2012-05-07T10:37:26-05:00 2011-06-30 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2010-07-01 916057438 NORTHWEST KIDNEY CENTERS NORT 2062922771 700 BROADWAY SEATTLE WA 981224310 JOYCE JACKSON 2062922771 2012-05-02 1 SARA ELIZABETH J HYRE 4254544919 2010 2016-02-24 21:20:13Z JOYCE F JACKSON 700 BROADWAY SEATTLE WA 981224310 94696304 0 X WWW.NWKIDNEY.ORG X 1962 WA KIDENY DISEASE PATIENT CARE, EDUCATION AND RESEARCH TO PROMOTE OPTIMAL HEALTH, QUALITY OF LIFE, AND INDEPENDENCE. 18 15 620 532 0 0 5816472 2057926 89352648 58646673 493352 661271 -63470 23679196 95599002 85045066 1372611 463023 0 0 43737480 47327922 0 0 718797 42135971 33812948 87246062 81603893 8352940 3441173 73252135 78443508 19264530 19444004 53987605 58999504 X SEE SCHEDULE O. 0 0 68042358 82379954 DIALYSIS: NORTHWEST KIDNEY CENTERS PROVIDED 226,195 DIALYSIS TREATMENTS (AS PROVIDED IN THE CARE OF PATIENTS SUFFERING FROM CHRONIC KIDNEY DISEASE AND ACUTE RENAL FAILURE) IN THE YEAR ENDING JUNE 30, 2011. AT YEAR END, NORTHWEST KIDNEY CENTERS SERVED AS THE CHRONIC KIDNEY DISEASE DIALYSIS TREATMENT PROVIDER FOR 1,421 PATIENTS. THE ORGANIZATION PROVIDED PATIENT CARE IN FOURTEEN (14) 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 $21.1 MILLION. IN ADDITION, NORTHWEST KIDNEY CENTERS PROVIDED CHARITY CARE IN EXCESS OF $93,000 IN THE COURSE OF THE YEAR.NORTHWEST KIDNEY CENTERS' RENAL SPECIALTY PHARMACY, A RARITY IN THE NATION, SERVED IN EXCESS OF 750 PATIENTS DURING THE YEAR. 399247 399247 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. 465549 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 540, INCLUDING 309 PATIENTS. THE ORGANIZATION ALSO PROVIDED ONE-TO-ONE EDUCATION FOR 143 NEW DIALYSIS PATIENTS IN THE HOSPITAL SETTING, AND PROVIDED CLASSES CONCERNING GOOD NUTRITION FOR PEOPLE WITH KIDNEY DISEASE, ATTENDED BY 384 PATIENTS AND FAMILY MEMBERS.THE ORGANIZATION PARTICIPATED IN 58 COMMUNITY OUTREACH EVENTS. THE LARGEST EVENT STAGED BY NORTHWEST KIDNEY CENTERS WAS THE NINTH ANNUAL KIDNEY HEALTH FEST FOR AFRICAN AMERICAN FAMILIES, WHICH ATTRACTED 725 ATTENDEES. 484608 CHRONIC KIDNEY DISEASE SERVICES-PROVIDE EDUCATION CONCERNING TREATMENT FOR THOSE WITH KIDNEY DISEASE. 44476 44476 EMERGENCY ASSISTANCE PROGRAMS: FINANCIAL ASSISTANCE WAS PROVIDED TO NEEDY PATIENTS TO ASSIST WITH FOOD, HOUSING, AND OTHER EXPENSES. (223 PATIENTS) 19300 19300 SCHOLARSHIP PROGRAMS: SCHOLARSHIPS WERE PROVIDED TO NEEDY DIALYSIS AND KIDNEY TRANSPLANT PATIENTS. (11 PATIENTS) 548384 63776 69455538 1 1 0 1 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 0 0 0 0 0 0 0 0 0 0 1 104 0 1 620 1 0 0 0 0 0 1 1 0 0 0 0 X 18 15 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X SCOTT STRANDJORD- VP OF FINANCE 2067208508 700 BROADWAY SEATTLE WA 98122 DAVID WILDE 1.50 X X 0 0 0 CRAIG GOODRICH 1.50 X X 0 0 0 GARY HOULAHAN 1.50 X 0 0 0 VIRGINIA BROUDY MD 1.50 X 0 0 0 JOHN CAPPS 1.50 X 0 0 0 BONNIE COLLINS MD 1.50 X 0 0 0 JOSEPH C ESCHBACH 1.50 X 0 0 0 LISA FLORENCE MD 1.50 X 0 0 0 BETTY HALVORSON RN 1.50 X 0 0 0 STEVE HUEBNER 1.50 X X 0 0 0 ROBERT JAFFE MD 1.50 X 0 0 0 MICHAEL KELLY MD 1.50 X 78892 0 0 JAMES MANNING 1.50 X 0 0 0 VILMA QUIJADA MD 1.50 X 92308 0 0 CLINT RANDOLPH 1.50 X 0 0 0 MICHAEL RYAN 1.50 X 55532 0 0 STUART SHANKLAND MD 1.50 X 0 0 0 ROBERT WALERIUS 1.50 X 0 0 0 KELLY WALLACE 