2023-05-12T14:53:49-05:00 2022-06-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2021-07-01 916057438 NORTHWEST KIDNEY CENTERS NORT 2062922771 12901 20TH AVENUE S SEATAC WA 98168 REBECCA FOX CEO & PRESIDENT 2062922771 2023-05-08 1 REBECCA FOX 999009999 SARA ELIZABETH H JONES P00235495 4254544919 2023-05-08 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z REBECCA FOX 12901 20TH AVENUE S SEATAC WA 98168 179355932 0 X WWW.NWKIDNEY.ORG X 1962 WA TO PROMOTE THE OPTIMAL HEALTH, QUALITY OF LIFE AND INDEPENDENCE OF PEOPLE WITH KIDNEY DISEASE THROUGH PATIENT CARE, EDUCATION AND RESEARCH. 12 11 906 520 0 0 4755779 5190539 120421317 123384429 5406123 35064249 396751 -1069284 130979970 162569933 3302134 2780496 0 0 65344700 68724202 0 0 603245 55783043 55498704 124429877 127003402 6550093 35566531 220973324 259504016 73122762 89974634 147850562 169529382 X NORTHWEST KIDNEY CENTERS' MISSION IS TO PROMOTE THE OPTIMAL HEALTH, QUALITY OF LIFE AND INDEPENDENCE OF PEOPLE WITH KIDNEY DISEASE THROUGH PATIENT CARE, EDUCATION AND RESEARCH. NORTHWEST KIDNEY CENTERS IS A NOT-FOR-PROFIT, LOCALLY MANAGED PROVIDER OF KIDNEY DIALYSIS, PUBLIC HEALTH EDUCATION AND RESEARCH INTO THE CAUSES AND TREATMENTS OF CHRONIC KIDNEY DISEASE. FOUNDED IN SEATTLE IN 1962, IT WAS THE WORLD'S FIRST DIALYSIS ORGANIZATION. AMONG THE EIGHTH LARGEST DIALYSIS PROVIDERS IN THE COUNTRY, IT IS AN INFLUENTIAL MODEL BECAUSE OF ITS HIGH QUALITY SERVICES, DEEP COMMUNITY CONNECTIONS AND GENEROUS DONOR SUPPORT. 0 0 107302116 122386587 IN THE YEAR ENDED JUNE 30, 2022, NORTHWEST KIDNEY CENTERS PROVIDED 292,167 DIALYSIS TREATMENTS, ESSENTIAL TO SUSTAIN THE LIVES OF PEOPLE WITH KIDNEY FAILURE. WE SERVED A TOTAL OF 1,936 PATIENTS. THE ORGANIZATION PROVIDED PATIENT CARE IN TWENTY (20) FREE-STANDING CLINICS AND IN EIGHT (8) LOCAL HOSPITALS, AND SUPERVISED SELF-DIALYSIS TREATMENTS IN THE HOMES OF PATIENTS THROUGHOUT THE COMMUNITY. WE SPENT OVER $27 MILLION MORE ON THE CARE OF PATIENTS WITH MEDICARE AND MEDICAID INSURANCE THAN THE PROGRAMS REIMBURSED US FOR. IN ADDITION, WE PROVIDED MORE THAN $1.5 MILLION IN CHARITY CARE. NORTHWEST KIDNEY CENTERS' RENAL SPECIALTY PHARMACY, A RARITY IN THE NATION, SERVED MORE THAN 1,803 DIALYSIS PATIENTS AND KIDNEY TRANSPLANT RECIPIENTS DURING THE YEAR.THE CENTER FOR DIALYSIS INNOVATION RECENTLY LAUNCHED AT THE UNIVERSITY OF WASHINGTON WITH A GRANT FROM NORTHWEST KIDNEY CENTERS FOR $15 MILLION OVER FIVE YEARS. THE MISSION IS TO REVOLUTIONIZE DIALYSIS TECHNOLOGY. 