Proceed with Caution
Impact & Measurement
Accountability & Finance
Culture & Community
Leadership & Adaptability
American Kidney Fund
Rockville MD | IRS ruling year: 1971 | EIN: 23-7124261 
An EIN is a unique nine-digit number that identifies a business for tax purposes.
An EIN is a unique nine-digit number that identifies a business for tax purposes.Organization Mission
The American Kidney Fund (AKF) fights kidney disease on all fronts as the nation's leading kidney nonprofit. AKF works on behalf of the 37 million Americans living w ... (More)
Rating Information
Great
This charity's score is 97%, earning it a Four-Star rating.
This overall score is calculated from multiple beacon scores, weighted as follows: 35% Accountability & Finance, 44% Impact & Measurement, 9% Leadership & Adaptability, 12% Culture & Community. Learn more about our criteria and methodology.
Historical Ratings 
Historical Ratings 
Charity Navigator's ratings previously did not consider Leadership & Adaptability, Culture & Community, or Impact & Measurement. The historic rating mainly reflects a version of today’s Accountability and Finance score. More information on our previous rating methodologies can be found on our rating methodology page.
| Date Published | Overall Rating | ||
| 3/1/2022 | | ||
| 2/1/2021 | | ||
| 11/1/2019 | | ||
| 11/1/2018 | | ||
| 12/22/2017 | | ||
| 11/1/2016 | | ||
| 6/1/2016 | | ||
| 11/1/2015 | | ||
 This organization received multiple star ratings within this fiscal year, due to an update to its Accountability and Transparency data and/or the receipt of an amended Form 990. | |||
| 3/1/2015 | | ||
| 11/1/2013 | | ||
| 12/20/2012 | | ||
| 9/1/2012 | | ||
| 2/1/2012 | | ||
| 9/20/2011 | | ||
| 2/1/2011 | | ||
| 12/1/2009 | | ||
| 6/1/2009 | | ||
| 7/1/2007 | | ||
| 9/1/2005 | | ||
| 9/1/2004 | | ||
| 10/1/2003 | | ||
| 10/15/2002 | | ||
| 4/15/2002 | | ||
Proceed with Caution - Reported OtherMaterialInvestigationOn February 24, 2023, Fierce Healthcare reported on the operations of American Kidney Fund in an article titled, "DaVita, Fresenius' kidney care charity connections trigger another investigation." For more information, please see Fierce Healthcare article.
- This charity has provided a response to this alert.
For more information about our alerts methodology, see here.
Rating Report
Accountability & Finance
Score
92
Most Recent Fiscal Year:
FY 2022
FY 2022
This beacon provides an assessment of a charity's financial health (financial efficiency, sustainability, and trustworthiness) and its commitment to governance practices and policies.
Key Accountability Metrics
Full Credit
Partial Credit
No CreditMajority Independent Board Members - 100% independent members6 out of 6 points
Majority Independent Board Members - 100% independent members6 out of 6 points
Industry professionals strongly recommend an independent governing body to allow for full deliberation and diversity of thinking on governance and other organizational matters. We check to see that a majority of board members are identified as independent on their tax form.
Source: IRS Form 990
Independent Board Size - 24 independent members6 out of 6 points
Independent Board Size - 24 independent members6 out of 6 points
Industry professionals strongly recommend an independent governing body to allow for full deliberation and diversity of thinking on governance and other organizational matters. For most organizations, we check to see if the organization has at least three independent board members. For large, donor-funded organizations, we check to see if the organization has at least five independent board members
Source: IRS Form 990
Financial Statements - Audit and Oversight Committee12 out of 12 points
Financial Statements - Audit and Oversight Committee12 out of 12 points
An Audit, Review, or Compilation provides important information about financial accountability and accuracy. Organizations are scored based on their Total Revenue Amount:
| Total Revenue Amount | Expectation to Receive Credit |
| $2 million or higher and 40% or higher donor support | Expected to complete an audit and have an audit oversight committee |
| $1 million or higher | Expected to complete an audit |
| $500,000 - $1 million | Expected to complete an audit, review, or compilation |
| Less than $500,000 | No expectation (removed from scoring methodology) |
Source: IRS Form 990
Material Diversion of Assets - None12 out of 12 points
Material Diversion of Assets - None12 out of 12 points
A diversion of assets — any unauthorized conversion or use of the organization's assets other than for the organization's authorized purposes, including but not limited to embezzlement or theft — also can seriously call into question a charity's financial integrity. We review the charity's most recent IRS Form 990 to see if the charity has reported any diversion of assets.
