2025-10-14T12:36:38-05:00 2024-12-31 911056739 VINE DAHLEN PLLC 3500 188TH STREET SW STE 322 LYNNWOOD WA 98037 990 2024-01-01 911102033 PUGET SOUND KIDNEY CENTERS PUGE 4252595195 1019 PACIFIC AVE EVERETT WA 98201 THOMAS A DEBORD PRESIDENT & CEO 4252595195 2025-10-14 1 0 LORI L SCOTT CPA P01452038 4257716055 2025-10-13 2024 2025-03-06 01:10:19Z THOMAS A DEBORD 1019 PACIFIC AVE EVERETT WA 98201 49163110 0 X X 1980 WA TO PROVIDE KIDNEY DIALYSIS AND RELATED PATIENT CARE SERVICES IN WASHINGTON STATE. 14 14 341 40 0 0 132000 124514 35290152 40575332 402617 1456079 13666 10571 35838435 42166496 27839 36286 0 0 22344991 23982786 0 0 0 19958576 24036644 42331406 48055716 -6492971 -5889220 95026477 94898881 19915758 24274201 75110719 70624680 TO ENHANCE THE QUALITY OF LIFE FOR THOSE WITH KIDNEY DISEASE THROUGH OUTSTANDING DIALYSIS CARE, EDUCATION AND COMMUNITY SUPPORT. 0 0 37362036 36286 40575332 PATIENT DIALYSIS AND RELATED CARE - PSKC PROVIDES IN-CENTER DIALYSIS TREATMENTS TO PATIENTS. DIALYSIS TREATMENTS ARE ALSO PROVIDED TO HOSPITALIZED PATIENTS AT AREA HOSPITALS. TRAINING, SUPPLIES, EQUIPMENT AND CONTINUING SUPERVISION ARE PROVIDED TO PATIENTS WHO SELF-DIALYZE IN THEIR HOMES. PROFESSIONAL MEDICAL SOCIAL WORKERS WORK WITH EACH OF PSKC'S PATIENTS TO ENSURE EACH PATIENT HAS THE SUPPORT THEY NEED TO MANAGE PHYSICAL, FINANCIAL, AND PSYCHO-SOCIAL NEEDS. RENAL DIETITIANS PROVIDE KIDNEY PATIENTS WITH NUTRITIONAL COUNSELING, SO PATIENTS CAN LEARN TO MANAGE THEIR DIET AND LIVE WELL WITH KIDNEY DISEASE. TREATMENTS ARE APPLIED AT VARIOUS LOCATIONS. 346955 COMMUNITY EDUCATION AND SUPPORT - PSKC PROVIDES AN EDUCATION PROGRAM DESIGNED TO ASSIST THE COMMUNITY REGARDING CHRONIC KIDNEY DISEASE. THIS PROGRAM INCLUDES TEACHING COMMUNITY RESIDENTS ABOUT SHOPPING, PREPARING AND CONSUMING KIDNEY-FRIENDLY FOODS. THE PROGRAM ALSO GIVES THEM AN UNDERSTANDING OF TREATMENT OPTIONS AVAILABLE IF THEIR CONDITION PROGRESSES FROM CHRONIC KIDNEY DISEASE TO KIDNEY FAILURE. 37708991 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 47 0 1 341 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X THE ORGANIZATION 4252595195 1019 PACIFIC AVE EVERETT WA 98201 THOMAS A DEBORD PRESIDENT & CEO 40.00 X 485362 0 26303 RAGHU DURVASULA CMO 40.00 X 298934 0 13865 AMANDA CRAIN COO 40.00 X 221159 0 38155 CHRISTINA LOGALBO CNO 40.00 X 217514 0 21438 VENKATA RAMANAN SUBRAMANIAM CONTROLLER 40.00 X 146300 0 22173 CARMELITA MARCOS RN 40.00 X 134266 0 21301 CHRISTINA GROVE HOME PROGRAM DIRECTOR 40.00 X 133543 0 19518 DANIEL BLATNIK RN 40.00 X 132385 0 20764 SATNAM DHILLON RN 40.00 X 132056 0 18022 PATRICIA COCHRELL CHAIR 1.00 X X 1400 0 0 KIM PETERSON VICE CHAIR 1.00 X X 1600 0 0 ROBIN CALLAN SECRETARY/TREASURER 1.00 X X 1200 0 0 SUHAIL AHMAD DIRECTOR 1.00 X 1800 0 0 RAMASAMY BAKTHAVATASALAM DIRECTOR 1.00 