U.S. Renal Care Executive and Leadership Team

July, 2026

Leadership Overview

U.S. Renal Care has 10 executives leading key functions including strategy, information technology, revenue, human resources, operations, and finance.

Driven by a commitment to clinical excellence, U.S. Renal Care is dedicated to improving the quality of life for individuals requiring ongoing dialysis treatment through accessible, high-quality care.

Leadership Roles at U.S. Renal Care

  • Chairman & Chief Executive Officer - Mark Caputo
  • Executive Vice President & Chief Financial Officer - James Hilger
  • Executive Vice President & Chief Financial Officer - Johana Campos
  • Co-Chief Operating Officer - Alexandre Portet
  • Executive Vice President & Chief Operating Officer - Ross Russell
  • Chief Information Officer - Nelson Imana
  • Chief Revenue Officer - Brett Kirstein
  • Chief Human Resources Officer - Sharon Brunecz
  • Director, Information Technology & Chief of Staff - Kristina Thorpe
  • Associate Chief Medical Officer, Value Based Care - Michael Rocklin
  • Mark Caputo - Chairman & Chief Executive Officer

    Mark Caputo, the Chairman & Chief Executive Officer at U.S. Renal Care, directs the overarching strategy and operational framework for the organization's extensive network of dialysis facilities. Caputo's leadership guides the company's mission to provide comprehensive kidney care services, encompassing both in-center and home dialysis treatment options for patients nationwide. Overseeing strategic partnerships with nephrologists, the Chairman & Chief Executive Officer ensures alignment with clinical excellence and patient-centered care objectives. This executive role involves driving the expansion of services and maintaining the highest standards of medical technology and treatment protocols across all locations. By focusing on improving the quality of life for individuals with kidney failure, Mark Caputo solidifies the company's position as a leading specialist hospital organization committed to accessible, high-quality healthcare solutions.
    Mark Caputo

    James Hilger - Executive Vice President & Chief Financial Officer

    James Hilger, the Executive Vice President & Chief Financial Officer at U.S. Renal Care, directs the financial strategy and fiscal management for the organization's nationwide network of dialysis facilities. Hilger's responsibilities encompass overseeing all financial operations, including budgeting, forecasting, and capital allocation, to support the delivery of high-quality in-center and home dialysis treatments. This executive role is crucial for ensuring the financial health and sustainability of the company, enabling investments in modern medical technologies and treatment protocols that uphold clinical excellence. By managing financial resources effectively, the Executive Vice President & Chief Financial Officer supports U.S. Renal Care's commitment to improving the quality of life for patients with kidney failure. James Hilger's financial acumen is foundational to the organization's ability to expand its specialized healthcare services.

    Johana Campos - Executive Vice President & Chief Financial Officer

    Johana Campos, the Executive Vice President & Chief Financial Officer at U.S. Renal Care, shares responsibility for the financial strategy and fiscal oversight of the organization's extensive dialysis service network. Campos's role involves managing financial planning, analysis, and reporting to ensure the robust support of in-center and home dialysis treatment options. This executive position is vital for maintaining the financial integrity and growth trajectory of the company, facilitating investments in advanced medical technologies and treatment protocols that enhance clinical excellence. By contributing to sound financial management, the Executive Vice President & Chief Financial Officer supports U.S. Renal Care's dedication to improving the quality of life for patients with kidney failure. Johana Campos's financial leadership ensures the sustained provision of accessible, high-quality kidney care services.

    Alexandre Portet - Co-Chief Operating Officer

    Alexandre Portet, the Co-Chief Operating Officer at U.S. Renal Care, shares responsibility for overseeing the operational execution across the company's extensive network of dialysis facilities, ensuring the delivery of high-quality patient care. Portet's focus involves optimizing the day-to-day functions of in-center and home dialysis treatment services, driving efficiency and maintaining rigorous clinical standards. This leadership position is critical in managing the complex logistics of healthcare delivery, ensuring seamless operations that support patient well-being and clinical excellence. By collaborating with other executive leaders, the Co-Chief Operating Officer contributes to the strategic implementation of treatment protocols and the adoption of modern medical technologies. Alexandre Portet's operational oversight is key to U.S. Renal Care's mission of improving the quality of life for individuals requiring dialysis.
    Alexandre Portet

    Ross Russell - Executive Vice President & Chief Operating Officer

    Ross Russell, the Executive Vice President & Chief Operating Officer at U.S. Renal Care, drives operational excellence across the company's extensive network of dialysis facilities, ensuring the consistent delivery of high-quality patient care. Russell's leadership focuses on optimizing the efficiency and effectiveness of both in-center and home dialysis treatment services, adhering to rigorous clinical standards and patient-centered care principles. This executive role is paramount in managing the complex operational demands of specialized healthcare, ensuring seamless service delivery and the effective utilization of modern medical technologies. By overseeing operational strategies, the Executive Vice President & Chief Operating Officer directly contributes to U.S. Renal Care's mission of improving the quality of life for individuals requiring dialysis. Ross Russell's operational expertise is critical for maintaining the company's reputation for clinical excellence and accessibility.

