2021-03-08T12:56:37-06:00 2020-06-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2019-07-01 916057438 NORTHWEST KIDNEY CENTERS NORT 2062922771 700 BROADWAY SEATTLE WA 981224302 REBECCA FOX CEO & PRESIDENT 2062922771 2021-02-24 1 SARA ELIZABETH J HYRE P00235495 4254544919 2021-02-24 2019 2022-09-23 18:48:47Z REBECCA FOX 700 BROADWAY SEATTLE WA 981224302 179395617 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. 17 14 885 604 0 0 3120286 6649783 121417476 117894002 2155595 8241385 913402 1544309 127606759 134329479 3600010 3481331 0 0 69146434 68577503 0 0 838817 51662007 51898804 124408451 123957638 3198308 10371841 195115636 219224153 70456441 89668164 124659195 129555989 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 10 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 103626618 3374361 119480411 IN THE YEAR ENDED JUNE 30, 2020 NORTHWEST KIDNEY CENTERS PROVIDED 285,486 DIALYSIS TREATMENTS, ESSENTIAL TO SUSTAIN THE LIVES OF PEOPLE WITH KIDNEY FAILURE. WE SERVED A TOTAL OF 1,833 PATIENTS. THE ORGANIZATION PROVIDED PATIENT CARE IN 19 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 $30.4 MILLION MORE ON THE CARE OF PATIENTS WITH MEDICARE AND MEDICAID INSURANCE THAN THE PROGRAMS REIMBURSED US FOR. IN ADDITION, WE PROVIDED MORE THAN $700,279 IN CHARITY CARE. NORTHWEST KIDNEY CENTERS' RENAL SPECIALTY PHARMACY, A RARITY IN THE NATION, SERVED MORE THAN 1,148 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. 3374361 NORTHWEST KIDNEYS CENTERS PROVIDED NEPHROLOGY FELLOWSHIPS FOR FOUR 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. AS OF JUNE 30, 2020, THE KIDNEY RESEARCH INSTITUTE HAD OVER 50 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 OVER 1,300 SCIENTIFIC PAPERS IN PEER-REVIEWED JOURNALS FROM ITS INCEPTION IN 2008 THROUGH JUNE 2020. NORTHWEST KIDNEY CENTERS' INVESTMENT IN THE KIDNEY RESEARCH INSTITUTE HAD HELPED TO LEVERAGE OVER $140 MILLION IN FUNDING FROM THE NATIONAL INSTITUTES OF HEALTH AS OF JUNE 30, 2020. 354667 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. THE MOST POPULAR CLASS, CHOICES, OFFERED SEVERAL TIMES EACH MONTH, ATTRACTED A TOTAL OF 600 ATTENDEES.IN ADDITION TO ITS FREE CLASSES, NORTHWEST KIDNEY CENTERS PARTICIPATED IN 64 COMMUNITY HEALTH EDUCATION AND OUTREACH ACTIVITIES, REACHING A TOTAL OF 13,636 PEOPLE DURING THE YEAR. 74470 74470 EMERGENCY ASSISTANCE PROGRAMS: WE PROVIDED FINANCIAL ASSISTANCE TO NEEDY PATIENTS WITH FOOD, HOUSING, AND OTHER EXPENSES (316 PATIENTS). 32500 32500 SCHOLARSHIP PROGRAMS: WE PROVIDED SCHOLARSHIPS TO 18 EMPLOYEES TO ENHANCE THEIR JOB SKILLS VIA HIGHER EDUCATION. 