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      <Desc>Kidney Dialysis In-Center Chronic Kidney Disease ("CKD") is a public health problem in the United States that impacts approximately 26 million Americans. It is well known that hypertension and diabetes are two leading causes of kidney failure. The 2015 United States Renal Data System Report shows that over 661,000 Americans who live with End Stage Renal Disease ("ESRD"), close to 71% are treated by dialysis. Satellite Healthcare owns and operates 76 in-center hemodialysis facilities (Satellite Dialysis) and home dialysis training centers (WellBound) providing a variety of treatment options to our patients. In 2015, Satellite Healthcare provided over 1,241,708 dialysis treatments and services to over 6,842 patients in California, Texas, Indiana, Illinois, New Jersey, and Tennessee. Peritoneal Dialysis and Home Hemo Center: WellBound, a Satellite Healthcare company, is the first healthcare services company to specialize in the delivery and support of daily home dialysis therapies through free-standing, patient-friendly Centers of Excellence. Our unique care model is built on the premise that early-stage patient education is the first step in an effective treatment program. As such, we dedicate significant resources to reaching patients before they require dialysis. Once dialysis is required, WellBound's goal is to enable nephrologists to easily offer self-care (home) dialysis therapies to their patients. We strive to empower patients to take charge of their health and experience the clinical and quality of life benefits associated with self-care dialysis. See also community benefit report below: Community Benefit Report Since 1974, Satellite has helped each patient enjoy the best life possible through a complete range of dialysis therapy choices, personalized clinical services, and unparalleled early patient wellness education. Satellite also supports the chronic kidney disease community through an enduring commitment to philanthropy and community service. This includes funding millions of dollars in research grants, sponsoring kidney walks nationwide, and volunteering time to raise kidney-health awareness. Satellite Healthcare Overview Our founder, Dr. Norman Coplon believed it was possible to provide personalized dialysis care in a friendlier, more comfortable environment closer to where patients live. His passion for patient care led him to form Satellite Healthcare in 1974 as a not-for-profit community benefit 501(c)(3). Satellite Puts Patients First Our mission driven commitment means we offer patients more than dialysis treatments. Our teams ensure patients receive holistic care and innovative services that help them live the best life possible. Home Dialysis Leader Satellite was an early adopter of home dialysis. We have the highest percentage of patients on home therapies, more than double larger competitors. Satellite knows home dialysis. We know how to train patients and their families for success. This expertise delivers better outcomes to patients. Research Investments That Make a Difference Now. As a successful nonprofit, Satellites profits are used to fuel renal research. Satellites $150 million endowment supports applied clinical research. Working in collaboration with partners across the country, our research projects focus on improving the lives of patients now. Satellite Healthcare teams work across the country and throughout our organization to provide our current and future patients the best possible quality of life. Patients: 6800+ Employees: 1700+ Locations: 80+ (satellitehealth.com/locations) Founded: 1974 History: Putting patients first (satellitehealth.com/history) Mission: Making life better for those living with kidney disease Values: Formalized by direct patient care employees, our shared company values are summarized in ICARE, an acronym employees across our organization embrace as an expression of our commitment to patients and each other. o innovation o community o accountability o respect o excellence CKD and Public Health Chronic Kidney Disease (CKD) is a serious and growing U.S. public health problem. o 1 in 3 American adults is currently at risk for developing kidney disease. o 26 million American adults have kidney disease -- and most don't know it. o High blood pressure and diabetes are the two leading causes of kidney disease. o Kidney disease is the 9th leading cause of death in the United States. o Every year, kidney disease kills more people than breast or prostate cancer. o Once the kidneys fail, dialysis or a kidney transplant is required. o More than 661,000 Americans have kidney failure. Of these, 468,000 individuals are on dialysis and approximately 193,000 live with a functioning kidney transplant. o Every day, 13 people die waiting for a kidney. For more information on kidney, visit kidney.org/kidneydisease/aboutckd Our Community and Satellite Healthcare Satellites dedication to patient care extends beyond the doors of our centers. As a company and as individuals, Satellite teams donate money, time, and talent to help those living with kidney disease live the best, most joyful life possible. In every corner of the organization, our employees support the CKD and greater community in hundreds of ways, including: o Patient Financial Assistance o CKD Research Funding o Public and Patient Education o State and Federal Legislative Advocacy o