U.S. Renal Care
U.S. Renal Care is the largest privately held U.S. dialysis provider, operating 400+ outpatient clinics across 32 states and Guam to deliver in-center and home hemodialysis, peritoneal dialysis, and kidney care support to more than 36,000 ESRD patients.
- Company typePrivate
- Founded2000
- HeadquartersPlano, United States
- Headcount1,001–5,000
- GTM typeB2C
- OfferingServices
What U.S. Renal Care does
U.S. Renal Care is a privately held, PE-owned dialysis service provider founded in 2000 and headquartered in Plano, Texas. The company operates more than 400 outpatient dialysis clinics across 32 states and Guam, serving more than 36,000 patients with end-stage renal disease (ESRD). It is the largest privately held dialysis provider in the United States and the third-largest overall behind DaVita and Fresenius.
The company's core service portfolio comprises in-center hemodialysis, home hemodialysis, peritoneal dialysis, conservative care management, and kidney transplant support. Distribution is multi-channel: directly operated freestanding outpatient clinics are supplemented by home therapy programs, joint ventures with hospital systems (e.g., Pottstown Memorial Medical Center, Mercy Medical Center), shared-ownership partnerships (Liberty Administrative Services in Dallas), and acute care hospital contracts. Technology integration is selectively pursued through partnerships, including Vexev's VxWave robotic ultrasound vascular mapping system and adoption of VAFSEO therapy, alongside an Office of Disaster Management coordinating emergency response across federal, state, and local partners.
U.S. Renal Care generates revenue by billing Medicare, Medicaid, and private insurance for dialysis treatments under the CMS bundled ESRD reimbursement framework. The business is enterprise field sales-led, with patient acquisition driven by nephrologist referral partnerships and hospital joint ventures across 32 states. The company was acquired by an investor group in March 2019, and Mark Caputo (founder of Liberty Dialysis) has served as Chairman and CEO since June 2020. The executive bench is heavily staffed by veterans of DaVita, Fresenius, and Satellite Healthcare, and USRC reports the highest percentage of CMS 4- and 5-star rated centers for patient experience and quality of care among dialysis providers.
U.S. Renal Care firmographics
Firmographics- Name
- U.S. Renal Care
- Legal name
- U.S. Renal Care, Inc.
- Website
- https://usrenalcare.com
- Company type
- Private
- Founded year
- 2000
- Operating status
- Operating
- Headcount range
- 1,001–5,000 employees
- Short description
- U.S. Renal Care is the largest privately held U.S. dialysis provider, operating 400+ outpatient clinics across 32 states and Guam to deliver in-center and home hemodialysis, peritoneal dialysis, and kidney care support to more than 36,000 ESRD patients.
- Ownership category
- akta.pro rank
U.S. Renal Care industry classification
Industry- Product category
- Dialysis Services
- NAICS
- Kidney Dialysis Centers (621492), Ambulatory Health Care Services (621), Home Health Care Services (621610), Other Ambulatory Health Care Services (6219)
- SIC
- Services-Specialty Outpatient Facilities, Nec (8093), Services-Home Health Care Services (8082), Services-Health Services (8000)
- akta.pro primary industry
- Outpatient Dialysis & Kidney Care Centers (HLAFABAE)
- akta.pro secondary industries
- Dialysis Services (Hemodialysis & Peritoneal Dialysis) (HLAKAHAC), General Nephrology Practice (HLAKAHAA), Home Dialysis Support & Training Providers (HLAFAEAG), Home Dialysis Equipment & Remote Monitoring (HLAHAKAG), Kidney & Dialysis Remote Care (CKD/ESRD monitoring, home dialysis support) (HLALAFAC)
Keywords
Where U.S. Renal Care is headquartered
LocationHeadquarters
- HQ city
- Plano
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
U.S. Renal Care business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Supply Chain, Infrastructure, Marketing or Sales
Revenue model
- Dialysis Treatment Services: U.S. Renal Care generates revenue through providing dialysis treatment services billed to Medicare, Medicaid, and private insurance providers for patients with end-stage renal disease.
