Northwest Renal Network also posts periodic updates of patient profile data on its website at:

Transcription

1 VI. DATA TABLES The tables that follow were generated by CROWNWeb Tables 1, 2, 6, and 7 reflect data based upon patients state of residence. Tables 3, 4, 5 and 8 reflect data based upon the state within which a provider operates. Northwest Renal Network also posts periodic updates of patient profile data on its website at: Due to the transition to the new CMS system, CROWNWeb in June 2012, there may be greater variances in data between 2011 and 2012 than in prior years. Caution should be employed when comparing 2012 data to previous years, especially in Incident (Table 1), Prevalence (Table 2) and Dialysis Deaths (Table 7). Whenever there is a major change in data systems it is always an open question whether reported differences reflect actual changes in the ESRD population or are due to the transition between data systems. It should also be noted that with the national release of CROWNWeb, the responsibility for verifying, correcting and updating patient data changed from Networks to the Medicare Certified dialysis facilities. As data in CROWNWeb can be updated by facilities through the single user interface (SUI) or batch submission at any time, these numbers may not match what was extracted on earlier or later dates. Therefore, ESRD Network 16 cannot attest to the accuracy of the data contained within the Annual Report Tables. Northwest Renal Network Annual Report CMS Contract # HHSM NW016C

2 TABLE #1 ESRD NETWORK 16 NEWLY DIAGNOSED CHRONIC ESRD PATIENTS (ESRD INCIDENCE) Newly Diagnosed Chronic ESRD by State of Residence, Age, Gender, Race and Primary Diagnosis for Calendar Year 2012 Age Group Alaska Idaho Montana Oregon Washington Other Total >= Total , ,188 Gender Female ,319 Male ,869 Not Specified Total , ,188 Race American Indian/Alaska Native Asian Black or African American More than one race selected Native Hawaiian or Other Pacific Islander White , ,665 Not Specified Total , ,188 Primary Diagnosis Cystic Kidney/Congenital Disease Diabetes ,411 Glomerulonephritis Hypertension/Large Vessel Disease Interstitial Nephritis/Pyelonephritis Miscellaneous Conditions Neoplasms/Tumors Secondary GN/Vasculitis Not Specified Total , ,188 Source of information: CROWNWeb. Date of Preparation: June 2013 Race: The categories are from the CMS-2728 Form Diagnosis: Categories are from the CMS This table cannot be compared to the CMS facility survey because the CMS Facility Survey is limited to dialysis patients receiving outpatient services from Medicare approved dialysis facilities. Due to the structure of CROWNWeb: who were incident within the five Network states may show in the Other category if they moved after starting treatment. This table includes 85 patients with transplant therapy as an initial treatment, 36 patients receiving treatment at VA facilities Northwest Renal Network Annual Report CMS Contract # HHSM NW016C

3 TABLE #2 ESRD NETWORK 16 LIVING ESRD DIALYSIS PATIENTS (DIALYSIS PREVALENCE) All active Dialysis by state of residence, age, race, gender and primary diagnosis as of 12/31/2012. Age Group Alaska Idaho Montana Oregon Washington Other Total , , , , , , >= Total 476 1, ,530 6, ,281 Gender Female ,510 2, ,294 Male ,020 3, ,987 Total 476 1, ,530 6, ,281 Race American Indian/ Alaska Native Asian Black or African ,060 American More than one race selected Native Hawaiian or Other Pacific Islander White 249 1, ,095 4, ,667 Not Specified Total 476 1, ,530 6, ,281 Primary Diagnosis Acquired obstructive uropathy Acute interstitial nephritis AIDS nephropathy Amyloidosis Analgesic abuse Cholesterol emboli, renal emboli Chronic interstitial nephritis Chronic pyelonephritis, reflux nephropathy Complications of transplanted bone marrow Complications of transplanted heart Complications of transplanted liver Complications of transplanted lung Complications of transplanted organ unspecified Northwest Renal Network Annual Report CMS Contract # HHSM NW016C

4 TABLE #2 ESRD NETWORK 16 LIVING ESRD DIALYSIS PATIENTS (DIALYSIS PREVALENCE) All active Dialysis by state of residence, age, race, gender and primary diagnosis as of 12/31/2012. Primary Diagnosis Alaska Idaho Montana Oregon Washington Other Total Congenital nephrotic syndrome Congenital obstruction of ureterpelvic junction Congenital obstruction of uretrovesical junction Cystinosis Dense deposit disease, MPGN type 2 Diabetes with renal manifestations Type 1 Diabetes with renal ,291 2, ,731 manifestations Type 2 Drash syndrome, mesangial sclerosis Etiology uncertain Fabry's disease Focal Glomerulonephritis, focal sclerosing GN Glomerulonephritis (GN) (histologically not examined) Goodpasture's syndrome Gouty nephropathy Hemolytic uremic syndrome Henoch-Schonlein syndrome Hepatorenal syndrome Hereditary nephritis, Alport's syndrome Hypertension: Unspecified , ,012 with renal failure IgA nephropathy, Berger's disease (proven by immunofluorescence) IgM nephropathy (proven by immunofluorescence) Lead nephropathy Lupus erythematosus, (SLE nephritis) Lymphoma of kidneys Medullary cystic disease, including nephronophthisis Membranoproliferative GN type 1, diffuse MPGN Membranous nephropathy Multiple myeloma Nephrolithiasis Nephropathy caused by other agents Nephropathy due to heroin abuse and related drugs Other (congenital malformation syndromes) Other Congenital obstructive uropathy Other disorders of calcium metabolism Other immuno proliferative neoplasms (including light chain nephropathy) Other proliferative GN Other renal disorders Other Vasculitis and its derivatives Northwest Renal Network Annual Report CMS Contract # HHSM NW016C

