The Tennessee Kidney Foundation (TKF) was established in 1969 by a small group of physicians, businessmen, and patients, all dedicated to focusing on the problem of chronic kidney disease (CKD) and providing support to save lives. The modern mission of TKF is to improve the health and well-being of Tennesseans affected by kidney disease through education, prevention, treatment, advocacy, and promotion of organ donation.  The funds requested in the application will support the Transportation Assistance Program, salary for the Program Manager, and equipment. 518 of 648 of dialysis patients enrolled in the Transportation Assistance Program in Middle Tennessee will attend at least three dialysis treatments a week (12 appointments a month), for at least 1 year, yielding 80% of patients who do not deviate from their plan of care due to lack of transportation.