2018-05-15T13:44:33-05:00 2017-06-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2016-07-01 916057438 NORTHWEST KIDNEY CENTERS NORT 2062922771 700 BROADWAY SEATTLE WA 981224302 JOYCE F JACKSON CEO & PRESIDENT 2062922771 2018-05-08 1 SARA ELIZABETH J HYRE P00235495 4254544919 2018-05-08 65.158.230.194 2018-05-08 08:53:52 PD P EE9472A6866F5D2CC65667176191C38BB98995E0 C65170E5CA379A55ED3581EBFBC1846DBBD9F9DB 2016 2021-01-29 14:40:06Z JOYCE F JACKSON 700 BROADWAY SEATTLE WA 981224302 134124564 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 12 753 603 0 0 2050476 3142407 108674195 111576693 709524 1533257 930552 556358 112364747 116808715 1490657 2733004 0 0 55387040 61584599 0 0 648525 40058246 43940551 96935943 108258154 15428804 8550561 127557697 143877737 25499226 27186771 102058471 116690966 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 86825732 112300675 IN THE YEAR ENDED JUNE 30, 2017 NORTHWEST KIDNEY CENTERS PROVIDED 267,961 DIALYSIS TREATMENTS, ESSENTIAL TO SUSTAIN THE LIVES OF PEOPLE WITH KIDNEY FAILURE. WE SERVED A TOTAL OF 1,732 PATIENTS. THE ORGANIZATION PROVIDED PATIENT CARE IN 15 FREE-STANDING CLINICS AND IN NINE (9) LOCAL HOSPITALS, AND SUPERVISED SELF-DIALYSIS TREATMENTS IN THE HOMES OF PATIENTS THROUGHOUT THE COMMUNITY. WE SPENT $21.5 MILLION MORE ON THE CARE OF PATIENTS WITH MEDICARE AND MEDICAID INSURANCE THAN THE PROGRAMS REIMBURSED US FOR. IN ADDITION, WE PROVIDED MORE THAN $321,000 IN CHARITY CARE. NORTHWEST KIDNEY CENTERS' RENAL SPECIALTY PHARMACY, A RARITY IN THE NATION, SERVED MORE THAN 1,110 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. 2675176 2675176 NORTHWEST KIDNEYS 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. AS OF JUNE 30, 2017, THE KIDNEY RESEARCH INSTITUTE HAD 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 900 SCIENTIFIC PAPERS IN PEER-REVIEWED JOURNALS FROM ITS INCEPTION IN 2008 THROUGH JUNE 2017. NORTHWEST KIDNEY CENTERS' INVESTMENT IN THE KIDNEY RESEARCH INSTITUTE HAD HELPED TO LEVERAGE OVER $100 MILLION IN FUNDING FROM THE NATIONAL INSTITUTES OF HEALTH AS OF JUNE 30, 2017. 575472 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 881 ATTENDEES.IN ADDITION TO ITS FREE CLASSES, NORTHWEST KIDNEY CENTERS PARTICIPATED IN 66 COMMUNITY HEALTH EDUCATION AND OUTREACH ACTIVITIES, REACHING A TOTAL OF 13,236 PEOPLE DURING THE YEAR. 41328 41328 EMERGENCY ASSISTANCE PROGRAMS: WE PROVIDED FINANCIAL ASSISTANCE TO NEEDY PATIENTS WITH FOOD, HOUSING, AND OTHER EXPENSES (361 PATIENTS). 16500 16500 SCHOLARSHIP PROGRAMS: WE PROVIDED SCHOLARSHIPS TO SEVEN EMPLOYEES TO ENHANCE THEIR JOB SKILLS VIA HIGHER EDUCATION. 