Source: IRS Form 990
Tax Form Disclosures and Policies
Full CreditPartial CreditNo CreditWebsite Listed on Tax Form - Listed3 out of 3 points
Website Listed on Tax Form - Listed3 out of 3 points
Charity Navigator looks for a website on the IRS Form 990 as an accountability and transparency metric.
Nonprofits act in the public trust and reporting publicly on activities is an important component.
Source: IRS Form 990
Conflict of Interest Policy - Listed5 out of 5 points
Conflict of Interest Policy - Listed5 out of 5 points
Charity Navigator looks for the existence of a conflict of interest policy on the IRS Form 990 as an accountability and transparency measure.
This policy protects the organization and by extension those it serves, when it is considering entering into a transaction that may benefit the private interest of an officer, director and/or key employee of the organization.
Source: IRS Form 990
Whistleblower Policy - Listed5 out of 5 points
Whistleblower Policy - Listed5 out of 5 points
Charity Navigator looks for the existence of a whistleblower policy per the IRS Form 990 as an accountability and transparency measure.
This policy outlines procedures for handling employee complaints, as well as a confidential way for employees to report financial or other types of mismanagement.
Source: IRS Form 990
Document Retention and Destruction - Listed5 out of 5 points
Document Retention and Destruction - Listed5 out of 5 points
Charity Navigator looks for the existence of a document retention and destruction policy per the IRS Form 990 as an accountability and transparency measure.
This policy establishes guidelines for the handling, backing up, archiving and destruction of documents. These guidelines foster good record keeping procedures that promote data integrity.
Source: IRS Form 990
Documents Board Meeting Minutes - Yes3 out of 3 points
Documents Board Meeting Minutes - Yes3 out of 3 points
Charity Navigator looks to confirm on the IRS Form 990 that the organization has this process in place as an accountability and transparency measure.
An official record of the events that take place during a board meeting ensures that a contemporaneous document exists for future reference.
Source: IRS Form 990
Compensates Board - No5 out of 5 points
Compensates Board - No5 out of 5 points
The IRS requires that the charity lists any compensation paid to the charity's governing body members on the IRS Form 990. Furthermore, all governing body members must be listed whether or not they are compensated. Our analysts verify that the charities complied with the Form 990 instructions and that no board members are compensated simply for being on the board.
Source: Nonprofit's Website
Tax Form Distributed to Board Before Filing - Listed3 out of 3 points
Tax Form Distributed to Board Before Filing - Listed3 out of 3 points
Providing copies of the IRS Form 990 to the governing body prior to filing is considered a best practice, as it allows for thorough review by the individuals charged with overseeing the organization. The Form 990 asks the charity to disclose whether or not it has followed this best practice.
Loans to/from Officers - None5 out of 5 points
Loans to/from Officers - None5 out of 5 points
Making loans to related parties, such as key officers, staff, or Board members, is not standard practice in the sector as it diverts the charity's funds away from its charitable mission and can lead to real and perceived conflict-of-interest problems.
The IRS requires charities to disclose on their Form 990 any loans to or from current and former officers, directors, trustees, key employees, and other "disqualified persons." Some state laws go so far as to prohibit loans to board members and officers.
Although employees and trustees are permitted to make loans to charities, this practice can also result in real and/or perceived conflict of interest problems for the charity. Furthermore, it is problematic because it indicates that the organization is not financially secure. Our analysts check to see if any loans have been made.
Reports CEO and Compensation on Tax Form - Listed5 out of 5 points
Reports CEO and Compensation on Tax Form - Listed5 out of 5 points
Charities must list their CEO's name and compensation on their tax forms, an issue of concern for many donors. Our analysts check to be sure that the charities complied with the IRS Form 990 instructions and include this information.