Academic Institution and Student Training Support o CKD Philanthropy and Community Service Partnerships On the following pages, we invite you to learn more about specific programs Satellite proudly sponsors in support of our patients and the wider community. Patient Financial Assistance Satellite believe no one facing a serious chronic disease should also have to worry about how to pay for treatment and basic needs. Each year, Satellite provides more than three million dollars to help low-income uninsured and under insured patients get the healthcare and other services they need to live their best life possible. Satellite Financial Assistance Program Helping meet the needs of low-income uninsured and under insured patients is an important element of our commitment to the community. Annually, each patient is screened to learn if financial assistance is needed to cover all or part of the cost of his/her dialysis care. Satellite Patient Trust Fund Each Satellite patient care center has access to a Patient Trust Fund, which receives a significant donation by the company each January for the calendar year. In addition, the fund accepts tax-deductible donations from individuals and organizations including the National Kidney Foundation (NKF), private companies, Satellite staff, medical directors and referring physicians. In 2015, the Trust Fund helped cover patient expenses for: o Household essentials and nutritional supplements o Urgent medical transportation o Utility and phone bills American Kidney Fund The American Kidney Fund (AKF) was founded in 1971 to help a single individual with kidney failure pay for dialysis. Today, AKF is the leading source of direct financial aid to chronic kidney disease patients across the nation. In 2015, the American Kidney Fund provided health insurance premium and other treatment-related financial assistance to more than 84,000, dialysis patients nationwide. Satellite Healthcare supports the AKF with regular annual donations to support its programs. CKD Research Funding Satellite is recognized nationally as a major force in research improving standards of patient care as well as increasing each patients quality of life. 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Since 2000, the program has funded over 15 million dollars in research to improve the lives of patients. The 2015 Grant recipients are: o Khaled Abdel-Kader, Vanderbilt University School of Medicine Prediction Modeling in Older Adults with Advanced CKD o Teresa Chen, The Johns Hopkins University School of Medicine APOL1 Risk Variants and Cardiovascular Disease o LaTonya Hickson, Mayo Clinic Functional Characteristics of Mesenchymal Stromal/Stem Cells in Diabetic Chronic Kidney Disease o Colin Lenihan, Stan</Desc>
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        <PersonNm>GARY CELLINI</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROSEMARY FOX</PersonNm>
        <TitleTxt>VP DIALYSIS OPERATIONS</TitleTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANN ROBAR</PersonNm>
        <TitleTxt>VP WELLBOUND FACILITIES</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARIO BERTUCCI JR</PersonNm>
        <TitleTxt>VP OF HUMAN RESOURCES</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GARY CELLINI</PersonNm>
        <TitleTxt>VP STRATEGIC INITIATIVES</TitleTxt>
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        <PersonNm>SERGEY MUZA</PersonNm>
        <TitleTxt>VP OF INFORMATION TECHNOLOGY</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>The following listed persons received payments pursuant to a severance plan providing payments for one year after termination of employment: Gary Cellini - $216,267 Mario Bertucci - $112,344 Robert Lunbeck - $232,763</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Certain persons listed on Form 990 Part VII participated in a section 457(F) nonqualified deferred compensation plan. No payments were made during the year.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI Section B, Line 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's accounting department worked closely with the outside accounting firm it engaged to prepare the return. The final draft of the Form 990 was reviewed by the Controller, CFO, and the audit committee. A complete copy of the return was provided to the entire voting Board before the return was filed with the Internal Revenue Service.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, Section B, Line 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>The Satellite Healthcare Board of Directors is charged with monitoring proposed or ongoing transactions for conflicts of interest and addressing any potential or actual conflicts. Pursuant to the Conflicts of Interest Policy of Satellite Healthcare Inc., an annual conflict of interest disclosure statement, aimed at determining any family and business relationships and transactions or other transactions that may pose a potential conflict, is distributed to all covered persons (i.e., board members, officers and executive leadership or key employees). Covered persons are required to disclose real or potential conflicts at the time when such conflicts arise. When someone becomes a covered person and annually thereafter, each covered person is required to sign a statement affirming that he/she: (1) has received a copy of the Conflict of Interest Policy; (2) has read the Policy and understands said