106970 106970 107462616 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 1 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 54 0 1 885 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 17 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 WA X CARRIE MCCABE 2067208508 700 BROADWAY SEATTLE WA 981224302 JOYCE JACKSON CEO & PRESIDENT THRU 11/19 50.00 0.00 X 559259 0 36559 LEANNA TYSHLER CKD & CLIN QUAL INITIATIVES MED ADV 50.00 0.00 X 507655 0 13280 SUZANNE WATNICK CHIEF MEDICAL OFFICER 50.00 0.00 X 382798 0 22354 CARRIE MCCABE CFO & VP OF FINANCE 50.00 0.00 X 335620 0 23423 ELIZABETH MCNAMARA VP OF CLINICAL OPERATIONS 50.00 0.00 X 302485 0 8142 MARY MCHUGH VP OF ADMINISTRATIVE SERVICES 50.00 0.00 X 275850 0 23230 BRUCE ELKINGTON VP OF INFORMATION SERVICES/CIP 50.00 0.00 X 274331 0 21988 AUSTIN ROSS VP OF PLANNING 50.00 0.00 X 233498 0 28661 JANE PRYOR VP OF DEVELOPMENT & COMMUNICATIONS 50.00 0.00 X 206178 0 24507 CYRUS CRYST BOARD MEMBER/MEDICAL DIRECTOR 12.00 0.00 X 78750 0 0 MICHAEL SUTTERS BOARD MEMBER/MEDICAL DIRECTOR 16.00 0.00 X 78750 0 0 REX OCHI BOARD MEMBER (MED DIR. THRU 04/19) 1.00 0.00 X 25000 0 0 RICHARD BLOCH CHAIR 2.00 0.00 X X 0 0 0 MEREDITH MATTHEWS VICE-CHAIR 2.00 0.00 X X 0 0 0 OWEN APPLEQUIST BOARD MEMBER 1.00 0.00 X 0 0 0 JENN BRENNER BOARD MEMBER 1.00 0.00 X 0 0 0 SARAH CAVE BOARD MEMBER 1.00 0.00 X 0 0 0 LISA FLORENCE BOARD MEMBER 1.00 0.00 X 0 0 0 KRISITI GAUDREAU BOARD MEMBER 1.00 0.00 X 0 0 0 RICHARD GREAVES BOARD MEMBER 1.00 0.00 X 0 0 0 LARA MACKLIN BOARD MEMBER 1.00 0.00 X 0 0 0 RAJ MEHROTRA BOARD MEMBER 1.00 0.00 X 0 0 0 MARK OSTROW BOARD MEMBER 1.00 0.00 X 0 0 0 DOUG ROSS BOARD MEMBER 1.00 0.00 X 0 0 0 CHRIS SEEL BOARD MEMBER 1.00 0.00 X 0 0 0 CHARLEEN TACHIBANA BOARD MEMBER 1.00 0.00 X 0 0 0 REBECCA FOX CEO & PRESIDENT FROM 03/20 50.00 0.00 X 0 0 0 3260174 0 202144 169 0 1 0 ALDRICH & ASSOCIATES INC 810 240TH ST SE BOTHELL WA 98021 CONSTRUCTION 32001005 ASCEND CLINICAL LLC PO BOX 45021 SAN FRANCISCO CA 941450021 LABORATORY SERVICES 1338317 BRIGHTWORK CONSULTING INC PO BOX 724051 ATLANTA GA 311394051 EMR CONSULTING 1138930 MAHLUM ARCHITECTS 71 COLUMBIA FLOOR 74 SEATTLE WA 98104 ARCHITECT 989651 SPECTRUM DEVELOPMENT SOLUTIONS LLC 1809 SEVENTH AVE STE 1501 SEATTLE WA 98101 PROJECT MANAGEMENT 849102 26 934158 2172368 3543257 157127 6649783 DIALYSIS 621400 104675656 104675656 PATIENT LAB REVENUE 621500 10058843 10058843 OTHER MEDICAL RELATED 621400 3077042 3077042 INSUR PREMIUM REIMBURS 621400 82461 82461 117894002 1382599 1382599 58 58 124460 10425 114035 114035 114035 41978789 3615995 37787725 948273 4191064 2667722 6858786 6858786 141806 934158 340876 -199070 -199070 26300 1570 24730 24730 7558279 5977269 1581010 1581010 REIMBURSEMENTS 900099 16783 16783 MED RECORDS/COUNSELING 900099 5399 5399 1364 1364 23546 134329479 119480411 0 8199285 3374361 3374361 106970 106970 