2013-04-30T17:24:52-05:00 2012-06-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2011-07-01 916057438 NORTHWEST KIDNEY CENTERS NORT 2062922771 700 BROADWAY SEATTLE WA 981224310 JOYCE F JACKSON 2062922771 2013-04-30 1 SARA ELIZABETH J HYRE P00235495 4254544919 2011 2016-03-07 17:11:31Z JOYCE F JACKSON 700 BROADWAY SEATTLE WA 981224310 96402196 0 X WWW.NWKIDNEY.ORG X 1962 WA KIDNEY DISEASE PATIENT CARE, EDUCATION AND RESEARCH TO PROMOTE OPTIMAL HEALTH, QUALITY OF LIFE, AND INDEPENDENCE. 16 14 620 607 0 0 2057926 2024173 58646673 67259518 661271 664013 23679196 17441176 85045066 87388880 463023 464802 0 0 47327922 49500221 0 0 734427 33812948 33552971 81603893 83517994 3441173 3870886 78443508 81318951 19444004 18886704 58999504 62432247 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. THE ORGANIZATION KEEPS PEOPLE ALIVE WITH DIALYSIS CARE, EDUCATES THE PUBLIC ABOUT KIDNEY HEALTH, AND COLLABORATES WITH UW MEDICINE IN THE PROVISION OF SUPPORT FOR THE KIDNEY RESEARCH INSTITUTE. NORTHWEST KIDNEY CENTERS IS ONE OF VERY FEW COMMUNITY-BASED, NONPROFIT DIALYSIS PROVIDERS IN THE COUNTRY. FOUNDED IN SEATTLE IN 1962, NORTHWEST KIDNEY CENTERS PROVIDED THE FIRST OUT-OF-HOSPITAL DIALYSIS PROGRAM IN THE WORLD, AND CONTINUES TO SERVE AS A MODEL FOR THE DELIVERY OF KIDNEY DISEASE CARE. 0 0 69869184 84793320 DIALYSIS: NORTHWEST KIDNEY CENTERS PROVIDED 233,783 DIALYSIS TREATMENTS (AS PROVIDED IN THE CARE OF PATIENTS SUFFERING FROM CHRONIC KIDNEY DISEASE AND ACUTE RENAL FAILURE) IN THE YEAR ENDING JUNE 30, 2012. AT YEAR END, NORTHWEST KIDNEY CENTERS SERVED AS THE CHRONIC KIDNEY DISEASE DIALYSIS TREATMENT PROVIDER FOR 1,493 PATIENTS. THE ORGANIZATION PROVIDED PATIENT CARE IN FIFTEEN (15) FREE-STANDING DIALYSIS CENTERS, SUPERVISED DIALYSIS TREATMENTS PROVIDED IN THE HOMES OF PATIENTS THROUGHOUT THE COMMUNITY, AND IN ELEVEN (11) LOCAL HOSPITALS. NORTHWEST KIDNEY CENTERS PROVIDED CARE FOR PATIENTS INSURED THROUGH MEDICARE AND MEDICAID PROGRAMS AT A COST THAT EXCEEDED REIMBURSEMENT BY APPROXIMATELY $17.8 MILLION. IN ADDITION, NORTHWEST KIDNEY CENTERS PROVIDED CHARITY CARE IN EXCESS OF $30,000 IN THE COURSE OF THE YEAR.NORTHWEST KIDNEY CENTERS' RENAL SPECIALTY PHARMACY, A RARITY IN THE NATION, SERVED IN EXCESS OF 1,568 PATIENTS DURING THE YEAR. 399935 399935 KIDNEY DISEASE RESEARCH: NORTHWEST KIDNEY CENTERS PROVIDED FIVE NEPHROLOGY FELLOWSHIPS FOR PHYSICIANS ENGAGED IN THE STUDY OF KIDNEY DISEASE AND RENAL CARE AT THE UNIVERSITY OF WASHINGTON, ENDEAVORING TO ASSURE PROFESSIONAL CARE WILL CONTINUE TO BE AVAILABLE FOR PATIENTS WHO MAY SUFFER FROM KIDNEY DISEASE IN THE FUTURE.NORTHWEST KIDNEY CENTERS PROVIDED SIGNIFICANT SUPPORT FOR THE KIDNEY RESEARCH INSTITUTE, WHICH AT YEAR-END HAD 20 STUDIES UNDER WAY, FOCUSING ON THE ROLE OF GENETICS, IMPACT OF LIFESTYLE, AND DIABETES IN KIDNEY DISEASE, AS WELL AS WAYS TO IMPROVE DIALYSIS OUTCOMES. NORTHWEST KIDNEY CENTERS' INVESTMENT IN THE KIDNEY RESEARCH INSTITUTE HAS HELPED TO LEVERAGE NEARLY $20 MILLION IN FUNDING FROM THE NATIONAL INSTITUTES OF HEALTH. 