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Dialysis Centers in the US - Market Research Report (2014-2029)

Dmitry Diment Dmitry Diment New York, United States Last Updated: February 2024 NAICS OD4038

Revenue

$34.3bn

2024

$35.4bn

Past 5-Year Growth

Profit

$X.Xbn

Employees

130k

Businesses

468

Wages

$X.Xbn

Dialysis Centers in the US industry analysis

The Dialysis Centers industry has performed well because it is crucial for patients with chronic kidney disease, making demand for services inelastic. The only substitute available for dialysis treatment is a kidney transplant, which typically entails many years of waiting and uncertainty. Even throughout the COVID-19 pandemic, when nonessential healthcare services were temporarily prohibited in many places, demand for dialysis continued to grow. Revenue has increased at a CAGR of 1.4% to an estimated $34.0 billion over the five years to 2023, including 3.9% growth in 2023 alone.

Trends and Insights

  • The essential nature of dialysis and an ageing population have underscored demand. The only alternative to dialysis is a kidney transplant, which has long wait times and can take years. Meanwhile, as the population has aged, the incidence of kidney disease has only risen.
  • Outpatient hemodialysis is the most common form of dialysis. Patients prefer to be treated in the presence of trained physicians.
  • Location is tied to the distribution of the population. Regions with a higher number of Americans require more dialysis centers.
  • Care quality is the hallmark of kidney dialysis centers. Nationwide operators are known for their high-quality service and positive clinical outcomes.
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Everything you need in one report

  • Reliable market estimates from 2014-2029
  • Competitive analysis, industry segmentation, financial benchmarks
  • Powerful SWOT, Porter’s Five Forces and risk management frameworks
  • Online membership platform with PDF, Word, Excel and PPT exports

Industry Overview

Market size and recent performance (2014-2029)

Industry revenue has grown at a CAGR of 1.4 % over the past five years, to reach an estimated $34.3bn in 2024.

Trends and Insights

The essential nature of dialysis guarantees demand

  • The only substitute for dialysis treatment is a kidney transplant. Once kidneys fail, patients with kidney disease must either receive dialysis treatment or undergo a kidney transplant. However, kidney transplants have long wait times, extending up to several years. Patients must typically receive dialysis treatments while waiting to receive a kidney transplant. This makes demand for dialysis very inelastic.
  • Additional trends and insights available with purchase

Industry outlook (2024-2029)

Market size is projected to grow over the next five years.

Trends and Insights

The need for dialysis will only rise as population demographics change

  • As the US population ages, the need for additional dialysis capacity will increase. The number of adults aged 50 and older is projected to rise, with then number of adults aged 65 and older rising at an even faster rate

Biggest companies in the Dialysis Centers in the US

Company
Market Share (%)
2023
Revenue ($m)
2023
Profit ($m)
2023
Profit Margin (%)
2023
Fresenius Medical Care Ag & Co. Kgaa
13,386.7
1,869.8
14.0
DaVita HealthCare Partners Inc.
10,763.0
2,099.9
19.5

To view the market share and analysis for all 2 top companies in this industry, view purchase options.

Products & Services Segmentation

Dialysis Centers in the US

Products & Services

Industry revenue is measured across several distinct product and services lines, including Outpatient hemodialysis, Peritoneal dialysis and Home-based hemodialysis. Outpatient hemodialysis is the largest segment of the Dialysis Centers in the US.

Trends and Insights

Outpatient hemodialysis is the most common form of dialysis

  • Hemodialysis is a treatment that removes waste from the blood for patients with kidney disease. For outpatient hemodialysis, individuals are treated at a dialysis center or hospital, instead of being admitted to a hospital for an overnight stay or for an indeterminate time period.
  • More insights available in the full report

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Competitors

  • Medical Device Manufacturing in the US
  • Hospitals in the US
  • Specialty Hospitals in the US

Complementors

  • Emergency & Other Outpatient Care Centers in the US
  • Ambulance Services in the US

International industries

  • Specialist Medical Services in Australia
  • Specialist Medical Services in New Zealand
  • Specialist Medical Practices in the UK
  • Health Clinics in China

View all industries in United States

Table of Contents

About this industry

Industry definition

The Dialysis Centers industry includes medical facilities that provide inpatient and outpatient kidney or renal dialysis services.