5 TABLE #2 ESRD NETWORK 16 LIVING ESRD DIALYSIS PATIENTS (DIALYSIS PREVALENCE) All active Dialysis by state of residence, age, race, gender and primary diagnosis as of 12/31/2012. Primary Diagnosis Alaska Idaho Montana Oregon Washington Other Total Polyarteritis Polycystic kidneys, adult type (dominant) Polycystic, infantile (recessive) Post infectious GN, SBE Post partum renal failure Primary oxalosis Prune belly syndrome Radiation nephritis Renal artery occlusion Renal artery stenosis Renal hypoplasia, dysplasia, oligonephronia Renal tumor (benign) Renal tumor (malignant) Renal tumor (unspecified) Scleroderma Secondary GN, other Sickle cell disease/anemia Traumatic or surgical loss of kidney(s) Tuberous sclerosis Tubular necrosis (no recovery) Urinary tract tumor (benign) Urinary tract tumor (malignant) Urinary tract tumor (unspecified) Urolithiasis Wegener's granulomatosis With lesion of rapidly progressive GN Not Specified Total 476 1, ,530 6, ,281 Source of information: CROWNWeb. Date of Preparation June Race: The categories are from the CMS-2728 Form. This table cannot be compared to the CMS facility survey because the CMS Facility Survey is limited to dialysis patients receiving outpatient services from Medicare approved dialysis facilities. The numbers may not reflect the true point prevalence due to different definitions for transient patients. Due to the structure of CROWNWeb: who were prevalent within the five Network states may show in the Other category if they moved after 12/31/2012 This table includes 77 patients receiving treatment at VA facilities. Northwest Renal Network Annual Report CMS Contract # HHSM NW016C

6 TABLE #3 ALASKA DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, SELF-CARE SETTINGS-HOME As of December 31, 2011 and December 31, 2012 PROVIDER HEMO CAPD CCPD OTHER PD TOTAL Denali Dialysis Center (022509)^ FMC Anchorage (022500) FMC Cook Inlet (022507) FMC Fairbanks (022502) FMC Soldotna (022508) FMC Wasilla (022503) Liberty Dialysis Alaska LLC (022506) Reifenstein Dialysis Unit (022504) N/A 0 N/A 0 N/A 0 N/A 0 N/A State Total Source of Information: Facility Survey (CMS 2744), SIMS and CROWNWeb Database Date of Preparation: June 2013 Northwest Renal Network Annual Report CMS Contract # HHSM NW016C

7 TABLE #3 IDAHO DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, SELF-CARE SETTINGS-HOME As of December 31, 2011 and December 31, 2012 HEMO CAPD CCPD OTHER PD TOTAL PROVIDER Bear Lake Dialysis Center (131316) Burley Dialysis Center (132503) Caldwell Dialysis Center (132518) DSI Idaho Panhandle Dialysis (132517) FMC Hayden Lake (132525) FMC North Idaho Dialysis Facility (132507) FMC Palouse (132520) FMC Post Falls (132508) Gate City Dialysis Center (132506) Gem State Regional Dialysis Center (132500) Idaho Kidney Center Blackfoot (132515) Idaho Kidney Center Pocatello (132511) Liberty Dialysis Caldwell (132523) Liberty Dialysis Hayden (132519) Liberty Dialysis Idaho Falls (132514) Liberty Dialysis Meridian (132512) Liberty Dialysis Nampa (132516) Liberty Dialysis Sandpoint (132522) Northwest Renal Network Annual Report CMS Contract # HHSM NW016C

8 TABLE #3 IDAHO DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, SELF-CARE SETTINGS-HOME As of December 31, 2011 and December 31, 2012 HEMO CAPD CCPD OTHER PD TOTAL PROVIDER Moscow Dialysis Center (132521) Nampa Dialysis Center (132501) Snake River Dialysis Center (132524) Table Rock Dialysis Center (132502) Treasure Valley Dialysis Center (132513) Tri State Dialysis Center (132509) Twin Falls Dialysis Center (132505) Yellowstone Dialysis Center (132510) State Total Source of Information: Facility Survey (CMS 2744), SIMS and CROWNWeb Database Date of Preparation: June 2013 Northwest Renal Network Annual Report CMS Contract # HHSM NW016C