2735650 2735650 NORTHWEST KIDNEY CENTERS PROVIDED NEPHROLOGY FELLOWSHIPS FOR FOUR (4) PHYSICIANS TO DO ADVANCED STUDY OF KIDNEY DISEASE AND RENAL CARE AT THE UNIVERSITY OF WASHINGTON. WE AIM TO ENSURE THAT PROFESSIONAL CARE WILL CONTINUE TO BE AVAILABLE FOR FUTURE KIDNEY PATIENTS. WE PROVIDED SIGNIFICANT SUPPORT FOR THE KIDNEY RESEARCH INSTITUTE, A COLLABORATION BETWEEN NORTHWEST KIDNEY CENTERS AND UW MEDICINE. THE KIDNEY RESEARCH INSTITUTE HAS HAD HUNDREDS OF STUDIES UNDERWAY, FOCUSING ON THE ROLE OF GENETICS, IMPACT OF LIFESTYLE, AND DIABETES IN KIDNEY DISEASE, AS WELL AS WAYS TO IMPROVE DIALYSIS OUTCOMES. THE KIDNEY RESEARCH INSTITUTE PUBLISHED THOUSANDS OF SCIENTIFIC PAPERS IN PEER-REVIEWED JOURNALS FROM ITS INCEPTION IN 2008. NORTHWEST KIDNEY CENTERS' INVESTMENT IN THE KIDNEY RESEARCH INSTITUTE HAD HELPED TO LEVERAGE HUNDREDS OF MILLIONS IN FUNDING FROM THE NATIONAL INSTITUTES OF HEALTH. 762249 NORTHWEST KIDNEY CENTERS OFFERS FREE CLASSES THAT HELP PEOPLE WITH CHRONIC KIDNEY DISEASE PRESERVE KIDNEY FUNCTION, CHOOSE APPROPRIATE TREATMENT, TAKE CARE OF A TRANSPLANTED KIDNEY AND IN GENERAL BE AN EMPOWERED PARTNER IN THEIR KIDNEY HEALTH CARE. THE CLASS PROGRAM PROVIDES OUTREACH TO PEOPLE WHO ARE NOT DIALYSIS PATIENTS AND MAY HELP THEM KEEP THEIR KIDNEYS HEALTHY ENOUGH SO THAT THEY NEVER NEED TO GO ON DIALYSIS, OR CAN DELAY ITS ONSET. THE PATIENT-FOCUSED, EVIDENCE-BASED CURRICULUM WAS DEVELOPED BY NORTHWEST KIDNEY CENTERS. THERE WERE 1360 CHRONIC KIDNEY DISEASE EDUCATION PARTICIPANTS. IN ADDITION TO ITS FREE CLASSES, NORTHWEST KIDNEY CENTERS PARTICIPATED IN OR PRODUCED 44 TOTAL OUTREACH ACTIVITIES, INCLUDING 30 SPEAKING ENGAGEMENTS AND 14 COMMUNITY EVENTS, ENABLING US TO REACH A COMBINED TOTAL OF 3,465 PEOPLE THROUGHOUT THE YEAR. THIS WAS DONE WITH THE GENEROUS SUPPORT OF 520 VOLUNTEERS WHO CONTRIBUTED 3,560 HOURS OF THEIR TIME TO HELPING OUR NONPROFIT ORGANIZATION IN MULTIPLE WAYS DURING THE CORONAVIRUS PANDEMIC. 18679 18679 EMERGENCY ASSISTANCE PROGRAMS: WE PROVIDED FINANCIAL ASSISTANCE TO NEEDY PATIENTS WITH FOOD, HOUSING, AND OTHER EXPENSES (78 PATIENTS). 26167 26167 SCHOLARSHIP PROGRAMS: WE PROVIDED SCHOLARSHIPS TO SIX (6) EMPLOYEES TO ENHANCE THEIR JOB SKILLS VIA HIGHER EDUCATION. 44846 44846 110844861 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 57 0 906 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 11 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 WA X REBECCA FOX 7602126020 12901 20TH AVENUE S SEATAC WA 98168 MICHAEL SUTTERS MEDICAL DIR, EX-OFFICIO BOARD MEMBER 16.00 X 85000 0 0 RAJ MEHROTRA CHAIR 2.00 X X 0 0 0 CHRIS SEEL VICE CHAIR 1.00 X X 0 0 0 JENN BRENNER BOARD MEMBER 1.00 X 0 0 0 RICHARD GREAVES BOARD MEMBER 1.00 X 0 0 0 MEREDITH MATHEWS BOARD MEMBER 1.00 X 0 0 0 RICHARD BLOCH BOARD MEMBER 1.00 X 0 0 0 REX OCHI BOARD MEMBER 1.00 X 0 0 0 MARK OSTROW BOARD MEMBER 1.00 X 0 0 0 DOUG ROSS BOARD MEMBER 1.00 X 0 0 0 RUSS STEPP BOARD MEMBER 1.00 X 0 0 0 QUITA HIGHSMITH BOARD MEMBER 1.00 X 0 0 0 KRISTI GAUDREAU BOARD MEMBER 1.00 X 0 0 0 LARA MACKLIN BOARD MEMBER 1.00 