1.50 X 0 0 0 BESSIE YOUNG MD 1.50 X 20456 0 0 SCOTT STRANDJORD 50.00 X 250883 0 39461 JOYCE F JACKSON 50.00 X 436074 0 48388 CONSTANCE ANDERSON 50.00 X 255780 0 37412 LEANNA TYSHLER MD 50.00 X 243129 0 39165 PALMER POLLOCK 50.00 X 204679 0 34113 ASHOK VARMA 40.00 X 185161 0 27548 MARY MCHUGH 50.00 X 180705 0 31936 THOMAS MONTEMAYOR 40.00 X 163623 0 27717 2167222 0 285740 105 0 1 0 ALDRICH & ASSOCIATES 810 240TH ST SE BOTHELL WA 98021 GENERAL CONTRACTOR 1481926 U OF W GRANTS & CONTRACTS 3917 UNIVERSITY WAY NE SEATTLE WA 98105 MEDICAL CONSULTING 544429 PACLAB PO BOX 2670 SPOKANE WA 99220 LABORATORY SERVICES 212138 CLARK KJOS ARCHITECTS 333 NW FIFTH AVE PORTLAND WA 97209 ARCHITECTS 208478 PUGET SOUND BLOOD CENTER 921 TERRY AVENUE SEATTLE WA 98104 BLOOD SERVICES 110353 5 15524 364721 1677681 6943 2057926 DIALYSIS 621400 56631381 56631381 LABORATORY DRUGS 612140 1186864 1186864 INSUR PREMIUM REIMBURS 612140 711757 711757 OTHER MEDICAL RELATED 621400 116671 116671 58646673 644505 644505 219701 1500 190701 13734 29000 -12234 16766 16766 20184 364721 74269 -54085 -54085 33105815 9372534 23733281 23733281 85045066 82379954 0 607186 399247 399247 63776 63776 1042233 1042233 37395177 32006906 5040677 347594 1810761 1546997 246964 16800 4002345 3411946 553357 37042 3077406 2629741 420311 27354 86600 86307 293 53187 53187 96172 96172 21820 21820 2226498 1318099 760996 147403 143836 143356 480 9995639 9525972 409354 60313 824244 824244 5484505 4929655 520315 34535 192649 111437 75142 6070 134948 25300 107084 2564 3707139 3127370 568784 10985 437956 344238 93718 MEDICAL SUPPLIES 8131979 8131370 609 0 INSUR PREMIUM REIMBURSE 718400 718400 LAB TESTING 564236 563760 476 0 REPAIR & MAINTENANCE 211357 173423 35247 2687 COMMUNITY PROGRAMS 155180 155180 626603 272721 329205 24677 81603893 69455538 11429558 718797 659121 1800860 14539662 4541642 103214 984654 15852894 20392517 1058268 1321744 481069 556835 68546937 39999235 25812960 28547702 13444497 20072452 1300450 225102 73252135 78443508 6026258 6756075 2900280 2399247 8541800 8042037 1796192 2246645 19264530 19444004 X 51393597 55458985 1490279 2357415 1103729 1183104 53987605 58999504 73252135 78443508 X 3441173 1570726 X 0 1 1 X 0 X 1347288 2023995 2606526 5816472 2057926 13852207 74619792 78160748 83135261 89352648 91748052 417016501 75967080 80184743 85741787 95169120 93805978 430868708 79160 126764 74453 74070 273049 627496 0 79160 126764 74453 74070 273049 627496 430241212 707804 544703 403228 427134 655896 2738765 707804 544703 403228 427134 655896 2738765 76674884 80729446 86145015 95596254 94461874 433607473 0.99220 0.99250 0.00630 0.00650 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 96172 0 0 96172 0 PART IV, SUPPLEMENTAL INFORMATION: THE NORTHWEST KIDNEY CENTERS ENGAGED IN LOBBYING AT THE STATE AND FEDERAL LEVEL DURING THE FISCAL YEAR ENDED 6/30/11. OUR STAFF MEMEBERS 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. 3420755 28756 617092 31904 4034699 577339 2768170 91462 5440 10776 3420755 1106308 0 -350444 178525 577339 0.76000 0.15000 0.09000 0 0 1852128 1852128 20294152 13210355 7083797 23330230 9531446 13798784 23070427 17257434 5812993 28547702 DEFERRED COMPENSATION 171527 DEFERRED TENANT LEASEHOLD ALLOWANCE 923256 DEFERRED RENT 1151862 2246645 85045066 81603893 3441173 1530934 -4436 44228 1570726 5011899 96062595 1530934 44228 1575162 94487433 -9442367 -9442367 85045066 91050696 9446803 9446803 81603893 0 81603893 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 44,228. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT 44,228. PART XII, LINE 4B - OTHER ADJUSTMENTS: PHARMACY COST OF GOODS SOLD -9,372,534. SPECIAL EVENT EXPENSES REPORTED ON PART VIII -74,269. PRIOR PERIOD ADJUSTMENT 4,436. PART XIII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES REPORTED ON PART VIII 74,269. PHARMACY COST OF GOODS SOLD 9,372,534. BREAKFAST OF HOPE 384905 364721 20184 586 28071 45612 384905 364721 20184 586 28071 45612 74269 -54085 1 UNIVERSITY OF WASHINGTON 3917 UNIVERSITY WAY NE SEATTLE WA 98105 916001537 501(C)(3) 399247 SEE SCHEDULE I, PART IV. 1 0 SCHOLARSHIPS 11 19300 EMERGENCY GRANTS TO COVER FOOD, HOUSING, UTILITIES AND TRANSPORTATION. 223 44476 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 APPLICANTS ACADEMIC PROGRESS IS MONITORED DURING THE YEAR FOLLOWING THE AWARD OF THE SHOLARSHIP. OTHER INFORMATION: PART IV: 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 NEWLY FORMED 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 SCOTT STRANDJORD 230883 0 20000 0 0 0 13483 0 25978 0 290344 0 0 0 JOYCE F JACKSON 339045 0 80000 0 17029 0 14054 0 34334 0 484462 0 0 0 CONSTANCE ANDERSON 255780 0 0 0 0 0 13334 0 24078 0 293192 0 0 0 LEANNA TYSHLER MD 243129 0 0 0 0 0 14433 0 24732 0 282294 0 0 0 PALMER POLLOCK 204679 0 0 0 0 0 11022 0 23091 0 238792 0 0 0 ASHOK VARMA 177169 0 0 0 7992 0 8884 0 18664 0 212709 0 0 0 MARY MCHUGH 160705 0 20000 0 0 0 10842 0 21094 0 212641 0 0 0 THOMAS MONTEMAYOR 159434 0 0 0 4189 0 9008 0 18709 0 191340 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 AND MARY MCHUGH, 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 867533 6100000 56918 5426258 616824 2009 0 0 1 1 790430 3600000 20558 3579442 2007 0 0 1 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 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, SETUP, 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 18 VOLUNTEER BOARD MEMBERS. ORGANIZATION MISSION STATEMENT PART III, LINE 1 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 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. FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMEBERS STUART SHANKLAND, MD, MICHAEL RYAN, MD, MICHAEL KELLY, MD AND BESSIE YOUNG, MD HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11 THE 2010 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 MANAGERS, TRUSTEES AND MEDICAL DIRECTORS INVOLVED IN DECISIONMAKING COMMITTEES 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 TRUSTEES 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 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 LAST PERFORMED IN OCTOBER 2011. DATA REGARDING THE VICE PRESIDENTS PAY HISTORY, CURRENT PAY AND PROPOSED ADJUSTMENTS HAS 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. 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 10,000 INDIVIDUALS INCLUDING PATIENTS, DOCTORS, DONORS AND THE GENERAL PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,530,934. PRIOR PERIOD ADJUSTMENTS: -4,436. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT 44,228. TOTAL TO FORM 990, PART XI, LINE 5: 1,570,726.