    Nelson Imana - Chief Information Officer

    Nelson Imana, the Chief Information Officer at U.S. Renal Care, architects and executes the company's comprehensive information technology strategy, ensuring robust digital infrastructure to support its nationwide network of dialysis facilities. Imana's purview includes overseeing all aspects of technology operations, from data management and cybersecurity to the implementation of advanced medical technologies that enhance patient care and operational efficiency. This leadership position is critical in driving innovation within the healthcare technology landscape, directly impacting the delivery of both in-center and home dialysis treatments. By ensuring seamless integration of IT systems, the Chief Information Officer supports the company's commitment to clinical excellence and patient-centered care. Nelson Imana's strategic direction empowers U.S. Renal Care to leverage technology for improved patient outcomes and operational scalability across its specialized hospital organization.
    Nelson Imana

    Brett Kirstein - Chief Revenue Officer

    Brett Kirstein, the Chief Revenue Officer at U.S. Renal Care, spearheads all revenue generation initiatives and financial growth strategies across the organization's extensive dialysis service network. Kirstein's responsibilities encompass optimizing revenue streams from both in-center and home dialysis treatment options, ensuring financial sustainability and supporting the company's mission of providing accessible, high-quality kidney care. This executive role involves forging strategic partnerships and managing payer relationships to maximize reimbursement and expand market reach. By focusing on revenue cycle management and business development, the Chief Revenue Officer directly contributes to the company's ability to invest in modern medical technologies and treatment protocols. Brett Kirstein's leadership is instrumental in driving the financial performance that underpins U.S. Renal Care's commitment to improving the quality of life for patients with kidney failure.

    Sharon Brunecz - Chief Human Resources Officer

    Sharon Brunecz, the Chief Human Resources Officer at U.S. Renal Care, directs all human capital strategies, fostering a culture of clinical excellence and patient-centered care throughout the company's national network of dialysis facilities. Brunecz's leadership focuses on attracting, developing, and retaining top talent, including nephrologists and clinical staff, essential for delivering high-quality dialysis services. This executive role is pivotal in ensuring that U.S. Renal Care's workforce is equipped with the necessary skills and dedication to support both in-center and home dialysis treatment options. By championing employee engagement and professional development, the Chief Human Resources Officer cultivates an environment that supports the company's commitment to improving the quality of life for individuals with kidney failure. Sharon Brunecz's strategic HR initiatives are fundamental to the operational success and compassionate delivery of care across the organization.
    Sharon Brunecz

    Kristina Thorpe - Director, Information Technology & Chief of Staff

    Kristina Thorpe, the Director, Information Technology & Chief of Staff at U.S. Renal Care, provides critical support across both technology operations and executive strategic initiatives, ensuring alignment with the company's mission of delivering specialized dialysis services. Thorpe's dual role involves managing key IT projects that enhance the delivery of in-center and home dialysis treatments, while also facilitating the execution of high-level organizational objectives. This position is vital for bridging the gap between technological capabilities and strategic business needs, ensuring that modern medical technologies effectively support clinical excellence. By coordinating efforts across departments and supporting the executive team, the Director, Information Technology & Chief of Staff plays a key part in improving the quality of life for patients with kidney failure. Kristina Thorpe's comprehensive oversight contributes significantly to the efficient and effective operation of U.S. Renal Care's facilities.

    Michael Rocklin - Associate Chief Medical Officer, Value Based Care

    Michael Rocklin, the Associate Chief Medical Officer, Value Based Care at U.S. Renal Care, provides critical medical leadership focused on optimizing patient outcomes within value-based care models across the company's dialysis facilities. Rocklin's expertise is essential for developing and implementing clinical strategies that enhance the quality of both in-center and home dialysis treatments, ensuring patient well-being and adherence to best practices. This leadership role is pivotal in aligning medical operations with financial objectives, driving efficiency while maintaining the highest standards of clinical excellence. By focusing on value-based care initiatives, the Associate Chief Medical Officer, Value Based Care directly contributes to U.S. Renal Care's mission of improving the quality of life for individuals with kidney failure. Michael Rocklin's medical guidance ensures the effective and compassionate delivery of specialized kidney care services.

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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 Mark Caputo (Chairman & Chief Executive Officer), along with executives such as James Hilger (Executive Vice President & Chief Financial Officer) and Johana Campos (Executive Vice President & Chief Financial Officer).
    Who is part of U.S. Renal Care’s executive team?
    The executive team of U.S. Renal Care includes leaders such as Mark Caputo (Chairman & Chief Executive Officer), James Hilger (Executive Vice President & Chief Financial Officer), Johana Campos (Executive Vice President & Chief Financial Officer) 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 Chairman & Chief Executive Officer, Executive Vice President & Chief Financial Officer, Executive Vice President & Chief Financial Officer, Co-Chief Operating Officer, Executive Vice President & Chief Operating Officer.