What American Access Care does

American Access Care, now operating as Azura Vascular Care, is a US-based outpatient vascular care provider founded in 1999 and headquartered in Malvern, Pennsylvania. The company runs a national network of 70+ centers delivering minimally invasive, nonsurgical vascular procedures, with a clinical staff of 300+ interventional radiologists, interventional nephrologists, and vascular surgeons supported by Advanced Cardiac Life Support (ACLS)-certified registered nurses. Core services center on dialysis access management for kidney disease patients — its founding specialty — and have expanded to include uterine fibroid embolization, hemorrhoid artery embolization, peripheral artery disease procedures, ovarian vein embolization, varicose veins procedures, prostate artery embolization, kyphoplasty, varicocele embolization, and other minimally invasive vascular interventions performed on a same-day outpatient basis.

The underlying technology is procedural rather than digital: catheter-based, image-guided, minimally invasive techniques performed in outpatient centers using state-of-the-art equipment and evidence-based clinical protocols. Azura markets itself as a research-backed, patient-first provider with a 4.8 average rating from 7,500+ patient reviews, and channels patients through physician referrals and direct consumer access via its website and social media presence. The business model is professional services revenue per procedure, with no publicly disclosed pricing; the segmentation is horizontal across nine procedure types serving individual patients rather than enterprise contracts.

The company is a wholly-owned subsidiary of Fresenius Medical Care (NYSE: FMS), the global dialysis and renal care company, having been acquired and rebranded from American Access Care to Azura Vascular Care. The parent provides strategic backing, integrates Azura's dialysis access work into its broader renal care ecosystem, and supports ongoing service-line expansion. Azura also markets strategic joint-venture and physician partnership opportunities to grow into additional office-based and ambulatory surgery center-based vascular care sites.

Name

American Access Care

Legal name

Azura Vascular Care

Website

https://americanaccesscare.com

Company type

Private

Founded year

1999

Operating status

Operating

Headcount range

501–1,000 employees

Short description

American Access Care, operating as Azura Vascular Care, is a US outpatient vascular care provider running 70+ centers that deliver minimally invasive procedures — including dialysis access management and embolization services — to patients referred by physicians or self-referring, as a subsidiary of Fresenius Medical Care.

Ownership category

akta.pro rank

Product category

Outpatient Vascular Care

NAICS

Ambulatory Health Care Services (621), Offices of Physicians (62111)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Interventional Nephrology (Dialysis Access Procedures) (HLAKAHAE)

akta.pro secondary industry

Dialysis Services (Hemodialysis & Peritoneal Dialysis) (HLAKAHAC)

Keywords

• Outpatient vascular care
• Dialysis access management
• Interventional radiology
• Minimally invasive procedures
• Vascular surgery

Headquarters

HQ city

Malvern

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Vascular Care Services: Revenue generated from providing outpatient vascular care procedures including dialysis access management, uterine fibroid embolization, peripheral artery disease treatment, and other minimally invasive vascular procedures

Go-to-market motion1 record

Distribution channels1 record

Marketing channels2 records

Core offering

American Access Care operates a national network of outpatient centers that specialize in dialysis access management (creation and maintenance of arteriovenous fistulas, grafts, and tunneled catheters) and minimally invasive vascular procedures including angioplasty, stenting, thrombolysis, embolization, and varicose vein treatment. Services are delivered by interventional radiologists, nephrologists, and vascular surgeons across 70+ U.S. locations, primarily serving chronic kidney disease and end-stage renal disease patients.

Product overview

Azura Vascular Care, a Fresenius Medical Care company, operates as a network of 70+ outpatient vascular care centers providing cutting-edge, minimally invasive vascular procedures. The company offers a comprehensive portfolio of vascular services including dialysis access management, various embolization procedures (uterine fibroid, hemorrhoid, ovarian vein, varicocele, prostate artery), peripheral artery disease treatments, kyphoplasty, and varicose veins procedures. These nonsurgical, minimally invasive procedures are designed for lasting relief with minimal recovery time, supported by interventional radiologists, interventional nephrologists, vascular surgeons, and ACLS-certified registered nurses. The services operate through an outpatient center-based model with same-day procedures.

Differentiator

Problem solved

Functional benefit

Products and services

• Dialysis Access Management Outpatient creation, maintenance, and revision of arteriovenous fistulas, grafts, and tunneled dialysis catheters for chronic kidney disease and end-stage renal disease patients.
• Minimally Invasive Vascular Procedures

Segments1 record

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

One partnership is on record.

• Fresenius Medical CarecoreOthersAzura Vascular Care is a subsidiary of Fresenius Medical Care, a leading healthcare company specializing in kidney disease care. The parent company provides strategic backing and resources for Azura's vascular care operations.

Scale indicators3 records

Recent moves5 records

Expansion highlights4 records

Broad incumbents

• Surgery Partners: Owns and operates a national network of ambulatory surgical centers, including vascular and interventional procedures. Comparable as a multi-site outpatient procedural platform with similar economics and payer dynamics.
• Fresenius Medical Care: Parent company and global dialysis leader (NYSE: FMS). Comparable as the parent that owns Azura, providing the captive dialysis patient demand and shared clinical infrastructure that anchor Azura's business.
• Encompass Health: Large post-acute and outpatient rehabilitation provider with national footprint. Comparable as a scaled, multi-site specialty healthcare operator with similar patient referral pathways and physician-employed models.
• Inova Health System: Large not-for-profit health system with strong interventional radiology and vascular service lines. Comparable as a competing site of care for vascular and dialysis access procedures in the Mid-Atlantic, where Azura is also concentrated.
• Tenet Healthcare / United Surgical Partners International (USPI): USPI is the largest operator of ambulatory surgery centers in the US, jointly owned by Tenet. Comparable as a multi-site outpatient platform increasingly focused on vascular and interventional procedures, competing for similar procedure volumes.

Direct peers

• Center for Vein Restoration: Largest national network dedicated to outpatient vein and vascular care, operating 100+ clinic locations. Closest comparable to Azura's outpatient vascular procedure model, particularly for varicose vein and embolization services.
• U.S. Renal Care: Independent US dialysis provider with hundreds of centers, overlapping significantly with Fresenius. Comparable as a dialysis operator that also coordinates vascular access for the same ESRD patient population that drives Azura's core service line.
• Vein Clinics of America: Multi-state outpatient clinic chain historically focused on varicose vein and vascular care. Comparable as a specialized outpatient vascular provider competing directly with Azura's vein and embolization offerings.

Emerging players

• American Vascular Associates: Operator of office-based vascular labs and ambulatory surgery centers offering dialysis access and vascular interventions. Comparable as a smaller-scale outpatient vascular platform serving the same dialysis patient base with overlapping procedures.
• Innovative Renal Care: Mid-sized US dialysis operator. Comparable because dialysis patients require recurring vascular access procedures, positioning renal care operators as both customers and potential competitors for the dialysis access management service line.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/AzuraVascularCare
• LinkedInlinkedin.com/company/american-access-care

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds1 record

Investors1 record

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 American Access Care