9 TABLE #3 MONTANA DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, SELF-CARE SETTINGS-HOME As of December 31, 2011 and December 31, 2012 PROVIDER HEMO CAPD CCPD OTHER PD TOTAL Benefis Dialysis Center (270013) Billings Clinic Dialysis Center (270004) Bozeman Dialysis Center (272503) Dialysis Clinic Inc - Billings (272502) Dialysis Clinic Inc - Blackfeet (272504) Dialysis Clinic Inc Kalispell (272506) Dialysis Clinic Inc - Libby (272505) FMC Butte (272508)^ FMC Missoula (272507) Ft Peck Tribal Dialysis Unit (272500) Northern Montana Hospital Dialysis Unit (270032) St Patrick Hospital Dialysis Center - Butte (273501) St Patrick Hospital Dialysis Center - Missoula (270014)# 0 N/A 0 N/A 0 N/A 0 N/A 0 N/A St Peter's Hospital Dialysis Unit (270003) State Total Source of Information: Facility Survey (CMS 2744), SIMS and CROWNWeb Database Date of Preparation: June 2013 Northwest Renal Network Annual Report CMS Contract # HHSM NW016C

10 TABLE #3 OREGON DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, SELF-CARE SETTINGS-HOME As of December 31, 2011 and December 31, 2012 PROVIDER HEMO CAPD CCPD OTHER PD TOTAL Blue Mountain Kidney Center (382554) Dept Of Veterans Affairs Medical Ctr Portland (38003F) DSI Beaverton (382559) DSI NE Oregon Renal Center (382500) DSI NE Portland Renal Center (382540) DSI Sunnyside Renal Center (382534) DSI Willamette Valley Renal Center (382520) FMC Coos Bay (382510) FMC Corvallis (382529) FMC Dialysis Services Mt Hood (382543) FMC Eugene (382512) FMC Lebanon (382532) FMC Redmond (382551) FMC Newport Oregon (382560) FMC West Salem (382556) Four Rivers Nephrology Center (382519) Grants Pass Dialysis Center (382552)# Gresham Dialysis Center (382538) Hermiston Dialysis Center (382544) Northwest Renal Network Annual Report CMS Contract # HHSM NW016C

11 TABLE #3 OREGON DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, SELF-CARE SETTINGS-HOME As of December 31, 2011 and December 31, 2012 PROVIDER HEMO CAPD CCPD OTHER PD TOTAL Hillsboro Dialysis Center (382550) Klamath Falls Dialysis (382557) McMinnville Dialysis (382558) Meridian Park Dialysis Center (382549) PNRS Astoria Dialysis (382535) PNRS Beaverton Dialysis Center (382521) PNRS Clackamas Kidney Center (382526) PNRS Eastern Oregon Dialysis Clinic (382531) PNRS Emanuel (382523) PNRS Evergreen Dialysis (382537) PNRS Hollywood Dialysis (382527) PNRS Home Dialysis (382509) PNRS Newberg Dialysis Center (382548) PNRS Raines Dialysis (382536) PNRS Rose Quarter (382522) PNRS St Helens Dialysis (382555) PNRS Tualatin Dialysis Center (382524) PNRS Twin Oaks (382525) Portland Dialysis Center (382511) Portland Home Dialysis Clinic (382547) Northwest Renal Network Annual Report 11

12 Source of Information: Facility Survey (CMS 2744), SIMS and CROWNWeb Database Date of Preparation: June 2013 ESRD NETWORK #16 TABLE #3 OREGON DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, SELF-CARE SETTINGS-HOME As of December 31, 2011 and December 31, 2012 PROVIDER HEMO CAPD CCPD OTHER PD TOTAL Providence Portland Medical Center (380061) Qualicenters - Albany Ltd (382507) Qualicenters - Bend LLC (382518) Qualicenters - Eugene-Springfield Ltd (382508) Qualicenters - Salem (382515) Ray Yasui Dialysis Center (380006) Redwood Dialysis Services (382513) Rogue Valley Dialysis Services (382505) Roseburg Mercy Dialysis (382514) Salem Dialysis (382502) Salem North Dialysis (382530) Samaritan Pacific Dialysis (383510)# 0 N/A 0 N/A 0 N/A 0 N/A 0 N/A Sherwood Dialysis Center (382546) Tillamook Dialysis Center (382545) West Linn Dialysis Center (382553) Woodburn Dialysis (382516) State Total Northwest Renal Network Annual Report 12

13 TABLE #3 WASHINGTON DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, SELF-CARE SETTINGS-HOME As of December 31, 2011 and December 31, 2012 PROVIDER HEMO CAPD CCPD OTHER PD TOTAL Bellevue Dialysis Center (502542) Camp Orkila (503700) Central Washington Hospital Dialysis Center (500016) Chinook Kidney Center (502559) DSI Downtown Spokane Renal Center (502547) DSI North Spokane Renal Center (502538) DSI Spokane Renal Center (502537) Ellensburg Dialysis Center (502552) East Wenatchee Dialysis (502569)^ N/A 0 N/A 5 N/A 10 N/A 0 N/A 15 Everett Dialysis Center (502560) Federal Way Community Dialysis Center (502513) FMC Aberdeen (502531) FMC Chehalis (502539) FMC Columbia Basin Kidney Center (502518) FMC Colville (502557) FMC Lacey (502530) FMC Leah Layne Dialysis Center (502558) FMC Longview (502563) FMC Moses Lake Dialysis Unit (502529) FMC Northpointe Dialysis Unit (502528) Northwest Renal Network Annual Report 13

