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Washington · Nonprofit

NORTHWEST KIDNEY CENTERS

NORTHWEST KIDNEY CENTERS (Washington) receives grants from 49 organizations whose IRS filings report $3,009,357 to it, the largest being WILLIAM & PAMELA AYER FOUNDATION ($750,000). 24 of them have funded it in more than one year.

Revenue FY2025
$149M
Funders on record
49
Grants received
$3.0M
Net assets
$183M
24/49 repeat funderspeak grant-dependency 1%
01What it does

What Northwest Kidney Centers does

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.

As stated on its FY2025 Form 990.

Programs

  1. 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.

    $117,211,091 spent$146,303,200 earned by the program
    99% of program spending
  2. 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.

    $897,543 spent
    1% of program spending
  3. 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.

    $56,591 spentof which $56,591 as grants
    0% of program spending

The 3 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $118,165,225.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($117M) Expenses 100 ($108M) Net assets 100 ($117M)2018 Revenue 109 ($127M) Expenses 108 ($117M) Net assets 105 ($123M)2019 Revenue 109 ($128M) Expenses 115 ($124M) Net assets 107 ($125M)2020 Revenue 115 ($134M) Expenses 115 ($124M) Net assets 111 ($130M)2021 Revenue 112 ($131M) Expenses 115 ($124M) Net assets 127 ($148M)2022 Revenue 139 ($163M) Expenses 117 ($127M) Net assets 145 ($170M)2023 Revenue 114 ($133M) Expenses 126 ($136M) Net assets 144 ($168M)2024 Revenue 121 ($142M) Expenses 129 ($140M) Net assets 148 ($173M)2025 Revenue 128 ($149M) Expenses 133 ($144M) Net assets 157 ($183M)
'17'18'19'20'21'22'23'24'25
Revenue (128)Expenses (133)Net assets (157)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2021 to 2022, from $221M to $260M (+17%).

$144M
$157M
$195M
$219M
$221M
$260M
$290M
$292M
$289M
'17'18'19'20'21'22'23'24'25
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2020 2% · 2021 1% · 2022 0%. Grants only. Government contracts and fees sit inside program revenue.

1% of NORTHWEST KIDNEY CENTERS’s revenue is contributions — more donation-reliant than the typical peer (1% for the typical peer).

This organization
Typical peer · 2,214 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 1 of the last 9 reported years ran a deficit.

$8.6M
’17
$10M
’18
$3.2M
’19
$10M
’20
$6.6M
’21
$36M
’22
−$2.9M
’23
$1.4M
’24
$5.3M
’25
1.0
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

Rebecca Fox

CEO & president

Board chair

Doug Ross

Board chair

As listed on its FY2025 Form 990.

'17'18'19'20'21'22'23'24'25
Listed252929272629222422
Joined·+6+4+6+4+10+3+12+5
No longer listed·2485710107
03Who funds it

Who funds it, year by year

2017 → 2023: the base broadened from 8 funders to 17 funders, grant income rose $316k → $369k.

13 of 49 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 21% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

From the IRS filings of NORTHWEST KIDNEY CENTERS’s funders (the co-funder graph). Top 30 of 49 funders by total. Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

NORTHWEST KIDNEY CENTERS has a broad base — no single funder exceeds 25% of grant income, and it takes 3 funders to reach half.

the vertical line marks half of all grant income — 3 funders to its left

30% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund NORTHWEST KIDNEY CENTERS.

25%
largest funder
55%
top three
~8
effective funders

Largest funder’s share by year: 2017 79% · 2018 31% · 2019 38% · 2020 22% · 2021 21% · 2022 57% · 2023 62% — diversifying over time.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How long its funders stay

38% of NORTHWEST KIDNEY CENTERS's funders are still giving 3 years after their first grant; 49% give in more than one year at all.

first grant+1y+2y+3y+4y+5y+6y

Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.

Where its funders are

NORTHWEST KIDNEY CENTERS draws 52% of its grant income from funders outside Washington, across 14 states in all.

WA
ID
IL
WI
NY
NV
OH
CA
MO
MD
DE
AZ
NC
TX

In-state vs out-of-state, by year

’17
’18
’19
’20
’21
’22
’23
Washington out of state home

Funder states come from each funder’s own filing. $633k arriving through sponsors registered in 9 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

NORTHWEST KIDNEY CENTERS is better cushioned than half of the 1,256 health nonprofits its size.

Operating margin4% · below the median
Months of reserve1.0mo · above the median
Revenue growth (annualized)3% · bottom quartile

this organization peer median middle 50% of peers· 1,256 health nonprofits over $100M, FY2025

Organizations like NORTHWEST KIDNEY CENTERS

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Washington

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

82% of spending goes to programs.

Program 82%Management 17%Fundraising 1%

Governance

11
board members
91%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Public support

98%

Share of support from the public (Schedule A) — the basis for its public-charity status.

Footprint & structure

Files a return copy in 1 state

WA

Screen this organization

A dated, signed PDF of the compliance screen for NORTHWEST KIDNEY CENTERS: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds NORTHWEST KIDNEY CENTERS?
NORTHWEST KIDNEY CENTERS (Washington) receives grants from 49 organizations whose IRS filings report $3,009,357 to it, the largest being WILLIAM & PAMELA AYER FOUNDATION ($750,000). 24 of them have funded it in more than one year.
How many funders does NORTHWEST KIDNEY CENTERS have?
IRS filings report 49 organizations giving $3,009,357 in grants to NORTHWEST KIDNEY CENTERS, 24 of which have funded it in more than one year.
Who is the largest funder of NORTHWEST KIDNEY CENTERS?
WILLIAM & PAMELA AYER FOUNDATION is the largest funder on record, with $750,000 in grants. The full list of funders is on this page.
How can an organization like NORTHWEST KIDNEY CENTERS find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Washington. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 49 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 22, 2026. What this page cannot tell you · view filing