Assets / Fund Balance | $2,992,258 | $2,922,599 | ▼ $69,659 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Paul Inouye Md | Medical Director | FT | $650,000 | $109,713 | $759,713 |
| Megan Cecchini Md | Physician | FT | $477,000 | $201,269 | $678,269 |
| Thomas Mitchell Md | Physician | FT | $525,000 | $152,769 | $677,769 |
| John Lam Md | Physician | FT | $525,000 | $108,411 | $633,411 |
| Albert Hsu Md | Physician | FT | $525,000 | $104,833 | $629,833 |
| Jamison Nielsen Do | Physician | PT | $418,750 | $105,587 | $524,337 |
Board Members and Trustees
| Name | Title |
|---|---|
| Nathan Schlicher Md | Board Chair |
| Bruce Dammeier | Board Member |
| Eddie Bratko | Board Member |
| Jacques Colon | Board Member |
| Jennifer Schomburg | Board Member |
| Jonathon Gunn Md | Board Member |
| Matt Davis Md | Board Member |
| Steve Harlow | Board Member |
| Sydney Bursante | Board Member |
| Diane Cecchettini Rn | Secretary/treasurer |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $105,363
- Program Service Revenue
- $1,731,614
- Investment Income
- $10,656
- Other Revenue
- $11,855
- Change in Net Assets
- $-9,898,371
Audited Revenue Reconciliation
- Revenue per Audited Statements
- $1,859,488
- Revenue Not Reported on Financial Statements
- $0
- Revenue Not Reported on Form 990
- $317,391
- Total Revenue per Audited Statements
- $2,176,879
- Total Revenue per Form 990
- $1,859,488
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $9,168,483 |
| Other Expenses | $2,589,376 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $6,498,289 | $406,521 | - | $6,904,810 |
| Insurance | $1,313,535 | $14,288 | - | $1,327,823 |
| Fees for Services Other | $709,223 | $170,071 | - | $879,294 |
| Current Officers, Directors, Trustees, and Key Employees | $759,713 | - | - | $759,713 |
| Other Employee Benefits | $470,521 | $51,888 | - | $522,409 |
| Payroll Taxes | $477,770 | $30,242 | - | $508,012 |
| Pension Plan Contributions | $434,008 | $39,531 | - | $473,539 |
| Other Expenses | $205,650 | $52,972 | - | $52,972 |
| Fees for Services Accounting | - | $50,920 | - | $50,920 |
| Conferences and Meetings | $18,117 | $1,993 | - | $20,110 |
| Office Expenses | $6,964 | $12,594 | - | $19,558 |
| Fees for Services Legal | - | $16,165 | - | $16,165 |
| Information Technology | - | $10,407 | - | $10,407 |
| All Other Expenses | $5,771 | $706 | - | $6,477 |
| Total Functional Expenses | $10,899,561 | $858,298 | $0 | $11,757,859 |
Audited Expense Reconciliation
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $12,075,250 |
| Expenses per Audited Statements | $11,757,859 |
| Total Expenses per Form 990 | $11,757,859 |
| Expenses Not Reported on Form 990 | $317,391 |
| Expenses Not Reported on Financial Statements | $0 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- No
- Subject to proxy tax
- No
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Retirement Plan Contribution Payable | $511,489 |
| Settlements Reserve | $441,584 |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- Yes
- Business relationship with 35% controlled entity
- No
- 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
- No
- Other officer compensation reviewed
- No
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- No
- Key decisions subject to board approval
- Yes
- Management duties delegated
- No
Governance Explanations
Form 990, Part VI, Section A, Line 6
“There are four corporate members: virginia mason franciscan health (formerly 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 coporation or adopt a plan for distribution of the assets of the corporation.”
Form 990, Part VI, Section B, Line 11B
“The 990 was distributed 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 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.”
Filing and Contact Details
Filer
- Filer Name
- Trauma Trust
- EIN
- 91-1939741
- Phone
- 2534037537
- Address
- 315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405
Signing Officer
- Name
- Rachanee Curry
- Title
- Administrator
- Phone
- 2534037537
- Signed
- 2025-06-17
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Rachanee Curry
- Formed
- 1998
- Legal Domicile
- Wa
- Voting Board Members
- 9
- Independent Board Members
- 9
- Employees
- 59
- Volunteers
- 10
Preparer
- Firm
- Clark Nuber Ps
- Address
- 10900 NE 4TH STREET SUITE 1400, BELLEVUE, WA 98004
- Preparer
- Celia Davis
- Phone
- 4254544919
Supplemental Narrative
Additional Explanations
FORM 990, PART I, LINE 6:
“The number of volunteers was determined by the number of non-paid board members.”
Form 990, Part III, Line 3
“In 2024, trauma trust experienced a significant business shift. Daily clinical operations were focused at one location, st joseph medical center. Multicare remained a corporate member of trauma trust but cancelled its contract for provider services at tacoma general hospital. Trauma trust continued shared services of education, outreach, and oversight. At the end of 2024, vmfh also ended its contract for provider services effective 12/31/2024.”
FORM 990, PART XI, LINE 9:
“Member capital contributions 10,747,258.”
