NORTHWEST KIDNEY CENTERS

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1962

Legal Domicile

Principal Officer

REBECCA FOX

Phone

2062922771

Tax Period

2024-07-01 to 2025-06-30

NORTHWEST KIDNEY CENTERS, founded in 1962, is a major nonprofit in the Health Care sector that reported $149.1M in total revenue in fiscal year 2024. Expenses of $143.8M left a modest 4% surplus.

Mission

NORTHWEST KIDNEY CENTERS' (NKC) MISSION IS TO PROMOTE THE OPTIMAL HEALTH, QUALITY OF LIFE AND INDEPENDENCE OF PEOPLE WITH KIDNEY DISEASE THROUGH PATIENT CARE, EDUCATION AND RESEARCH. NORTHWEST KIDNEY CENTERS IS A NOT-FOR-PROFIT, LOCALLY MANAGED PROVIDER OF KIDNEY DIALYSIS, PUBLIC HEALTH EDUCATION AND RESEARCH INTO THE CAUSES AND TREATMENTS OF CHRONIC KIDNEY DISEASE. FOUNDED IN SEATTLE IN 1962, IT WAS THE WORLD'S FIRST DIALYSIS ORGANIZATION. AMONG THE EIGHTH LARGEST DIALYSIS PROVIDERS IN THE COUNTRY, IT IS AN INFLUENTIAL MODEL BECAUSE OF ITS HIGH-QUALITY SERVICES, DEEP COMMUNITY CONNECTIONS AND GENEROUS DONOR SUPPORT.

Program Service Accomplishments

Program 1

Expenses: $117,211,091 Revenue: $146,303,200

IN THE YEAR ENDED JUNE 30, 2025, NORTHWEST KIDNEY CENTERS PROVIDED 285,069 DIALYSIS TREATMENTS, ESSENTIAL TO SUSTAIN THE LIVES OF PEOPLE WITH KIDNEY FAILURE. NKC SERVED A TOTAL OF 2,676 PATIENTS. THE ORGANIZATION PROVIDED PATIENT CARE IN TWENTY (20) FREE-STANDING CLINICS AND IN EIGHT (8) LOCAL HOSPITALS AND SUPERVISED SELF DIALYSIS TREATMENTS IN THE HOMES OF PATIENTS THROUGHOUT THE COMMUNITY. NKC SPENT OVER $25.8 MILLION MORE ON THE CARE OF PATIENTS WITH MEDICARE AND MEDICAID INSURANCE THAN THE PROGRAMS REIMBURSED US FOR. IN ADDITION, NKC PROVIDED MORE THAN $4.4 MILLION IN CHARITY CARE. NORTHWEST KIDNEY CENTERS' RENAL SPECIALTY PHARMACY, A RARITY IN THE NATION, SERVED MORE THAN 2,174 DIALYSIS PATIENTS AND KIDNEY TRANSPLANT RECIPIENTS DURING THE YEAR.

Program 2

Expenses: $897,543

NKC OFFERS FREE CLASSES THAT HELP PEOPLE WITH CHRONIC KIDNEY DISEASE (CKD) PRESERVE KIDNEY FUNCTION, CHOOSE APPROPRIATE TREATMENT, TAKE CARE OF A TRANSPLANTED KIDNEY AND IN GENERAL BE AN EMPOWERED...

NKC OFFERS FREE CLASSES THAT HELP PEOPLE WITH CHRONIC KIDNEY DISEASE (CKD) PRESERVE KIDNEY FUNCTION, CHOOSE APPROPRIATE TREATMENT, TAKE CARE OF A TRANSPLANTED KIDNEY AND IN GENERAL BE AN EMPOWERED PARTNER IN THEIR KIDNEY HEALTH CARE. THE CLASS PROGRAM PROVIDES OUTREACH TO PEOPLE WHO ARE NOT DIALYSIS PATIENTS AND MAY HELP THEM KEEP THEIR KIDNEYS HEALTHY ENOUGH SO THAT THEY NEVER NEED TO GO ON DIALYSIS OR CAN DELAY ITS ONSET. THE PATIENT-FOCUSED, EVIDENCE-BASED CURRICULUM WAS DEVELOPED BY NORTHWEST KIDNEY CENTERS. THERE WERE 884 CHRONIC KIDNEY DISEASE EDUCATION PARTICIPANTS. IN ADDITION TO ITS FREE CLASSES, NORTHWEST KIDNEY CENTERS CONNECTED WITH 102 COMMUNITY-BASED ORGANIZATIONS, PARTICIPATED IN 45 COMMUNITY EVENTS RESULTING IN 15,725 TOUCHPOINTS WITH PEOPLE THROUGH OUR OUTREACH EFFORTS.