CEO Compensation Process - Listed5 out of 5 points
CEO Compensation Process - Listed5 out of 5 points
This process indicates that the organization has a documented policy that it follows yearly. The policy should indicate that an objective and independent review process of the CEO's compensation has been conducted, including benchmarking against comparable organizations. We check to be sure that the charity has reported on its IRS Form 990 its process for determining its CEO pay.
Website Disclosures
Full CreditPartial CreditNo CreditTax Form Posted on Nonprofit's Website - Listed5 out of 5 points
Tax Form Posted on Nonprofit's Website - Listed5 out of 5 points
For almost all charities, we check the charity's IRS Form 990 to see if it discloses that the Form 990 is available on the charity's website. As with the audited financial statement, donors need easy access to this financial report to help determine if the organization is managing its financial resources well.
Source: IRS Form 990
Audit Posted on Nonprofit's Website - Listed5 out of 5 points
Audit Posted on Nonprofit's Website - Listed5 out of 5 points
Charity Navigator checks the charity's website to see if it has published its audited financial statements for the fiscal year represented by the most recently filed IRS Form 990. Donors need easy access to this financial report to help determine if the organization is managing its financial resources well. We are rating charities on whether or not they publish their audit on their website.
Source: Nonprofit's Website
Staff Members Listed on Nonprofit's Website - Listed3 out of 3 points
Staff Members Listed on Nonprofit's Website - Listed3 out of 3 points
Donors and other stakeholders need to know who runs the organization day-to-day. While key staff should be reported on the IRS Form 990, the charity's staff may have changed since then. The charity typically reflects the most current members on the website.
Source: Nonprofit's Website
Board Members Posted on Nonprofit's Website - Listed5 out of 5 points
Board Members Posted on Nonprofit's Website - Listed5 out of 5 points
The IRS requires that the charity lists any compensation paid to the charity's governing body members on the IRS Form 990. Furthermore, all governing body members must be listed whether or not they are compensated. Our analysts verify that the charities complied with the Form 990 instructions and that no board members are compensated simply for being on the board.
Source: Nonprofit's Website
Donor Privacy Policy Posted on Nonprofit's Website - Listed, but is opt-out1 out of 2 points
Donor Privacy Policy Posted on Nonprofit's Website - Listed, but is opt-out1 out of 2 points
Donors can be reluctant to contribute to a charity when their name, address, or other basic information may become part of donor lists that are exchanged or sold, resulting in an influx of charitable solicitations from other organizations. Our analysts check the charity's website to see if the organization has a donor privacy policy and if its tw-contents are sufficient to protect the donor's information.
Source: Nonprofit's Website
Financial Metrics
Full CreditPartial CreditNo CreditLiabilities to Assets: Ratio - 6.08%25 out of 25 points
Liabilities to Assets: Ratio - 6.08%25 out of 25 points
The Liabilities to Assets Ratio is determined by Total Liabilities divided by Total Assets (most recent IRS Form 990). This ratio is an indicator of an organization's solvency and/or long-term sustainability.
Source: IRS Form 990
Program Expense: Ratio - 97.35%25 out of 25 points
Program Expense: Ratio - 97.35%25 out of 25 points
The Program Expense Ratio is determined by Program Expenses divided by Total Expense (average of most recent three IRS Forms 990). This measure reflects the percent of its total expenses a charity spends on the programs and services it exists to deliver.
Source: IRS Form 990
Fundraising Efficiency: Ratio - $0.0225 out of 25 points
Fundraising Efficiency: Ratio - $0.0225 out of 25 points
The amount spent to raise $1 in charitable contributions. To calculate a charity's fundraising efficiency, we divide its average fundraising expenses by the average total contributions it receives. We calculate the charity's average expenses and average contributions over its three most recent fiscal years.
Source: IRS Form 990
Working Capital: Ratio - 0.25 years10 out of 25 points
Working Capital: Ratio - 0.25 years10 out of 25 points
Determines how long a charity could sustain its level of spending using its net available assets, or working capital, as reported on its most recently filed IRS Form 990. Dividing these net available assets in the most recent year by a charity's average total expenses, yields the working capital ratio. We calculate the charity's average total expenses over its three most recent fiscal years.
