The CATRAC Executive Board consists of 19 members. The Board reviews and approves the budget, financial operations, agency operating policies, regional guidelines, and proposals recommended by the membership to improve trauma and acute care. Each of the eleven TSA-O counties have one representative elected by the designated voting members of that county. County Representatives must be a resident or work in the county they are representing. Each representative from the other designated board positions are elected by the General Membership. The CATRAC Executive Board Officers include a Chair, Vice Chair, Secretary, and Treasurer who are elected by the CATRAC Executive Board.