X 400 0 0 GEORGE BOWDEN DIRECTOR 1.00 X 1600 0 0 SARAH CAVE DIRECTOR 1.00 X 800 0 0 GENE CHASE DIRECTOR 1.00 X 1800 0 0 BETTY COBBS DIRECTOR 1.00 X 1800 0 0 BOB CRABTREE DIRECTOR 1.00 X 1600 0 0 DIANNE EASLEY DIRECTOR 1.00 X 0 0 0 KIRSTEN HAUGEN DIRECTOR 1.00 X 1400 0 0 FONTELLE JONES DIRECTOR 1.00 X 1200 0 0 LINDA STREISSGUTH DIRECTOR 1.00 X 1800 0 0 1919919 0 201539 44 0 1 0 VISONEX LLC 916 WILLARD DR STE 200 GREEN BAY WI 54304 MEDICATION TRANSCRIPTION SERVICE 215499 MILE HILL INVESTMENT GROUP LLC 5210 NE 8TH PL RENTON WA 98059 LANDLORD 123129 WESTERN WASHINGTON MEDICAL GROUP 1330 ROCKEFELLER AVE STE 450 EVERETT WA 98201 MEDICAL PROVIDER 110000 NSGC LLC PO BOX 2976 EVERETT WA 98213 LANDSCAPING MAINTENANCE 107067 4 124514 124514 PATIENT SERVICES, NET 621400 40575332 40575332 40575332 505797 505797 7397525 549371 6865683 130931 531842 418440 950282 950282 MISC REVENUE 900099 10571 10571 10571 42166496 40575332 0 1466650 X 36286 36286 1341130 1341130 18627125 13741262 4885863 662035 488545 173490 1655740 1246420 409320 1696756 1251397 445359 51891 51891 68060 68060 96880 96880 5876078 5585106 290972 38032 197 37835 679940 363751 316189 1054190 1981 1052209 1696604 1472350 224254 70139 39343 30796 19116 10459 8657 496573 490715 5858 3336683 2979346 357337 258365 258365 MEDICAL SUPPLIES 7945978 7945978 UNCOMPENSATED CARE 832370 832370 HOUSEKEEPING & LAUNDRY 637727 599200 38527 EQUIPMENT RENTALS & MAI 562271 534549 27722 315747 89736 226011 48055716 37708991 10346725 0 1601430 1178504 2412444 2385113 6456358 6945979 973977 1079343 361521 282848 88448660 27147957 63579788 61300703 17615506 16113641 438714 517699 1586739 5095051 95026477 94898881 5082957 5448573 13944225 14975483 888576 3850145 19915758 24274201 X 75098524 70616497 12195 8183 75110719 70624680 95026477 94898881 X -5889220 816009 587172 X 1 X 0 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12891744 12891744 60697469 18195030 42502439 4165838 1783834 2382004 9641139 7169093 2472046 1052470 1052470 61300703 INVESTMENT IN FOUNDATION 1690113 RIGHT-OF-USE ASSETS 3368908 OTHER LONG-TERM ASSETS 36030 5095051 LEASE LIABILITIES 3654999 OTHER LONG TERM LIABILITY 195146 3850145 X PART X, LINE 2: THE INFORMATION RETURNS ARE FILED ANNUALLY AND ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THE RETURNS ARE FILED. THE ORGANIZATION WOULD RECOGNIZE ACCRUED INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX PROVISIONS, IF ANY, AS PART OF SUPPORT EXPENSES ON THE CONSOLIDATED STATEMENTS OF ACTIVITIES. 