14 TABLE #3 WASHINGTON DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, SELF-CARE SETTINGS-HOME As of December 31, 2011 and December 31, 2012 PROVIDER HEMO CAPD CCPD OTHER PD TOTAL FMC Omak Dialysis Center (502533) FMC Shelton (502548) FMC Spokane Kidney Center (502527) FMC Valley Dialysis Unit (502535) Graham Dialysis Center (502554) Franciscan Dialysis Center Eastside (503511)^ N/A 0 N/A 0 N/A 0 N/A 0 N/A 0 Greater Puyallup Dialysis Center (503507) Kent Community Dialysis Center (502526) Lakewood Community Dialysis Center (502519) Mid-Columbia Kidney Center (502504) Mill Creek Dialysis Center (502561) Mt Adams Kidney Center (502514) Mt Baker Kidney Center (502501) NKC Auburn Kidney Center (502520) NKC Broadway Kidney Center (502556) NKC Elliott Bay Kidney Center (502511) NKC Kent Kidney Center (502553) NKC Lake City Kidney Center (502536) NKC Lake Washington Kidney Center (502505) NKC Port Angeles Kidney Center (502510) Northwest Renal Network Annual Report 14

15 TABLE #3 WASHINGTON DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, SELF-CARE SETTINGS-HOME As of December 31, 2011 and December 31, 2012 PROVIDER HEMO CAPD CCPD OTHER PD TOTAL NKC Renton Kidney Center (502508) NKC Scribner Kidney Center (502507) NKC SeaTac Kidney Center (502509) NKC Seattle Kidney Center (502500) NKC Snoqualmie Ridge Kidney Center (502540) NKC Totem Lake Kidney Center (502516) NKC West Seattle Kidney Center (502523) Olympia Kidney Center (502555) Olympic Peninsula Kidney Center (502502) Olympic Peninsula Kidney Center North (502549) Olympic Peninsula Kidney Center Northwest (502565) Olympic Peninsula Kidney Center South Kitsap (502532) Olympic View Dialysis Center (502525) Panorama Dialysis (502567)^ N/A 0 N/A 0 N/A 0 N/A 0 N/A 0 Parkland Dialysis Center (502566) Peacehealth Dialysis Center (500041) PNRS Ft Vancouver (502522) PNRS Salmon Creek (502524) Puget Sound Kidney Center (502503) Puget Sound Kidney Center Smokey Point (502546) Puget Sound Kidney Center South (502521) Northwest Renal Network Annual Report 15

16 TABLE #3 WASHINGTON DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, SELF-CARE SETTINGS-HOME As of December 31, 2011 and December 31, 2012 PROVIDER HEMO CAPD CCPD OTHER PD TOTAL Puget Sound Kidney Center Whidbey Island (502545) Puyallup Community Dialysis Center (502534) QualiCenters - Walla Walla LLC (502517) Seattle Children s Hospital Dialysis (503300) Seaview Dialysis Center (502562) Skagit Valley Kidney Center (503505) St Joseph Dialysis Center Gig Harbor (503510) St Joseph Medical Center (500108) Tacoma Dialysis Center (502551) Tri-State Memorial Hospital Inc. (500057) Union Gap Dialysis Center (502543) Vancouver Dialysis Center (502550) V.A. Puget Sound Health Care System (50010F) Wenatchee Valley Dialysis (502568)^ N/A 0 N/A 0 N/A 0 N/A 0 N/A 0 Westwood Dialysis Center (502544) Whidbey Island Dialysis Center (502564) Yakima Dialysis Center (502541) State Total Network Total Northwest Renal Network Annual Report 16

17 Source of Information: Facility Survey (CMS 2744), SIMS and CROWNWeb Database Date of Preparation: June 2013 Totals for table #3 include 8 Veterans Affairs Facility patients for 2011 and 11 Veterans Affairs Facility patients for # Provider not operational in 2012 ^ Provider not operational in 2011 N/A = not applicable. Provider was not operational during the year. Northwest Renal Network Annual Report 17

18 TABLE #4 ALASKA DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, IN-CENTER SETTINGS AND TOTALS As of December 31, 2011 and December 31, 2012 PROVIDER Denali Dialysis Center (022509)^ FMC Anchorage (022500) FMC Cook Inlet (022507) FMC Fairbanks (022502) FMC Soldotna (022508) FMC Wasilla (022503) Liberty Dialysis Alaska LLC (022506) Reifenstein Dialysis Unit (022504) HEMO PD TOTAL TOTAL HOME & IN-CENTER* N/A 2 N/A 0 N/A 2 N/A State Total Source of Information: Facility Survey (CMS 2744), SIMS and CROWNWeb Database *Total from Table #3 plus total from Table #4 (for last column of report year) Date of Preparation: June 2013 Northwest Renal Network Annual Report 18

19 TABLE #4 IDAHO DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, IN-CENTER SETTINGS AND TOTALS As of December 31, 2011 and December 31, 2012 PROVIDER Bear Lake Dialysis Center (131316) Burley Dialysis Center (132503) Caldwell Dialysis Center (132518) DSI Idaho Panhandle Dialysis (132517) FMC Hayden Lake (132525) # FMC North Idaho Dialysis Facility (132507) FMC Palouse (132520) FMC Post Falls (132508) Gate City Dialysis Center (132506) Gem State Regional Dialysis Center (132500) Idaho Kidney Center Blackfoot (132515) Idaho Kidney Center Pocatello (132511) Liberty Dialysis Caldwell (132523) # Liberty Dialysis Hayden (132519) Liberty Dialysis Idaho Falls (132514) Liberty Dialysis Meridian (132512) Liberty Dialysis Nampa (132516) Liberty Dialysis Sandpoint (132522) HEMO PD TOTAL TOTAL HOME & IN-CENTER* Northwest Renal Network Annual Report 19

