Document


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM SD
Specialized Disclosure Report

NxStage Medical, Inc.
(Exact name of registrant as specified in its charter)

Delaware
 000-51567
04-3454702
(State or other jurisdiction of incorporation or organization)
(Commission File Number)
(I.R.S. Employer Identification No.)
 
 
 
350 Merrimack Street, Lawrence, MA
 
01843
(Address of Principal Executive Offices)
 
(Zip Code)

Matthew W. Towse
Chief Financial Officer
(978) 687-4700
(Name and telephone number, including area code, of the person to contact in connection with this report)

Check the appropriate box to indicate the rule pursuant to which this form is being filed, and provide the period to which the information in this form applies:

þ     Rule 13p-1 under the Securities Exchange Act (17 CFR 240.13p-1) for the reporting period from January 1 to
December 31, 2017.







Section 1 - Conflict Minerals Disclosure

Item 1.01 Conflict Minerals Disclosure and Report

NxStage Medical, Inc.'s Conflict Minerals Report for the reporting period from January 1, 2017 to December 31, 2017 is filed herewith as Exhibit 1.01 and is publicly available at ir.nxstage.com.
 
Item 1.02 Exhibit

The exhibit listed in Item 2.01 is filed as part of this report.

Section 2 - Exhibits

Item 2.01 Exhibits

Exhibit 1.01 - Conflict Minerals Report for the reporting period from January 1, 2017 to December 31, 2017.











SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the duly authorized undersigned.
NxSTAGE MEDICAL, INC.

By: /s/ Matthew W. Towse                Date: May 31, 2018
Matthew W. Towse
Chief Financial Officer



Exhibit


NxStage Medical, Inc.
Conflict Minerals Report
Reporting Year: 2017

This report has been prepared pursuant to Rule 13p-1 under the Securities Exchange Act of 1934, as amended (Rule 13p-1), for the reporting period from January 1, 2017 to December 31, 2017, and is available at the Investor Relations section of our website, www.nxstage.com.

Company Overview

NxStage Medical, Inc. (NxStage or we) is a medical technology company that develops, manufactures, markets and provides innovative products and services for patients suffering from chronic or acute kidney failure. Our primary product, the System One, was designed to satisfy an unmet clinical need for a system capable of delivering the therapeutic flexibility and clinical benefits of traditional dialysis machines in a smaller, portable, easy-to-use form that can be used by healthcare professionals and trained lay users alike in a variety of settings, including patient homes and home-like settings, including skilled nursing facilities, as well as more traditional care settings such as hospitals and dialysis centers. Given its design, the System One is particularly well-suited for home hemodialysis and a range of dialysis therapies that are more practical to deliver in the home setting, including more frequent hemodialysis and nocturnal hemodialysis. Clinical literature suggests such therapies provide patients better clinical outcomes and improved quality of life. In addition to the System One, we provide patients with our PureFlow SL accessory which prepares on-site premixed dialysate fluid in the patient's home using ordinary tap water and dialysate concentrate. We also operate a small number of NxStage Kidney Care dialysis centers, independently and in some instances as joint ventures, that treat end-stage renal disease (ESRD) patients directly. These centers provide us with the opportunity to innovate and foster new care delivery models to advance the standard of renal care across other markets. At these centers, we offer a range of treatment options, including home hemodialysis, peritoneal dialysis and flexible in-center hemodialysis.

Certain of our products, including the System One, are assembled using parts containing tantalum, tin, tungsten or gold (3TG). NxStage is not a vertically integrated manufacturer and instead we make our products using components that are obtained from either contract manufacturers or original equipment manufacturers. Furthermore, our supply chain is both global and complex, and there are multiple tiers of suppliers between NxStage and the original sources of minerals used in our products. NxStage does not make purchases of raw ore or unrefined 3TG and makes no purchases in the Democratic Republic of the Congo or an adjoining country (collectively, DRC). Accordingly, we rely on our direct suppliers to provide information on the origin of the 3TG contained in the parts supplied to us.