Program 3

Expenses: $56,591

OTHER PROGRAM SERVICES INCLUDE EMERGENCY ASSISTANCE TO NEEDY PATIENTS FOR FOOD, HOUSING AND OTHER EXPENSES. IN FY25, NKC PROVIDED A TOTAL OF $32,609 TO 383 PATIENTS. IN FY25 NKC ALSO PROVIDED 10...

OTHER PROGRAM SERVICES INCLUDE EMERGENCY ASSISTANCE TO NEEDY PATIENTS FOR FOOD, HOUSING AND OTHER EXPENSES. IN FY25, NKC PROVIDED A TOTAL OF $32,609 TO 383 PATIENTS. IN FY25 NKC ALSO PROVIDED 10 EMPLOYEE SCHOLARSHIPS TOTALING $23,982.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $1,761,404

Program Service Revenue $145,779,472

Investment Income $1,177,816

Other Revenue $402,765

TOTAL REVENUE $149,121,457

Expense Breakdown

Grants Paid $56,591

Salaries & Benefits $81,070,886

Fundraising Expenses $1,046,286

Program Expenses $118,165,225

Other Expenses $62,665,968

TOTAL EXPENSES $143,793,445

Year-over-Year Comparison

	2024	2023	Change
Revenue	$149,121,457	$141,590,091	+0.1%
Expenses	$143,793,445	$140,145,739	+0.0%
Net Income	$5,328,012	$1,444,352	+2.7%

Key Indicators

✗ Grants to Organizations ✓ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

1038

Volunteers

531

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$1,730,808

Total Directors

$945,957

Key Employees

$806,383

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
REBECCA FOX	CEO & PRESIDENT	50.00	Officer Director	$818,825	$61,258	$880,083
DOUG ROSS	BOARD CHAIR	1.00	Officer Director	$0	$0	$0
LAUREN GARDNER	BOARD VICE CHAIR	1.00	Officer Director	$0	$0	$0
MELODY CRAFF	BOARD MEMBER	1.00	Director	$0	$0	$0
ANTHONY DORSCH	BOARD MEMBER	1.00	Director	$0	$0	$0
RICHARD GREAVES	BOARD MEMBER	1.00	Director	$0	$0	$0
MICHEAL SUTTERS	BOARD MEMBER & CONTRACTED MEDICAL DIRECTOR	1.00	Director	$65,874	$0	$65,874
QUITA HIGHSMITH	BOARD MEMBER	1.00	Director	$0	$0	$0
KARISSA MARKER	BOARD MEMBER	1.00	Director	$0	$0	$0
SHIKA PAPPOE	BOARD MEMBER	1.00	Director	$0	$0	$0
HINA PATEL	BOARD MEMBER	1.00	Director	$0	$0	$0
SANJIT REDDY MD	BOARD MEMBER	1.00	Director	$0	$0	$0
JENNIFER BRENNER	BOARD MEMBER (THRU 6/25)	1.00	Director	$0	$0	$0
JENNIFER ESLAVA	VP OF FINANCE & CFO	50.00	Officer	$428,807	$40,754	$469,561
ROBIN LARMER	VP OF LEGAL AFFAIRS (THRU 4/25)	50.00	Officer	$358,400	$22,764	$381,164
MATTHEW RIVARA	CHIEF MEDICAL OFFICER	50.00	Key Emp	$455,168	$17,250	$472,418
HEATHER THOMASSON VP PATIENT	CARE SERVS/CHIEF NURSING OFFICER	50.00	Key Emp	$294,646	$39,319	$333,965
SARAH CORDEIRO	VP OF BUSINESS DEV. (THRU 3/25)	50.00	Highest	$264,349	$41,973	$306,322
MARSHA HEATON	VICE PRESIDENT OF DEVELOPMENT	50.00	Highest	$238,957	$32,066	$271,023
MICHAEL KELLOGG	SR DIRECTOR FACILITY PLANNING	50.00	Highest	$234,655	$68,218	$302,873
TODD BUI	REGISTERED NEPHROLOGY NURSE	50.00	Highest	$250,136	$30,883	$281,019
KAREN SCHARTMAN	INTERIM VP OF HR (THRU 1/25)	50.00	Highest	$201,000	$0	$201,000

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$149,121,457	$143,793,445	$288,901,658	$5,328,012
2024	$141,590,091	$140,145,739	$292,404,866	$1,444,352
2023	$132,983,295	$135,912,608	$290,233,438	$-2,929,313
2022	$162,569,933	$127,003,402	$259,504,016	$35,566,531
2021	$130,979,970	$124,429,877	$220,973,324	$6,550,093
2020	$134,329,479	$123,957,638	$219,224,153	$10,371,841
2019	$127,606,759	$124,408,451	$195,115,636	$3,198,308
2018	$126,916,902	$116,823,753	$156,677,957	$10,093,149