X 0 0 0 REBECCA FOX CEO & PRESIDENT 50.00 X 632642 0 18705 SUZANNE WATNICK CHIEF MEDICAL OFFICER 50.00 X 416690 0 22332 ELIZABETH MCNAMARA CHIEF ADMINISTRATIVE OFFICER 50.00 X 326596 0 15065 CARRIE MCCABE CFO & VP OF FINANCE 50.00 X 209241 0 10997 TONIA CAMPBELL CFO & TREASURER FROM 11/21 50.00 X 48648 0 966 ROBIN LARMER VP LEGAL & CCO, SECRETARY FROM 04/22 50.00 X 0 0 0 ROBERT PECK VP HR & SECRETARY THRU 04/22 50.00 X 201820 0 17311 AUSTIN ROSS VP OF PLANNING THRU 12/21 50.00 X 234635 0 19913 DANIELLE PLANCICH VP OF INFORMATION TECHNOLOGY 50.00 X 175424 0 12624 JANE SINFUEGO REGISTERED NEPHROLOGY NURSE 50.00 X 196090 0 18041 TANYA WOLFF REGISTERED NEPHROLOGY NURSE 50.00 X 194765 0 17377 THOMAS MONTEMAYOR PHARMACY MANAGER 50.00 X 184029 0 17352 LESTER ASTRERO REGISTERED NEPHROLOGY NURSE 50.00 X 176650 0 16491 MARY LEWIS CLINICAL DIR. OF EDUCATION SERVICES 50.00 X 178689 0 16344 MARY MCHUGH FORMER OFFICER 50.00 X 237553 0 47 3498472 0 203565 151 1 1 0 ASCEND CLINICAL LLC PO BOX 45021 SAN FRANCISCO CA 941450021 LABORATORY SERVICES 1445916 POLYCLINIC PO BOX 22608 SEATTLE WA 98122 CLINICAL SERVICES 289650 VIRGINIA MASON MEDICAL CENTER 1100 9TH AVENUE M10-AC SEATTLE WA 98101 MEDICAL DIRECTOR 203868 FRANK FUNG MD PLLC 13533 SE 52ND ST BELLEVUE WA 98006 MEDICAL DIRECTOR 117000 CLARK NUBER PS 10900 NE 4TH ST STE 1400 BELLEVUE WA 98004 ACCOUNTING 105070 5 484622 227950 4477967 77905 5190539 DIALYSIS 621400 113878570 113878570 PATIENT LAB REVENUE 621500 9380576 9380576 OTHER MEDICAL RELATED 621400 100474 100474 INSUR PREMIUM REIMBURS 621400 24809 24809 123384429 1290693 1290693 43 43 98598 25818 72780 72780 72780 7589387 37550990 6032140 5334681 1557247 32216309 33773556 33773556 59188 484622 261782 -202594 -202594 4124136 5131578 -1007442 -1007442 REIMBURSEMENTS 900099 58206 58206 MED RECORDS/COUNSELING 900099 9600 9600 123 123 67929 162569933 122386587 0 34992807 2735650 2735650 44846 44846 2738332 485667 2172671 79994 53139444 46686535 6189657 263252 2170096 1895225 263690 11181 6154662 5345883 777779 31000 4521668 3886747 607087 27834 1797393 1797393 400291 9056 391188 47 81052 81052 62995 62995 218000 218000 5374231 3496476 1877755 217412 21131 168248 28033 2520359 2205293 300998 14068 10617140 10033240 561207 22693 150201 95422 53317 1462 51262 44474 6703 85 7930594 7652299 271275 7020 453250 175019 278203 28 SUPPLIES 21036314 20672428 315374 48512 LAB TESTING 1383338 1346966 36372 REPAIRS & MAINTENANCE 657746 572826 83581 1339 COMMUNITY PROGRAMS 291555 11723 243541 36291 2255571 1630562 594603 30406 127003402 110844861 15555296 603245 6162638 7472854 1486691 1637135 22597935 22671263 1540374 1688186 1169720 1233968 208139787 86745538 112135623 121394249 73415623 101531402 2464720 1874959 220973324 259504016 10988185 