| Oct 12, 2018 | 
          
          $4,760
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Promotional Speaking/Other
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Nov 14, 2018 | 
          
          $3,000
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Promotional Speaking/Other
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Dec 20, 2018 | 
          
          $2,720
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Promotional Speaking/Other
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Jul  3, 2018 | 
          
          $2,000
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Promotional Speaking/Other
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Sep 21, 2018 | 
          
          $2,000
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Promotional Speaking/Other
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Oct 12, 2018 | 
          
          $1,700
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Promotional Speaking/Other
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Jun  8, 2018 | 
          
          $1,658
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Promotional Speaking/Other
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Mar  5, 2018 | 
          
          $1,500
           | 
           
                  SYSTEM ONE
             | 
          
            Promotional Speaking/Other
           | 
          NXSTAGE MEDICAL, INC.  | 
          
           | 
        
        
          | Mar 19, 2018 | 
          
          $1,105
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Promotional Speaking/Other
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Jun  8, 2018 | 
          
          $1,105
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Promotional Speaking/Other
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Dec 13, 2018 | 
          
          $626
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Travel and Lodging
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Sep 26, 2018 | 
          
          $593
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Travel and Lodging
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Mar 19, 2018 | 
          
          $510
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Promotional Speaking/Other
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Mar  9, 2018 | 
          
          $500
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Promotional Speaking/Other
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Mar  5, 2018 | 
          
          $500
           | 
           
                  SYSTEM ONE
             | 
          
            Consulting
           | 
          NXSTAGE MEDICAL, INC.  | 
          
           | 
        
        
          | Jul  3, 2018 | 
          
          $500
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Promotional Speaking/Other
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Mar 19, 2018 | 
          
          $425
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Promotional Speaking/Other
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Sep 26, 2018 | 
          
          $388
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Travel and Lodging
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Nov 10, 2018 | 
          
          $363
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Travel and Lodging
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Dec 13, 2018 | 
          
          $336
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Travel and Lodging
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | May 17, 2018 | 
          
          $300
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | May 17, 2018 | 
          
          $273
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Travel and Lodging
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Jan  9, 2018 | 
          
          $250
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Consulting
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | May 17, 2018 | 
          
          $219
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Travel and Lodging
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Nov  9, 2018 | 
          
          $193
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Sep 26, 2018 | 
          
          $186
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Travel and Lodging
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Jun 16, 2018 | 
          
          $168
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Travel and Lodging
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Jun 15, 2018 | 
          
          $168
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Travel and Lodging
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Sep 19, 2018 | 
          
          $162
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Travel and Lodging
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Dec 13, 2018 | 
          
          $136
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Travel and Lodging
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Sep 26, 2018 | 
          
          $130
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Nov 16, 2018 | 
          
          $99
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Travel and Lodging
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Sep 26, 2018 | 
          
          $97
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Jul 25, 2018 | 
          
          $85
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Travel and Lodging
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Sep 20, 2018 | 
          
          $78
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Dec 13, 2018 | 
          
          $76
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Sep 26, 2018 | 
          
          $69
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Travel and Lodging
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Sep 27, 2018 | 
          
          $69
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Nov  9, 2018 | 
          
          $67
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Jun 15, 2018 | 
          
          $63
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Sep 21, 2018 | 
          
          $62
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Sep 28, 2018 | 
          
          $61
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Travel and Lodging
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Nov 10, 2018 | 
          
          $57
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Jul 25, 2018 | 
          
          $50
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Travel and Lodging
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Sep 26, 2018 | 
          
          $50
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Travel and Lodging
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | May 18, 2018 | 
          
          $44
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Travel and Lodging
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Jun 15, 2018 | 
          
          $43
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Sep 27, 2018 | 
          
          $39
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Nov 16, 2018 | 
          
          $38
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Sep 28, 2018 | 
          
          $38
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Sep 27, 2018 | 
          
          $37
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Dec 13, 2018 | 
          
          $35
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Sep 28, 2018 | 
          
          $33
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Sep 27, 2018 | 
          
          $33
           | 
           
                  SYSTEM ONE
             | 
          
            Food and Beverage
           | 
          NXSTAGE MEDICAL, INC.  | 
          
           | 
        
        
          | Jun 15, 2018 | 
          
          $30
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Nov 16, 2018 | 
          
          $30
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Travel and Lodging
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | May 17, 2018 | 
          
          $29
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Travel and Lodging
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Mar  6, 2018 | 
          
          $27
           | 
           
                  RENAL - PD
             | 
          
            Food and Beverage
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Feb  1, 2018 | 
          
          $24
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | May 17, 2018 | 
          
          $22
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Sep 28, 2018 | 
          
          $20
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Nov 10, 2018 | 
          
          $18
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | May 18, 2018 | 
          
          $18
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Dec 14, 2018 | 
          
          $18
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Jul 25, 2018 | 
          
          $13
           | 
           
                  NOT PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          FRESENIUS USA MARKETING, INC.  | 
          
           | 
        
        
          | Dec 20, 2018 | 
          
          $13
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Travel and Lodging
           | 
          BAXTER HEALTHCARE  | 
          
           | 
        
        
          | Sep 27, 2018 | 
          
          $12
           | 
           
                  RENAL - NON PRODUCT RELATED
             | 
          
            Food and Beverage
           | 
          BAXTER HEALTHCARE  | 
          
           |