U.S. Renal Care Executive and Leadership Team

November, 2026

Leadership Overview

U.S. Renal Care has 10 executives leading key functions including revenue strategy, information technology, financial management, clinical operations, and value-based care delivery.

Committed to clinical excellence and patient-centered outcomes, U.S. Renal Care provides specialized dialysis services across the United States to improve the quality of life for individuals with kidney failure.

Leadership Roles at U.S. Renal Care

  • Executive Vice President & Chief Financial Officer - Johana Campos
  • Executive Vice President & Chief Financial Officer - James Hilger
  • Chief Operating Officer - Value-Based Care - Alex Portet
  • Executive Vice President & Chief Operating Officer - Ross Russell
  • Co-Chief Operating Officer - Alexandre Portet
  • Chief Revenue Officer - Brett Kirstein
  • Chief Information Officer - Nelson Imaña
  • Director, Information Technology & Chief of Staff - Kristina Thorpe
  • Associate Chief Medical Officer - Thao Pascual
  • Associate Chief Medical Officer, Value Based Care - Michael Md
  • Johana Campos - Executive Vice President & Chief Financial Officer

    Johana Campos, the Executive Vice President & Chief Financial Officer at U.S. Renal Care, manages the capital allocation and fiscal planning necessary to sustain the national network of dialysis centers. Overseeing the financial health of the organization, the Executive Vice President & Chief Financial Officer ensures that resources remain directed toward clinical excellence and the adoption of modern medical technologies. This leadership role involves coordinating with the Board to evaluate investment opportunities in new facilities and home dialysis programs. By maintaining rigorous financial controls, Johana Campos directly impacts the scalability of the company's specialized healthcare services. Campos drives long-term value by optimizing cost structures and supporting the expansion of care delivery models. Through the strategic management of corporate assets, the Executive Vice President & Chief Financial Officer enables the organization to fulfill the mission of providing high-quality, accessible care to patients with kidney failure.

    James Hilger - Executive Vice President & Chief Financial Officer

    James Hilger, the Executive Vice President & Chief Financial Officer at U.S. Renal Care, leads the enterprise-wide financial reporting and risk management functions. Overseeing the treasury and accounting departments, the Executive Vice President & Chief Financial Officer ensures compliance with healthcare regulations while supporting the growth of the dialysis facility network. This leadership role involves analyzing the economic impact of various treatment protocols to ensure the financial viability of patient-centered care initiatives. By streamlining financial operations, James Hilger directly impacts the efficiency of the organization's service delivery. Hilger manages the fiscal strategy to support the ongoing commitment to clinical excellence across all regional operations. Through the precise oversight of financial performance metrics, the Executive Vice President & Chief Financial Officer provides the necessary stability for the company to continue improving the quality of life for individuals requiring ongoing dialysis treatment.

    Alex Portet - Chief Operating Officer - Value-Based Care

    Alex Portet, the Chief Operating Officer - Value-Based Care at U.S. Renal Care, designs and executes the strategic framework for value-based care programs across the national network. Overseeing the transition toward outcome-focused treatment models, the Chief Operating Officer - Value-Based Care ensures that clinical protocols align with quality benchmarks and patient health improvements. This leadership role involves collaborating with nephrologists to implement care coordination strategies that reduce hospitalizations and improve patient outcomes. By focusing on the efficacy of dialysis services, Alex Portet directly impacts the company's market position as a leader in specialized kidney care. Portet drives operational improvements by leveraging data analytics to monitor performance across all facilities. Through the development of innovative care delivery systems, the Chief Operating Officer - Value-Based Care supports the organization's mission to provide high-quality, accessible care for individuals requiring ongoing dialysis treatment.

    Ross Russell - Executive Vice President & Chief Operating Officer

    Ross Russell, the Executive Vice President & Chief Operating Officer at U.S. Renal Care, manages the day-to-day operations of the entire network of dialysis facilities. Overseeing the clinical and administrative staff, the Executive Vice President & Chief Operating Officer ensures that every center adheres to the highest standards of patient-centered care and safety. This leadership role involves scaling operations to meet the growing demand for both in-center and home dialysis services across the United States. By optimizing facility workflows and resource allocation, Ross Russell directly impacts the quality of life for patients with kidney failure. Russell drives operational excellence by implementing standardized treatment protocols and fostering a culture of clinical rigor. Through the comprehensive management of the company's physical and human assets, the Executive Vice President & Chief Operating Officer ensures the consistent delivery of high-quality, accessible medical care.

    Alexandre Portet - Co-Chief Operating Officer

    Alexandre Portet, the Co-Chief Operating Officer at U.S. Renal Care, directs the expansion and operational integration of new dialysis facilities into the national network. Overseeing the logistical aspects of facility management, the Co-Chief Operating Officer ensures that all locations maintain the necessary medical technologies and staffing levels to provide consistent care. This leadership role involves coordinating with regional managers to standardize operational procedures and improve service delivery efficiency. By focusing on the physical growth and maintenance of the network, Alexandre Portet directly impacts the accessibility of kidney care services for patients across the country. Portet drives operational stability by overseeing supply chain logistics and facility maintenance programs. Through the strategic management of the company's operational footprint, the Co-Chief Operating Officer supports the broader mission of delivering high-quality, patient-centered dialysis treatment to individuals requiring ongoing care.
    Alexandre Portet