619581 EDUCATION: NORTHWEST KIDNEY CENTERS DEVELOPED CHOICES, A PATIENT-FOCUSED, EVIDENCE-BASED CLASS TO HELP PEOPLE UNDERSTAND THE IMPLICATIONS OF THEIR KIDNEY DISEASE DIAGNOSIS. ATTENDANCE IN THE PAST YEAR EXCEEDED 593, INCLUDING 338 PATIENTS. THE ORGANIZATION ALSO PROVIDED ONE-TO-ONE EDUCATION FOR 116 NEW DIALYSIS PATIENTS IN THE HOSPITAL SETTING, AND PROVIDED CLASSES CONCERNING GOOD NUTRITION FOR PEOPLE WITH KIDNEY DISEASE, ATTENDED BY 237 PATIENTS AND FAMILY MEMBERS.THE ORGANIZATION PARTICIPATED IN 56 COMMUNITY OUTREACH AND SPEAKERS BUREAU EVENTS, REACHING A TOTAL OF 10,641 PEOPLE. THE LARGEST EVENT PRODUCED BY NORTHWEST KIDNEY CENTERS WAS THE TENTH ANNUAL KIDNEY HEALTH FEST FOR AFRICAN AMERICAN FAMILIES, WHICH ATTRACTED 730 ATTENDEES. 46402 46402 EMERGENCY ASSISTANCE PROGRAMS: FINANCIAL ASSISTANCE WAS PROVIDED TO NEEDY PATIENTS TO ASSIST WITH FOOD, HOUSING, AND OTHER EXPENSES. (236 PATIENTS) 18465 18465 SCHOLARSHIP PROGRAMS: SCHOLARSHIPS WERE PROVIDED TO NEEDY DIALYSIS AND KIDNEY TRANSPLANT PATIENTS. (7 PATIENTS AND 6 STAFF) 64867 64867 70953567 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 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 109 0 1 620 1 0 0 0 0 0 1 1 0 0 X 16 14 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X SCOTT STRANDJORD 2067208508 700 BROADWAY SEATTLE WA 98122 DAVID WILDE 3.00 X X 0 0 0 CRAIG GOODRICH 4.00 X X 0 0 0 GARY R HOULAHAN 1.50 X X 0 0 0 VIRGINIA BROUDY MD 1.00 X 0 0 0 BONNIE COLLINS MD 8.00 X 47917 0 0 JOSEPH C ESCHBACH 4.00 X 0 0 0 LISA FLORENCE MD 0.30 X 0 0 0 RICHARD GREAVES 3.00 X 0 0 0 ROBERT JAFFE MD 1.50 X 0 0 0 ROBERT LEMON 2.00 X 0 0 0 JAMES A MANNING 3.00 X 0 0 0 VILMA QUIJADA MD 8.00 X 90000 0 0 CLINTON RANDOLPH 2.00 X 0 0 0 STUART SHANKLAND MD 0.80 X 0 0 0 ROBERT WALERIUS 0.50 X 0 0 0 KELLY WALLACE 1.00 X 0 0 0 BETTY HALVORSON RN 1.00 X 0 0 0 STEVEN HUEBNER 4.00 X 0 0 0 MICHAEL KELLY MD 5.50 X 78892 0 0 JOYCE F JACKSON 50.00 X 425978 0 48388 SCOTT STRANDJORD 50.00 X 250883 0 39461 CONSTANCE ANDERSON 50.00 X 255780 0 37412 LEANNA B TYSHLER 50.00 X 243079 0 39215 EMERY POLLOCK 50.00 X 204679 0 34113 MARY MCHUGH 50.00 X 180705 0 31935 ASHOK VARMA 40.00 X 177169 0 27549 THOMAS MONTEMAYOR 40.00 X 159434 0 27717 2114516 0 285790 105 0 1 0 ALDRICH & ASSOCIATES 810 240TH ST SE BOTHELL WA 98021 GENERAL CONTRACTOR 6553676 PACLAB PO BOX 2670 SPOKANE WA 99220 LABORATORY SERVICES 858445 UNIVERSITY OF WASHINGTON 3917 UNIVERSITY WAY NE