BOUNDARY CONTROLS

Commercial distribution, not charity, care delivery, or referral brokerage.

Northwest MedTech exists to move evidence-supported technologies into appropriate provider and institutional channels through clean commercial execution. The boundary controls below define what that means in practice and what it does not include.

01 · ALLOWED ACTIVITY

What Northwest MedTech does.

COMMERCIAL MODELS

Domestic reseller and channel partner

Distributor appointments, reseller agreements, channel partner contracts, and drop-ship models signed by Northwest MedTech, LLC in its own legal name. Not contracted as Tributary Foundation or any charitable program.

REVENUE TYPES

Clean commercial distribution revenue

Wholesale margin, reseller margin, distributor margin, manufacturer retainers for defined channel work, territory development fees, software-as-a-service reseller margin, and implementation logistics fees. Not patient-referral commissions, not charitable funds, not physician utilization bonuses.

CLAIMS & MATERIALS

Manufacturer-approved and evidence-supported language only

Only current manufacturer-approved labeling, decks, training assets, and FAQ materials are used in provider-facing activity. Northwest MedTech does not create independent clinical claims, make comparative assertions, or promote products outside cleared indications.

PROVIDER RELATIONSHIPS

Non-PHI commercial feedback only

Provider interactions capture workflow, ordering, usability, and adoption feedback. Not patient-specific information. No patient health information moves through commercial workflows by default.

02 · NOT ALLOWED

What Northwest MedTech does not do.

These are non-negotiable controls. They apply to every manufacturer relationship, every provider interaction, every independent advisor or subagent engagement, and every commercial transaction.

No patient-specific referral commissions or payments tied to the volume or value of federal healthcare program referrals.
No physician utilization bonuses, speaker fees tied to sales, or compensation structured to reward prescribing or product selection.
No protected health information in commercial workflows, sales CRMs, ordinary email, or personal devices without a separately established secure legal workflow and written agreement.
No off-label promotion, unsupported clinical claims, comparative efficacy assertions, or safety language beyond manufacturer-approved materials.
No charitable fundraising, donation acceptance, Foundation-funded product sales, or donation-to-product-sale routing.
No use of Tributary Foundation programs, participants, records, relationships, or endorsement as a commercial sales channel.
No independent advisor or subagent activity before a written fair market value scope of work, conflict screening, training, and reporting controls are in place.
No product activity before regulatory role analysis, insurance, quality controls, complaint and recall routing, and transaction records are documented.
No importing, relabeling, repackaging, private-labeling, or remanufacturing without deliberate activation of the applicable regulatory role and controls.
03 · OPPORTUNITY ROUTING

Every opportunity goes to the correct entity.

Northwest MedTech handles distribution and channel activation only. Mixing distribution with charitable, clinical, or data-infrastructure functions creates legal, regulatory, and mission-integrity risk. Each function belongs to a distinct entity with its own controls.

Distribution, resale, channel access, provider evaluation, implementation logistics
Northwest MedTech, LLC
Charitable access programs, community support, nonprofit activity
Tributary Foundation, Inc. / Beyond Your Battle (independent nonprofit)
Advisory, evidence design, reimbursement strategy, physician engagement
Separate entity. Not Northwest MedTech.
Outcomes infrastructure, protected data, clinical data systems
Separate infrastructure. Not Northwest MedTech.
04 · PHYSICIAN ENGAGEMENT

Physician engagement is tightly scoped.

Northwest MedTech may coordinate manufacturer-approved product education. It does not turn physicians into sales agents, referral sources, or utilization drivers. Any transfer of value to a physician must be screened for fair market value, written scope, actual deliverables, no volume or value linkage, Open Payments applicability, and conflict disclosure. Physician advisory work is outside the Northwest MedTech scope.

Anti-Kickback and Open Payments

The federal Anti-Kickback Statute prohibits knowing and willful remuneration to induce or reward referrals or the generation of business involving items or services payable by federal healthcare programs. Remuneration includes anything of value, not only cash. Open Payments is a national disclosure program for payments made by drug and medical device companies to covered recipients including physicians. Northwest MedTech screens all physician relationships, meals, travel, honoraria, consulting fees, equity, and transfers of value before activity, not after.

LEGAL NOTICE

This page describes Northwest MedTech's operating posture and boundary controls. It does not constitute legal, regulatory, reimbursement, or compliance advice. Counsel, CPA, insurance carrier, and manufacturer review are required where applicable, particularly for state distribution licensing, FDA regulatory role analysis, Open Payments reporting responsibility, provider financial relationships, independent advisor compensation, and anti-kickback or Stark risk assessment.