20 TABLE #4 IDAHO DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, IN-CENTER SETTINGS AND TOTALS As of December 31, 2011 and December 31, 2012 PROVIDER Moscow Dialysis Center (132521) Nampa Dialysis Center (132501) Snake River Dialysis Center (132524) # Table Rock Dialysis Center (132502) Treasure Valley Dialysis Center (132513) Tri State Dialysis Center (132509) Twin Falls Dialysis Center (132505) Yellowstone Dialysis Center (132510) HEMO PD TOTAL TOTAL HOME & IN-CENTER* State Total Source of Information: Facility Survey (CMS 2744), SIMS and CROWNWeb Database *Total from Table #3 plus total from Table #4 (for last column of report year) Date of Preparation: June 2013 Northwest Renal Network Annual Report 20

21 PROVIDER Benefis Dialysis Center (270013) Billings Clinic Dialysis Center (270004) Bozeman Dialysis Center (272503) Dialysis Clinic Inc - Billings (272502) Dialysis Clinic Inc - Blackfeet (272504) Dialysis Clinic Inc Kalispell (272506) Dialysis Clinic Inc - Libby (272505) FMC Butte (272508) FMC Missoula (272507) Ft Peck Tribal Dialysis Unit (272500) Northern Montana Hospital Dialysis Unit (270032) St Patrick Hospital Dialysis Center - Butte (273501) St Patrick Hospital Dialysis Center - Missoula (270014)# St Peter's Hospital Dialysis Unit (270003) ESRD NETWORK #16 TABLE #4 MONTANA DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, IN-CENTER SETTINGS AND TOTALS As of December 31, 2011 and December 31, 2012 HEMO PD TOTAL TOTAL HOME & IN-CENTER* N/A 32 N/A 0 N/A 32 N/A State Total Source of Information: Facility Survey (CMS 2744), SIMS and CROWNWeb Database *Total from Table #3 plus total from Table #4 (for last column of report year) Date of Preparation: June 2013 Northwest Renal Network Annual Report 21

22 TABLE #4 OREGON DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, IN-CENTER SETTINGS AND TOTALS As of December 31, 2011 and December 31, 2012 PROVIDER Blue Mountain Kidney Center (382554) Dept Of Veterans Affairs Medical Ctr Portland (38003F) DSI Beaverton (382559) # DSI NE Oregon Renal Center (382500) DSI NE Portland Renal Center (382540) DSI Sunnyside Renal Center (382534) DSI Willamette Valley Renal Center (382520) FMC Coos Bay (382510) FMC Corvallis Oregon (382529) FMC Dialysis Services Mt Hood (382543) FMC Eugene (382512) FMC Lebanon Oregon (382532) FMC Newport Oregon (382560) FMC Redmond (382551) FMC West Salem (382556) Four Rivers Nephrology Center (382519) Grants Pass Dialysis Center (382552)# Gresham Dialysis Center (382538) Hermiston Dialysis Center (382544) HEMO PD TOTAL TOTAL HOME & IN-CENTER* N/A 32 N/A 0 N/A 32 N/A Northwest Renal Network Annual Report 22

23 TABLE #4 OREGON DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, IN-CENTER SETTINGS AND TOTALS As of December 31, 2011 and December 31, 2012 PROVIDER Hillsboro Dialysis Center (382550) Klamath Falls Dialysis (382557) McMinnville Dialysis (382558) Meridian Park Dialysis Center (382549) PNRS Astoria Dialysis (382535) PNRS Beaverton Dialysis Center (382521) PNRS Clackamas Kidney Center (382526) PNRS Eastern Oregon Dialysis Clinic (382531) PNRS Emanuel (382523) PNRS Evergreen Dialysis (382537) PNRS Hollywood Dialysis (382527) PNRS Home Dialysis (382509) PNRS Newberg Dialysis Center (382548) PNRS Raines Dialysis (382536) PNRS Rose Quarter (382522) PNRS St Helens Dialysis (382555) PNRS Tualatin Dialysis Center (382524) PNRS Twin Oaks (382525) Portland Dialysis Center (382511) HEMO PD TOTAL TOTAL HOME & IN-CENTER* Northwest Renal Network Annual Report 23

24 TABLE #4 OREGON DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, IN-CENTER SETTINGS AND TOTALS As of December 31, 2011 and December 31, 2012 PROVIDER Portland Home Dialysis Clinic (382547) Providence Portland Medical Center (380061) Qualicenters - Albany Ltd (382507) Qualicenters - Bend LLC (382518) Qualicenters - Eugene-Springfield Ltd (382508) Qualicenters - Salem (382515) Ray Yasui Dialysis Center (380006) Redwood Dialysis Services (382513) Rogue Valley Dialysis Services (382505) Roseburg Mercy Dialysis (382514) Salem Dialysis (382502) Salem North Dialysis (382530) Samaritan Pacific Dialysis (383510)# Sherwood Dialysis Center (382546) Tillamook Dialysis Center (382545) West Linn Dialysis Center (382553) Woodburn Dialysis (382516) HEMO PD TOTAL TOTAL HOME & IN-CENTER* Northwest Renal Network Annual Report 24

