Dialysis Clinic

What Dialysis Clinic does

Dialysis Clinic, Inc. (DCI) is a 501(c)(3) not-for-profit dialysis provider headquartered in Nashville, Tennessee, founded in 1971 by nephrologist Dr. H. Keith Johnson. Operating more than 240 outpatient clinics across 28 states and serving approximately 14,000 patients, DCI is the only national, independent, not-for-profit dialysis organization in the United States. Its service portfolio spans the full kidney-care continuum: in-center hemodialysis, home therapies (peritoneal dialysis and home hemodialysis), kidney health management through REACH Kidney Care, transplant services, end-of-life care, and inpatient hospital dialysis delivered through partnerships with academic medical centers and community health systems. Supporting subsidiaries include DCI Laboratory (founded 1988), DCI Pharmacy, DCI Donor Services (three federally designated organ procurement organizations spanning Tennessee, New Mexico, and the Sierra region), and DCI Clinical Research (DCICR, established 2007), which operates as a Site Management Organization for nephrology clinical trials.

DCI's business model is reimbursement-driven, anchored in the Medicare End-Stage Renal Disease (ESRD) Program since 1973, supplemented by hospital partnership revenues, management services to independent providers, joint-venture clinic operations, and value-based care arrangements through REACH Kidney Care with payors and nephrologists. As a 501(c)(3) entity, revenues are committed to patient care, research, and education rather than distributed to shareholders. The organization is physician-founded and physician-led, governed through a board chaired by Dr. H. Keith Johnson with Dr. Doug Johnson as CEO, and operates a full C-suite including a Chief Innovation Officer, Chief Medical Officer for Clinical Science/Quality/Analytics, and dedicated COOs and CMOs for the REACH Kidney Care service line.

DCI pursues growth through partnerships rather than M&A or equity issuance, exemplified by recent collaborations with Adventist Health Tillamook (2024) to reopen a rural Oregon clinic, the USVI Healthcare Foundation to open a St. Croix facility in early 2025, and the UPMC Concurrent Hospice-Dialysis Program (since 2018). The organization is a member of the Nonprofit Kidney Care Alliance (NKCA) and an active participant in CMS Innovation Center payment and service-delivery models. Patient and community engagement is channeled through content marketing, Camp Okawehna (a children's kidney-disease summer camp established 1975), and a pre-medical internship program operating in 20 cities since 1998.

Name

Dialysis Clinic

Legal name

Dialysis Clinic, Inc.

Website

https://dciinc.org

Company type

Private

Founded year

1971

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Dialysis Clinic, Inc. (DCI) is the only national, independent, 501(c)(3) not-for-profit dialysis provider in the U.S., operating more than 240 outpatient clinics across 28 states and serving over 14,000 ESRD and CKD patients with a full kidney-care continuum including in-center and home dialysis, transplant, hospital, pharmacy, lab, organ donation, and clinical research services.

Ownership category

akta.pro rank

Product category

Outpatient Dialysis Services

NAICS

Kidney Dialysis Centers (621492), Ambulatory Health Care Services (621), Home Health Care Services (62161), All Other Outpatient Care Centers (621498)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Offices & Clinics Of Doctors Of Medicine (8011), 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), Chronic Kidney Disease (CKD) Management Clinics (HLAKAHAB), Home Dialysis Programs (Home HD/PD Training & Support) (HLAKAHAK), Home Dialysis Support & Training Providers (HLAFAEAG)

Keywords

• Dialysis services
• Kidney care
• End-stage renal disease
• Hemodialysis treatment
• Kidney transplant services

Headquarters

HQ city

Nashville

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Supply Chain, Technology or R&D, Marketing or Sales

Revenue model

1. Medicare ESRD Program Reimbursement: DCI receives reimbursement through the Medicare ESRD (End-Stage Renal Disease) Program, which began paying for outpatient dialysis in 1973. As a not-for-profit organization, revenues are committed to patient care, research, and education rather than profit distribution.
2. Hospital Partnership Services: DCI provides inpatient dialysis services to hospitals and health systems including academic medical centers, national/regional/community health systems, rehabilitation hospitals, and long-term acute-care facilities.
3. Management Services: DCI provides varying levels of management assistance and oversight to independent dialysis providers, from specific needs to full-service arrangements including running daily operations, staffing, and billing.
4. Value-Based Care Arrangements: REACH Kidney Care partners with payors and local nephrologists in value-based arrangements for advanced kidney disease care including CKD stages 4 and 5, transplant, dialysis, and end of life.