13776006 2261534 1760414 198315 175186 56801035 69461254 2873693 4801774 73122762 89974634 X 138863195 160909187 8987367 8620195 147850562 169529382 220973324 259504016 X 35566531 -13670372 -217339 X 0 1 X 1 0 X 2772404 3120286 6649783 4755799 5190539 22488811 126235913 129373010 125457680 126078883 127518165 634663651 129008317 132493296 132107463 130834682 132708704 657152462 246405 94013 82922 29387 47050 499777 0 246405 94013 82922 29387 47050 499777 656652685 1869371 1834547 1507117 1220626 1389334 7820995 1869371 1834547 1507117 1220626 1389334 7820995 2428 34504 18147 13412 58330 126821 130880116 134362347 133632727 132068720 134156368 665100278 0.98730 0.98670 0.01180 0.01200 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISC INCOME - 2017 AMOUNT: $ -375. 2018 AMOUNT: $ 7,351. 2019 AMOUNT: $ 1,364. 2020 AMOUNT: $ 308. 2021 AMOUNT: $ 124. REIMBURSEMENTS - 2017 AMOUNT: $ 2,803. 2018 AMOUNT: $ 27,153. 2019 AMOUNT: $ 16,783. 2020 AMOUNT: $ 10,992. 2021 AMOUNT: $ 58,206. CONSIGNMENT SALES - 2020 AMOUNT: $ 2,112. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 1 62995 0 0 0 62995 0 PART II-B, LINE 1: NORTHWEST KIDNEY CENTERS ENGAGED IN LOBBYING AT THE STATE AND FEDERAL LEVEL DURING THE FISCAL YEAR ENDED 6/30/22. GRANTS TO ORGANIZATIONS FOR LOBBYING PURPOSES INCLUDE PAYMENTS TO KIDNEY RELATED LOBBYING ORGANIZATIONS. NORTHWEST KIDNEY CENTERS ACTIVELY WORK WITH INDUSTRY ORGANIZATIONS SUCH AS NKCA (NON-PROFIT KIDNEY CARE ALLIANCE) AND KCC (KIDNEY CARE COUNCIL) TO WORK WITH POLICY MAKERS AND INDUSTRY REPRESENTATIVES TO GUIDE POLICY AT THE NATIONAL AND STATE LEVELS. 8359321 17146 -1021170 278607 7076690 7089980 17221 1520344 268224 8359321 6760332 266203 251217 187772 7089980 6484754 272206 282189 278817 6760332 6471445 42010 129702 158403 6484754 0.53970 0.37680 0.08350 0 0 20284732 20284732 69317972 13305850 56012122 49860384 35682576 14177808 49619862 37757112 11862750 19056837 19056837 121394249 DEFERRED COMPENSATION 115067 DEFERRED TENANT LEASEHOLD ALLOWANCE 1432151 DEFERRED RENT 3254556 4801774 153639031 -13670372 -461708 -14132080 167771111 218000 -5419178 -5201178 162569933 131960211 5419178 5419178 126541033 218000 244369 462369 127003402 PART V, LINE 4: FUNDS ARE USED FOR KIDNEY DISEASE RESEARCH AND PATIENT SUPPORT, SERVICES & EMERGENCIES PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT -217,339. BAD DEBT EXPENSE REPORTED ON PART IX -244,369. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES REPORTED ON PART VIII -25,818. SPECIAL EVENT EXPENSES REPORTED ON PART VIII -261,782. PHARMACY COST OF GOODS SOLD REPORTED ON PART VIII -5,131,578. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES REPORTED ON PART VIII 25,818. SPECIAL EVENT EXPENSES REPORTED ON PART VIII 261,782. PHARMACY COST OF GOODS SOLD REPORTED ON PART VIII 5,131,578. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE REPORTED ON PART IX 244,369. GALA 360726 301538 59188 186379 HOPEBUILDER'S LUNCHEON 183084 183084 75403 543810 484622 59188 261782 261782 -202594 1 UNIVERSITY OF WASHINGTON 3917 UNIVERSITY WAY NE SEATTLE WA 98105 916001537 GOVT - UNIVERSITY 2735560 0 SEE SCHEDULE I, PART IV. 1 0 INDIVIDUAL GRANTS 78 18679 FAIR MARKET VALUE EMERGENCY GRANTS TO COVER FOOD, HOUSING, UTILITIES, AND TRANSPORTATION SCHOLARSHIPS 6 26167 FAIR MARKET VALUE SCHOLARSHIPS TO EMPLOYEES TO ENHANCE JOB SKILLS THROUGH HIGHER EDUCATION PART I, LINE 2: GIFT TO THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE (UWSOM)/DIVISION OF NEPHROLOGY: AS DESCRIBED IN THE "GIFT AGREEMENT BETWEEN NORTHWEST KIDNEY CENTERS AND UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE/DIVISION OF NEPHROLOGY" (DATED AUGUST 21, 2006) ALONG WITH ITS FOLLOWING 15 ANNUAL EXTENSIONS; THE FOLLOWING PROVISIONS WERE ESTABLISHED IN REGARD TO PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: PARAGRAPH A-FOR FISCAL YEAR 2022 (FISCAL YEAR STARTS IN JULY 2021 AND ENDS IN JUNE 2022.) NKC WILL PROVIDE GIFTS DIRECTED TO THE UW DIVISION OF NEPHROLOGY TO A) ENHANCE THE TRAINING OF FELLOWS IN NEPHROLOGY, AND B) TO SUPPORT BASIC RESEARCH INTO THE CAUSES AND CURES OF KIDNEY DISEASE, AND TO SUPPORT THE ACTIVITIES OF THE KIDNEY RESEARCH INSTITUTE AT THE UNIVERSITY OF WASHINGTON. PARAGRAPH B-NKC AND UWSOM AGREE THAT THESE GIFTS WILL NOT BE USED TO PAY UWSOM OVERHEAD, DEPARTMENT ASSESSMENTS, OR INDIRECT COSTS ON STUDIES. THE PARTIES FURTHER AGREE THAT THE UWSOM IS RESPONSIBLE FOR STEWARDSHIP OF THESE FUNDS AND WILL DIRECTLY UTILIZE THE FULL AMOUNT OF THE GIFTS. THERE ARE NO CONTRACTUAL ARRANGEMENTS ASSOCIATED WITH THE FUNDS, WHICH REQUIRE OR PROVIDE FOR COMPLIANCES WITH PROTOCOLS, PATIENT RIGHTS, TECHNOLOGY TRANSFER OR OTHER SIMILAR CONDITIONS OR PROPRIETARY INFORMATION WITH NKC. PARAGRAPH D-PERIODICALLY UWSOM WILL PROVIDE NKC WRITTEN AND VERBAL REPORTS AND INFORMATIONAL PRESENTATIONS REGARDING THE ACTIVITIES OF THE FUNDED FELLOWS, THE BASIC RESEARCH CONDUCTED WITH NKC FUNDING, AND ACTIVITIES OF THE KIDNEY RESEARCH INSTITUTE, AT A SCHEDULE MUTUALLY AGREED UPON BETWEEN THE NKC PRESIDENT AND CEO AND THE UW HEAD, DIVISION OF NEPHROLOGY. PARAGRAPH E-UPON REQUEST UWSOM SHALL PROVIDE NKC INFORMATION REGARDING THE AMOUNT AND TYPE OF EXPENDITURES ASSOCIATED WITH GIFTS TO THE UWSOM. PARAGRAPH F-AT THE END OF THE PERIOD COVERED BY THIS GIFT AGREEMENT ANY UNSPENT NKC GIFT FUNDS TO UWSOM SHOULD REMAIN DESIGNATED FOR USE BY THE NEPHROLOGY FELLOWSHIP PROGRAM, BASIC RESEARCH ENDEAVORS, OR KIDNEY RESEARCH INSTITUTE FOR USE IN SUBSEQUENT FISCAL YEARS. ALL FUNDS REMAIN WITH UWSOM AS A GIFT FOR THE