SEATTLE WA 98105 MEDICAL CONSULTING 654698 CLARK KJOS ARCHITECTS 333 NW FIFTH AVENUE PORTLAND OR 97209 ARCHITECTS 461304 PUGET SOUND BLOOD CENTER 921 TERRY AVENUE SEATTLE WA 98104 BLOOD SERVICES 202633 11 15106 437664 51000 1520403 53568 2024173 DIALYSIS 621400 63650826 63650826 LABORATORY DRUGS 612140 2732467 2732467 INSUR PREMIUM REIMBURS 612140 710943 710943 OTHER MEDICAL RELATED 621400 165282 165282 67259518 593645 593645 114616 42924 1324 71692 -1324 70368 70368 19968 437664 113316 -93348 -93348 26378936 8855752 17523184 17523184 MEDICAL RECORDS 900099 10618 10618 FREIGHT REIMB 900099 492 492 MISC REVENUE 900099 230 230 11340 87388880 84793320 0 571387 399935 399935 64867 64867 1064297 1064297 39288935 33749485 5160268 379182 1998803 1713905 265642 19256 4016653 3430206 547908 38539 3131533 2686552 416180 28801 1261331 1261331 310042 310042 64348 64348 93927 93927 1150012 195490 835971 118551 129625 126360 3265 1964222 1599339 318817 46066 712371 712371 5012848 4695222 303534 14092 187004 105487 74820 6697 51740 12527 37426 1787 4330277 3517151 792730 20396 370539 280719 89820 MEDICAL SUPPLIES 14122882 14027773 95109 LAB TESTING 1501898 1499232 2666 MISCELLANEOUS 1353670 830956 467924 54790 BAD DEBT EXPENSE 357043 357043 579192 526347 49840 3005 83517994 70953567 11830000 734427 1800860 1391773 4541642 1776869 424727 593669 20392517 21538638 1321744 1211510 556835 373060 79361626 43933426 28547702 35428200 20072452 18268922 785029 736310 78443508 81318951 6756075 6752748 2399247 1899935 8042037 7520337 2246645 2713684 19444004 18886704 X 55458985 58073592 2357415 3215227 1183104 1143428 58999504 62432247 78443508 81318951 X 3870886 -438143 X 0 1 1 X 0 X 2023995 2606526 5816472 2057926 2024173 14529092 78160748 83135261 89352648 91748052 93649072 436045781 80184743 85741787 95169120 93805978 95673245 450574873 126764 74453 74070 273049 168042 716378 0 126764 74453 74070 273049 168042 716378 449858495 544703 403228 427134 644505 593645 2613215 544703 403228 427134 644505 593645 2613215 80729446 86145015 95596254 94450483 96266890 453188088 0.99270 0.99220 0.00580 0.00630 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 93927 0 0 93927 0 PART IV, SUPPLEMENTAL INFORMATION: THE NORTHWEST KIDNEY CENTERS ENGAGED IN LOBBYING AT THE STATE AND FEDERAL LEVEL DURING THE FISCAL YEAR ENDED 6/30/12. OUR STAFF MEMBERS TRAVELED TO WASHINGTON D.C. TO MEET WITH MEMBERS OF CONGRESS AS 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. 