57828 57828 90134208 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 1 106 0 1 753 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 1 1 WA X CARRIE MCCABE 2067208508 700 BROADWAY SEATTLE WA 981224302 GARY HOULAHAN CHAIR 2.00 0.00 X X 0 0 0 LISA FLORENCE VICE CHAIR 1.00 0.00 X X 0 0 0 RICHARD BLOCH BOARD MEMBER 2.00 0.00 X 0 0 0 ANDREW BROCKENBROUGH BOARD MEMBER/MEDICAL DIRECTOR 4.00 0.00 X 78333 0 0 VIRGINIA BROUDY BOARD MEMBER 1.00 0.00 X 0 0 0 CYRUS CRYST BOARD MEMBER/MEDICAL DIRECTOR 6.00 0.00 X 65083 0 0 RICHARD GREAVES BOARD MEMBER 2.00 0.00 X 0 0 0 JAMES MANNING BOARD MEMBER 2.00 0.00 X 0 0 0 RAJ MEHROTRA BOARD MEMBER 1.00 0.00 X 0 0 0 REX OCHI BOARD MEMBER/MEDICAL DIRECTOR 10.00 0.00 X 65000 0 0 MARK OSTROW BOARD MEMBER 2.00 0.00 X 0 0 0 CLINTON RANDOLPH BOARD MEMBER 1.00 0.00 X 0 0 0 CHARLEEN TACHIBANA BOARD MEMBER 1.00 0.00 X 0 0 0 ROBERT WALERIUS BOARD MEMBER 2.00 0.00 X 0 0 0 KELLY WALLACE BOARD MEMBER 1.00 0.00 X 0 0 0 JOYCE JACKSON CEO & PRESIDENT 50.00 0.00 X 556783 0 39903 CARRIE MCCABE CFO & VP OF FINANCE 50.00 0.00 X 315471 0 23682 MARY MCHUGH VP OF ADMINISTRATIVE SERVICES 50.00 0.00 X 249085 0 24529 BONNIE COLLINS CHIEF MEDICAL OFFICER-INTERIM 50.00 0.00 X 347575 0 9604 CONNIE ANDERSON VP OF CLINICAL OPERATIONS 50.00 0.00 X 293007 0 26956 LEANNA TYSHLER CKD & QUALITY MEDICAL DIRECTOR 50.00 0.00 X 301575 0 25404 BRUCE ELKINGTON VP OF INFORMATION SERVICES & CIO 50.00 0.00 X 221752 0 25666 ELIZABETH MICKEL VP OF HUMAN RESOURCES 50.00 0.00 X 208884 0 20823 AUSTIN ROSS VP OF PLANNING 50.00 0.00 X 208572 0 23893 JANE PRYOR VP OF DEVELOPMENT & PUBLIC RELATIONS 50.00 0.00 X 188193 0 19829 3099313 0 240289 141 0 1 0 ALDRICH & ASSOCIATES 810 240TH ST SE BOTHELL WA 98021 GENERAL CONTRACTOR 953141 PATHOLOGY ASSOCIATES MEDICAL LABS PO BOX 2670 SPOKANE WA 99220 LABORATORY SERVICES 713225 UNIVERSITY OF WASHINGTON 1959 NE PACIFIC BB1263 BOX 356521 SEATTLE WA 98195 MEDICAL CONSULTING & FELLOWSHIPS 539762 DAVIS WRIGHT TREMAINE LLP 1201 THIRD AVENUE SUITE 2200 SEATTLE WA 981013045 ATTORNEYS 401039 HIM CONSULTING SERVICES LLC 14924 41ST AVENUE SE B102 MILL CREEK WA 98012 IT CONSULTING 271441 11 1033645 2108762 79558 3142407 DIALYSIS 621400 107362348 107362348 PATIENT LAB REVENUE 621500 3273736 3273736 INSUR PREMIUM REIMBURS 621400 727526 727526 OTHER MEDICAL RELATED 621400 213083 213083 111576693 1430394 1430394 58795 7364 51431 51431 51431 6337188 22650 6256975 0 80213 22650 102863 102863 49920 1033645 297433 -247513 -247513 23800 1587 22213 22213 11472375 10752490 719885 719885 REIMBURSEMENTS 900099 5130 5130 MEDICAL RECORDS 900099 4097 4097 L&I REFUND 525100 602 602 513 513 10342 116808715 112300675 0 1365633 2675176 2675176 57828 57828 2093303 208416 1884887 48636301 41913439 6310592 412270 2340390 2051562 266733 22095 4633925 3993527 607675 32723 3880680 3290766 559086 30828 1312199 1193667 118532 401695 397516 4179 69853 69853 161161 161161 44167 44167 3443184 1301833 2106259 35092 244383 238984 5399 2478219 2175382 265268 37569 1432429 1432429 6291824 5782252 498889 10683 177684 111306 63226 3152 57248 14224 42796 228 6389965 4922952 1447233 19780 323518 185056 138462 SUPPLIES 17288572 17154094 113937 20541 LAB TESTING 853450 853253 197 REPAIRS & MAINTENANCE 560866 447366 105072 8428 COMMUNITY PROGRAMS 351860 115455 236311 