25 TABLE #4 OREGON DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, IN-CENTER SETTINGS AND TOTALS As of December 31, 2011 and December 31, 2012 PROVIDER HEMO PD TOTAL TOTAL HOME & IN-CENTER* State Total Source of Information: Facility Survey (CMS 2744), SIMS and CROWNWeb Database *Total from Table #3 plus total from Table #4 (for last column of report year) Date of Preparation: June 2013 Northwest Renal Network Annual Report 25

26 TABLE #4 WASHINGTON DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, IN-CENTER SETTINGS AND TOTALS As of December 31, 2011 and December 31, 2012 PROVIDER Bellevue Dialysis Center (502542) Camp Orkila (503700) Central Washington Hospital Dialysis Center (500016) Chinook Dialysis Center (502559) DSI Downtown Spokane Renal Center (502547) DSI North Spokane Renal Center (502538) DSI Spokane Renal Center (502537) East Wenatchee Dialysis (502569)^ Ellensburg Dialysis Center (502552) Everett Dialysis Center (502560) Federal Way Community Dialysis Center (502513) FMC Aberdeen (502531) FMC Chehalis (502539) FMC Columbia Basin Kidney Center (502518) FMC Colville (502557) FMC Lacey (502530) FMC Leah Layne Dialysis Center (502558) FMC Longview (502563) HEMO PD TOTAL TOTAL HOME & IN-CENTER* N/A 13 N/A 0 N/A 13 N/A Northwest Renal Network Annual Report 26

27 TABLE #4 WASHINGTON DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, IN-CENTER SETTINGS AND TOTALS As of December 31, 2011 and December 31, 2012 PROVIDER FMC Moses Lake Dialysis Unit (502529) FMC Northpointe Dialysis Unit (502528) FMC Omak Dialysis Center (502533) FMC Shelton (502548) FMC Spokane Kidney Center (502527) FMC Valley Dialysis Unit (502535) Franciscan Dialysis Center Eastside (503511)^ Graham Dialysis Center (502554) Greater Puyallup Dialysis Center (503507) Kent Community Dialysis Center (502526) Lakewood Community Dialysis Center (502519) Mid-Columbia Kidney Center (502504) Mill Creek Dialysis Center (502561) Mt Adams Kidney Center (502514) Mt Baker Kidney Center (502501) NKC Auburn Kidney Center (502520) NKC Broadway Kidney Center (502556) NKC Elliott Bay Kidney Center (502511) HEMO PD TOTAL TOTAL HOME & IN-CENTER* N/A 33 N/A 0 N/A 33 N/A Northwest Renal Network Annual Report 27

28 TABLE #4 WASHINGTON DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, IN-CENTER SETTINGS AND TOTALS As of December 31, 2011 and December 31, 2012 PROVIDER NKC Kent Kidney Center (502553) NKC Lake City Kidney Center (502536) NKC Lake Washington Kidney Center (502505) NKC Mt Rainier Kidney Center (502508) NKC Port Angeles Kidney Center (502510) NKC Scribner Kidney Center (502507) NKC SeaTac Kidney Center (502509) NKC Seattle Kidney Center (502500) NKC Snoqualmie Ridge Kidney Center (502540) NKC Totem Lake Kidney Center (502516) NKC West Seattle Kidney Center (502523) Olympia Dialysis Center (502555) Olympic Peninsula Kidney Center (502502) Olympic Peninsula Kidney Center North (502549) Olympic Peninsula Kidney Center Northwest (502565) Olympic Peninsula Kidney Center South Kitsap (502532) Olympic View Dialysis Center (502525) Panorama Dialysis (502567)^ HEMO PD TOTAL TOTAL HOME & IN-CENTER* N/A 18 N/A 0 N/A 18 N/A 18 Northwest Renal Network Annual Report 28

29 TABLE #4 WASHINGTON DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, IN-CENTER SETTINGS AND TOTALS As of December 31, 2011 and December 31, 2012 PROVIDER Parkland Dialysis Center (502566) Peacehealth Dialysis Center (500041) PNRS Ft Vancouver (502522) PNRS Salmon Creek (502524) Puget Sound Kidney Center (502503) Puget Sound Kidney Center Smokey Point (502546) Puget Sound Kidney Center South (502521) Puget Sound Kidney Center Whidbey Island (502545) Puyallup Community Dialysis Center (502534) QualiCenters - Walla Walla LLC (502517) Seattle Children's Hospital Dialysis (503300) Seaview Dialysis Center (502562) Skagit Valley Kidney Center (503505) St Joseph Dialysis Center Gig Harbor (503510) St Joseph Medical Center (500108) Tacoma Dialysis Center (502551) Tri-State Memorial Hospital Inc (500057) Union Gap Dialysis Center (502543) Vancouver Dialysis Center (502550) HEMO PD TOTAL TOTAL HOME & IN-CENTER* Northwest Renal Network Annual Report 29