4034699 5027 -1234 47199 34929 3956364 3420755 28756 617092 31904 4034699 577339 2768170 91462 5440 10776 3420755 1106308 -350444 178525 577339 0.77000 0.07000 0.16000 0 0 1929325 1929325 23594235 13615039 9979196 29650966 11480898 18170068 24187100 18837489 5349611 35428200 DEFERRED COMPENSATION 176627 DEFERRED TENANT LEASEHOLD ALLOWANCE 1442169 DEFERRED RENT 1094888 2713684 87388880 83517994 3870886 -404324 -33819 -438143 3432743 95919805 -404324 -33819 -438143 96357948 -8969068 -8969068 87388880 92487062 8969068 8969068 83517994 0 83517994 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: FUNDS ARE USED FOR KIDNEY DISEASE RESEARCH, PATIENT SCHOLARSHIPS AND PATIENT EMERGENCIES. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT -33,819. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT -33,819. PART XII, LINE 4B - OTHER ADJUSTMENTS: PHARMACY COST OF GOODS SOLD -8,855,752. SPECIAL EVENT EXPENSES REPORTED ON PART VIII -113,316. PART XIII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES REPORTED ON PART VIII 113,316. PHARMACY COST OF GOODS SOLD 8,855,752. PART V, LINE 1F - ADMINISTRATIVE EXPENSES FOR ENDOWMENT FUNDS: THE AMOUNT OF $34,929 IS DUE TO A PRIOR PERIOD ADJUSTMENT MADE DURING THE FINANCIAL STATEMENT AUDIT FOR FISCAL YEAR 2012. BREAKFAST OF HOPE 457632 437664 19968 260 26856 21550 64650 457632 437664 19968 260 26856 21550 64650 113316 -93348 1 UNIVERSITY OF WASHINGTON 3917 UNIVERSITY WAY NE SEATTLE WA 98105 916001537 GOVT - UNIVERSITY 399935 SEE SCHEDULE I, PART IV. 1 0 SCHOLARSHIPS 13 0 18465 BOOK SCHOLARSHIPS TO NORTHWEST KIDNEY CENTERS DIALYSIS PATIENTS AND EMPLOYEES. EMERGENCY GRANTS TO COVER FOOD, HOUSING, UTILITIES AND TRANSPORTATION. 236 0 46402 BOOK SUPPORT FOR SELECT NORTHWEST KIDNEY CENTERS PATIENTS WHO RESIDE WITHIN WASHINGTON STATE. PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GIFT TO THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE/DIVISION OF NEPHROLOGY: AS DESCRIBED IN THE "GIFT AGREEMENT BETWEEN NORTHWEST KIDNEY CENTERS AND UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE/DIVISION (UWSOM) OF NEPHROLOGY" (DATED AUGUST 21, 2006), AND "FIRST EXTENSION" (DATED AUGUST 8, 2007) AND "SECOND EXTENSION" (DATED AUGUST 1, 2008), THE FOLLOWING PROVISIONS WERE ESTABLISHED IN REGARD TO PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: PARAGRAPH A-FOR FISCAL YEAR 2011 (FISCAL YEAR STARTS IN JULY 2010 AND ENDS IN JUNE 2011.) NKC WILL PROVIDE GIFTS DIRECTED TO THE UW DIVISION NEPHROLOGY TO ENHANCE THE TRAINING OF FELLOWS IN NEPHROLOGY, 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 REPONSIBLE 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 RESEACH 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 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 PATIENT'S SOCIAL WORKER, AND THE SOCIAL SERVICES MANAGER. 