94 2058274 1686654 366156 5464 108258154 90134208 17475421 648525 13797409 8575062 50430 0 316752 1403190 20137519 20917326 977334 1156800 491980 447161 106166985 64243082 39202904 41923903 51464438 66784107 1118931 2670188 127557697 143877737 8925170 10042649 5232553 6362911 8619088 8020416 2722415 2760795 25499226 27186771 X 97678305 109823629 1707692 2665863 2672474 4201474 102058471 116690966 127557697 143877737 X 8550561 4789509 1126984 165441 X 0 1 X 1 0 X 1599036 2543163 2137144 2050476 3142407 11472226 96439802 100484275 114559412 119856217 123053165 554392871 98038838 103027438 116696556 121906693 126195572 565865097 101469 117905 130015 160509 306911 816809 0 101469 117905 130015 160509 306911 816809 565048288 503743 527646 731898 1104477 1489189 4356953 503743 527646 731898 1104477 1489189 4356953 193744 2167 1272 4548 6245 207976 98736325 103557251 117429726 123015718 127691006 570430026 0.99060 0.99190 0.00760 0.00640 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISC INCOME - 2013 AMOUNT: $ 2,167. 2014 AMOUNT: $ 594. 2015 AMOUNT: $ 312. 2016 AMOUNT: $ 513. INTEREST CAPITALIZATION - 2012 AMOUNT: $ 193,744. CLASS ACTION SETTLEMENT - 2014 AMOUNT: $ 678. REIMBURSEMENTS - 2015 AMOUNT: $ 4,236. 2016 AMOUNT: $ 5,130. LI REFUND - 2016 AMOUNT: $ 602. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 1 154494 1 6667 0 0 161161 0 PART II-B, LINE 1: NORTHWEST KIDNEY CENTERS ENGAGED IN LOBBYING AT THE STATE AND FEDERAL LEVEL DURING THE FISCAL YEAR ENDED 6/30/17. 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. THE GROUP TRAVELED TO OLYMPIA, WA, TO ADVOCATE FOR ISSUES THAT HELP KIDNEY PATIENTS. 5915778 235671 467692 147696 6471445 5627607 396006 129245 237080 5915778 6095473 164487 4225 636578 5627607 4353054 1096612 689916 44109 6095473 3956364 27191 410338 40839 4353054 0.55140 0.36930 0.07930 0 0 7179532 7179532 28498131 18347045 10151086 35926021 20971704 14954317 33943518 24924333 9019185 619783 619783 41923903 DEFERRED COMPENSATION 695682 DEFERRED TENANT LEASEHOLD ALLOWANCE 700209 DEFERRED RENT 1364904 2760795 132880296 4789509 61944 161254 5012707 127867589 -11058874 -11058874 116808715 119435155 61944 11120149 11182093 108253062 5092 5092 108258154 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 166,346. RECLASS METRO PASS EXPENSE -5,092. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES REPORTED ON PART VIII -7,364. SPECIAL EVENT EXPENSES REPORTED ON PART VIII -299,020. PHARMACY COST OF GOODS SOLD -10,752,490. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES REPORTED ON PART VIII 7,364. SPECIAL EVENT EXPENSES REPORTED ON PART VIII 299,020. PHARMACY COST OF GOODS SOLD 10,752,490. REMOVAL OF NORTHWEST KIDNEY CARE ALLIANCE EXPENSES 60,370. WRITE-OFF OF INTERCOMPANY PAYABLES 905. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS METRO PASS EXPENSE 5,092. GALA 720933 692328 28605 1642 71420 10325 103554 BREAKFAST OF HOPE 362632 341317 21315 9793 30094 70605 1083565 1033645 49920 1642 9793 101514 10325 174159 297433 -247513 23800 1587 0 23800 1587 1587 22213 WA 1 0 0 0 1.00000 CARRIE MCCABE 700 BROADWAY SEATTLE WA 981224310 0 0 1 UNIVERSITY OF WASHINGTON 3917 UNIVERSITY WAY NE SEATTLE WA 98105 916001537 GOVT - UNIVERSITY 2675176 SEE SCHEDULE I, PART IV. 1 0 SCHOLARSHIPS 7 16500 N/A N/A EMERGENCY GRANTS TO COVER FOOD, HOUSING, UTILITIES AND TRANSPORTATION. 361 41328 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 11ANNUAL EXTENSIONS; THE FOLLOWING PROVISIONS WERE ESTABLISHED IN REGARD TO PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: PARAGRAPH A-FOR FISCAL YEAR 2017 (FISCAL YEAR STARTS IN JULY 2016 AND ENDS IN JUNE 2017.) 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. 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 0 0 0 0 0 0 0 1 0 JOYCE JACKSON CEO & PRESIDENT 435150 0 110148 0 11485 0 15900 0 24003 0 596686 0 0 0 CARRIE MCCABE CFO & VP OF FINANCE 284219 0 30148 0 1104 0 15752 0 7930 0 339153 0 0 0 MARY MCHUGH VP OF ADMINISTRATIVE SERVICES 247833 0 148 0 1104 0 15053 0 9476 0 273614 0 0 0 BONNIE COLLINS CHIEF MEDICAL OFFICER-INTERIM 316331 0 25148 0 6096 0 0 0 9604 0 357179 0 0 0 CONNIE ANDERSON VP OF CLINICAL OPERATIONS 280872 0 6039 0 6096 0 15538 0 11418 0 319963 0 0 0 LEANNA TYSHLER CKD & QUALITY MEDICAL DIRECTOR 295634 0 5148 0 793 0 15806 0 9598 0 326979 0 0 0 BRUCE ELKINGTON VP OF INFORMATION SERVICES & CIO 219540 0 148 0 2064 0 14407 0 11259 0 247418 0 0 0 ELIZABETH MICKEL VP OF HUMAN RESOURCES 198607 0 5148 0 5129 0 11589 0 9234 0 229707 0 0 0 AUSTIN ROSS VP OF PLANNING 202390 0 5148 0 1034 0 12748 0 11145 0 232465 0 0 0 JANE PRYOR VP OF DEVELOPMENT & PUBLIC RELATIONS 185465 0 148 0 2580 0 10495 0 9334 0 208022 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 2251030 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 4 11640 FMV X 1 15840 FMV X AUCTION/RAFFLE ITEMS 35 41367 FMV X VARIOUS ITEMS 9 7561 FMV X LAPTOPS 1 3150 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. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF TRUSTEES' FINANCE AND AUDIT COMMITTEE REVIEWED THE 2016 FORM 990 BEFORE IT WAS FILED. THE 2016 FORM 990 WAS AVAILABLE AND REVIEWED WITH 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 2016. 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 2016. 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 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 166,346. WRITE-OFF OF PRIOR YEAR PLEDGES -905. PART XI, LINE 8: THE PRIOR PERIOD ADJUSTMENT TO NET ASSETS OF $1,126,984 IS AN ADJUSTMENT IN THE AUDITED FINANCIAL STATEMENTS TO RECOGNIZE THE ORGANIZATION'S BENEFICIAL INTEREST IN A PERPETUAL SPLIT-INTEREST AGREEMENT FROM A PRIOR YEAR. NORTHWEST KIDNEY CARE ALLIANCE 700 BROADWAY SEATTLE WA 98122 ENHANCE QUALITY & REDUCE COST OF HEALTH CARE SERVICES WA NORTHWEST KIDNEY CENTERS C -30185 0.50000 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 NORTHWEST KIDNEY CARE ALLIANCE L 60370 ACTUAL AMOUNT