30 PROVIDER VA Puget Sound Health Care System (50010F) Wenatchee Valley Dialysis (502568)^ Westwood Dialysis Center (502544) Whidbey Island Dialysis Center (502564) Yakima Dialysis Center (502541) ESRD NETWORK #16 TABLE #4 WASHINGTON DIALYSIS MODALITY Number of Living by Modality By Dialysis Facility, IN-CENTER SETTINGS AND TOTALS As of December 31, 2011 and December 31, 2012 HEMO PD TOTAL TOTAL HOME & IN-CENTER* N/A 64 N/A 0 N/A 64 N/A State Total Network Total Source of Information: Facility Survey (CMS 2744), SIMS and CROWNWeb Database *Total from Table #3 plus total from Table #4 (for last column of report year) Date of Preparation: June 2013 Totals for table #4 include 69 Veterans Affairs Facility patients for 2011 and 66 Veterans Affairs Facility patients for This table excludes 3 patients receiving care at a military facility. # Provider not operational in 2012 ^ Provider not operational in 2011 N/A = not applicable. Provider was not operational during the year Northwest Renal Network Annual Report 30

31 TABLE #5 RENAL TRANSPLANTS BY TRANSPLANT CENTER Number of Transplants Performed By Transplant Center Calendar Year 2011 and Calendar Year 2012 TRANSPLANT CENTERS TOTAL TRANSPLANTS PATIENTS WAITING FOR TRANSPLANT* Department of Veterans Affairs Medical Center (38003F) Legacy Transplant Services (380017) Oregon Health Sciences University (380009) Oregon Total: Children s Hospital & Medical Center (503300) Sacred Heart Medical Center (500054) Swedish Hospital (500027) University of Washington Medical Center (500008) Virginia Mason Medical Center (500005) Washington Total: NETWORK TOTAL: Source of information: Facility Survey (CMS 2744), SIMS and CROWNWeb Database Date of Preparation: June 2013 * These numbers are not added to State or Network totals because some patients may be placed on more than one waiting list. The numbers are only accurate for each center. # Provider not operational in 2010 ^ Provider not operational in 2011 Northwest Renal Network Annual Report 31

32 TABLE #6 RENAL TRANSPLANT RECIPIENTS FOR TRANSPLANT CENTERS WITHIN THE NETWORK AREA Renal Transplant Recipients By Transplant Type, Age, Gender, Race And Primary Diagnosis For Calendar Year AGE GROUP DECEASED LIVING RELATED LIVING UNRELATED TOTAL >= Total GENDER Female Male Total RACE American Indian/Alaska Native Asian Black or African American Multiracial Native Hawaiian or Other Pacific Islander White Not Specified Total PRIMARY DIAGNOSIS Acquired obstructive uropathy Acute interstitial nephritis AIDS nephropathy Amyloidosis Analgesic abuse Cholesterol emboli, renal emboli Northwest Renal Network Annual Report 32

33 TABLE #6 RENAL TRANSPLANT RECIPIENTS FOR TRANSPLANT CENTERS WITHIN THE NETWORK AREA Renal Transplant Recipients By Transplant Type, Age, Gender, Race And Primary Diagnosis For Calendar Year 2012 PRIMARY DIAGNOSIS DECEASED LIVING RELATED LIVING UNRELATED TOTAL Chronic interstitial nephritis Chronic pyelonephritis, reflux nephropathy Complications of other specified transplanted organ Complications of transplanted bone marrow Complications of transplanted heart Complications of transplanted intestine Complications of transplanted kidney Complications of transplanted liver Complications of transplanted lung Complications of transplanted organ unspecified Complications of transplanted pancreas Congenital nephrotic syndrome Congenital obstruction of ureter pelvic junction Congenital obstruction of uretrovesical junction Cystinosis Dense deposit disease, MPGN type Diabetes with renal manifestations Type Diabetes with renal manifestations Type Drash syndrome, mesangial sclerosis Etiology uncertain Fabry's disease Focal Glomerulonephritis, focal sclerosing GN Glomerulonephritis (GN) (histologically not examined) Goodpasture's syndrome Gouty nephropathy Hemolytic uremic syndrome Henoch-Schonlein syndrome Hepatorenal syndrome Hereditary nephritis, Alport's syndrome Hypertension: Unspecified with renal failure IgA nephropathy, Berger's disease (proven by immunofluorescence) IgM nephropathy (proven by immunofluorescence) Lead nephropathy Lupus erythematosus, (SLE nephritis) Lymphoma of kidneys Medullary cystic disease, including nephronophthisis Membranoproliferative GN type 1, diffuse MPGN Northwest Renal Network Annual Report 33

34 TABLE #6 RENAL TRANSPLANT RECIPIENTS FOR TRANSPLANT CENTERS WITHIN THE NETWORK AREA Renal Transplant Recipients By Transplant Type, Age, Gender, Race And Primary Diagnosis For Calendar Year 2012 PRIMARY DIAGNOSIS DECEASED LIVING RELATED LIVING UNRELATED TOTAL Membranous nephropathy Multiple myeloma Nephrolithiasis Nephropathy caused by other agents Nephropathy due to heroin abuse & related drugs Other (congenital malformation syndromes) Other Congenital obstructive uropathy Other disorders of calcium metabolism Other immuno proliferative neoplasms (including light chain nephropathy) Other proliferative GN Other renal disorders Other Vasculitis and its derivatives Polyarteritis Polycystic kidneys, adult type (dominant) Polycystic, infantile (recessive) Post infectious GN, SBE Post-partum renal failure Primary oxalosis Prune belly syndrome Radiation nephritis Renal artery occlusion Renal artery stenosis Renal hypoplasia, dysplasia, oligonephronia Renal tumor (benign) Renal tumor (malignant) Renal tumor (unspecified) Scleroderma Secondary GN, other Sickle cell disease/anemia Sickle cell trait and other sickle cell (HbS/Hb other) Traumatic or surgical loss of kidney(s) Tuberous sclerosis Tubular necrosis (no recovery) Urinary tract tumor (benign) Urinary tract tumor (malignant) Urinary tract tumor (unspecified) Urolithiasis Wegener's granulomatosis With lesion of rapidly progressive GN Not Specified Total Northwest Renal Network Annual Report 34