NxStage is committed to sourcing components and materials from companies that share our values regarding respect for human rights, integrity and environmental responsibility. These principles for the responsible sourcing of raw materials and components are set forth in our Conflict Minerals Policy Statement, which is available at the Investor Relations section of our website, www.nxstage.com.

Due Diligence Process

NxStage conducted a due diligence process to identify which of our products contained 3TG (3TG products) as well as a reasonable country of origin inquiry to determine whether such 3TG products contained 3TG that originated in the DRC or came from recycled or scrap sources. Based on the results of our reasonable country of origin inquiry, we were unable to conclude that the 3TG in our 3TG products did not originate in the DRC or that all of such 3TG came from recycled or scrap sources.

We designed our due diligence framework on the source and chain of custody of the 3TG in our 3TG products to conform in all material respects with the framework provided by The Organization for Economic Co-operation and Development Due Diligence Guidance for Responsible Supply Chains of Minerals from Conflict-Affected and High-Risk Areas, an internationally-recognized due diligence framework. As part of our process, we contacted each





supplier of components and materials potentially containing 3TG (described on Exhibit A to this report) and asked them to complete the Electronic Industry Citizenship Coalition Global e-Sustainability Initiative (EICC-GeSI) Conflict Minerals Reporting Template. This template was developed to facilitate disclosure and communication of information regarding smelters that provide material to a company’s supply chain. It includes questions regarding a supplier’s conflict-free policy, engagement with its direct suppliers, and a listing of the smelters the supplier and its suppliers use. The template also contains questions about the origin of 3TG included in their products, as well as supplier due diligence.

Each supplier’s response was evaluated and, where possible, validated to determine sufficiency, accuracy or completeness of its response. For each supplier’s response, we subsequently assessed whether the 3TG identified, or 3TG that may not have been identified, was consistent with the nature and characteristics of the supplied part. For each response that was insufficient, potentially inaccurate or incomplete, we contacted that supplier to gain additional information and to receive revised responses as necessary.

Due Diligence Results

As of May 31, 2018, we have received responses from approximately 93% of the suppliers surveyed. Many of our suppliers responded with company-wide information that was not specific to our products. As a result, their responses may cover facilities that do not provide 3TG for our 3TG products. Due to the many company-wide responses and the multiple levels of suppliers in our supply chain, we are unable to determine with certainty at this time which processing facilities and countries of origin listed in our suppliers' responses actually provide the specific 3TG used in our 3TG products. The facilities identified by our suppliers that may have been used to process 3TG for our 3TG products and the potential countries of origin of such 3TG are set forth on Exhibit B and Exhibit C, respectively, to this report.

Of the responding suppliers that reported the presence of 3TG in their components, approximately 40% indicated that such 3TG did not originate from the DRC, six indicated that such 3TG originated from conflict-free sources within the DRC, eight indicated that such 3TG may have originated within the DRC (without indicating the specific country of origin) and were unable to ensure that such 3TG originated from conflict-free sources, and eight indicated that they were unable to determine whether such 3TG originated from the DRC.

Based on the results of our due diligence efforts and reasonable country of origin inquiry, we are unable to determine that any 3TG from the DRC that is used by our suppliers originates entirely from validated conflict-free sources.

Risk Mitigation

We expect to take the following steps, among others, to continue our due diligence measures and to mitigate the risk that any 3TG contained in our products benefit or finance armed groups in the DRC:

We will continue to work with suppliers who provided incomplete or insufficient information in an effort to obtain complete and accurate information in 2018.
We will again follow our due diligence process to review and validate supplier responses that are obtained in support of our 2018 conflict minerals reporting.
We will help our suppliers to understand the due diligence steps they can take to investigate the source of any 3TG in the products they supply us.
We will inform our suppliers about the principles set forth in our Conflict Minerals Policy Statement.






