Home Dialysis Therapies of San Diego

What Home Dialysis Therapies of San Diego does

Home Dialysis Therapies of San Diego (HDT) is a privately held, for-profit home dialysis provider founded in 2004 in San Diego, California. It is San Diego County's first home-only dialysis program and operates three clinic locations (North San Diego, Chula Vista/South, and Vista) that together cover the county. The company serves end-stage renal disease (ESRD) patients across the four home dialysis modalities: Automated Peritoneal Dialysis (APD), Continuous Ambulatory Peritoneal Dialysis (CAPD), Home Hemodialysis (HHD), and Nocturnal Hemodialysis (NHD). Patients receive in-clinic training on their chosen modality, then perform ongoing treatments at home with 24/7 phone-based clinical on-call support and periodic in-clinic follow-up.

HDT is differentiated by a unique urgent-start program in which HDT nurses travel to hospital bedsides to educate newly diagnosed patients at the moment of crisis-time modality selection, a service no other San Diego dialysis clinic provides. The care model integrates nephrologists, registered nurses, renal dietitians, and social workers in coordinated visits and supplements core treatment with holistic support services covering diet, fitness, travel logistics, and employment-while-on-dialysis.

HDT operates a sales-led go-to-market model: patient acquisition flows through (1) referrals from a network of local nephrologists and hospital systems, (2) free one-on-one options-education sessions delivered by registered nurses both in-clinic and at hospital bedsides, and (3) inbound phone and online booking via a toll-free line and website appointments. Revenue is generated primarily through reimbursement from Medicare, Medi-Cal (California Medicaid), and commercial insurance plans under standard ESRD bundled-payment economics covering home dialysis training, equipment, supplies, and ongoing treatment. The reported clinical performance is strong: 13% of HDT patients transitioned to transplant in 2025 and 43% of patients under 70 are on the national transplant list versus a national average of 25%.

Name

Home Dialysis Therapies of San Diego

Legal name

Home Dialysis Therapies of San Diego

Website

https://homedialysistherapies.com

Company type

Private

Founded year

2004

Operating status

Operating

Headcount range

1–10 employees

Short description

Home Dialysis Therapies of San Diego is a privately held, home-only dialysis provider operating three San Diego County clinics that train and support ESRD patients on peritoneal and home hemodialysis modalities, with a unique hospital-bedside urgent-start education program and integrated nurse, dietitian, social worker, and nephrologist care.

Ownership category

akta.pro rank

Product category

Home Dialysis Services

NAICS

Kidney Dialysis Centers (621492), Home Health Care Services (62161), Ambulatory Health Care Services (621)

SIC

Services-Home Health Care Services (8082), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Home Dialysis Programs (Home HD/PD Training & Support) (HLAKAHAK)

akta.pro secondary industries

Dialysis Services (Hemodialysis & Peritoneal Dialysis) (HLAKAHAC), Home Dialysis Support & Training Providers (HLAFAEAG), Outpatient Dialysis & Kidney Care Centers (HLAFABAE), Kidney & Dialysis Remote Care (CKD/ESRD monitoring, home dialysis support) (HLALAFAC)

Keywords

• Home dialysis services
• Kidney failure treatment
• Peritoneal dialysis care
• Renal replacement therapy
• ESRD patient care

Headquarters

HQ city

San Diego

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Infrastructure, Marketing or Sales

Revenue model

1. Dialysis Treatment Services (Medicare/Government): HDT generates revenue by providing home dialysis therapy services reimbursed primarily through Medicare, Medi-Cal (California Medicaid), and commercial insurance plans. Medicare covers home dialysis training, equipment, supplies, and ongoing treatment under ESRD benefits.
2. Dialysis Treatment Services (Commercial Insurance): Commercial insurance plans cover dialysis services including home dialysis training, supplies, and equipment, with patient responsibility varying by deductible, coinsurance, and secondary coverage.
3. Free Options Education (Patient Acquisition): Free one-on-one dialysis options education sessions serve as a patient acquisition funnel, guiding patients toward home dialysis enrollment regardless of which modality they ultimately choose.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels7 records

