About · What Independence Means

“Independent” is a word.
Independence is a structure.

Almost every patient advocacy organization says it speaks for patients. Far fewer can show that no one with a financial stake in patients’ care is paying for the microphone. This page shows the difference with public facts, so you can judge for yourself.

The Landscape

Industry money in patient advocacy is the rule, not the exception.

Patient advocacy groups are not required to report the money they receive from drug and device companies the way doctors’ payments are reported. Researchers and journalists had to dig to find it.

83%of the 104 largest U.S. patient advocacy organizations received money from drug, device, or biotech companies.NEJM, 2017 [1]
36%had at least one current industry executive on their governing board.NEJM, 2017 [1]
1 of 104stated explicitly that it does not accept industry money.NEJM, 2017 [1]
$116Mgiven by drugmakers to patient groups in a single year, across 594 groups.KFF Health News, 2018 [2]
Follow the Money

Two ways to build an advocacy organization.

Where the money comes from decides whose interests sit at the table, often without anyone saying a word.

The common model

Funding flows in from companies that profit from patients’ care. The organization’s voice flows out to patients and policymakers.

DRUGMAKERS DIALYSIS CHAINS DEVICE MAKERS $$ ADVOCACYGROUP VOICE

The Cold Ischemia Foundation model

No donations, and no funding from drugmakers, device makers, dialysis organizations or the advocacy groups they fund. We charge fees only for services you request, at posted rates, and fees never buy influence. Lived experience, evidence, and free tools flow out.

OUTSIDE MONEY COLDISCHEMIAFOUNDATION FREE TOOLSEVIDENCEACCOUNTABILITY
Ten Organizations, One Question

Who pays for the voice that speaks for patients?

Ten well-known U.S. advocacy organizations in kidney care, caregiving, and patient advocacy. Every one presents itself as a voice for patients or caregivers. Here is what is publicly documented about who funds them.

These organizations do real and often valuable work, and accepting industry funding is legal and common. We list them because their funding relationships are a matter of public record, from their own websites and disclosures or from published reporting, so you can weigh what each voice may be unable to say. Facts as of the dates of the sources cited below.

American Kidney Fund

Kidney · financial assistance

Major donations from the two largest dialysis companies, DaVita and Fresenius, reported at roughly 80% of the Fund’s donor base. A whistleblower lawsuit alleged those donations amounted to illegal kickbacks.

Dialysis-industry fundedSources [3]

National Kidney Foundation

Kidney · patient education & policy

Its 2026 corporate membership program lists drugmakers including Boehringer Ingelheim, Novo Nordisk, Vertex, AstraZeneca, Novartis, and GlaxoSmithKline. Dialysis provider Fresenius has publicized its fundraising support.

Pharma & dialysis supportedSources [4]

American Association of Kidney Patients

Kidney · patient advocacy

Its corporate membership program lists industry partners including Amgen, AstraZeneca, Baxter, Bayer, DaVita, and Fresenius Medical Care.

Industry corporate partnersSources [5]

Dialysis Patient Citizens

Kidney · dialysis patient advocacy

Founded in 2004 with an educational grant from dialysis provider DaVita, and originally named “DaVita Patient Citizens.” Its own fact sheet says the later name change better represents its “independent spirit of governance.”

Founded with dialysis fundingSources [6]

Caregiver Action Network

Family caregivers

Its corporate partners page lists drugmakers including Pfizer, Astellas, Eisai, Teva, Viatris, and Novartis as members of its Corporate Leadership Council.

Pharma corporate partnersSources [7]

National Alliance on Mental Illness

Mental health · families

A U.S. Senate Finance Committee inquiry found drugmakers gave the alliance nearly $23 million from 2006 to 2008, about three-quarters of its donations.

Pharma funded (documented)Sources [8]

American Diabetes Association

Diabetes · patients & research

Named by KFF Health News among the well-known recipients in its database of drugmaker donations to patient groups.

Pharma donations recordedSources [2]

American Heart Association

Heart health · research & policy

To its credit, it publishes its own disclosure: drug, biotech, and device companies provided about 5% of its total revenue in fiscal 2024–2025.

Pharma & device funded (disclosed)Sources [9]

Alliance for Patient Access

Patient access policy

The drug industry trade group PhRMA gave it more than $1.8 million from 2009 to 2016, according to Associated Press reporting. Its executive director led an affiliated Washington lobbying and PR firm.