Exhibit A

Product Components and Materials Potentially Containing 3TG 

Sheet Metal and Electro-mechanical Assemblies
Electro-mechanical Motors
Electro-mechanical Pumps
Electronic Power Supplies
Electronic Parts and Assemblies
Fasteners and Labels
Cables and Harnesses
Power Supplies
Computer/Server Products
Network Switches
Printed Circuit Boards (laminates)
Printed Circuit Assemblies
Displays/Monitors
Keyboards
Memory Modules/Security Devices
Molded Plastic Parts
Sheet Metal Parts and Assemblies
Computer Cabinets and Accessories
Power Strips
Thermal Transfer Products
Flex Circuits
Solder






Exhibit B

Potential Processing Facilities

MINERAL
 
FACILITY NAME
 
FACILITY COUNTRY
Gold
 
Abington Reldan Metals, LLC
 
UNITED STATES
Gold
 
Accurate Refining Group
 
UNITED STATES
Gold
 
Alpha Metals
 
UNITED STATES
Gold
 
AngloGold Ashanti Córrego do Sítio Mineração
 
BRAZIL
Gold
 
Asahi Refining Canada Ltd.
 
CANADA
Gold
 
C. Hafner GmbH + Co. KG
 
GERMANY
Gold
 
Cendres + Métaux S.A.
 
SWITZERLAND
Gold
 
Central Bank of the Philippines Gold Refinery & Mint
 
PHILIPPINES
Gold
 
Changsha South Tantalum Niobium Co., Ltd.
 
CHINA
Gold
 
China Rare Metal Material Co., Ltd.
 
CHINA
Gold
 
China Tin Group Co., Ltd.
 
CHINA
Gold
 
EM Vinto
 
BOLIVIA
Gold
 
Emirates Gold DMCC
 
UNITED ARAB EMIRATES
Gold
 
Empresa Metalúrgica Vinto
 
BOLIVIA
Gold
 
Estanho de Rondônia S.A.
 
BRAZIL
Gold
 
H.C. Starck Smelting GmbH & Co.KG
 
GERMANY
Gold
 
Heraeus Precious Metals GmbH & Co. KG
 
GERMANY
Gold
 
Hunan Litian Tungsten Industry Co., Ltd.
 
CHINA
Gold
 
Italpreziosi
 
ITALY
Gold
 
Johnson Matthey Limited
 
CANADA
Gold
 
JSC Ekaterinburg Non-Ferrous Metal Processing Plant
 
RUSSIAN FEDERATION
Gold
 
Kai Unita Trade Limited Liability Company
 
CHINA
Gold
 
Kaloti Precious Metals
 
UNITED ARAB EMIRATES
Gold
 
Kennametal Huntsville
 
UNITED STATES
Gold
 
King-Tan Tantalum Industry Ltd.
 
CHINA
Gold
 
Kyrgyzaltyn JSC
 
KYRGYZSTAN
Gold
 
Kyshtym Copper-Electrolytic Plant ZAO
 
RUSSIA
Gold
 
LAIZHOU SHANDONG
 
CHINA
Gold
 
L'azurde Company For Jewelry
 
SAUDI ARABIA
Gold
 
Lingbao Gold Co., Ltd.
 
CHINA
Gold
 
L'Orfebre S.A.
 
ANDORRA
Gold
 
Malaysia Smelting Corporation (MSC)
 
MALAYSIA
Gold
 
Marsam Metals
 
BRAZIL
Gold
 
Metallo Belgium N.V.
 
BELGIUM
Gold
 
Metallo Spain S.L.U.
 
SPAIN
Gold
 
Metallo-Chimique N.V.
 
BELGIUM
Gold
 
Metalor Switzerland
 
SWITZERLAND
Gold
 
Metalor Technologies (Suzhou) Ltd.
 
CHINA
Gold
 
Moliren Ltd.
 