Core offering

Home Dialysis Therapies of San Diego provides home-only dialysis therapy services to end-stage renal disease (ESRD) patients in San Diego County, delivering four treatment modalities — Home Hemodialysis (HHD), Automated Peritoneal Dialysis (APD), Continuous Ambulatory Peritoneal Dialysis (CAPD), and Nocturnal Hemodialysis (NHD). The company combines these clinical services with free one-on-one options education, training, ongoing monitoring, and a multi-disciplinary care team (nephrologists, registered nurses, renal dietitians, and social workers), plus holistic support covering diet, fitness, travel, work, and transplant readiness.

Product overview

Home Dialysis Therapies of San Diego operates as a home-only dialysis program offering four distinct treatment modalities: Home Hemodialysis (HHD), Automated Peritoneal Dialysis (APD), Continuous Ambulatory Peritoneal Dialysis (CAPD), and Nocturnal Hemodialysis (NHD). The company provides comprehensive support services including free one-on-one dialysis options education, dietary support with renal dietitians, fitness guidance, travel planning assistance, and transplant preparation support. Founded in 2004 as San Diego's first home-only dialysis program, the organization offers integrated care visits with nurses, dietitians, social workers, and nephrologists, supplemented by 24/7 emergency clinical support.

Differentiator

Problem solved

Functional benefit

Products and services

• Home Hemodialysis (HHD) Home hemodialysis enables ESRD patients to perform blood-cleaning dialysis treatments at home using a compact dialysis machine, with flexible scheduling (daytime, evening, or overnight) and more frequent sessions compared to traditional in-center treatment.
• Automated Peritoneal Dialysis (APD) APD uses a cycler machine overnight while the patient sleeps to perform fluid exchanges, leaving daytime hours free for work, family, and daily activities. Covered under Medicare home dialysis benefits including training, supplies, and equipment.
• Continuous Ambulatory Peritoneal Dialysis (CAPD) CAPD is a machine-free peritoneal dialysis option done by hand during the day with 3-5 manual exchanges, offering flexibility for patients who prefer a portable, non-machine-based routine.
• Nocturnal Hemodialysis (NHD)
• Options Education Free one-on-one education sessions with registered nurses to help patients understand all dialysis and transplant options (APD, CAPD, HHD, NHD, in-center, and transplant) before making treatment decisions. HDT is the only San Diego clinic that delivers this education at a patient's hospital bedside for urgent-start patients.
• Dietary Support Registered renal dietitians provide personalized meal planning, nutrition counseling, and guidance on potassium, phosphorus, sodium, fluid, and protein management for dialysis patients.
• Fitness Support Exercise and movement guidance for dialysis patients, including safe activity recommendations, strength training, and pacing strategies tailored to individual health and treatment routines.
• Travel Support Planning assistance for dialysis patients who want to travel, including supply shipping coordination, treatment scheduling around trips, and destination clinic arrangements.
• Working Support Guidance for patients who want to maintain employment while on dialysis, including schedule coordination, employer communication support, and workplace accommodation strategies.
• Transplant Support Assistance with the kidney transplant evaluation process, including guidance on transplant program requirements, necessary documentation, testing, and ongoing follow-up care.

Quantifiable outcome

• 13% of HDT patient population transitioned to transplant in 2025 (HDT Clinical Records)
• +3 more outcomes

Named customers4 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

Feature3 records

Partnerships

Five partnerships are on record, tiered core and minor.

