For nearly 15 years, the Texas Kidney Foundation (TKF) has been making Texas healthy by starting where health truly begins—inside local communities. We believe prevention is the smartest and most humane investment, which is why we focus on closing the Last Mile Gap between early medical warning signs and real action. Too often, early kidney disease is detected in lab work but never explained, leaving families without direction until a crisis hits. TKF exists to ensure that gap is closed through trusted, in-community navigation.

We provide FREE upstream early detection testing for genetic and chronic kidney disease—paired not just with education, but with hands-on navigation that helps Texans understand their numbers, their risk, and their next steps. Through our Neighbors Helping Neighbors Community Health Fairs and R.E.A.C.H. Program, thousands of Texans each year receive screenings, health education, and guided pathways into care. Our Community Health Worker Program ensures every screening connects to real follow-up and support, while our TKF Mobile App puts results, reminders, and tracking tools directly into the hands of families—bridging the last mile from information to action.

Through our Community Health Clubs, we promote “food as medicine,” helping families translate knowledge into daily habits that protect long-term health. And through H.O.P.E. (Helping Our People Empower), we provide families with the education, navigation, and confidence needed to pursue life-saving living kidney transplants—long before dialysis becomes the default.

TKF is tackling kidney disease at its root by addressing not only medical risk, but also the navigation failures and social drivers that allow chronic illness to advance silently. By combining community-based prevention, independent navigation, and innovation, we are reducing avoidable healthcare costs, empowering families, and saving lives.

We’re not waiting for the system to close the Last Mile Gap.
We’re closing it ourselves—one Texas community at a time.