RUSSIA
Gold
 
Nghe Tinh Non-Ferrous Metals Joint Stock Company
 
VIET NAM
Gold
 
Nui Phao H.C. Starck Tungsten Chemicals Manufacturing LLC
 
VIET NAM
Gold
 
O.M. Manufacturing (Thailand) Co., Ltd.
 
THAILAND
Gold
 
Ohio Precious Metals, LLC
 
UNITED STATES
Gold
 
OJSC Krastsvetmet
 
RUSSIA
Gold
 
OMSA
 
BOLIVIA





MINERAL
 
FACILITY NAME
 
FACILITY COUNTRY
Gold
 
Operaciones Metalurgical S.A.
 
BOLIVIA
Gold
 
PAMP S.A.
 
SWITZERLAND
Gold
 
Pease & Curren
 
UNITED STATES
Gold
 
Prioksky Plant of Non-Ferrous Metals
 
RUSSIA
Gold
 
PT Artha Cipta Langgeng
 
INDONESIA
Gold
 
PT ATD Makmur Mandiri Jaya
 
INDONESIA
Gold
 
PT Panca Mega Persada
 
INDONESIA
Gold
 
PT Prima Timah Utama
 
INDONESIA
Gold
 
PT Stanindo Inti Perkasa
 
INDONESIA
Gold
 
PT Sukses Inti Makmur
 
INDONESIA
Gold
 
PT Tirus Putra Mandiri
 
INDONESIA
Gold
 
PT Tommy Utama
 
INDONESIA
Gold
 
PX Précinox S.A.
 
SWITZERLAND
Gold
 
Sai Refinery
 
INDIA
Gold
 
SAXONIA Edelmetalle GmbH
 
GERMANY
Gold
 
Shangdong Gold (Laizhou)
 
CHINA
Gold
 
So Accurate Group, Inc.
 
UNITED STATES
Gold
 
Solartech
 
TAIWAN
Gold
 
Super Ligas
 
BRAZIL
Gold
 
Thai Solder Industry Corp., Ltd.
 
THAILAND
Gold
 
Tuyen Quang Non-Ferrous Metals Joint Stock Company
 
VIET NAM
Gold
 
Umicore S.A. Business Unit Precious Metals Refining
 
BELGIUM
Gold
 
Unecha Refractory metals plant
 
RUSSIA
Gold
 
White Solder Metalurgia e Mineracao Ltda.
 
BRAZIL
Gold
 
Xiamen H.C.
 
CHINA
Gold
 
Zijin Mining Group Co., Ltd. Gold Refinery
 
CHINA
Tantalum
 
A.L.M.T. TUNGSTEN Corp.
 
JAPAN
Tantalum
 
ACL Metais Eireli
 
BRAZIL
Tantalum
 
Aida Chemical Industries Co., Ltd.
 
JAPAN
Tantalum
 
Allied Material Corporation
 
JAPAN
Tantalum
 
Anhui Tongling Nonferrous Metal Mining Co., Ltd.
 
CHINA
Tantalum
 
Asahi Refining USA Inc.
 
UNITED STATES
Tantalum
 
AURA-II
 
UNITED STATES
Tantalum
 
Boliden AB
 
SWEDEN
Tantalum
 
Brand RBT
 
INDONESIA
Tantalum
 
Chenzhou Diamond Tungsten Products Co., Ltd.
 
CHINA
Tantalum
 
Chenzhou Yunxiang Mining and Metallurgy Co., Ltd.
 
CHINA
Tantalum
 
China Henan Zhongyuan Gold Smelter
 
CHINA
Tantalum
 
CV United Smelting
 
INDONESIA
Tantalum
 
Daye Non-Ferrous Metals Mining Ltd.
 
CHINA
Tantalum
 
Jiujiang Tanbre Co., Ltd.
 
CHINA
Tantalum
 
Johnson Matthey Canada
 
CANADA
Tantalum
 
Metalúrgica Met-Mex Peñoles S.A. De C.V.
 