• Nephrologists and Medical Staff (Referring Network)coreChannel Partner/ Reseller/ DistributorHDT relies on a network of referring nephrologists and medical staff who direct ESRD patients to HDT for home dialysis options education and enrollment. The company maintains a dedicated 'For Providers' page and works closely with referring physicians to facilitate patient modality selection and coordinated care.
• National Kidney FoundationminorStrategic or Co-development PartnerHDT references and links to resources from the National Kidney Foundation (NKF) including cookbooks, dining guides, and exercise resources. The relationship appears to be informational/referral rather than formal partnership.
• American Kidney FundminorStrategic or Co-development PartnerHDT references the American Kidney Fund's kidney-friendly recipe finder and educational resources. The relationship is informational/referral-based, providing patients access to third-party dietary and recipe tools.
• San Diego County Hospitals and Healthcare SystemscoreChannel Partner/ Reseller/ DistributorHDT is the only San Diego dialysis clinic that sends a nurse to hospital bedsides for urgent-start dialysis education. This establishes a formal pathway with San Diego hospitals for patient referrals at the point of dialysis initiation, capturing patients at a critical decision moment.
• Dialysis Supply Companies (Equipment and Solution Providers)coreTechnology or IntegrationHDT works with equipment and supply companies to provide APD cyclers, home hemodialysis machines, dialysis solution, tubing, and other consumables. These suppliers also support travel coordination by shipping supplies to patient destinations. The website references Baxter as an equipment brand used in APD.

Scale indicators6 records

Recent moves6 records

Expansion highlights4 records

Broad incumbents

• Fresenius Medical Care: Global dialysis services and products leader operating thousands of centers in the US through Fresenius Kidney Care, with a home therapies division offering PD and HHD. Directly comparable to HDT on home modalities but operates as a broad incumbent rather than a home-only specialist.
• Innovative Renal Care: National outpatient dialysis provider operating a network of centers including home dialysis programs across multiple states. Comparable to HDT in modality offerings, with a focus on chronic kidney disease and ESRD care delivery.
• U.S. Renal Care: Mid-size US dialysis chain operating outpatient centers and home dialysis programs across multiple states, serving ESRD patients with both in-center and home modalities. Overlaps with HDT on home dialysis service delivery and payer contracting.
• Dialysis Clinic, Inc. (DCI): Non-profit dialysis provider operating outpatient centers and home dialysis programs nationwide with a long-standing reputation for clinical quality. Comparable to HDT on home modality offerings and patient-education-driven model, but operates at much greater geographic scale.
• DaVita Kidney Care: National dialysis market leader with a large home dialysis program (DaVita Integrated Kidney Care) covering hemodialysis and peritoneal dialysis across the US. Directly competes with HDT in San Diego, but operates an in-center-heavy model and serves a much broader population including non-home patients.
• American Renal Associates: Mid-size US dialysis chain (now part of Innovative Renal Care) operating outpatient centers with home dialysis offerings. Overlaps with HDT on home PD and HHD service delivery but competes primarily in the in-center segment.

Direct peers

• Dialyze Direct: Specialized provider of home and on-site (primarily SNF-based) hemodialysis, focusing on geriatric and complex patients. Directly comparable to HDT as a home-focused dialysis specialist, though concentrated in the SNF setting rather than freestanding home programs.
• Satellite Healthcare: Non-profit, mid-size dialysis provider headquartered in California with a strong home dialysis emphasis, multiple outpatient centers, and integrated patient education. Closest direct comparable to HDT given its California footprint, home-first orientation, and comparable scale.

Others

• Outset Medical: Manufacturer of the Tablo home hemodialysis system, which enables in-home and on-demand dialysis. Adjacent ecosystem player to HDT — supplies the type of equipment HDT may use to deliver home hemodialysis, and competes indirectly by enabling health systems to launch home dialysis programs.

Emerging players

• Cricket Health (InterWell Health): Value-based kidney care provider that combines CKD/ESRD care management with home dialysis enablement as part of InterWell Health. Comparable to HDT in advancing home dialysis as a modality, though it operates as a care-management and risk-bearing entity rather than a clinic operator.

Market position

Strengths1 record

Weaknesses4 records

Competitive moat4 records

Key risks1 record

Key highlights6 records

Customer concentration

• Facebookfacebook.com/homedialysistherapies
• LinkedInlinkedin.com/company/home-dialysis-therapies-of-san-diego
• Instagraminstagram.com/homedialysistherapies
• Xx.com/homedialysissd

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 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 Home Dialysis Therapies of San Diego