2017-05-11T14:21:49-05:00 2016-06-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2015-07-01 916057438 NORTHWEST KIDNEY CENTERS NORT 2062922771 700 BROADWAY SEATTLE WA 981224310 JOYCE F JACKSON CEO & PRESIDENT 2062922771 2017-05-02 1 SARA ELIZABETH J HYRE P00235495 4254544919 2017-05-02 2015 2021-01-29 14:40:06Z JOYCE F JACKSON 700 BROADWAY SEATTLE WA 981224310 125593699 0 X WWW.NWKIDNEY.ORG X 1962 WA 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. 15 12 677 513 0 0 2137144 2050476 101233912 108674195 760761 709524 2743273 930552 106875090 112364747 2405374 1490657 0 0 53341969 55387040 0 0 613088 36778831 40058246 92526174 96935943 14348916 15428804 111503181 127557697 25311344 25499226 86191837 102058471 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. IT IS THE EIGHTH LARGEST DIALYSIS PROVIDER IN THE COUNTRY, THE THIRD LARGEST NOT FOR PROFIT, AND IT IS AN INFLUENTIAL MODEL BECAUSE OF ITS HIGH QUALITY SERVICES, DEEP COMMUNITY CONNECTIONS AND GENEROUS DONOR SUPPORT. 0 0 78555599 109778832 IN THE YEAR ENDED JUNE 30, 2016 NORTHWEST KIDNEY CENTERS PROVIDED 256,769 DIALYSIS TREATMENTS, ESSENTIAL TO SUSTAIN THE LIVES OF PEOPLE WITH KIDNEY FAILURE. WE SERVED A TOTAL OF 1,661 PATIENTS. THE ORGANIZATION PROVIDED PATIENT CARE IN 15 FREE-STANDING CLINICS AND IN TEN (10) LOCAL HOSPITALS, AND SUPERVISED SELF-DIALYSIS TREATMENTS IN THE HOMES OF PATIENTS THROUGHOUT THE COMMUNITY. WE SPENT $17.8 MILLION MORE ON THE CARE OF PATIENTS WITH MEDICARE AND MEDICAID INSURANCE THAN THE PROGRAMS REIMBURSED US FOR. IN ADDITION, WE PROVIDED MORE THAN $188,000 IN CHARITY CARE. NORTHWEST KIDNEY CENTERS' RENAL SPECIALTY PHARMACY, A RARITY IN THE NATION, SERVED MORE THAN 1,100 DIALYSIS PATIENTS AND KIDNEY TRANSPLANT RECIPIENTS DURING THE YEAR. 1432553 1432553 NORTHWEST KIDNEYS CENTERS PROVIDED NEPHROLOGY FELLOWSHIP FUNDING 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, 2016, THE KIDNEY RESEARCH INSTITUTE HAD 62 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 800 SCIENTIFIC PAPERS IN PEER-REVIEWED JOURNALS FROM ITS INCEPTION IN 2008 THROUGH JUNE 2016. NORTHWEST KIDNEY CENTERS' INVESTMENT IN THE KIDNEY RESEARCH INSTITUTE HAD HELPED TO LEVERAGE OVER $75 MILLION IN FUNDING FROM THE NATIONAL INSTITUTES OF HEALTH AS OF JUNE 30, 2016. 699740 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 BUT FACE SERIOUS PROGRESSIVE KIDNEY DISEASE AND MAY HELP THEM KEEP THEIR KIDNEYS HEALTHY ENOUGH SO THAT CAN DELAY ITS ONSET AND BETTER PREPARE FOR KIDNEY FAILURE. 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 693 ATTENDEES. IN ADDITION TO ITS FREE CLASSES, NORTHWEST KIDNEY CENTERS PARTICIPATED IN 63 COMMUNITY HEALTH EDUCATION AND OUTREACH ACTIVITIES, REACHING A TOTAL OF 13,433 PEOPLE DURING THE YEAR. 58104 58104 EMERGENCY ASSISTANCE PROGRAMS: WE PROVIDED LIMITED FINANCIAL ASSISTANCETO ASSIST NEEDY PATIENTS WITH FOOD, HOUSING, AND OTHER EXPENSES (228 PATIENTS).EXPENSES - $ 44,604. INCLUDING GRANTS OF $ 44,604. REVENUE - $ 0. SCHOLARSHIP PROGRAMS: WE PROVIDED SCHOLARSHIPS TO SEVEN EMPLOYEES FUNDED BY DONATIONS.EXPENSES - $ 13,500. INCLUDING GRANTS OF $ 13,500. REVENUE - $ 0. 