MEXICO
Tantalum
 
Morris and Watson Gold Coast
 
AUSTRALIA
Tantalum
 
OJSC Krastsvetmet
 
RUSSIA
Tantalum
 
PT Justindo
 
INDONESIA
Tantalum
 
Resind Industria e Comercio Ltda.
 
BRAZIL
Tantalum
 
SEMPSA Joyería Platería S.A.
 
SPAIN
Tantalum
 
Super Dragon Technoloty Co. Ltd.
 
TAIWAN





MINERAL
 
FACILITY NAME
 
FACILITY COUNTRY
Tantalum
 
Thaisarco
 
THAILAND
Tantalum
 
Umicore Brasil Ltda.
 
BRAZIL
Tantalum
 
Wolfram Bergbau und Hütten AG
 
AUSTRIA
Tantalum
 
Xstrata
 
CANADA
Tin
 
AGR Mathey
 
AUSTRALIA
Tin
 
An Thai Minerals Co., Ltd.
 
VIET NAM
Tin
 
Bangalore Refinery
 
INDIA
Tin
 
CCR Refinery - Glencore Canada Corporation
 
CANADA
Tin
 
Cooperativa Metalurgica de Rondônia Ltda.
 
BRAZIL
Tin
 
D Block Metals, LLC
 
UNITED STATES
Tin
 
Do Sung Corporation
 
SOUTH KOREA
Tin
 
Empressa Nacional de Fundiciones (ENAF)
 
BOLIVIA
Tin
 
Guizhou Zhenhua Xinyun Technology Ltd., Kaili branch
 
CHINA
Tin
 
Gujarat Gold Centre
 
INDIA
Tin
 
Japan Mint
 
JAPAN
Tin
 
Japan New Metals Co., Ltd.
 
JAPAN
Tin
 
Jiangxi Minmetals Gao'an Non-ferrous Metals Co., Ltd.
 
CHINA
Tin
 
Jiangxi Shunda Huichang Kam Tin Co., Ltd.
 
CHINA
Tin
 
JSC Uralelectromed
 
RUSSIA
Tin
 
KEMET Blue Metals
 
MEXICO
Tin
 
Kojima Chemicals Co., Ltd.
 
JAPAN
Tin
 
LSM Brasil S.A.
 
BRAZIL
Tin
 
LS-NIKKO Copper Inc.
 
SOUTH KOREA
Tin
 
Magnu's Minerais Metais e Ligas Ltda.
 
BRAZIL
Tin
 
Melt Metais e Ligas S.A.
 
BRAZIL
Tin
 
Metallic Materials Branch of Guangxi China Tin Group Co.,Ltd.
 
CHINA
Tin
 
Metalor Technologies (Hong Kong) Ltd.
 
CHINA
Tin
 
Met-Mex Penoles, S.A.
 
MEXICO
Tin
 
Mineracao Taboca S.A.
 
BRAZIL
Tin
 
Mitsubishi Materials Corporation
 
JAPAN
Tin
 
Mitsui Mining & Smelting
 
JAPAN
Tin
 
Nadir Metal Rafineri San. Ve Tic. A.S.
 
TURKEY
Tin
 
Navoi Mining and Metallurgical Combinat
 
UZBEKISTAN
Tin
 
Ogussa Osterreichische Gold- und Silber-Scheideanstalt GmbH
 
AUSTRIA
Tin
 
Pan Pacific Copper Co Ltd.
 
JAPAN
Tin
 
Perth Mint
 
AUSTRALIA
Tin
 
Plansee SE Liezen
 
AUSTRIA
Tin
 
Planta Recuperadora de Metales SpA
 
CHILE
Tin
 
PT Aneka Tambang (Persero) Tbk
 
INDONESIA
Tin
 
PT Bangka Prima Tin
 
INDONESIA
Tin
 
PT Eunindo Usaha Mandiri
 
INDONESIA
Tin
 
PT Karimun Mining
 
INDONESIA
Tin
 
PT Tambang Timah
 
INDONESIA
Tin
 
PT Timah (Persero) Tbk Kundur
 
INDONESIA
Tin
 
Republic Metals Corporation
 
UNITED STATES
Tin
 
SAAMP
 
FRANCE
Tin
 
SAFINA A.S.
 