    Brett Kirstein - Chief Revenue Officer

    Brett Kirstein, the Chief Revenue Officer at U.S. Renal Care, directs all financial growth initiatives and revenue cycle management across the national network of dialysis facilities. Overseeing the integration of billing systems with clinical workflows, the Chief Revenue Officer ensures maximum efficiency in reimbursement processes for both in-center and home dialysis treatments. This leadership role involves analyzing market trends to optimize service delivery models while maintaining strong partnerships with nephrologists. By aligning revenue strategies with patient care requirements, Brett Kirstein directly impacts the financial sustainability of the organization. Kirstein secures long-term stability by implementing data-driven pricing models and expanding access to specialized kidney care services throughout the United States. Through rigorous oversight of revenue operations, the Chief Revenue Officer supports the broader mission of delivering high-quality, accessible medical care to patients requiring ongoing dialysis treatment.

    Nelson Imaña - Chief Information Officer

    Nelson Imaña, the Chief Information Officer at U.S. Renal Care, architects the digital infrastructure supporting clinical operations and patient data management across all facilities. Overseeing the deployment of modern medical technologies, the Chief Information Officer ensures seamless integration of electronic health records to enhance treatment protocols. This leadership role involves securing sensitive patient information while driving innovation in telehealth and remote monitoring capabilities for home dialysis patients. By optimizing the technological backbone of the organization, Nelson Imaña directly impacts the ability of clinical teams to provide precise, patient-centered care. Imaña maintains robust cybersecurity frameworks to protect the integrity of the national network. Through the strategic implementation of advanced software solutions, the Chief Information Officer facilitates improved communication between nephrologists and care teams, ultimately driving operational excellence and better health outcomes for individuals managing kidney failure.
    Nelson Imaña

    Kristina Thorpe - Director, Information Technology & Chief of Staff

    Kristina Thorpe, the Director, Information Technology & Chief of Staff at U.S. Renal Care, coordinates cross-functional initiatives and manages the operational alignment of IT projects with clinical goals. Overseeing the daily execution of administrative priorities, the Director, Information Technology & Chief of Staff ensures that technology teams remain focused on supporting the needs of dialysis centers. This leadership role involves facilitating communication between executive leadership and technical departments to streamline decision-making processes. By managing the integration of new IT systems into existing clinical workflows, Kristina Thorpe directly impacts the operational efficiency of the organization. Thorpe drives organizational agility by overseeing the implementation of strategic projects that enhance patient care delivery. Through the effective management of internal resources and technical initiatives, the Director, Information Technology & Chief of Staff supports the company's commitment to maintaining high-quality, accessible care for all patients.

    Thao Pascual - Associate Chief Medical Officer

    Thao Pascual, the Associate Chief Medical Officer at U.S. Renal Care, oversees the clinical quality and medical standards across the network of dialysis centers. Overseeing the implementation of evidence-based treatment protocols, the Associate Chief Medical Officer ensures that all facilities provide consistent, high-quality care to patients with kidney failure. This leadership role involves working closely with nephrologists to refine clinical practices and integrate modern medical technologies into daily patient care. By monitoring clinical outcomes and safety metrics, Thao Pascual directly impacts the health and well-being of the patient population. Pascual drives excellence by leading training programs for clinical staff and ensuring adherence to regulatory requirements. Through the continuous evaluation of medical services, the Associate Chief Medical Officer supports the organization's commitment to improving the quality of life for individuals requiring ongoing dialysis treatment.

    Michael Md - Associate Chief Medical Officer, Value Based Care

    Michael Md, the Associate Chief Medical Officer, Value Based Care at U.S. Renal Care, develops clinical strategies focused on improving patient outcomes within value-based care arrangements. Overseeing the integration of preventative care measures, the Associate Chief Medical Officer, Value Based Care ensures that treatment plans address the holistic needs of patients with kidney failure. This leadership role involves analyzing clinical data to identify opportunities for reducing complications and enhancing the overall patient experience. By aligning medical practices with value-based performance goals, Michael Md directly impacts the effectiveness of the company's specialized care delivery. Md drives innovation by promoting collaborative care models between nephrologists and multidisciplinary teams. Through the strategic oversight of clinical quality initiatives, the Associate Chief Medical Officer, Value Based Care supports the mission of providing accessible, high-quality care to individuals requiring ongoing dialysis treatment.

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    Frequently Asked Questions Regarding U.S. Renal Care Top Executives and Leadership Team

    Who leads U.S. Renal Care?
    U.S. Renal Care is led by Johana Campos (Executive Vice President & Chief Financial Officer), along with executives such as James Hilger (Executive Vice President & Chief Financial Officer) and Alex Portet (Chief Operating Officer - Value-Based Care).
    Who is part of U.S. Renal Care’s executive team?
    The executive team of U.S. Renal Care includes leaders such as Johana Campos (Executive Vice President & Chief Financial Officer), James Hilger (Executive Vice President & Chief Financial Officer), Alex Portet (Chief Operating Officer - Value-Based Care) and other senior executives.
    How many executives does U.S. Renal Care have?
    U.S. Renal Care has 10 executives leading key business areas.
    What roles are included in U.S. Renal Care’s leadership team?
    The leadership team of U.S. Renal Care includes roles such as Executive Vice President & Chief Financial Officer, Executive Vice President & Chief Financial Officer, Chief Operating Officer - Value-Based Care, Executive Vice President & Chief Operating Officer, Co-Chief Operating Officer.