Go-to-market motion2 records

Distribution channels4 records

Marketing channels5 records

Core offering

Dialysis Clinic, Inc. (DCI) operates a national network of more than 240 outpatient dialysis clinics across 28 states, delivering in-center hemodialysis, peritoneal dialysis, and home hemodialysis to patients with end-stage renal disease. The organization also provides kidney health management, transplant coordination, hospital inpatient dialysis, and end-of-life care, supported by wholly-owned subsidiaries including DCI Pharmacy, DCI Laboratory, DCI Donor Services, REACH Kidney Care, and DCI Clinical Research.

Product overview

DCI (Dialysis Clinic, Inc.) is a not-for-profit kidney health provider offering a comprehensive dialysis services portfolio centered around in-center hemodialysis and home-based therapies (peritoneal dialysis and home hemodialysis). The organization operates more than 240 outpatient clinics across 28 states, serving approximately 14,000 patients. Supporting the core dialysis services are subsidiary divisions including REACH Kidney Care (kidney health management), DCI Donor Services (organ procurement), DCI Pharmacy, DCI Laboratory, and DCICR clinical research. Additional patient support programs include Camp Okawehna (summer camp for children with kidney disease), a summer medical internship program, and the DCI Foundation Division for philanthropy. The organization was founded in 1971 and is the only national, independent, not-for-profit dialysis provider in the United States.

Differentiator

Problem solved

Functional benefit

Brands

• REACH Kidney Care: Kidney health management service line that provides one-on-one kidney health management services to help patients navigate kidney disease.
• DCI Donor Services
• Camp Okawehna
• DCI Clinical Research (DCICR)

Products and services

• In-Center Hemodialysis Services In-center hemodialysis treatment performed at DCI outpatient dialysis clinics, where patients receive treatment three times per week with specially trained nurses and dialysis technicians monitoring their sessions.
• Home Therapies (Peritoneal Dialysis and Home Hemodialysis) Home-based dialysis options including peritoneal dialysis (PD) using the peritoneal membrane as a filter, and home hemodialysis (HHD) performed in the comfort of the patient's home with flexible scheduling.
• REACH Kidney Care Kidney health management services providing one-on-one care coordination, patient education, dietary guidance, medication support, and advance care planning to help patients delay or avoid dialysis.
• Transplant Services Services facilitating kidney transplantation including donor matching, living donor coordination, kidney paired donation programs, and transplant education and social work support.
• End-of-Life Services Supportive care options including medical management without dialysis for patients choosing to discontinue treatment, with hospice coordination and palliative care support.
• Hospital Services Inpatient dialysis services provided to hospitals and health systems including hemodialysis, peritoneal dialysis, continuous renal replacement therapy, and apheresis.
• DCI Pharmacy Independent pharmacy staffed by pharmacists specializing in kidney care, filling bundled ESRD prescriptions and providing drug information and quality improvement guidance.
• DCI Laboratory Full-service laboratory providing specific focus on dialysis patient needs, founded in 1988 to serve nephrologists' requests.
• DCI Donor Services Nonprofit organization comprising organ procurement organizations (Tennessee Donor Services, Sierra Donor Services, New Mexico Donor Services), tissue bank, and eye bank for organ, eye and tissue donation.
• DCI Clinical Research (DCICR) Clinical research division that initiates, conducts, manages and funds large clinical trials in nephrology, serving as a Site Management Organization (SMO) with expertise in federal regulations and clinical trial policy.
• Management Services for Independent Dialysis Providers DCI provides varying levels of management assistance and oversight to independent dialysis providers, from specific needs to full-service arrangements including running daily operations, staffing, and billing.
• Value-Based Care Arrangements REACH Kidney Care partners with payors and local nephrologists in value-based arrangements for advanced kidney disease care including CKD stages 4 and 5, transplant, dialysis, and end of life.

Quantifiable outcome

• DCI serves more than 14,000 patients at more than 240 locations across the United States
• +1 more outcomes

Named customers5 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Ten partnerships are on record, tiered core.