1708888 157500 1551388 53872584 47115044 6296944 460596 2222305 1993839 215727 12739 6207294 5480322 691075 35897 4566432 3954755 572907 38770 1588093 1550734 37359 273350 13720 259630 94635 94635 92662 92662 171258 171258 1442579 550952 860127 31500 170711 14586 144370 11755 2533145 2265867 238180 29098 4063461 3557967 482739 22755 8277493 7795594 459862 22037 136681 101757 33216 1708 90150 46903 42610 637 8326873 6221728 2024088 81057 402741 99279 303462 SUPPLIES 18844224 18456054 344536 43634 LAB TESTING 1502079 1448807 53272 REPAIRS & MAINTENANCE 764748 703075 59401 2272 COMMUNITY PROGRAMS 232201 102323 129878 2891720 2350479 496879 44362 123957638 107462616 15656205 838817 6892040 10185248 2066341 1278122 23107684 22567954 1286177 1594430 1017347 1222392 195945064 82278497 92204342 113666567 65891686 66196546 2650019 2512894 195115636 219224153 20641233 12766648 4487506 3297171 37417594 57712892 7910108 15891453 70456441 89668164 X 116448834 119283639 8210361 10272350 124659195 129555989 195115636 219224153 X 10371841 -5549144 74097 X X 0 1 X 1 1 0 X 2050476 3142407 2772404 3120286 6649783 17735356 119856217 123053165 126235913 129373010 125457680 623975985 121906693 126195572 129008317 132493296 132107463 641711341 160509 306911 246405 94013 82922 890760 0 160509 306911 246405 94013 82922 890760 640820581 1104477 1489189 1869371 1834547 1507117 7804701 1104477 1489189 1869371 1834547 1507117 7804701 4548 6245 2428 34504 18147 65872 123015718 127691006 130880116 134362347 133632727 649581914 0.98650 0.98730 0.01200 0.01110 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISC INCOME - 2015 AMOUNT: $ 312. 2016 AMOUNT: $ 513. 2017 AMOUNT: $ -375. 2018 AMOUNT: $ 7,351. 2019 AMOUNT: $ 1,364. INTEREST CAPITALIZATION - CLASS ACTION SETTLEMENT - REIMBURSEMENTS - 2015 AMOUNT: $ 4,236. 2016 AMOUNT: $ 5,130. 2017 AMOUNT: $ 2,803. 2018 AMOUNT: $ 27,153. 2019 AMOUNT: $ 16,783. LI REFUND - 2016 AMOUNT: $ 602. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 1 89835 1 2827 0 0 92662 0 PART II-B, LINE 1: NORTHWEST KIDNEY CENTERS ENGAGED IN LOBBYING AT THE STATE AND FEDERAL LEVEL DURING THE FISCAL YEAR ENDED 6/30/20. GRANTS TO ORGANIZATIONS FOR LOBBYING PURPOSES INCLUDE PAYMENTS TO KIDNEY RELATED LOBBYING ORGANIZATIONS. NORTHWEST KIDNEY CENTERS STAFF MEMBERS TRAVELED TO WASHINGTON, D.C. TO MEET WITH MEMBERS OF CONGRESS IN AN ONGOING EFFORT TO KEEP THEM INFORMED OF THE NEEDS AND CONCERNS OF KIDNEY PATIENTS. STAFF AND VOLUNTEERS VISIT STATE LEGISLATORS ONE DAY EACH YEAR TO EDUCATE THE LEGISLATORS ON THE PREVALENCE OF KIDNEY DISEASE AND TO ADVOCATE FOR BILLS THAT WOULD SUPPORT OPTIMAL CARE FOR KIDNEY PATIENTS. 