Go-to-market motion1 record
Distribution channels4 records
Marketing channels6 records
U.S. Renal Care product offering
Product offeringCore offering
U.S. Renal Care operates a national network of outpatient dialysis clinics providing in-center hemodialysis, home hemodialysis, peritoneal dialysis, conservative care management, and kidney transplant support services to patients with end-stage renal disease. The company serves more than 36,000 patients through over 400 clinics across 32 states and Guam, partnering with nephrologists and hospital systems to deliver kidney care.
Product overview
U.S. Renal Care is a dialysis service provider offering a unified portfolio of kidney care services. The core offering consists of in-center hemodialysis, home hemodialysis, and peritoneal dialysis as the primary treatment modalities, supplemented by conservative care management for patients not pursuing dialysis and kidney transplant support services to help patients navigate the transplant process. The company operates outpatient dialysis facilities across 32 states, providing comprehensive kidney disease management throughout the patient care journey.
Differentiator
Problem solved
Functional benefit
Products and services
- In-Center Hemodialysis Outpatient hemodialysis treatment delivered at U.S. Renal Care's freestanding dialysis clinics where patients receive supervised treatments multiple times per week from clinical staff.
- Home Hemodialysis
Quantifiable outcome
- Highest percentage of CMS 4- and 5-star rated centers for patient experience and quality of care in the dialysis industry
Companies that use U.S. Renal Care
Customer profileNamed customers5 records
Segments3 records
Ideal customer profiles3 records
U.S. Renal Care technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature2 records
U.S. Renal Care partnerships and signals
Strategic signalPartnerships
Eight partnerships are on record, tiered minor.
- American Kidney FundminorU.S. Renal Care was a sponsor of the American Kidney Fund's seventh annual Kidney Action Week (March 2-5, 2026), a free virtual conference bringing together kidney disease patients, health professionals, caregivers, and advocates.
- VexevminorVexev conducted a clinical trial of its VxWave Ultrasound Imaging System at U.S. Renal Care dialysis clinics, demonstrating high success and data adequacy rates for vascular mapping in dialysis patients. The trial involved 115 patients and showed the system's potential to standardize vascular assessment at point of care.
- Satellite HealthcareminorU.S. Renal Care and Satellite Healthcare jointly announced 20 nephrology nurses honored with the DAISY Award during Nephrology Nurses Week. The organizations also collaborate on nurse recognition and education programs.
- Mercy Medical CenterminorMercy Medical Center partnered with U.S. Renal Care to expand dialysis services, with U.S. Renal Care providing dialysis care and management services at the hospital.
- Liberty Administrative Services / Dallas Renal GroupminorU.S. Renal Care partnered with Liberty Administrative Services to share ownership and management of nine clinics in the Dallas area, serving more than 500 patients.
- Pottstown Memorial Medical CenterminorU.S. Renal Care formed a joint venture with Pottstown Memorial Medical Center, acquiring a controlling interest in the existing hospital dialysis clinic and a previously operated USRC clinic.
- National Kidney FoundationminorU.S. Renal Care supports National Kidney Foundation initiatives including the annual Caring for Kidneys 5K Run/Walk and general kidney disease awareness programs.
- University of California San DiegominorU.S. Renal Care co-founded the Nephrology Business Leadership Conference (NBLU) in collaboration with Dallas Renal Group and UC San Diego in 2016, providing business education for nephrology fellows.
Scale indicators5 records
Recent moves7 records
Expansion highlights6 records
U.S. Renal Care competitors and assessment
Company assessmentDirect peers
- DaVita Kidney Care: Largest U.S. dialysis provider operating thousands of in-center and home dialysis clinics. Directly competes with USRC for nephrologist partnerships, hospital joint ventures, and ESRD patients across overlapping geographies.
- Fresenius Medical Care: Second-largest U.S. dialysis provider and global dialysis leader, offering the same in-center hemodialysis, peritoneal dialysis, and home hemodialysis modalities as USRC, plus vertically integrated dialyzer and device manufacturing.