What's included in this industry?

Outpatient hemodialysisHospital inpatient hemodialysisPeritoneal dialysisHome-based hemodialysis

Companies

Fresenius Medical Care Ag & Co. KgaaDaVita HealthCare Partners Inc.

Purchase this report to view all 2 major companies in this industry.

Related Terms

KIDNEY DIALYSISHEMODIALYSISPERITONEAL DIALYSISEND-STAGE RENAL DISEASE (ESRD)INCIDENCEPREVALENCE

Industry Code

NAICS 2017

NAICS 62149 - Dialysis Centers in the US

Performance

Get an indication of the industry's health through historical, current and forward-looking trends in the performance indicators that make or break businesses.

Analyst insights

The essential nature of dialysis and an ageing population have underscored demand. The only alternative to dialysis is a kidney transplant, which has long wait times and can ...

In this chapter (4)

  • Current Performance
  • Outlook
  • Volatility
  • Life Cycle

Key metrics

  • Annual Revenue, Recent Growth, Forecast, Revenue Volatility
  • Number of Employees, Recent Growth, Forecast, Employees per Business, Revenue per Employee
  • Number of Businesses, Recent Growth, Forecast, Employees per Business, Revenue per Business
  • Total Profit, Profit Margin, Profit per Business

Charts

  • Revenue, including historical (2014-2023) and forecast (2024-2029)
  • Employees, including historical (2014-2023) and forecast (2024-2029)
  • Businesses, including historical (2014-2023) and forecast (2024-2029)
  • Profit, including historical (2014-2024)
  • Industry Volatility vs. Revenue Growth
  • Industry Life Cycle

Detailed analysis

  • Trends in supply, demand and current events that are driving current industry performance
  • Expected trends, economic factors and ongoing events that drive the industry's outlook
  • Key success factors for businesses to overcome volatility
  • How contribution to GDP, industry saturation, innovation, consolidation, and technology and systems influence the industry's life cycle phase.

Products and Markets

Learn about an industry's products and services, markets and trends in international trade.

Analyst insight

Outpatient hemodialysis is the most common form of dialysis. Patients prefer to be treated in the presence of trained physicians.

In this chapter

  • Products & Services
  • Major Markets

Key metrics

  • Largest market segment and value in 2024
  • Product innovation level

Charts

  • Products & services segmentation in 2024
  • Major market segmentation in 2024

Detailed analysis

  • Trends impacting the recent performance of the industry's various segments
  • Innovations in the industry's product or service offering, specialization or delivery method
  • Key factors that successful businesses consider in their offerings
  • Buying segments and key trends influencing demand for industry products and services

Geographic Breakdown

Discover where business activity is most concentrated in an industry and the factors driving these trends to find opportunities and conduct regional benchmarking.

Analyst insights

Location is tied to the distribution of the population. Regions with a higher number of Americans require more dialysis centers.

In this chapter (1)

  • Business Locations

Charts

  • Share of revenue, establishment, wages and employment in each state
  • Share of population compared to establishments in each region in 2024

Tables

  • Number and share of establishments in each state in 2024
  • Number and share of revenue each state accounts for in 2024
  • Number and share of wages each state accounts for in 2024
  • Number and share of employees in each state in 2024

Detailed analysis

  • Geographic spread of the industry across North America, and trends associated with changes in the business landscape
  • Key success factors for businesses to use location to their advantage

Competitive Forces

Get data and insights on what's driving competition in an industry and the challenges industry operators and new entrants may face, with analysis built around Porter's Five Forces framework.

Analyst insights

Care quality is the hallmark of kidney dialysis centers. Nationwide operators are known for their high-quality service and positive clinical outcomes.