58104 58104 80745996 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 1 0 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 0 0 0 0 1 110 0 1 677 1 0 0 0 0 0 1 1 0 0 0 0 X 15 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X CARRIE MCCABE 2067208508 700 BROADWAY SEATTLE WA 981224310 GARY HOULAHAN CHAIR 5.00 X X 0 0 0 LISA FLORENCE VICE CHAIR 4.00 X X 0 0 0 RICHARD BLOCH BOARD MEMBER 2.00 X 0 0 0 ANDREW BROCKENBROUGH BOARD MEMBER/MEDICAL DIRECTOR 6.00 X 64167 0 0 VIRGINIA BROUDY BOARD MEMBER 1.00 X 0 0 0 CYRUS CRYST BOARD MEMBER/MEDICAL DIRECTOR 6.00 X 55083 0 0 RICHARD GREAVES BOARD MEMBER 2.00 X 0 0 0 JAMES MANNING BOARD MEMBER 2.00 X 0 0 0 RAJ MEHROTRA BOARD MEMBER 2.00 X 0 0 0 REX OCHI BOARD MEMBER/MEDICAL DIRECTOR 10.00 X 65000 0 0 MARK OSTROW BOARD MEMBER 3.00 X 0 0 0 CLINTON RANDOLPH BOARD MEMBER 2.00 X 0 0 0 CHARLEEN TACHIBANA BOARD MEMBER 1.00 X 0 0 0 ROBERT WALERIUS BOARD MEMBER 0.50 X 0 0 0 KELLY WALLACE BOARD MEMBER 1.00 X 0 0 0 JOYCE JACKSON CEO & PRESIDENT 50.00 X 568465 0 39516 CARRIE MCCABE CFO & VP OF FINANCE 50.00 X 274273 0 9157 MARY MCHUGH VP OF ADMINISTRATIVE SERVICES 40.00 X 239683 0 23196 CONNIE ANDERSON VP OF CLINICAL OPERATIONS 60.00 X 276608 0 24518 BONNIE COLLINS CHIEF MEDICAL OFFICER-INTERIM 50.00 X 209231 0 3441 LEANNA TYSHLER CKD MEDICAL DIRECTOR 50.00 X 299243 0 24719 BRUCE ELKINGTON VP OF INFORMATION SERVICES/CIO 40.00 X 220125 0 10680 AUSTIN ROSS VP OF PLANNING 50.00 X 195835 0 16767 ELIZABETH MICKEL VP OF HUMAN RESOURCES 50.00 X 199877 0 19774 THOMAS MONTEMAYOR PHARMACY MANAGER 40.00 X 185323 0 19061 2852913 0 190829 143 0 1 0 ALDRICH & ASSOCIATES 810 240TH ST SE BOTHELL WA 98021 GENERAL CONTRACTOR 1528732 PATHOLOGY ASSOCIATES MEDICAL LABS PO BOX 2670 SPOKANE WA 99220 LABORATORY SERVICES 777558 UNIVERSITY OF WASHINGTON 1959 NE PACIFIC BOX 356521 SEATTLE WA 98195 MEDICAL CONSULTING & FELLOWSHIPS 736148 DAVIS WRIGHT TREMAINE LLP 1201 THIRD AVENUE SUITE 2200 SEATTLE WA 981013045 ATTORNEYS 373533 BLOODWORKS NORTHWEST 921 TERRY AVENUE SEATTLE WA 98104 BLOOD PRODUCTS 146360 8 465 991072 1058939 93483 2050476 DIALYSIS 621400 104245569 104245569 PATIENT LAB REVENUE 612140 3129553 3129553 INSUR PREMIUM REIMBURS 612140 1060535 1060535 OTHER MEDICAL RELATED 621400 238538 238538 108674195 1056052 1056052 48425 6047 42378 42378 42378 2459470 52084 2838755 19327 -379285 32757 -346528 -346528 49527 991072 286898 -237371 -237371 16900 540 16360 16360 11180310 10077385 1102925 1102925 REIMBURSEMENTS 900099 4236 4236 MEDICAL RECORDS 900099 1712 1712 312 312 6260 112364747 109778832 0 535439 1432553 1432553 58104 58104 1836532 1836532 43707892 37477501 5791171 439220 2236810 1891006 323642 22162 4146105 3448496 657194 40415 3459701 2906889 519472 33340 1334796 1250636 84160 379792 379792 64796 64796 150503 150503 1244634 486191 758443 183167 183167 1954553 1661615 284182 8756 1086608 1086608 5689070 5074661 614016 393 200919 104683 96230 6 152352 19046 133306 6164021 4541322 1605563 17136 287865 167633 120232 SUPPLIES 17184035 17084512 98154 1369 LAB TESTING 798936 798936 REPAIRS & MAINTENANCE 538929 384033 154896 COMMUNITY PROGRAMS 427226 162332 264894 2216044 1795847 369906 50291 96935943 80745996 15576859 613088 16503592 13797409 50281 50430 508685 316752 19729033 20137519 988331 