RedactedNarrative: Victim was being pulled behind the boat on a tube when it hit a wake, launching the victim off the 
  tube into the water. On impact with the water, victims shoulder dislocated. He was brought to the 
  marina where he was offered medical attention and the operator refused. A short time later the 
  victim requested EMS for an exam but not transportation. After EMS arrived and performed their 
  exam, victim refused transport and rode to the hospital with family members. Unknown if there were 
  any other participants on the tube. Owner/operator was not forthcoming with information about the 
  accident. It  should be noted that additional follow up was attempted but no additional information is 
  available.