- Satellite Healthcare: Nonprofit dialysis provider operating in-center and home dialysis programs; partner with USRC on nurse recognition programs (DAISY Award) and overlapping clinical leadership talent. Competes for nephrologist partnerships in California and adjacent markets.
- Dialyze Direct: Specialized dialysis provider focused on geriatric and SNF-based hemodialysis, addressing the same ESRD population USRC serves. Competes for hospital-system and skilled-nursing-facility contracts in overlapping geographies.
- Concerto Renal Services: Specialty dialysis provider concentrating on skilled nursing facilities and acute-care settings. Targets the same ESRD patient population through hospital and SNF partnerships that overlap with USRC's distribution strategy.
- Dialysis Clinic, Inc. (DCI): Nonprofit dialysis provider operating in-center, home, and acute dialysis programs nationwide. Competes with USRC for nephrologist relationships and patient referrals across multiple states.
- Innovative Renal Care: Mid-sized dialysis operator offering in-center and home dialysis; emerged from the American Renal Associates platform and competes directly with USRC in regional markets for nephrologist partnerships and patient share.
Emerging players
- Strive Health: Value-based kidney care company partnering with nephrologists and payors to manage CKD and ESRD populations upstream of dialysis. Represents a structural threat and adjacent model to USRC's traditional in-center dialysis business.
- InterWell Health: Value-based kidney care organization formed via Fresenius/Cricket Health/InterWell merger, taking global risk for CKD and ESRD patients. Competes with USRC for risk-bearing relationships with payors and nephrologists.
- Monogram Health: In-home kidney and chronic condition care provider serving CKD/ESRD patients with multidisciplinary teams. Operates adjacent to dialysis delivery by managing upstream CKD and competing for payor risk arrangements.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat6 records
Key risks5 records
Key highlights7 records
Customer concentration
U.S. Renal Care social profiles
Digital presenceU.S. Renal Care compliance and trust
Trust signalCompliance1 record
U.S. Renal Care financial estimates
Financial estimateRevenue estimate
Valuation estimate
U.S. Renal Care leadership team
Management profileNumber of profiles
Profiles14 records
U.S. Renal Care subsidiaries and ownership
Company hierarchySubsidiaries5 records
U.S. Renal Care funding detail
Funding detailFunding overview
Funding rounds18 records
Investors2 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
U.S. Renal Care M&A and investment
M&A and investmentM&A4 records
Investments1 record
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about U.S. Renal Care
What does U.S. Renal Care do?
U.S. Renal Care operates a national network of outpatient dialysis clinics providing in-center hemodialysis, home hemodialysis, peritoneal dialysis, conservative care management, and kidney transplant support services to patients with end-stage renal disease. The company serves more than 36,000 patients through over 400 clinics across 32 states and Guam, partnering with nephrologists and hospital systems to deliver kidney care.
Is U.S. Renal Care a public or private company?
U.S. Renal Care is a private company. It is classified as private equity controlled and is currently operating.
When was U.S. Renal Care founded?
U.S. Renal Care was founded in 2000. It employs 1,001 to 5,000 people.
Where is U.S. Renal Care based?
U.S. Renal Care is headquartered in Plano, United States, in the North America region.
How does U.S. Renal Care make money?
One revenue line is on record: dialysis Treatment Services.
Who are U.S. Renal Care's main competitors?
Direct peers on record are DaVita Kidney Care, Fresenius Medical Care, Satellite Healthcare, Dialyze Direct, Concerto Renal Services, Dialysis Clinic, Inc. (DCI) and Innovative Renal Care. Emerging players are Strive Health, InterWell Health and Monogram Health.
Does U.S. Renal Care have an API?
No public API is recorded for U.S. Renal Care.
What industry is U.S. Renal Care in?
U.S. Renal Care's product category is Dialysis Services. Its primary akta.pro industry code is HLAFABAE, Outpatient Dialysis & Kidney Care Centers, with a secondary code of HLAKAHAC, Dialysis Services (Hemodialysis & Peritoneal Dialysis). Its NAICS code is 621492 and its SIC code is 8093.