977334 474209 491980 97960278 58757374 39589562 39202904 32607762 51464438 1051726 1118931 111503181 127557697 8023470 8925170 5337678 5232553 9080671 8619088 2869525 2722415 25311344 25499226 X 81972695 97678305 1736099 1707692 2483043 2672474 86191837 102058471 111503181 127557697 X 15428804 486984 -49154 X 0 1 X 1 0 X 2024173 1599036 2543163 2137144 2050476 10353992 93649072 96439802 100484275 114559412 119856217 524988778 95673245 98038838 103027438 116696556 121906693 535342770 168042 101469 117905 130015 160509 677940 0 168042 101469 117905 130015 160509 677940 534664830 593645 503743 527646 731898 1104477 3461409 593645 503743 527646 731898 1104477 3461409 230 193744 2167 1272 4548 201961 96267120 98736325 103557251 117429726 123015718 539006140 0.99190 0.99220 0.00640 0.00590 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISC INCOME - 2011 AMOUNT: $ 230. 2013 AMOUNT: $ 2,167. 2014 AMOUNT: $ 594. 2015 AMOUNT: $ 312. INTEREST CAPITALIZATION - 2012 AMOUNT: $ 193,744. CLASS ACTION SETTLEMENT - 2014 AMOUNT: $ 678. REIMBURSEMENTS - 2015 AMOUNT: $ 4,236. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 1 141631 1 8872 0 0 150503 0 PART II-B, LINE 1: THE NORTHWEST KIDNEY CENTERS ENGAGED IN LOBBYING AT THE STATE AND FEDERAL LEVEL DURING THE FISCAL YEAR ENDED 6/30/16. GRANTS TO ORGANIZATIONS FOR LOBBYING PURPOSES INCLUDES PAYMENTS TO KIDNEY RELATED LOBBYING ORGANIZATIONS. NORTHWEST KIDNEY CENTER 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. THE GROUP TRAVELED TO OLYMPIA, WA TO ADVOCATE FOR ISSUES THAT HELP KIDNEY PATIENTS. 5627607 396006 129245 237080 5915778 6095473 164487 4225 636578 5627607 4353054 1096612 689916 44109 6095473 3956364 27191 410338 40839 4353054 4034699 5027 -1234 47199 34929 3956364 0.58270 0.36410 0.05320 0 0 4072605 4072605 28320211 17210225 11109986 33890185 18393924 15496261 31330805 23153225 8177580 346472 346472 39202904 DEFERRED COMPENSATION 488172 DEFERRED TENANT LEASEHOLD ALLOWANCE 882599 DEFERRED RENT 1351644 2722415 123216290 486984 33597 -39908 480673 122735617 -10370870 -10370870 112364747 107349656 33597 10370870 10404467 96945189 -9246 -9246 96935943 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 -30,443. RECLASSIFY EXPIRED INVENTORY 9,246. WRITE-OFF OF INTERCOMPANY PAYABLES -18,711. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES REPORTED ON PART VIII -6,047. SPECIAL EVENT EXPENSES REPORTED ON PART VIII -287,438. PHARMACY COST OF GOODS SOLD -10,077,385. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES REPORTED ON PART VIII 6,047. SPECIAL EVENT EXPENSES REPORTED ON PART VIII 287,438. PHARMACY COST OF GOODS SOLD 10,077,385. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFY EXPIRED INVENTORY -9,246. GALA 693299 662912 30387 11063 65693 3809 102951 BREAKFAST OF HOPE 347300 328160 19140 8527 25136 69719 1040599 991072 49527 11063 8527 90829 3809 172670 286898 -237371 16900 540 0 16900 540 540 16360 WA 1 0 0 0 1.00000 0 0 1 UNIVERSITY OF WASHINGTON 3917 UNIVERSITY WAY NE SEATTLE WA 98105 916001537 GOVT - UNIVERSITY 1432553 SEE SCHEDULE I, PART IV. 1 0 SCHOLARSHIPS 7 13500 0 N/A N/A EMERGENCY GRANTS TO COVER FOOD, HOUSING, UTILITIES AND TRANSPORTATION. 