Policy; and (3) agrees to comply with all requirements of the Policy, including completing the conflicts of interest questionnaire. The completed questionnaires are reviewed by the Satellite Healthcare Board of Directors and any persons with actual or potential conflicts are informed via written communication. The procedures for addressing any conflict of interest includes, but is not limited to, the following: (1) the conflicting interest is fully disclosed to the Board; (2) the interested person responds to factual questions related to the substance of the transaction or arrangement being considered, after which he/she shall leave the meeting; (3) the person with the conflict of interest is excluded from the discussion and approval of such transaction; (4) alternatives to the proposed transaction are investigated, competitive bids or comparable valuations are obtained; (5) any conflicting issues during the course of a Board meeting which cannot be resolved is referred to the Governance Committee; and (6) the transaction or action must be approved by a majority of disinterested persons.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>For 2015 compensation, The Board appointed a Compensation Committee, comprised solely of independent directors (none of which have a conflict of interest with respect to the compensation arrangement), to be accountable for setting reasonable compensation packages for each officer or key employee,including the CEO. The Compensation Committee developed, consistent with the organization's philosophy and principles, the annual performance goals and criteria to be used in determining merit increases and variable compensation criteria for officers and key employees. The Compensation Committee also hired a qualified independent compensation and benefits specialist (independent expert) to review, analyze and provide benchmarking data for the total compensation and benefits packages of officers and key employees. Appropriate comparability data was obtained from the independent experts, i.e., total economic benefits paid by similarly situated organizations (both taxable and tax-exempt) for similar job responsibilities. The Committee's written records include the (1) terms of the arrangement with the disqualified person (including the date the arrangement was approved); (2) a list of members present during the debate on the transaction (and how the members voted when it was approved); and (3) a description of the comparable data relied on by the Committee. Key deliberations of the Committee are also documented in minutes which are approved at the next Committee meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, Section B, Line 16B</FormAndLineReferenceDesc>
        <ExplanationTxt>While Satellite Healthcare, Inc. has not adopted a written policy or procedure requiring steps be taken to safeguard its tax-exempt status when entering into Joint Venture agreements, by practice, it only enters into such agreements where 1) Satellite Healthcare, Inc. is the managing partner and 2) specific language has been added to the Joint Venture agreement which states that the Joint Venture will follow Satellite Healthcare, Inc.'s charitable mission and remain in-line with those principals. An example of the typical language used is as follows: Section 1.2 Charitable Purposes. The LLC and the Center shall at all times be operated and managed in a manner that furthers the charitable and community-based healthcare purposes, mission, vision and values of Satellite. The LLC and the Center shall be operated and managed in a manner that: (a) provides access to patient care services based on medical necessity, without regard to characteristics such as a person's race, religion, creed, national origin, gender, age, sexual orientation, physical or mental disability, payor source or ability to pay; (b) establish, maintain and communicate its financial assistance policies and procedures for the Center that are consistent with Satellite's policies and procedures; (c) provides access to patient care services to individuals covered by Medicare, Medicaid/Medi-Cal and other federal and state governmental payment programs; and (d) will not, in the reasonable opinion of Satellite, on advice of Satellite's legal and/or tax counsel, cause Satellite to act other than exclusively in furtherance of its tax exempt purposes, adversely affect its exempt status under Section 501(c)(3) of the Code or cause its share of the LLC's income to be taxed as "unrelated business taxable income" within the meaning of Section 511 of the Code.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>While federal tax laws do not mandate that the organization's governing documents, conflict of interest policy and financial statements be made available for public inspection, the organization makes its financial statements available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, Line 9, Other Changes in net assets or fund balance</FormAndLineReferenceDesc>
        <ExplanationTxt>Current Year Reclass of negative investments $ 29,634,423 Schedule K-1 additions $ (5,912,352) Intercompany Transfers $ (14,550,479) Minority Income $ 324,459 Impairment of Goodwill $ (486,776) ---------------------------------------------------------- Total changes in net assets $ 9,009,275</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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