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Dialysis Centers in the US Industry Data and Analysis
Dialysis centers occupy a strong market position, underpinned by chronic disease prevalence, an aging population and government-funded reimbursement that sustains consistent patient demand. Medicare and Medicaid coverage have supported consistent reimbursement, though administratively fixed payment rates continue to constrain real revenue growth. The market is dominated by two national providers, DaVita Inc. and Fresenius Medical Care, whose combined share of approximately 80.0% of US dialysis facilities gives them outsized influence over care standards, cost structures and technology adoption. In contrast, the remaining providers seek niches through specialized offerings, local partnerships or value-based care models. This environment positions the dialysis center market as relatively stable, though persistent regulatory and operational changes continue to pose challenges. Industry revenue is expected to grow at a CAGR of 0.4% to an estimated $34.0 billion through 2026, including 3.8% growth in 2026 alone, with significant pandemic-related revenue declines in 2021 and 2022 underpinning the slower five-year growth and slight dip in profit over the years.
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What's included in this industry analysis
IBISWorld's research coverage on the Dialysis Centers industry in the United States includes market sizing, forecasting, data and analysis from 2016-2031. The most recent publication was released May 2026.
About this industry
What's this industry report about?
The Dialysis Centers industry in the United States operates under the NAICS industry code OD4038. This industry includes establishments that provide kidney dialysis services to patients with chronic kidney disease and end-stage renal disease. Centers administer hemodialysis and peritoneal dialysis on both inpatient and outpatient bases, with outpatient care the dominant service model in the industry. Related terms covered in the Dialysis Centers industry in the United States include kidney dialysis, hemodialysis (hd), peritoneal dialysis (pd), end-stage renal disease (esrd), incidence and prevalence.
What's included in this industry?
Products and services covered in Dialysis Centers industry in the United States include Outpatient ( in-center ), Home-based and In-patient (hospital) services.
What companies are included in this industry?
Companies covered in the Dialysis Centers industry in the United States include DaVita HealthCare Partners Inc. and Fresenius Medical Care Ag & Co. Kgaa.
Performance
What's included in the Performance chapter?
The Performance chapter covers detailed analysis, datasets, detailed current performance, sources of volatility and an outlook with forecasts for the Dialysis Centers industry in the United States.
Questions answered in this chapter include what's driving current industry performance, what influences industry volatility, how do successful businesses overcome volatility, what's driving the industry outlook. This analysis is supported with data and statistics on industry revenues, costs, profits, businesses and employees.
Products & Markets
What's included in the Products and Markets chapter?
The Products and Markets chapter covers detailed products and service segmentation and analysis of major markets for the for the Dialysis Centers industry in the United States.
Questions answered in this chapter include how are the industry's products and services performing, what are innovations in industry products and services, what products or services do successful businesses offer and what's influencing demand from the industry's markets. This includes data and statistics on industry revenues by product and service segmentation and major markets.
Geographic Breakdown
What's included in the Geographic Breakdown chapter?
The Geographic Breakdown chapter covers detailed analysis and datasets on regional performance of the Dialysis Centers industry in the United States.
Questions answered in this chapter include where are industry businesses located and how do businesses use location to their advantage. This includes data and statistics on industry revenues by location.
Competitive Forces
What's included in the Competitive Forces chapter?
The Competitive Forces chapter covers the concentration, barriers to entry and supplier and buyer profiles in the Dialysis Centers industry in the United States. This includes data and statistics on industry market share concentration, barriers to entry, substitute products and buyer & supplier power.
Questions answered in this chapter include what impacts the industry's market share concentration, how do successful businesses handle concentration, what challenges do potential industry entrants face, how can potential entrants overcome barriers to entry, what are substitutes for industry services, how do successful businesses compete with substitutes and what power do buyers and suppliers have over the industry and how do successful businesses manage buyer & supplier power.
Companies
What's included in the Companies chapter?
The Companies chapter covers Key Takeaways, Market Share and Companies in the Dialysis Centers industry in the United States. This includes data and analysis on companies operating in the industry that hold a market share greater than 5%.
Questions answered in this chapter include what companies have a meaningful market share and how each company is performing.
External Environment
What's included in the External Environment chapter?
The External Environment chapter covers Key Takeaways, External Drivers, Regulation & Policy and Assistance in the Dialysis Centers industry in the United States. This includes data and statistics on factors impacting industry revenue such as economic indicators, regulation, policy and assistance programs.
Questions answered in this chapter include what demographic and macroeconomic factors impact the industry, what regulations impact the industry, what assistance is available to this industry.
Financial Benchmarks
What's included in the Financial Benchmarks chapter?
The Financial Benchmarks chapter covers Key Takeaways, Cost Structure, Financial Ratios, Valuation Multiples and Key Ratios in the Dialysis Centers industry in the United States. This includes financial data and statistics on industry performance including key cost inputs, profitability, key financial ratios and enterprise value multiples.
Questions answered in this chapter include what trends impact industry costs and how financial ratios have changed overtime.
Industry Data
What's included in the Industry Data chapter?
The Industry Data chapter includes 10 years of historical data with 5 years of forecast data covering statistics like revenue, industry value add, establishments, enterprises, employment and wages in the Dialysis Centers industry in the United States.
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Frequently Asked Questions
What is the market size of the Dialysis Centers industry in the United States in 2026?
The market size of the Dialysis Centers industry in the United States is $34.0bn in 2026.
How many businesses are there in the Dialysis Centers industry in the United States in 2026?
There are 531 businesses in the Dialysis Centers industry in the United States, which has grown at a CAGR of 0.9 % between 2021 and 2026.
How may import tariffs affect the Dialysis Centers industry in the United States?
The Dialysis Centers industry in the United States is unlikely to be materially impacted by import tariffs with imports accounting for a low share of industry revenue.
How may export tariffs affect the Dialysis Centers industry in the United States?
The Dialysis Centers industry in the United States is unlikely to be materially impacted by export tariffs with exports accounting for a low share of industry revenue.
Has the Dialysis Centers industry in the United States grown or declined over the past 5 years?
The market size of the Dialysis Centers industry in the United States has been growing at a CAGR of 0.4 % between 2021 and 2026.
What is the forecast growth of the Dialysis Centers industry in the United States over the next 5 years?
Over the next five years, the Dialysis Centers industry in the United States is expected to grow.
What are the biggest companies in the Dialysis Centers industry in the United States?
The biggest companies operating in the Dialysis Centers industry in the United States are DaVita HealthCare Partners Inc. and Fresenius Medical Care Ag & Co. Kgaa
What does the Dialysis Centers industry in the United States include?
Outpatient hemodialysis and Home-based hemodialysis are part of the Dialysis Centers industry in the United States.
Which companies have the highest market share in the Dialysis Centers industry in the United States?
The company holding the most market share in the Dialysis Centers industry in the United States is DaVita HealthCare Partners Inc..
How competitive is the Dialysis Centers industry in the United States?
The level of competition is high and steady in the Dialysis Centers industry in the United States.
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