35 Source of information: Facility Survey (CMS 2744) and CROWNWeb Database Date of Preparation: June 2013 Northwest Renal Network Annual Report 35

36 TABLE #7 DIALYSIS DEATHS Deaths of dialysis patients by state of residence, age, race, gender, primary diagnosis and cause of death for calendar year 2012 AGE GROUP Alaska Idaho Montana Oregon Washington Other Total >= Total , ,098 GENDER Female Male ,242 Not Specified Total , ,098 RACE American Indian/ Alaska Native Asian Black or African American More than one race selected Native Hawaiian or Other Pacific Islander White ,753 Not Specified Total , ,098 PRIMARY DIAGNOSIS Cystic/Hereditary/Congenital Diseases Diabetes ,008 Glomerulonephritis Hypertension/Large Vessel Disease Interstitial Nephritis/Pyelonephritis Miscellaneous Conditions Northwest Renal Network Annual Report 36

37 TABLE #7 DIALYSIS DEATHS Deaths of dialysis patients by state of residence, age, race, gender, primary diagnosis and cause of death for calendar year 2012 PRIMARY DIAGNOSIS Alaska Idaho Montana Oregon Washington Other Total Neoplasms/Tumors Secondary GN/Vasculitis Not Specified Total , ,098 PRIMARY CAUSE 0F DEATH Cardiac Gastro-Intestinal Infection Liver Disease Other Unknown Vascular Not Specified Total , ,098 Source of information: CROWNWeb Date of Preparation: June 2013 Race: The categories are from the CMS-2728 Form. Diagnosis: Categories are from the CMS A diagnosis of 'unknown' is ICD-9 code This table cannot be compared to the CMS Facility Survey because the CMS Facility Survey is limited to those deaths reported by only Medicare-approved facilities This table includes 16 patients receiving treatment at VA facilities. Northwest Renal Network Annual Report 37

38 Provider ALASKA Denali Dialysis Center (022509) FMC Anchorage (022500) FMC Cook Inlet (022507) FMC Fairbanks (022502) FMC Soldotna (022508) FMC Wasilla (022503) Liberty Dialysis Alaska LLC (022506) Reifenstein Dialysis Unit (022504) ESRD NETWORK #16 TABLE #8 VOCATIONAL REHABILITATION Vocational Rehabilitation By Dialysis Facility Age 18 54, as of December 31, 2012 Number of Age # Received Voc. Rehab Services Employed Full or Part Time Attending School Full or Part Time Offered Dialysis Shift after 5 p.m N Y Y N N Y Y N State Total Northwest Renal Network Annual Report 38

39 TABLE #8 VOCATIONAL REHABILITATION Vocational Rehabilitation By Dialysis Facility Age 18 54, as of December 31, 2012 Provider IDAHO Bear Lake Dialysis Center (131316) Burley Dialysis Center (132503) Caldwell Dialysis Center (132518) DSI Idaho Panhandle Dialysis Center (132517) FMC Hayden Lake (132525) FMC North Idaho Dialysis Facility (132507) FMC Palouse (132520) FMC Post Falls (132508) Gate City Dialysis Center (132506) Gem State Regional Dialysis Center (132500) Idaho Kidney Center Blackfoot (132515) Idaho Kidney Center Pocatello (132511) Liberty Dialysis Caldwell (132523) Liberty Dialysis Hayden (132519) Liberty Dialysis Idaho Falls (132514) Liberty Dialysis Meridian (132512) Number of Age # Received Voc. Rehab Services Employed Full or Part Time Attending School Full or Part Time Offered Dialysis Shift after 5 p.m N N N N Y Y N N N N N Y N N N N Northwest Renal Network Annual Report 39

40 TABLE #8 VOCATIONAL REHABILITATION Vocational Rehabilitation By Dialysis Facility Age 18 54, as of December 31, 2012 Provider IDAHO Liberty Dialysis Nampa (132516) Liberty Dialysis Sandpoint (132522) Moscow Dialysis Center (132521) Nampa Dialysis Center (132501) Snake River Dialysis Center (132524) Table Rock Dialysis Center (132502) Treasure Valley Dialysis Center (132513) Tri State Dialysis Center (132509) Twin Falls Dialysis Center (132505) Yellowstone Dialysis Center (132510) Number of Age # Received Voc. Rehab Services Employed Full or Part Time Attending School Full or Part Time Offered Dialysis Shift after 5 p.m N N N Y N Y N N N N State Total Northwest Renal Network Annual Report 40