 As a 15-time recipient of the top “Four Star” rating from Charity Navigator, the American Kidney Fund is ranked among the top 1 percent of charities nationwide for fiscal accountability.AKF spends 97 cents of every donated dollar on patients and programs and is listed on Charity Navigator's Top 10 charities nationwide that have received the most consecutive four-star ratings.In addition, AKF holds an A+ rating from CharityWatch; adheres to the National Health Council Standards of Excellence; and is a member of the Better Business Bureau Wise Giving Alliance.