Source: IRS Form 990
Additional Information
Total Revenue and Expenses - Data Available
Total Revenue and Expenses - Data Available
This chart displays the trend of revenue and expenses over the past several years for this organization, as reported on their IRS Form 990.
Salary of Key Persons - Data Available
Salary of Key Persons - Data Available
Presented here are up to five of this organization's highest compensated employees. This compensation data includes salary, cash bonuses, and expense accounts and is displayed exactly how it is reported to the IRS. The amounts do not include nontaxable benefits, deferred compensation, or other amounts not reported on Form W-2. In some cases, these amounts may include compensation from related organizations. Read the IRS policies for compensation reporting
Lavarne A Burton Ex-officio, President & Chief Executive Officer
$803,781
Julie Puzzo, Chief Development Officer
$421,132
Tara Bunch, Evp, And Coo
$405,509
Marshall Strisik, Vp And General Counsel
$403,128
Holly Bode, Vp Of Government Affairs
$375,496
Source: IRS Form 990 (page 7), filing year 2022
IRS Published Data (Business Master File) - Data Available
IRS Published Data (Business Master File) - Data Available
Below are some key data points from the Exempt Organization IRS Business Master File (BMF) for this organization. Learn more about the BMF on the IRS website
Foundation Status:
Organization which receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi) (BMF foundation code: 15)
Affiliation:
Independent - the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations). (BMF affiliation code: 3)
Data Sources (IRS Forms 990) - Data Available
Data Sources (IRS Forms 990) - Data Available
The Form 990 is a document that nonprofit organizations file with the IRS annually. We leverage accountability and finance data from it to form Encompass ratings. Click here to search for this organization's Forms 990 on the IRS website (if any are available). Simply enter the organization's name (American Kidney Fund) or EIN (237124261) in the 'Search Term' field.
Impact & Measurement
Score
100
This beacon estimates the actual impact a charity has on the lives of those it serves, and determines whether it is making good use of donor resources to achieve that impact.
Assessments
Impact
100 out of 100 points
100% of Impact & Measurement score
Full CreditPartial CreditNo CreditImpact Determination - Highly Cost Effective100 out of 100 points
Impact Determination - Highly Cost Effective100 out of 100 points
Impact Statement
$1.01 provides a dollar's worth of financial assistance to a patient. [2021 USD]
Program Context
The nonprofit provides financial assistance to patients with medical conditions.
Data Time Period
1/1/22 to 12/31/22
Benchmark for Scoring
Impact & Results scores of financial assistance to patients programs are based on income generated relative to cost. Programs receive an Impact & Results score of 100 if they increase income for a recipient by more than $2 for every $1 spent and a score of 80 if income increases by more than $1.25 for every $1 spent. If a nonprofit reports impact but doesn't meet the benchmark for cost-effectiveness, it earns a score of 65.
This nonprofit's cost per meal is less than 125% of the local meal cost.
Methodology
Nonprofit submission
Data Source
These data were submitted directly by the nonprofit.
Measurement
Unscored
0% of Impact & Measurement score
Full CreditPartial CreditNo CreditProgram Planning and Design - No data availableProgram Planning and Design - No data availableThis section assesses the use of crucial evaluation tools in program objective-setting and activities.
Program Development - No data availableProgram Development - No data availableThis section assesses the consideration of stakeholders in program objectives and activities.
Data Collection and Analysis - No data availableData Collection and Analysis - No data availableThis section assesses the best practices used in collecting and analyzing program data.
Reporting and Distribution of Results - No data availableReporting and Distribution of Results - No data availableThis section assesses reporting and disseminating program results.
Use of Results - No data availableUse of Results - No data availableThis section assesses the use of results to guide learning.
Culture & Community
Score
100
This beacon provides an assessment of the organization's culture and connectedness to the community it serves.