6760332 266203 251217 187772 7089980 6484754 272206 282189 278817 6760332 6471445 42010 129702 158403 6484754 5915778 235671 467692 147696 6471445 5627607 396006 129245 237080 5915778 0.54510 0.37120 0.08370 0 0 14297031 14297031 79133780 20861976 58271804 46018038 29635081 16382957 45559383 31781440 13777943 10936832 10936832 113666567 DEFERRED COMPENSATION 717798 DEFERRED TENANT LEASEHOLD ALLOWANCE 1399937 DEFERRED RENT 1323234 INTEREST RATE SWAP CONTRACT 6851099 PROVIDER RELIEF FUNDS PAYABLE 5103157 PROVIDER RELIEF FUNDS - UNEARNED GRANT FUNDS 496228 15891453 135580079 -5549144 9950 630912 -4908282 140488361 171258 -6330140 -6158882 134329479 130530592 9950 6734262 6744212 123786380 171258 171258 123957638 PART V, LINE 4: FUNDS ARE USED FOR KIDNEY DISEASE RESEARCH, PATIENT SCHOLARSHIPS AND PATIENT EMERGENCIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT 74,097. REMOVAL OF NORTHWEST KIDNEY CARE ALLIANCE NET INCOME 556,815. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES REPORTED ON PART VIII -10,425. SPECIAL EVENT EXPENSES REPORTED ON PART VIII -342,446. PHARMACY COST OF GOODS SOLD -5,977,269. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES REPORTED ON PART VIII 10,425. SPECIAL EVENT EXPENSES REPORTED ON PART VIII 342,446. PHARMACY COST OF GOODS SOLD 5,977,269. REMOVAL OF NORTHWEST KIDNEY CARE ALLIANCE EXPENSES 404,122. GALA 835820 694014 141806 61317 4525 215448 HOPEBUILDER'S LUNCHEON 240144 240144 59586 1075964 934158 141806 61317 4525 275034 340876 -199070 26300 1570 0 26300 1570 1570 24730 WA 1 0 0 0 1.00000 CARRIE MCCABE 700 BROADWAY SEATTLE WA 981224310 0 DAN O'CONNOR 0 X 0 1 UNIVERSITY OF WASHINGTON 3917 UNIVERSITY WAY NE SEATTLE WA 98105 916001537 GOVT - UNIVERSITY 3374361 SEE SCHEDULE I, PART IV. 1 0 EMERGENCY GRANTS TO COVER FOOD, HOUSING, UTILITIES AND 316 74470 SCHOLARSHIPS 18 32500 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 14 ANNUAL EXTENSIONS; THE FOLLOWING PROVISIONS WERE ESTABLISHED IN REGARD TO PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: PARAGRAPH A-FOR FISCAL YEAR 2020 (FISCAL YEAR STARTS IN JULY 2019 AND ENDS IN JUNE 2020.) 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 CURRENTLY IS COMPRISED OF TWO VOLUNTEERS (ONE FROM TRUSTEE BOARD AND ONE FROM FOUNDATION BOARD), HR REPRESENTATIVE, ONE CLINICAL DIRECTOR, CKD PROGRAM MANAGER (MSW) AND VP DEVELOPMENT & PR OR DESIGNEE. 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 JOYCE JACKSON CEO & PRESIDENT THRU 11/19 538269 0 1440 0 19550 0 13490 0 23069 0 595818 0 0 0 LEANNA TYSHLER CKD & CLIN QUAL INITIATIVES MED ADV 170251 0 0 0 337404 0 5863 0 7417 0 520935 0 0 0 SUZANNE WATNICK CHIEF MEDICAL OFFICER 381694 0 0 0 1104 0 13431 0 8923 0 405152 0 0 0 CARRIE MCCABE CFO & VP OF FINANCE 334516 0 0 0 1104 0 14000 0 9423 0 359043 0 0 0 ELIZABETH MCNAMARA VP OF