228 44604 0 N/A N/A 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 10 ANNUAL EXTENSIONS; THE FOLLOWING PROVISIONS WERE ESTABLISHED IN REGARD TO PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: PARAGRAPH A-FOR FISCAL YEAR 2016 (FISCAL YEAR STARTS IN JULY 2015 AND ENDS IN JUNE 2016.) 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 RESIDES WITHIN WASHINGTON STATE. GRANTS OF UP TO $250 PER PATIENT MAY BE AWARDED IN A GIVEN TWELVE MONTH PERIOD. 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 PATIENTS 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 WILL 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 A VOLUNTEER, TWO CLINICAL MANAGERS, HR REPRESENTATIVE 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 0 0 0 0 0 0 0 1 0 JOYCE JACKSON CEO & PRESIDENT 411980 0 145000 0 11485 0 15866 0 23650 0 607981 0 0 0 CARRIE MCCABE CFO & VP OF FINANCE 256056 0 17500 0 717 0 0 0 9157 0 283430 0 0 0 MARY MCHUGH VP OF ADMINISTRATIVE SERVICES 236079 0 2500 0 1104 0 14330 0 8866 0 262879 0 0 0 CONNIE ANDERSON VP OF CLINICAL OPERATIONS 264393 0 6119 0 6096 0 15624 0 8894 0 301126 0 0 0 BONNIE COLLINS CHIEF MEDICAL OFFICER-INTERIM 205239 0 0 0 3992 0 0 0 3441 0 212672 0 0 0 LEANNA TYSHLER CKD MEDICAL DIRECTOR 280933 0 17500 0 810 0 15738 0 8981 0 323962 0 0 0 BRUCE ELKINGTON VP OF INFORMATION SERVICES/CIO 215561 0 2500 0 2064 0 0 0 10680 0 230805 0 0 0 AUSTIN ROSS VP OF PLANNING 192357 0 2500 0 978 0 6160 0 10607 0 212602 0 0 0 ELIZABETH MICKEL VP OF HUMAN RESOURCES 179740 0 17723 0 2414 0 11009 0 8765 0 219651 0 0 0 THOMAS MONTEMAYOR PHARMACY MANAGER 168923 0 7705 0 8695 0 10301 0 8760 0 204384 0 0 0 PART I, LINE 7 THE PRESIDENT/CHIEF EXECUTIVE OFFICER 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 EACH 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 THEN MEET WITH THE CEO TO DISCUSS PERFORMANCE AND ANNOUNCE THE INCENTIVE COMPENSATION AWARDED BY THE EXECUTIVE COMMITTEE. A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 NONEAVAIL 2012-12-21 10400000 CAPITAL IMPROVEMENTS 0 0 0 A 1780912 10400000 149412 2964745 7285843 2012 1 0 1 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 3 6368 FMV X AUCTION/RAFFLE ITEMS 55 65841 FMV X VARIOUS ITEMS 20 20373 FMV X LAPTOPS 1 900 FMV 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 HEALTH. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF TRUSTEES' FINANCE AND AUDIT COMMITTEE AND THE FULL BOARD OF TRUSTEES REVIEWED THE 2015 FORM 990 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 WHICH IS BASED ON A WRITTEN CONTRACT. 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 2015 AT WHICH TIME THE CEO'S MULTI-YEAR CONTRACT WAS RENEWED. DATA REGARDING THE VICE PRESIDENTS' PAY HISTORY, CURRENT PAY AND PROPOSED ADJUSTMENTS ARE 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 2016. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S BYLAWS, ARTICLES OF INCORPORATION, CONFLICT OF INTEREST POLICY, AND FORM 990 TAX RETURNS 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 9,000 INDIVIDUALS INCLUDING PATIENTS, STAFF, PHYSICIANS, DONORS, VOLUNTEERS AND THE GENERAL PUBLIC. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT -30,443. WRITE-OFF OF INTERCOMPANY PAYABLES -18,711.