Metrics
Full CreditPartial CreditNo CreditConstituent Feedback - Data Available100/100 points
Constituent Feedback - Data Available100/100 points
33.33% of beacon score
This organization reported that it is collecting feedback from the constituents and/or communities it serves. The methodology leveraged for Constituent Feedback is based on The Core Principles of Constituent Feedback, which describes listening and responding well to feedback. Charity Navigator participates in a consortium with other feedback experts and leading nonprofit infrastructure platforms to drive Constituent Feedback's advancement, promotion, and data collection.
How is your organization using feedback from the people you serve?
To identify and remedy poor client service experiences, To identify bright spots and enhance positive service experiences, To make fundamental changes to our programs and/or operations, To inform the development of new programs/projects, To identify where we are less inclusive or equitable across demographic groups, To strengthen relationships with the people we serve
What challenges does your organization face in collecting feedback from the people you serve?
It is difficult to get the people we serve to respond to requests for feedback
Equity Practices - Data Available100/100 points
Equity Practices - Data Available100/100 points
66.67% of beacon score
This organization's score of 100 is a passing score. The organization reported that it is implementing 14 Equity Practices.
This assessment demonstrates the importance of implementing practices that contribute positively to an organization's overall culture, both internally and with respect to community engagement. Furthermore, equity centered frameworks and similar approaches have drawn much attention from donors, experts, and sector leaders who underscore its value to the nonprofit's overall health and capacity for mission success. Currently, the Equity Strategies Checklist assessment consists of practices and policies that promote racial equity in their operations and programs (per the Equity Strategies checklist administered by Candid). As we refine our DEI assessment, Charity Navigator partners with DEI consultants and field experts to broaden and deepen this work.
| Equity Practices (7/7) | |
We review compensation data across the organization (and by staff levels) to identify disparities by race. | |
We ask team members to identify racial disparities in their programs and/or portfolios. | |
We analyze disaggregated data and root causes of race disparities that impact the organization/'s programs, portfolios, and the populations served. | |
We disaggregate data to adjust programming goals to keep pace with changing needs of the communities we support. | |
We employ non-traditional ways of gathering feedback on programs and trainings, which may include interviews, roundtables, and external reviews with/by community stakeholders. | |
We disaggregate data by demographics, including race, in every policy and program measured | |
We have long-term strategic plans and measurable goals for creating a culture such that one’s race identity has no influence on how they fare within the organization. | |
| Equity Policies and Procedures (7/7) | |
We use a vetting process to identify vendors and partners that share our commitment to race equity. | |
We have a promotion process that anticipates and mitigates implicit and explicit biases about people of color serving in leadership positions. | |
We seek individuals from various race backgrounds for board and executive director/CEO positions within our organization. | |
We have community representation at the board level, either on the board itself or through a community advisory board. | |
We help senior leadership understand how to be inclusive leaders with learning approaches that emphasize reflection, iteration, and adaptability. | |
We measure and then disaggregate job satisfaction and retention data by race, function, level, and/or team. | |
We engage everyone, from the board to staff levels of the organization, in race equity work and ensure that individuals understand their roles in creating culture such that one’s race identity has no influence on how they fare within the organization. | |
Leadership & Adaptability
Score
100
This beacon provides an assessment of the organization's leadership capacity, strategic thinking and planning, and ability to innovate or respond to changes in constituent demand/need or other relevant social and economic conditions to achieve the organization's mission.
- Strategic Partnerships
- Networks of Collective Impact Efforts
- Thought Leadership
- Raising Awareness
- Community Building
- Policy Advocacy
Metrics
Full CreditPartial CreditNo CreditMission 10/10 points
Mission 10/10 points
The nonprofit organization presents evidence of strategic thinking through articulating the organization's mission
Note: The organization did not respond to this question.
Vision 10/10 points
Vision 10/10 points
The nonprofit organization presents evidence of strategic thinking through articulating the organization’s vision.
Note: The organization did not respond to this question.
Source: Nonprofit submitted responses
Goals 20/20 points
Goals 20/20 points
The nonprofit organization presents evidence of strategic thinking and goal setting through sharing their most important strategic goals.
Goal One: Community Impact: Ensure that every person at risk for, or living with, kidney disease has the opportunity to thrive.
Goal Type: Grow, expand, scale or increase access to the existing programs and services.