CLINICAL OPERATIONS 301381 0 0 0 1104 0 6485 0 1657 0 310627 0 0 0 MARY MCHUGH VP OF ADMINISTRATIVE SERVICES 274746 0 0 0 1104 0 13859 0 9371 0 299080 0 0 0 BRUCE ELKINGTON VP OF INFORMATION SERVICES/CIP 271092 0 71 0 3168 0 15090 0 6898 0 296319 0 0 0 AUSTIN ROSS VP OF PLANNING 231363 0 71 0 2064 0 13992 0 14669 0 262159 0 0 0 JANE PRYOR VP OF DEVELOPMENT & COMMUNICATIONS 203200 0 0 0 2978 0 10680 0 13827 0 230685 0 0 0 PART I, LINE 4A IN 2019, LEANNA TYSHLER, A HIGHLY COMPENSATED EMPLOYEE, RECEIVED $337,064 OF SEVERENCE THAT WAS PAID IN APRIL OF 2019. PART I, LINE 7 THE PRESIDENT/CHIEF EXECUTIVE OFFICER PARTICIPATES IN AN INCENTIVE PLAN DESIGNED FOR THIS OFFICEHOLDER 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 911108929 NONEAVAIL 2018-06-21 43175000 CAPITAL IMPROVEMENTS 0 0 0 B WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 NONEAVAIL 2019-08-28 9525000 CAPITAL IMPROVEMENTS 0 0 0 A 1080000 43175000 369337 43175000 2019 0 0 1 1 B 9525000 267746 9525000 2020 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 1 US BANK 10.000000000000 1 0 0 0 1 B 0 1 0 0 1 0 0 0 0 A 1 B 1 X 2 40787 BOOK VALUE X AUCTION ITEMS 64 69490 FAIR MARKET VALUE X COVID RESPONSE 9 42317 BOOK VALUE X VARIOUS ITEMS 8 4533 BOOK VALUE 0 0 1 0 PART I, COLUMN (B): THE NUMBER IN PART I, COL(B) REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. 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 B, LINE 11B THE BOARD OF TRUSTEES' FINANCE AND AUDIT COMMITTEE REVIEWED THE 2019 FORM 990 BEFORE IT WAS FILED. THE 2019 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 MAKES A PRESIDENT/CEO SALARY RECOMMENDATION TO THE BOARD OF TRUSTEES' EXECUTIVE COMMITTEE, WHICH ACTS ON THE RECOMMENDATION. THE PROCESS WAS PERFORMED IN NOVEMBER 2018. 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. THIS PROCESS WAS LAST PERFORMED IN SEPTEMBER 2018. 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 AND DISTRIBUTED IN HARD COPY TO APPROXIMATELY 8,400 INDIVIDUALS INCLUDING PATIENTS, STAFF, PHYSICIANS, DONORS, VOLUNTEERS AND THE GENERAL PUBLIC. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT 74,097. FORM 990, PART XII, LINE 3B: NORTHWEST KIDNEY CENTERS (NWKC) RECEIVED PROVIDER RELIEF FUNDS, WHICH ARE SUBJECT TO UNIFORM GUIDANCE REGULATIONS INCLUDING AUDIT. TO THE BEST OF KNOWLEDGE, NWKC WILL BE ELIGIBLE FOR A PROGRAM-SPECIFIC AUDIT THAT WILL BE COMPLETED FOR FY2020. THIS WILL BE SCHEDULED AND COMPLETED WHEN THERE IS MORE GUIDANCE FROM OMB. NORTHWEST KIDNEY CARE ALLIANCE 700 BROADWAY SEATTLE WA 98122 ENHANCE QUALITY & REDUCE COST OF HEALTH CARE SERVICES WA NORTHWEST KIDNEY CENTERS C 156272 500 0.50000 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 NORTHWEST KIDNEY CARE ALLIANCE L 416245 ACTUAL AMOUNT