KRI. PATIENT EMERGENCY FUND GRANTS: THE EMERGENCY FUND PROGRAM PROVIDES SUPPORT FOR SELECT NORTHWEST KIDNEY CENTERS (NKC) PATIENTS CURRENTLY RECEIVING DIALYSIS, OR PATIENTS OF NKC WHO HAVE RECEIVED A KIDNEY TRANSPLANT WITHIN THE PREVIOUS THREE YEARS AND RESIDE WITHIN WASHINGTON STATE. GRANTS OF UP TO $250 PER PATIENT MAY BE AWARDED IN A GIVEN TWELVE MONTH PERIOD. PAYMENT IS IN THE FORM OF A CHECK OR GROCERY STORE GIFT CARD. REQUESTS FOR LARGER AMOUNTS WILL BE CONSIDERED INDIVIDUALLY ON AN EXCEPTION BASIS. NKC SOCIAL WORKERS ARE RESPONSIBLE FOR OBTAINING DOCUMENTATION OF THE PATIENT'S NEED AND INVESTIGATION OF ALL OTHER POSSIBLE COMMUNITY RESOURCES AVAILABLE TO MEET THE NEED. EACH GRANT MUST BE APPROVED BY THE PATIENT'S SOCIAL WORKER, AND THE SOCIAL SERVICES DIRECTOR. THE GRANT WILL BE PAID TO A THIRD PARTY FOR THE SERVICE OR MATERIAL NEEDED BY THE PATIENT. CHECKS WILL NOT BE MADE OUT TO THE PATIENT DIRECTLY. SCHEDULE I, PART II, LINE 1, COLUMN H: RESEARCH GRANTS ARE AWARDED TO UNIVERSITY PHYSICIANS WHO ARE CONDUCTING STUDIES, WHICH ARE DEDICATED TO RESEARCHING CAUSES AND CURES OF CONDITIONS RELATING TO KIDNEY DISEASES. FELLOWSHIPS ARE AWARDED TO THE UNIVERSITY OF WASHINGTON TO PROVIDE SALARY FUNDS FOR PHYSICIANS IN TRAINING TO BECOME NEPHROLOGISTS WHO CARE FOR PATIENTS WITH KIDNEY DISEASE. THE KIDNEY RESEARCH INSTITUTE IS A UNIVERSITY OF WASHINGTON BASED ORGANIZATION THAT IS DEDICATED TO THE RESEARCH OF KIDNEY DISEASE. SCHEDULE I, PART III, SCHOLARSHIPS, COLUMN F: EMPLOYEE SCHOLARSHIP APPLICATIONS ARE REVIEWED BY DEVELOPMENT STAFF TO ENSURE APPLICATIONS ARE COMPLETE, AND BY HUMAN RESOURCES (HR) TO ENSURE APPLICANTS MEET MINIMUM QUALIFICATIONS (EMPLOYED AT LEAST ONE YEAR, FULL-TIME OR REGULAR PART-TIME (AT LEAST 24 HOURS PER WEEK)). THOSE WHO MEET MINIMUM QUALIFICATIONS ARE SENT TO THE EMPLOYEE SCHOLARSHIP COMMITTEE TO BE RATED USING A SCORING MATRIX OF SPECIFIC CRITERIA. THE COMMITTEE WAS COMPRISED OF AN HR REPRESENTATIVE, CKD PROGRAM MANAGER (MSW) AND VP DEVELOPMENT. THE HIGHEST RATED APPLICANTS THEN INTERVIEW WITH THE COMMITTEE. AFTER THAT, THE COMMITTEE DECIDES WHO WILL RECEIVE A SCHOLARSHIP AND HOW MUCH. THE ACTUAL AMOUNTS AWARDED DEPEND ON RESTRICTIONS PLACED BY THE DONORS ABOUT HOW THE SCHOLARSHIP FUNDS CAN BE USED AND THE AMOUNT AVAILABLE IN ANY GIVEN YEAR. X X X X X X 1 0 0 0 0 0 0 1 0 REBECCA FOX CEO & PRESIDENT 506015 0 125523 0 1104 0 0 0 18705 0 651347 0 0 0 SUZANNE WATNICK CHIEF MEDICAL OFFICER 381042 0 34544 0 1104 0 14500 0 7832 0 439022 0 0 0 ELIZABETH MCNAMARA CHIEF ADMINISTRATIVE OFFICER 297549 0 26983 0 2064 0 14500 0 565 0 341661 0 0 0 AUSTIN ROSS VP OF PLANNING THRU 12/21 232571 0 0 0 2064 0 11831 0 8082 0 254548 0 0 0 MARY MCHUGH FORMER OFFICER 0 0 0 0 237553 0 0 0 47 0 237600 0 0 0 CARRIE MCCABE CFO & VP OF FINANCE 203368 0 0 0 5873 0 7458 0 3539 0 220238 0 0 0 ROBERT PECK VP HR & SECRETARY THRU 04/22 185517 0 15658 0 645 0 9229 0 8082 0 219131 0 0 0 JANE SINFUEGO REGISTERED NEPHROLOGY NURSE 194816 0 214 0 1060 0 9793 0 8248 0 214131 0 0 0 TANYA WOLFF REGISTERED NEPHROLOGY NURSE 194311 0 0 0 454 0 9295 0 8082 0 212142 0 0 0 THOMAS MONTEMAYOR PHARMACY MANAGER 182348 0 1102 0 579 0 9270 0 8082 0 201381 0 0 0 MARY LEWIS CLINICAL DIR. OF EDUCATION SERVICES 173658 0 642 0 4389 0 8262 0 8082 0 195033 0 0 0 LESTER ASTRERO REGISTERED NEPHROLOGY NURSE 176461 0 0 0 189 0 8409 0 8082 0 193141 0 0 0 DANIELLE PLANCICH VP OF INFORMATION TECHNOLOGY 160632 0 14266 0 526 0 0 0 12624 0 188048 0 0 0 PART I, LINE 4A MARY MCHUGH RECEIVED $237,553 OF SEVERENCE PAYMENTS IN 2021. PART I, LINE 7 THE CEO & PRESIDENT PARTICIPATES IN AN INCENTIVE PLAN DESIGNED FOR THIS OFFICE-HOLDER ALONE. THE PURPOSE OF THIS PLAN IS TO ALIGN THE PRESIDENT'S INTERESTS WITH THOSE OF THE BOARD AND NKC'S BROADER CONSTITUENTS AND TO RECOGNIZE SPECIAL CONTRIBUTIONS TO NKC'S FINANCIAL AND OPERATIONAL SUCCESS. THE EXECUTIVE COMMITTEE OF THE BOARD SHALL MEET ANNUALLY TO ESTABLISH REASONABLE FINANCIAL AND OTHER GOALS FOR THE COMING YEAR. AT THE CONCLUSION OF THE YEAR, THE EXECUTIVE COMMITTEE WILL MEET IN EXECUTIVE SESSION TO REVIEW PERFORMANCE COMPARED TO THE PREDETERMINED GOALS, TO SET APPROPRIATE INCENTIVE COMPENSATION AS REASONABLY DETERMINED BY THE COMMITTEE AT ITS DISCRETION, AND TO APPROVE GOALS FOR THE FOLLOWING YEAR. THE CHAIR OR HIS OR HER DESIGNATE WILL MEET WITH THE CEO. A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2021 911108929 NONEAVAIL 2021-05-31 79900000 PREVIOUS PAY OFF, CAPITAL IMPROVEMENTS 0 0 0 A 79900000 1190500 16190000 51189500 11330000 1 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 X 1 5155 BOOK VALUE X AUCTION ITEMS 50 72750 BOOK VALUE 0 0 1 0 PART I, COLUMN (B): THE NUMBER IN PART I, COLUMN (B) FOR SECURITIES REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FOR AUCTION ITEMS, THE NUMBER OF ITEMS CONTRIBUTED. FORM 990, PART I, LINE 6: NORTHWEST KIDNEY CENTERS IS LED BY A VOLUNTEER BOARD OF TRUSTEES AND BY A FOUNDATION BOARD THAT HELPS RAISE MONEY AND MAKE CONNECTIONS. THEY ARE JOINED BY SEVERAL HUNDRED OTHER VOLUNTEERS AS NEEDED TO STAFF EVENTS FOCUSED ON FUNDRAISING OR COMMUNITY. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION REVISED ITS BYLAWS AND COMMITTEE CHARTERS TO ENSURE CONTINUED ALIGNMENT WITH APPLICABLE WA LAW, AND TO REFINE THE DESCRIPTION OF CERTAIN DELEGATED DUTIES. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF TRUSTEES' FINANCE AND AUDIT COMMITTEE REVIEWED THE 2021 FORM 990 BEFORE IT WAS FILED. THE 2021 FORM 990 WAS AVAILABLE TO THE FULL BOARD OF TRUSTEES BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ALL BOARD MEMBERS, OFFICERS AND MANAGERS ANNUALLY TO DISCLOSE FINANCIAL INTERESTS AND PERSONAL RELATIONSHIPS WITH POTENTIAL TO GIVE RISE TO A CONFLICT. EACH OF THEM GETS A COPY OF THE CONFLICT OF INTEREST POLICY ALONG WITH A LIST OF VENDORS AND CONTRACTORS; RECIPIENTS ARE REQUIRED TO INDICATE ANY INTEREST IN THE COMPANIES LISTED. ALL DISCLOSURES ARE REVIEWED BY THE BOARD CHAIR, THE CHAIR OF THE BOARD'S COMPLIANCE COMMITTEE, AND THE PRESIDENT/CEO. THEY DECIDE IF ANY POTENTIAL CONFLICT EXISTS AND THEN FOLLOW UP WITH SPECIFIC INDIVIDUALS AS NEEDED, AND REPORT TO THE BOARD OF TRUSTEES ON THE COMPLETED REVIEW PROCESS. INDIVIDUAL BOARD MEMBERS ARE REMINDED TO ABSTAIN FROM VOTES IF THERE IS A POTENTIAL CONFLICT OF INTEREST. THE CONFLICT OF INTEREST POLICY IS SHARED WITH ALL NEW EMPLOYEES AND NEW BOARD MEMBERS AND IT IS POSTED ON NORTHWEST KIDNEY CENTERS' INTRANET. FORM 990, PART VI, SECTION B, LINE 15 NORTHWEST KIDNEY CENTERS BOARD OF TRUSTEES' COMPENSATION COMMITTEE REVIEWS THE PRESIDENT/CEO'S COMPENSATION. THE COMMITTEE CONSISTS OF THREE INDEPENDENT BOARD MEMBERS WHO DO NOT RECEIVE ANY COMPENSATION FROM NORTHWEST KIDNEY CENTERS. THIS COMMITTEE CONTRACTS WITH AN INDEPENDENT FIRM TO PROVIDE AN INTERMEDIATE SANCTIONS LETTER (DETERMINING THE ORGANIZATION IS IN COMPLIANCE) FOR THE COMMITTEE AND TO MEET FIDUCIARY AND IRS RESPONSIBILITIES. THIS OUTSIDE REVIEW USES HOSPITAL AND OTHER HEALTH CARE COMPENSATION DATA TO FORMULATE A RECOMMENDATION ON TOTAL COMPENSATION RELATIVE TO SIZE, COMPLEXITY, MARKET LOCATION, AND NATURE OF THE ORGANIZATION. THE COMPENSATION COMMITTEE IS DELEGATED BY THE EXECUTIVE COMMITTEE OF THE BOARD TO APPROVE A SALARY FOR THE PRESIDENT/CEO. THE PROCESS WAS PERFORMED IN JANUARY 2020 FOR THE INITIAL COMPENSATION PACKAGE OF THE PRESIDENT/CEO. DATA REGARDING THE VICE PRESIDENTS' PAY HISTORY, CURRENT PAY AND PROPOSED ADJUSTMENTS HAVE BEEN PROVIDED TO THE NORTHWEST KIDNEY CENTERS COMPENSATION COMMITTEE, WHICH IS MADE UP OF THREE INDEPENDENT BOARD MEMBERS, WHO DETERMINE THAT SUCH AMOUNTS ARE CONSISTENT WITH MARKET PARAMETERS. COMPENSATION FOR THE VICE PRESIDENT WAS LAST REVIEWED IN 2020 BUT, DUE TO COVID, NO MARKET ADJUSTMENTS WERE MADE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S BYLAWS, ARTICLES OF INCORPORATION, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE ON REQUEST, CONTACT INFO@NWKIDNEY.ORG. THE FISCAL YEAR FINANCIAL RESULTS ARE PUBLISHED IN THE ANNUAL REPORT, AVAILABLE ON WWW.NWKIDNEY.ORG. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT -217,339. NORTHWEST KIDNEY CARE ALLIANCE PO BOX 3037 SEATTLE WA 981143037 ENHANCE QUALITY & REDUCE COST OF HEALTH CARE SERVICES WA NORTHWEST KIDNEY CENTERS C -38882 500 0.50000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0