1 PATIENT ASSISTANCE 170 36286 COST NUTRITIONAL AND FINANCIAL SUPPORT PART I, LINE 2 SUPPORT IS PROVIDED TO PATIENTS BEING TREATED IN-CENTER AND AS SUCH THE ORGANIZATION IS ABLE TO VERIFY THAT IT IS BEING USED FOR THE INTENDED PURPOSE. PSKC, ALONG WITH THE PSKC FOUNDATION AND KAPS, PROVIDED VARIOUS TYPES OF ASSISTANCE TO PATIENTS, INCLUDING NUTRITIONAL SUPPLEMENTS AND VITAMINS, TRANSPORTATION, AND LIVING EXPENSES TO HELP THEM AVOID FINANCIAL HARDSHIP WHILE RECEIVING TREATMENT. X 1 1 X X 0 0 0 0 0 0 0 1 0 THOMAS A DEBORD PRESIDENT & CEO 435362 0 50000 0 0 0 4130 0 22173 0 511665 0 0 0 RAGHU DURVASULA CMO 288934 0 10000 0 0 0 13865 0 0 0 312799 0 0 0 AMANDA CRAIN COO 201159 0 20000 0 0 0 12095 0 26060 0 259314 0 0 0 CHRISTINA LOGALBO CNO 202514 0 15000 0 0 0 11716 0 9722 0 238952 0 0 0 VENKATA RAMANAN SUBRAMANIAM CONTROLLER 146300 0 0 0 0 0 0 0 22173 0 168473 0 0 0 CARMELITA MARCOS RN 134266 0 0 0 0 0 9397 0 11904 0 155567 0 0 0 CHRISTINA GROVE HOME PROGRAM DIRECTOR 133543 0 0 0 0 0 9079 0 10439 0 153061 0 0 0 DANIEL BLATNIK RN 132385 0 0 0 0 0 8860 0 11904 0 153149 0 0 0 SATNAM DHILLON RN 132056 0 0 0 0 0 6118 0 11904 0 150078 0 0 0 PART I, LINE 7 THE CEO AND COO PARTICIPATE IN AN INCENTIVE PLAN TO RECOGNIZE THE CONTRIBUTIONS MADE TO PUGET SOUND KIDNEY CENTER'S FINANCIAL AND OPERATIONAL SUCCESS. EACH YEAR, THE BOARD REVIEWS THE PERFORMANCE OF THE ORGANIZATION AS COMPARED TO ITS PREDETERMINED GOALS AND SETS APPROPRIATE AND REASONABLE INCENTIVE COMPENSATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE BOARD PRIOR TO SUBMISSION WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE INTERVIEWED ANNUALLY AT THE DECEMBER BOARD MEETING REGARDING POTENTIAL CONFLICTS OF INTEREST. A NUMBER OF ADMINISTRATIVE POLICIES ARE IN PLACE ADDRESSING THIS ISSUE. POLICIES NO. 108, 90 AND 355 COVERS AREAS OF CONFLICT OF INTEREST, BUSINESS ETHICS AND CONDUCT, AND FRAUD DETECTION AND PREVENTION RESPECTIVELY. ADDITIONALLY, AN ANNUAL IN-SERVICE IS GIVEN TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REVIEWS THE PRESIDENT AND CEO'S COMPENSATION PACKAGES AND IT IS APPROVED BY THE SECRETARY/TREASURER. CURRENT MARKET CONDITIONS AT THE TIME IN HEALTH CARE AND REGION WERE USED TO ORIGINALLY DETERMINE COMPENSATION IN 2016. INCREASES IN COMPENSATION SINCE THEN HAVE BEEN MINIMAL AND UNDER INDUSTRY STANDARD. THE PRESIDENT AND CEO REVIEWS AND ADJUSTS AS NECESSARY ALL OTHERS. THE REVIEW USES A STRUCTURED WAGES AND SALARY SCALE, BASED ON CURRENT MARKET CONDITIONS IN HEALTH CARE AND REGION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 5,585,106. MANAGEMENT AND GENERAL EXPENSES 290,972. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,876,078. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN PSKC FOUNDATION 587,172. PUGET SOUND KIDNEY CENTERS FOUNDATION 1019 PACIFIC AVE EVERETT WA 98201 454354877 SUPPORT ACTIVITIES OF PUGET SOUND KIDNEY CENTERS WA 501(C)(3) LINE 12 A, I PUGET SOUND KIDNEY CENTERS 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 PUGET SOUND KIDNEY CENTERS FOUNDATION C 124514 FMV PUGET SOUND KIDNEY CENTERS FOUNDATION O 131401 FMV