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. WHERE POSSIBLE, A COPY OF A BILL SHOULD BE SUBMITTED WITH THE APPLICATION. THE NORTHWEST KIDNEY CENTERS' (NKC) REHABILITATION SCHOLARSHIPS ARE AWARDED TO NKC DIALYSIS PATIENTS OR FORMER DIALYSIS PATIENTS WHO HAVE RECEIVED A KIDNEY TRANSPLANT IN THE PREVIOUS FIVE YEAR PERIOD. APPLICANTS MUST BE 18 YEARS OLD OR OLDER, LIVE IN WASHINGTON STATE AND PLAN TO STUDY AT AN ACCREDITED SCHOOL OR TRAINING PROGRAM WITHIN WASHINGTON STATE. APPLICANTS SHOULD HAVE A CLEAR EMPLOYMENT GOAL AND BE ABLE TO DEMONSTRATE FINANCIAL NEED. THE MAXIMUM YEARLY AWARD IS $3,000. SCHOLARSHIP RECIPIENTS MAY APPLY EACH YEAR UNTIL THEY HAVE USED A TOTAL OF $6,000 IN SCHOLARSHIP FUNDS. THE APPLICANT'S ACADEMIC PROGRESS IS MONITORED DURING THE YEAR FOLLOWING THE AWARD OF THE SHOLARSHIP. 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. X X X X X X 0 0 0 0 0 0 0 1 0 JOYCE F JACKSON 335117 0 40000 0 50861 0 14054 0 34334 0 474366 0 0 0 SCOTT STRANDJORD 224723 0 15000 0 11160 0 13483 0 25978 0 290344 0 0 0 CONSTANCE ANDERSON 229654 0 15000 0 11126 0 13334 0 24078 0 293192 0 0 0 LEANNA B TYSHLER 240506 0 0 0 2573 0 14433 0 24782 0 282294 0 0 0 EMERY POLLOCK 180705 0 15000 0 8974 0 11022 0 23091 0 238792 0 0 0 MARY MCHUGH 180705 0 0 0 0 0 10842 0 21093 0 212640 0 0 0 ASHOK VARMA 169177 0 0 0 7992 0 8885 0 18664 0 204718 0 0 0 THOMAS MONTEMAYOR 147688 0 0 0 11746 0 9008 0 18709 0 187151 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 IN 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. SCOTT STRANDJORD, CONSTANCE ANDERSON, AND EMERY POLLOCK, AS SENIOR MEMBERS OF THE NORTHWEST KIDNEY CENTERS EXECUTIVE LEADERSHIP, RECEIVED INCENTIVE COMPENSATION DISTRIBUTIONS, SUBSEQUENT TO REVIEW BY NORTHWEST KIDNEY CENTERS' BOARD OF TRUSTEES' COMPENSATION COMMITTEE. WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2008-06-24 6100000 CAPITAL IMPROVEMENTS 0 0 0 WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2007-04-19 3600000 CAPITAL IMPROVEMENTS 0 0 0 1184536 6100000 56918 6043082 2009 0 0 1 1 995127 3600000 20558 3579442 2007 0 0 1 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 X X 1 5063 FMV X VARIOUS 29 48505 FMV 0 0 1 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: PART I, COLUMN (B): THE NUMBER IN COLUMN B IS BASED ON THE NUMBER OF CONTRIBUTORS. FORM 990, PART I, LINE 6: NORTHWEST KIDNEY CENTERS SPONSORS MANY EVENTS EVERY YEAR. TO MAKE THESE EVENTS SUCCESSFUL, NWKC UTILIZES HUNDREDS OF VOLUNTEERS FOR REGISTRATION, GREETING, SET-UP, TAKE-DOWN, TALKING TO THE PUBLIC ABOUT KIDNEY DISEASE AND MORE. OCCASIONALLY, VOLUNTEER OPPORTUNITIES ARE AVAILABLE IN OUR ADMINISTRATIVE OFFICES AND COMMUNITY DIALYSIS CENTERS. THERE WERE ALSO 16 VOLUNTEER BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS STUART SHANKLAND MD AND MICHAEL KELLY MD HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11 THE 2011 FORM 990 WAS