In this chapter (4)

  • Concentration
  • Barriers to Entry
  • Substitutes
  • Buyer & Supplier Analysis

Key metrics

  • Industry concentration level
  • Industry competition level and trend
  • Barriers to entry level and trend
  • Substitutes level and trend
  • Buyer power level and trend
  • Supplier power level and trend

Charts

  • Market share concentration among the top 4 suppliers from 2019-2024
  • Supply chain including upstream supplying industries and downstream buying industries, flow chart

Detailed analysis

  • Factors impacting the industry’s level of concentration, such as business distribution, new entrants, or merger and acquisition activity.
  • Key success factors for businesses to manage the competitive environment of the industry.
  • Challenges that potential industry entrants face such as legal, start-up costs, differentiation, labor/capital intensity and capital expenses.
  • Key success factors for potential entrants to overcome barriers to entry.
  • Competitive threats from potential substitutes for the industry’s own products and services.
  • Key success factors for how successful businesses can compete with substitutes.
  • Advantages that buyers have to keep favorable purchasing conditions.
  • Advantages that suppliers have to maintain favorable selling conditions.
  • Key success factors for how businesses can navigate buyer and supplier power.

Companies

Learn about the performance of the top companies in the industry.

Analyst insights

The dialysis industry is dominated by just two companies, Fresenius and DaVita. The two companies account for most of the available market.

In this chapter

  • Market Share Concentration
  • Companies
  • Company Spotlights

Charts

  • Industry market share by company in 2020 through 2024
  • Major companies in the industry, including market share, revenue, profit and profit margin in 2024
  • Overview of Fresenius Medical Care Ag & Co. Kgaa's performance by revenue, market share and profit margin from 2018 through 2024
  • Overview of DaVita HealthCare Partners Inc.'s performance by revenue, market share and profit margin from 2018 through 2024

Detailed analysis

  • Description and key data for Fresenius Medical Care Ag & Co. Kgaa, and factors influencing its performance in the industry
  • Description and key data for DaVita HealthCare Partners Inc., and factors influencing its performance in the industry

External Environment

Understand the demographic, economic and regulatory factors that shape how businesses in an industry perform.   

Analyst insights

Certification from public healthcare programs is tantamount for success. Government is a substantial payer for dialysis under the End-Stage Renal Disease (ESRD) Program.

In this chapter

  • External Drivers
  • Regulation & Policy
  • Assistance

Key metrics

  • Regulation & policy level and trend
  • Assistance level and trend

Charts

  • Regulation & Policy historical data and forecast (2014-2029) 
  • Assistance historical data and forecast (2014-2029) 

Detailed analysis

  • Demographic and macroeconomic factors influencing the industry, including Regulation & Policy and Assistance
  • Major types of regulations, regulatory bodies, industry standards or specific regulations impacting requirements for industry operators
  • Key governmental and non-governmental groups or policies that may provide some relief for industry operators.

Financial Benchmarks

View average costs for industry operators and compare financial data against an industry's financial benchmarks over time. 

Analyst insights

Profitability across dialysis centers is high. However, as many patients rely on Medicare for service payments and reimbursement rates have declined, margins have been pressu...

In this chapter

  • Cost Structure
  • Financial Ratios
  • Key Ratios

Key metrics

  • Profit margin, and how it compares to the sector-wide margin
  • Average wages, and how it compares to the sector-wide average wage
  • Largest cost component as a percentage of revenue
  • Industry average ratios for days' receivables, industry coverage and debt-to-net-worth ratio

Charts

  • Average industry operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2024
  • Average sector operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2024
  • Investment vs. share of economy

Data tables

  • Industry Multiples (2017-2022)
  • Industry Tax Structure (2017-2022)
  • Income Statement (2017-2022)
  • Balance Sheet (2017-2022)
  • Liquidity Ratios (2017-2022)
  • Coverage Ratios (2017-2022)
  • Leverage Ratios  (2017-2022)
  • Operating Ratios (2017-2022)
  • Cash Flow & Debt Service Ratios (2014-2029)
  • Revenue per Employee (2014-2029)
  • Revenue per Enterprise (2014-2029)
  • Employees per Establishment (2014-2029)
  • Employees per Enterprise (2014-2029)
  • Average Wage (2014-2029)
  • Wages/Revenue (2014-2029)
  • Establishments per Enterprise (2014-2029)
  • IVA/Revenue (2014-2029)
  • Imports/Demand (2014-2029)
  • Exports/Revenue (2014-2029)