Pharma trade-group fundedSources [10]

Patients Rising

Patient access advocacy

Described by KFF Health News as having multiple pharmaceutical sponsors while advocating for access to new drugs.

Pharma sponsoredSources [11]

Cold Ischemia Foundation

Kidney · transplant · care partners

Accepts no donations, and no funding, gifts, grants or sponsorships of any kind from drug, biologic, medical-device or pharmaceutical companies, dialysis organizations, insurers, hospital systems, or any advocacy organization funded by them. Charges fees only for services you request, at posted rates, and fees never buy influence. There is no sponsor to protect, so every institution can be named.

$0 from industry or donorsOur story
Five Tests of Independence

Ask any advocacy group these five questions.

Independence isn’t a feeling or a slogan. It shows up in five places you can check.

The question
Typical industry-funded group
Cold Ischemia Foundation
Who pays you?
Companies whose products or services patients depend on.
No donors and no industry. We take no donations and no industry funding. Fees only for services you request.
Who governs you?
Boards that may include current or former industry executives.
No drugmaker, dialysis company, insurer, or hospital system has a seat.
Who shapes your message?
Sponsored programs, “educational grants,” and co-branded campaigns.
Patients, care partners, and the published evidence.
What can’t you say?
Criticism of funders’ prices, practices, or profits is rare.
Nothing is off limits. We name institutions and cite the law.
Who do you answer to?
Patients and the funders who keep the lights on.
Only the patients and care partners we serve.
What We Offer

What independence makes possible.

Because no one is paying us, nothing we make is for sale and nothing we find is softened.

Built for care partnersThe first platform built specifically for kidney and transplant care partners, by a care partner.Our story →
Free tools, no paywallToolkits, playbooks, and field guides, free to everyone, with no membership and no gatekeeper.Toolkit →
We name the failureWe document where the system breaks, including the institutions responsible, and say so plainly.Accountability Atlas →
Pressure on lawmakersA public scorecard of how members of Congress act on transplant and kidney care.Scorecard →
Formal demand lettersFormal, sourced demands to CMS, HHS, NIH, Congress, and state legislators.Demand Letters →
Plain-language scienceEmerging transplant science, such as oxygen-carrier research, explained honestly, without hype.BHOC →
Check Any Group Yourself

Don’t take anyone’s word for it. Including ours.

  1. Read their Form 990. Every U.S. nonprofit files one with the IRS. Search the organization by name on ProPublica Nonprofit Explorer to see revenue, top salaries, and grants.
  2. Find their sponsor page. Look for “corporate partners,” “corporate members,” or “supporters” on their website, often at the bottom of the page.
  3. Read the board list. Search each board member’s current and past employers.
  4. Ask what they won’t say. Have they ever publicly criticized a company that funds them? If not, ask why.
  5. Use our free tool. Our Advocacy Assessment walks you through these structural questions step by step.

Independence is the whole point.

If this is the kind of advocacy you want to be part of, there are two ways to start.

Volunteer with usContact us

Sources

  1. McCoy MS, Carniol M, Chockley K, Urwin JW, Emanuel EJ, Schmidt H. “Conflicts of Interest for Patient-Advocacy Organizations.” New England Journal of Medicine 2017;376:880–885.
  2. KFF Health News, “Pre$cription for Power”: “Patient Advocacy Groups Take In Millions From Drugmakers. Is There A Payback?”
  3. The American Prospect, “Dialysis Duopoly Spends Big to Protect Profits in California” (2019); Bloomberg, “DaVita, Fresenius Broke Kickback Rules, Whistleblower Says”.
  4. National Kidney Foundation, 2026 Corporate Membership Program; Fresenius Medical Care North America press release (BioSpace).
  5. American Association of Kidney Patients, Corporate Membership.
  6. Dialysis Patient Citizens, Funding Fact Sheet.
  7. Caregiver Action Network, Corporate Partners.
  8. U.S. Senate Finance Committee, Grassley letter to NAMI (April 6, 2009); The Chronicle of Philanthropy, “Senator Grassley Examines Ties Between Drug Companies and Mental-Illness Charity”.
  9. American Heart Association, FY 2024–25 pharmaceutical, biotech & device funding disclosure.
  10. Associated Press via NBC, “Group With Consumer-Friendly Vibe Pushes Drugmakers’ Message”.
  11. KFF Health News, “Patient Advocacy Groups Rake In Donations From Pharma”.