Goal Two: Build upon our unique patient perspective to enhance clinical expertise to ensure people with kidney disease and those at risk have the opportunity to achieve their best health outcomes.
Goal Type: Grow, expand, scale or increase access to the existing programs and services.
Goal Three: Elevate kidney disease as a policy priority and increase public awareness and understanding of the disease. Empower and mobilize patients to be their own best advocates
Goal Type: This goal reflects our commitment to further our advocacy work for our organization and or cause area.
Leadership Development 15/15 points
Leadership Development 15/15 points
The nonprofit provides evidence of investment in leadership development
Describe an investment in leadership
AKF invests in and encourages staff to engage with professional development opportunities including annual trainings, conferences, professional organization memberships and external workshops. AKF developed a multi-year training program to enhance these offerings, focused on Skill Building, Leadership Development, Compliance, and DE&I topics.
AKF Senior Directors attend quarterly Executive Team meetings to expose these leaders to high level strategic conversations.
AKF provides opportunities for staff at every level to gain experience participating in and leading large scale AKF projects, such as the development of the Strategic Operating Plan.
Each staff member in a supervisory role is held accountable for encouraging their team to share information and support goals across the organization. This bigger-picture expectation of AKF supervisors helps to empower staff at every level of the organization and identify highly contributing team members who are deserving of promotions.
Mobilizing for Mission 15/15 points
Mobilizing for Mission 15/15 points
The nonprofit provides evidence of leadership through focusing externally and mobilizing resources for the mission.
This organization mobilizes for mission in the following ways:
What are this organization’s external mobilizaton efforts?
AKF held its annual Kidney Action Summit on May 4, 2022, connecting 36 AKF Ambassadors from 15 states with their senators and representatives’ offices in 48 virtual meetings
• As part of the third annual Kidney Action Week 2022, AKF held a virtual Congressional briefing on June 7 entitled The Crisis in Kidney Disease, highlighting the troubling upward trajectory of kidney failure diagnoses (an estimated 1 million people will have kidney failure by 2030) and concrete ways we can address this national crisis
• At the state level, AKF supported 48 bills in 25 states that passed in 2021, including seven living donor protection bills that provide job-protected leave to living organ donors, or provide employers with a tax credit if they provide employees with paid leave to recover from living organ donation surgery
AKF released its second annual Living Donor Protection Report Card, which tracks our progress in achieving much-needed protections for living donors
Adaptability Story 30/30 points
Adaptability Story 30/30 points
The nonprofit has an opportunity to tell the story of how the organization adapted to tremendous external changes in the last year.
Through every stage of the pandemic, though, our focus has been singularly focused on the patients that we serve. Despite pivoting to 100% remote work, AKF seamlessly continued its programs of education, financial assistance, advocacy, and clinical research grants.
Due to the pandemic, we transformed our localized screening program into a free and 100% virtual Kidney Action Week. The event was held in a dedicated Facebook Live group with more than 2,000 people joining. Throughout KAW, participants contributed hundreds of posts, and nearly 27,000 comments and reactions to the interactive educational information we shared. In its third year, KAW has grown to reach over 8,500 attendees nationwide. This past year’s KAW featured over 30 sessions that educated the kidney community about testing for kidney disease, clinical trials, navigating the kidney transplant waiting list, kidney-friendly eating plans, kidney stones and causes of kidney disease. Transforming KAW into an annual virtual event allowed AKF to broaden our reach and educate more people about kidney disease than could be achieved through in-person efforts.
In 2022, AKF launched a new website featuring site enhancements including: a responsive, mobile-first design; a searchable resource library of webinar and digital educational content with a focus on health literacy to meet the growing virtual-first needs of our community.
AKF partnered with the Johns Hopkins Children's Center to host their Camp All-Stars program for children with kidney disease in 2019. In 2020 Camp All-Stars' in-person camp was canceled. Given the importance of having these campers remain connected, especially during a time of increased social isolation, so virtual camp was born. Every month, AKF hosts virtual camp nights where pediatric kidney patients from across the country can sign up to participate in fun virtual activities with their peers. In 2022, AKF has turned this into an experience for pediatric kidney patients nationwide.