REVIEWED BY THE BOARD'S FINANCE AND AUDIT COMMITTEE AND BY THE BOARD OF TRUSTEES BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ASKS ALL BOARD MEMBERS, OFFICERS AND OTHER DECISION MAKING STAFF MEMBERS TO ANNUALLY DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED EACH YEAR ALONG WITH A LIST OF VENDORS AND ORGANIZATIONS WITH WHICH WE CONTRACT. WE REQUIRE AND ACHIEVE 100% COMPLIANCE WITH RETURN OF CONFLICT OF INTEREST DISCLOSURES. ALL DISCLOSURES ARE REVIEWED BY THE BOARD CHAIR, THE CHAIR OF THE BOARD'S COMPLIANCE COMMITTEE, AND THE PRESIDENT/CEO. FOLLOW UP WITH SPECIFIC INDIVIDUALS IS PERFORMED AS NEEDED. THE REVIEW PROCESS IS REPORTED TO THE BOARD WHEN COMPLETE. INDIVIDUALS 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 IS AVAILABLE AT ALL TIMES VIA ON-LINE POLICIES. FORM 990, PART VI, SECTION B, LINE 15 THE NORTHWEST KIDNEY CENTERS BOARD OF TRUSTEES' COMPENSATION COMMITTEE DOES REVIEW THE COMPARABILITY OF THE PRESIDENT/CEO'S COMPENSATION. THE COMMITTEE CONSISTS OF 3 INDEPENDENT BOARD MEMBERS WHO DO NOT RECEIVE ANY COMPENSATION FROM NKC. THIS COMMITTEE CONTRACTS WITH ANOTHER 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 HEALTHCARE COMPENSATION DATA TO REVIEW TOTAL COMPENSATION RELATIVE TO SIZE, COMPLEXITY, MARKET LOCATION, AND NATURE OF THE ORGANIZATION AND TO THEN OPINE ON THE COMPENSATION PACKAGE. THE COMPENSATION COMMITTEE MAKES A RECOMMENDATION REGARDING THE PRESIDENT/CEO'S COMPENSATION TO THE NKC BOARD OF TRUSTEES' EXECUTIVE COMMITTEE WHICH THEN ACTS ON THAT RECOMMENDATION. THE PROCESS WAS PERFORMED IN OCTOBER 2011 AND OCTOBER 2012. DATA REGARDING THE VICE PRESIDENTS' PAY HISTORY, CURRENT PAY AND PROPOSED ADJUSTMENTS HAVE BEEN PROVIDED TO THE NKC COMPENSATION COMMITTEE, WHICH IS MADE UP OF 3 INDEPENDENT BOARD MEMEBERS, WHO DETERMINE THAT SUCH AMOUNTS ARE CONSISTENT WITH MARKET PARAMETERS. THIS PROCESS WAS LAST PERFORMED IN OCTOBER 2011 AND OCTOBER 2012. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S BYLAWS, ARTICLES OF INCORPORATION, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE ON THE NKC WEBSITE IN THE "ABOUT US" SECTION. THE ANNUAL FISCAL YEAR FINANCIAL RESULTS ARE PUBLISHED IN THE ANNUAL REPORT WHICH IS AVAILABLE ON THE WEBSITE AND DISTRIBUTED IN HARD COPY TO 7,500 INDIVIDUALS INCLUDING PATIENTS, DOCTORS, DONORS AND THE GENERAL PUBLIC. IN ADDITION, 50,000 WERE INSERTED INTO THE SEATTLE TIMES NEWSPAPER ON NOVEMBER 2, 2012 AND ADDITIONAL COPIES ARE BEING HANDED OUT INDIVIDUALLY. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -404,324. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT -33,819. TOTAL TO FORM 990, PART XI, LINE 5: -438,143. PERPETUAL TRUST (1) INVESTMENT WA N/A T 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0