Detailed analysis

  • Trends in the cost component for industry operators and their impact on industry costs and profitability 

Key Statistics

Industry Data

Data Tables

Including values and annual change:

  • Revenue (2014-2029)
  • IVA (2014-2029)
  • Establishments (2014-2029)
  • Enterprises (2014-2029)
  • Employment (2014-2029)
  • Exports (2014-2029)
  • Imports (2014-2029)
  • Wages (2014-2029)

Methodology

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Our analysts start with official, verified and publicly available sources of data to build the most accurate picture of each industry. Analysts then leverage their expertise and knowledge of the local markets to synthesize trends into digestible content for IBISWorld readers. Finally, each report is reviewed by one of IBISWorld’s editors, who provide quality assurance to ensure accuracy and readability.

IBISWorld relies on human-verified data and human-written analysis to compile each standard industry report. We do not use generative AI tools to write insights, although members can choose to leverage AI-based tools within the platform to generate additional analysis formats.

What data sources do IBISWorld analysts use?

Each industry report incorporates data and research from government databases, industry-specific sources, industry contacts, and our own proprietary database of statistics and analysis to provide balanced, independent and accurate insights.

Key data sources in the US include: 

  • US Census Bureau
  • US Bureau of Labor Statistics
  • US International Trade Commission

Analysts also use industry specific sources to complement catch-all sources, although their perspective may focus on a particular organization or representative body, rather than a clear overview of all industry operations. However, when balanced against other perspectives, industry-specific sources provide insights into industry trends.

These sources include:

  • Industry and trade associations
  • Industry federations or regulators
  • Major industry players annual or quarterly filings

Finally, IBISWorld’s global data scientists maintain a proprietary database of macroeconomic and demand drivers, which our analysts use to help inform industry data and trends. They also maintain a database of statistics and analysis on thousands of industries, which has been built over our more than 50-year history and offers comprehensive insights into long-term trends.

How does IBISWorld forecast its data?

IBISWorld’s analysts and data scientists use the sources above to create forecasts for our proprietary datasets and industry statistics. Depending on the dataset, they may use regression analysis, multivariate analysis, time-series analysis or exponential smoothing techniques to project future data for the industry or driver. Additionally, analysts will leverage their local knowledge of industry operating and regulatory conditions to impart their best judgment on the forecast model.

IBISWorld prides itself on being a trusted, independent source of data, with over 50 years of experience building and maintaining rich datasets and forecasting tools. We are proud to be the keystone source of industry information for thousands of companies across the world.

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Frequently Asked Questions

Unlock comprehensive answers and precise data upon purchase. View purchase options.

What is the market size of the Dialysis Centers in the US industry in United States in 2024?

The market size of the Dialysis Centers in the US industry in United States is $34.3bn in 2024.

How many businesses are there in the Dialysis Centers in the US industry in 2024?

There are 468 businesses in the Dialysis Centers in the US industry in United States, which has grown at a CAGR of 0.6 % between 2019 and 2024.

Has the Dialysis Centers in the US industry in United States grown or declined over the past 5 years?

The market size of the Dialysis Centers in the US industry in United States has been growing at a CAGR of 1.4 % between 2019 and 2024.

What is the forecast growth of the Dialysis Centers in the US industry in United States over the next 5 years?

Over the next five years, the Dialysis Centers in the US industry in United States is expected to grow.

What are the biggest companies in the Dialysis Centers in the US market in United States?

The biggest companies operating in the Dialysis Centers market in United States are Fresenius Medical Care Ag & Co. Kgaa and DaVita HealthCare Partners Inc.

What does the Dialysis Centers in the US in United States include?

Outpatient hemodialysis and Hospital inpatient hemodialysis are part of the Dialysis Centers in the US industry.

Which companies have the highest market share in the Dialysis Centers in the US in United States?

The company holding the most market share in United States is Fresenius Medical Care Ag & Co. Kgaa.

How competitive is the Dialysis Centers in the US industry in United States?

The level of competition is moderate and steady in the Dialysis Centers in the US industry in United States.