Satellite Healthcare

What it reported doing in 2024

Kidney dialysis: chronic kidney disease ("ckd") is a public health problem in the united states that impacts approximately 37 million americans. It is well known that hypertension and diabetes are two leading causes of kidney failure. The 2021 united states renal data system report shows that of 815,896 americans who live with end stage renal disease ("esrd"), close to 69.0% are treated by dialysis and 31% with a kidney transplant. Satellite healthcare owns and operates 5 in-center hemodialysis facilities (satellite dialysis) and home dialysis training centers (wellbound) providing a variety of treatment options to our patients. In 2024, satellite healthcare provided over 112,801 dialysis treatments and services to over 350 patients in California, Hawaii, and Tennessee. In addition, satellite employees provided dialysis services to patients at an additional 80 in center clinics through a management services agreement with u.s renal care providing over 1 million dialysis treatments in 2024.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.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: we remained true to our goal of providing the highest quality, patient-centered care and never rested on its laurels. At our 5 centers, we provided more than 100,000 dialysis treatments in 2024. Our patients and regulators expressed high praise for our efforts. An annual patient experience survey conducted showed that 70 percent of satellite centers were rated 4 or 5 stars out of 5 stars by patients, compared with the national average of 43%. In the 5-star ratings for quality awarded by cms, 57 percent of our centers achieved 4 or 5 stars, compared with the national average of 23 percent. These ratings are no small feat and reflect the sentiments of important and influential audiences.in 2024, our charitable contributions totaled $175,000 for uncompensated care, grants and internships. Satellite healthcare supported various national kidney foundation and american kidney fund activities. These activities allowed us to collaborate with longtime community partners on educational opportunities and advocacy efforts, among others.

Financial Efficiency

• Mission deployment rate: 86.3%; rating input score 86
• Program expense ratio: 35.2%; rating input score 35
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 91.7%; rating input score 92; 8th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 33.3%; rating input score 33; 8th percentile among comparable filings
• Major donor itemization: Limited
• Related-party transparency: Scored; rating input score 0

Accountability

• Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Missing
  • Independent financial-statement audit: Fail

Sustainability

• Operating margin: 16.8%; rating input score 84; 84th percentile among comparable filings
• Total-asset coverage ratio: 1.82; rating input score 60; 60th percentile among comparable filings
• Liabilities to assets ratio: 0.49; rating input score 36; 36th percentile among comparable filings
• Officer compensation ratio: 2.2%; rating input score 52; 52nd percentile among comparable filings

Growth

• Program expense growth: -2.1% per year; rating input score 0; 4th percentile among comparable filings
• Revenue growth: -1.1% per year; rating input score 0; 3rd percentile among comparable filings
• Asset growth: 0.7% per year; rating input score 100; 9th percentile among comparable filings