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| IRS990/Desc | 0 | TRAUMA TRUST CONTINUED TO PROVIDE ADULT TRAUMA CARE TO THE TACOMA/SOUTH SOUND AREA WHICH SERVES AS A VALUABLE RESOURCE FOR THE WEST REGIONS AND OTHER SURROUNDING TRAUMA CENTERS CARING FOR PATIENTS WITH COMPLEX ORTHOPEDIC, CHEST, ABDOMINAL, FACIAL, HEAD AND SPINE INJURIES.TRAUMA TRUST IS COMPRISED OF TRAUMA SURGEONS SUPPORTED BY PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS. DUE TO A NECESSITY FOR 24/7 COVERAGE FOR EMERGENCY SURGERY, IN 2009 THE GROUP EXPANDED ITS SERVICE TO INCLUDE ACUTE CARE SURGICAL SERVICES (ACSS). THIS EXPANSION HAS IMPROVED THROUGHPUT, STANDARDIZED CARE AND ALLOWS FOR A TEAM APPROACH. THE ACSS HAS SEEN A RAPID INCREASE IN PATIENT VOLUME WHICH HAS DOUBLED THE NUMBER OF PATIENTS SEEN BY TRAUMA TRUST PROVIDERS.TRAUMA TRUST PROVIDES EDUCATIONAL OPPORTUNITIES FOR RESIDENT AND PHYSICIAN ASSISTANT STUDENTS INCLUDING MADIGAN ARMY MEDICAL CENTER (MAMC). WE HAVE 15-20 ROTATIONS PER YEAR THROUGH OUR SERVICE THAT ALLOWS FOR MONITORED HANDS-ON CARE OF TRAUMA AND SURGICAL PATIENTS.TRAUMA TRUST SUPPORTS THE WESTERN WASHINGTON TRAUMA COMMUNITY 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 THE STANDARDS OF THE CRITICALLY INJURED PATIENT. TRAUMA TRUST ALSO HAS REPRESENTATION ON THE WASHINGTON STATE TRAUMA AND EMERGENCY SERVICES COMMITTEE, THE PIERCE COUNTY FALLS COALITION, AND THE NORTHWEST HEALTHCARE RESPONSE NETWORK. |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | BOARD CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | SECRETARY/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | MEDICAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1998 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GovernmentGrantsAmt | 0 | 105363 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 1859488 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 28 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 10407 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 10407 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 14288 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 1313535 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1327823 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 10656 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 10656 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 5 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LegalDomicileStateCd | 0 | WA |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | 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. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 290457 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 1139344 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 290457 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 1139344 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 12594 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 6964 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 19558 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 10747258 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 51888 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 470521 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 522409 |
| IRS990/OtherExpensesGrp/Desc | 0 | B & O TAXES |
| IRS990/OtherExpensesGrp/Desc | 1 | RECRUITING & RETENTION |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 52972 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 205650 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 205650 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 52972 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 1098386 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 953073 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 621400 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | TRAINING FEES |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | TESTIMONY FEES |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | REIMBURSEMENTS |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 10470 |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 1 | 135 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 1250 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 10470 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 1250 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 2 | 135 |
| IRS990/OtherRevenueTotalAmt | 0 | 11855 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 406521 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 6498289 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 6904810 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 30242 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 477770 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 508012 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 39531 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 434008 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 473539 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 297666 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 200985 |
| IRS990/PrincipalOfficerNm | 0 | RACHANEE CURRY |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621400 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 1731614 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 1731614 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 107689 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 6546 |
| IRS990/PYOtherExpensesAmt | 0 | 2925201 |
| IRS990/PYOtherRevenueAmt | 0 | 47584 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 3680693 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -13568421 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 14485732 |
| IRS990/PYTotalExpensesAmt | 0 | 17410933 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 3842512 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -9898371 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 0 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 0 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 1732864 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 211416 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 211970 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | MISCELLANEOUS - 2020 AMOUNT: $ 8,522. TRAINING FEES - 2020 AMOUNT: $ 27,949. 2021 AMOUNT: $ 19,425. 2022 AMOUNT: $ 31,316. 2023 AMOUNT: $ 28,990. 2024 AMOUNT: $ 10,470. REIMBURSEMENTS - 2021 AMOUNT: $ 74,248. 2022 AMOUNT: $ 49,800. 2023 AMOUNT: $ 592. 2024 AMOUNT: $ 135. PEER STIPEND REVIEW - 2020 AMOUNT: $ 13,000. 2021 AMOUNT: $ 11,000. 2022 AMOUNT: $ 13,000. 2023 AMOUNT: $ 12,000. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 0 | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 105363 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 107689 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 193953 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 1477527 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 232812 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 2117344 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 10656 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 6546 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 777 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 2429 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 4346 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 24754 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 1732864 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 3686695 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 4731387 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 3235648 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 3383124 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 16769718 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 10656 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 6546 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 777 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 2429 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 4346 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 24754 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00130 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.00070 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt | 0 | 10605 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 41582 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 94116 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 104673 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 49471 |
| IRS990ScheduleA/OtherIncome509Grp/TotalAmt | 0 | 300447 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.98310 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.98280 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 18887062 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 1838227 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 3794384 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 4925340 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 4713175 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 3615936 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 18887062 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 1859488 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 3842512 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 5020233 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 4820277 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 3669753 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 19212263 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | 1 |
| IRS990ScheduleD/DonatedServicesAndUseFcltsAmt | 0 | 317391 |
| IRS990ScheduleD/DonatedServicesUseFcltsAmt | 0 | 317391 |
| IRS990ScheduleD/ExpensesNotReportedAmt | 0 | 317391 |
| IRS990ScheduleD/ExpensesNotRptFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 11757859 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | 441584 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 1 | 511489 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | SETTLEMENTS RESERVE |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 1 | RETIREMENT PLAN CONTRIBUTION PAYABLE |
| IRS990ScheduleD/RevenueNotReportedAmt | 0 | 317391 |
| IRS990ScheduleD/RevenueNotReportedFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 1859488 |
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