• Adventist Health TillamookcoreStrategic or Co-development Partner · 1 January 2024Partnership to reopen the Tillamook dialysis center in Oregon after it was closed by previous ownership. DCI reopened the clinic in partnership with Adventist Health Tillamook to provide local dialysis access for patients who previously had to travel 120 miles roundtrip. The clinic will likely operate at a loss as current reimbursement rates don't cover full operating costs.
• University of Pittsburgh Medical Center (UPMC)coreStrategic or Co-development Partner · 1 January 2018Partnership with UPMC and UPMC's Family Hospice to run the Concurrent Hospice-Dialysis Program in Western Pennsylvania since 2018. This program allows patients to receive both hospice services and palliative dialysis treatments concurrently, eliminating the barrier of choosing between stopping dialysis or forgoing hospice care.
• UPMC's Family HospicecoreStrategic or Co-development Partner · 1 January 2018Partner in the Concurrent Hospice-Dialysis Program alongside UPMC and DCI, providing hospice services to dialysis patients in Western Pennsylvania.
• Virgin Islands Healthcare FoundationcoreStrategic or Co-development Partner · 1 September 2017Partnership to create a new permanent dialysis facility on St. Croix in the US Virgin Islands. Following damage from hurricanes Irma and Maria in 2017, a collaboration between local nephrologists, Virgin Islands Healthcare Foundation, and DCI resulted in a new facility opening in early 2025 providing care for more than 30 patients.
• Nonprofit Kidney Care Alliance (NKCA)coreStrategic or Co-development PartnerDCI collaborates with other not-for-profit kidney care providers as a member of NKCA. The alliance collectively serves approximately 22,500 patients at more than 326 facilities in 32 states and serves more than 10,000 CKD patients to help avoid or delay onset of ESRD.
• CMS Innovation CentercoreStrategic or Co-development PartnerDCI is an active participant in the CMS Innovation Center's new payment and service-delivery models to improve patient care, lower costs, and promote patient-centered practices. Multiple DCI clinics have adopted value-based care best practices through this partnership.
• REACH Kidney CarecoreStrategic or Co-development PartnerA service line of DCI providing one-on-one kidney health management services. REACH works with patients to support better kidney health by increasing transplants, delaying dialysis, increasing home-based dialysis, increasing permanent dialysis accesses, and decreasing hospitalization at dialysis start.
• DCI Donor ServicescoreStrategic or Co-development PartnerDCI Donor Services (DCIDS) is a nonprofit organization committed to saving lives through organ, eye, and tissue donation. Comprises three federally designated organ procurement organizations (Tennessee Donor Services, Sierra Donor Services, New Mexico Donor Services), tissue bank, and eye bank.
• Academic Medical CenterscoreStrategic or Co-development PartnerDCI's Hospital Services partners with academic medical centers to provide inpatient dialysis services including hemodialysis, peritoneal dialysis, continuous renal replacement therapy, and apheresis.
• National, Regional, and Community Health SystemscoreStrategic or Co-development PartnerDCI provides efficient inpatient dialysis services that meet or exceed regulatory and industry standards for quality and safety through partnerships with various health systems.

Scale indicators5 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• DaVita Kidney Care: One of the two dominant US dialysis providers, operating thousands of outpatient clinics serving hundreds of thousands of ESRD patients. Directly comparable to DCI as a national outpatient dialysis provider offering in-center hemodialysis, home therapies, and integrated kidney care.
• Fresenius Kidney Care: The US dialysis services arm of Fresenius Medical Care, the largest global dialysis provider, operating thousands of clinics nationwide. Directly comparable to DCI as a major outpatient dialysis network with comprehensive kidney care services.
• Satellite Healthcare: A non-profit dialysis provider operating multiple centers, primarily in the western United States. Closely comparable to DCI as a not-for-profit, mission-driven dialysis organization with a focus on quality of care and patient outcomes.
• U.S. Renal Care: A mid-sized for-profit dialysis provider operating hundreds of clinics across multiple states. Directly comparable to DCI as an outpatient dialysis network providing in-center and home dialysis therapies.
• Northwest Kidney Centers: A non-profit dialysis provider based in Seattle, Washington, one of the earliest dialysis providers in the US. Comparable to DCI as a regional not-for-profit dialysis organization with community-based kidney care services.
• Innovative Renal Care: A dialysis provider formed from American Renal Associates, operating outpatient dialysis clinics nationwide. Directly comparable to DCI as a national outpatient dialysis network offering in-center and home dialysis services.
• Centers for Dialysis Care: A non-profit dialysis provider based in Ohio operating multiple outpatient clinics in the Midwest. Comparable to DCI as a not-for-profit community-based dialysis organization with a focus on patient-centered care.
• Dialyze Direct: A dialysis provider specializing in in-facility hemodialysis services for patients in skilled nursing facilities (SNFs). Comparable to DCI as an outpatient dialysis provider, with overlap in the SNF dialysis segment served by DCI.
• National Renal Alliance: A dialysis management and support organization serving independent dialysis providers across multiple states. Comparable to DCI's management services line, providing operational support and joint venture services to dialysis clinics.

Emerging players

• Kidney Care Center: A multi-specialty nephrology practice offering integrated CKD and ESRD care across several locations. Comparable to DCI's REACH Kidney Care service line and broader nephrology practice offering spanning CKD management through dialysis.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Instagraminstagram.com/dcikidneycare
• Xx.com/dci_dialysis
• Facebookfacebook.com/dialysisclinicinc
• LinkedInlinkedin.com/company/dialysis-clinic-inc-

Revenue estimate

Valuation estimate

Number of profiles

Profiles14 records

Subsidiaries5 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Dialysis Clinic