CZECH REPUBLIC
Tin
 
Saganoseki Smelter & Refinery
 
JAPAN
Tin
 
Samwon Metals Corp.
 
SOUTH KOREA





MINERAL
 
FACILITY NAME
 
FACILITY COUNTRY
Tin
 
Shonan Plant Tanaka Kikinzoku
 
JAPAN
Tin
 
Singway Technology Co., Ltd.
 
TAIWAN
Tin
 
SMM
 
JAPAN
Tin
 
Soft Metais Ltda.
 
BRAZIL
Tin
 
South-East Nonferrous Metal Company Limited of Hengyang City
 
CHINA
Tin
 
SungEel HiTech
 
SOUTH KOREA
Tin
 
T.C.A S.p.A
 
ITALY
Tin
 
Taki Chemical Co., Ltd.
 
JAPAN
Tin
 
Tanaka Kikinzoku Kogyo K.K.
 
JAPAN
Tin
 
Tongling Nonferrous Metals Group Co., Ltd.
 
CHINA
Tin
 
Torecom
 
SOUTH KOREA
Tin
 
Umicore Precious Metals Thailand
 
THAILAND
Tin
 
WBH,Wolfram
 
AUSTRIA
Tin
 
Western Australian Mint
 
AUSTRALIA
Tin
 
Wolfram Bergbau und Hutten AG
 
AUSTRIA
Tin
 
XiHai - Liuzhou China Tin Group Co ltd
 
CHINA
Tin
 
Xinhai Rendan Shaoguan Tungsten Co., Ltd.
 
CHINA
Tin
 
XinXing HaoRong Electronic Material Co., Ltd.
 
CHINA
Tin
 
Zhaojin Mining Industry Co., Ltd.
 
CHINA
Tungsten
 
Tony Goetz NV
 
BELGIUM
Tungsten
 
Chengfeng Metals Co Pte Ltd
 
CHINA
Tungsten
 
China National Nonferrous Industry Corp.
 
CHINA
Tungsten
 
CV Serumpun Sebalai
 
INDONESIA
Tungsten
 
FIR Metals & Resource Ltd.
 
CHINA
Tungsten
 
Jiangxi Tungsten Industry Group Co. Ltd.
 
CHINA
Tungsten
 
KGHM Polska Miedz Spolka Akcyjna
 
POLAND
Tungsten
 
Metalor USA Refining Corporation
 
UNITED STATES
Tungsten
 
OJSC Novosibirsk Refinery
 
RUSSIA
Tungsten
 
PT Babel Inti Perkasa
 
INDONESIA
Tungsten
 
Royal Canadian Mint
 
CANADA
Tungsten
 
Solikamsk Metal Works
 
RUSSIA
Tungsten
 
Tranzact, Inc.
 
UNITED STATES
Tungsten
 
White Solder Metalurgia e Mineração Ltda.
 
BRAZIL
Tungsten
 
Williams Advanced Materials
 
UNITED STATES






Exhibit C

Potential Countries of Origin

Andorra
Australia
Austria
Belgium
Bolivia
Brazil
Canada
Chile
China
Czech Republic
Estonia
France
Germany
India
Indonesia
Italy
Japan
Kazakhstan
Krygyzstan
Lithuania
Macedonia
Malaysia
Mexico
Netherlands
New Zealand
Peru
Philippines
Poland
Russia
Saudi Arabia
Singapore
South Africa
South Korea
Spain
Sudan
Switzerland
Sweden
Thailand
Taiwan
Turkey
United Arab Emirates
United States
Uzbekistan
Vietnam
Zimbabwe