US dialysis service market

U.S. Dialysis Service Market Size, Share, Growth Analysis, By Type(Hemodialysis, Peritoneal Dialysis), By End-User(Dialysis Centers, Home Healthcare), By Product and Services(Equipment (Dialysis machines, Water treatment systems) - Industry Forecast 2024-2031


Report ID: SQMIG35A2718 | Region: Global | Published Date: April, 2024
Pages: 237 | Tables: 95 | Figures: 76

U.S. Dialysis Service Market Insights

US Dialysis Service Market size was valued at USD 26.2 billion in 2019 and is poised to grow from USD 27.03 billion in 2023 to USD 34.5 billion by 2031, growing at a CAGR of 3.11% in the forecast period (2024-2031).

Dialysis is a procedure used to remove waste materials like urea and creatinine from the blood as a result of inadequate kidney function. It is typically necessary for persons with chronic renal failure. The process is crucial for a kidney transplant and end-stage renal disease (ESRD) treatment. The electrolyte balance is restored, the blood is cleansed, and extra fluid and toxins are taken out during this operation. Hemodialysis and peritoneal dialysis are the two methods used to do dialysis. Waste materials like urea are eliminated extracorporeal from the patient's blood during hemodialysis. The peritoneum is the abdomen utilized for dialysis in peritoneal dialysis. According to the National Renal Foundation, 785,883 Americans suffered from kidney failure in 2019 among them, 554,038 individuals underwent dialysis. However, a large proportion of individuals who lack access to kidney replacement therapy results in millions of renal failure death annually, frequently without supported care. Additionally, a change in the adoption trend of telehealth-based treatments is anticipated to accelerate US dialysis service market expansion over the forecast period.

For instance, the Bipartisan Budget Act, a federal act created in the United States concerning spending and budget was ratified. This law also gave people who were receiving care at home access to telehealth.

US Dialysis Service Market is poised to grow at a sustainable CAGR for the next forecast year.

Market snapshot - 2024-2031

Global Market Size

USD 26.2 billion

Largest Segment

Hemodialysis

Fastest Growth

Peritoneal dialysis

Growth Rate

3.11% CAGR

US Dialysis Service Market, 2022-2028 ($ Bn)
Country Share for North America Region- 2021 (%)
US Dialysis Service Market Size By Type , 2022-2028 ($ Bn)
US Dialysis Service Market Size By Type, 2022-2028 (%)

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U.S. Dialysis Service Market Segmental Analysis

The US dialysis service market has been segmented based on type, product & services, and end-user. Based on type, the market is segmented into hemodialysis and peritoneal dialysis. Based on product & services, the market is segmented into Equipment (Dialysis machines, Water treatment systems, and Others), Consumables (Dialyzers, Catheters, Access products, Concentrates, and Others), and Services (Acute dialysis and Chronic dialysis). Based on the end-user, the US dialysis service market is segmented into dialysis centers, home healthcare, and hospitals.

US Dialysis Service Market Analysis by Type

The US dialysis service market was led by the hemodialysis category, which also had the largest revenue share. Acute and chronic are the further divisions of this segment. The increase in the prevalence of diabetes and hypertension is to blame for the segmental domination. According to a prediction from the Centers for Disease Control and Prevention (CDC), there will be about 34 million Americans with diabetes by 2021.

Furthermore, scarcity of kidneys available for transplantation is also projected to boost the market growth. In addition, advantageous reimbursement scenarios, chronic kidney illnesses, and an increasing number of patients with end-stage renal disease (ESRD) are predicted to drive the expansion of the hemodialysis segment in the next years.

US Dialysis Service Market Analysis by End-User

In terms of market share, the dialysis center category was the market leader in 2021 and is predicted to remain at that position by the end of 2028. Private equity investors, for instance, are involved in M&A transactions at DaVita and Fresenius medical care. Based on the United States Renal Data System's (USRDS) report, there are a total of more than 7,500 facilities in the United States, of which DaVita has 2821 facilities and Fresenius has 2634 facilities. American Renal Associates (ARA), a significant United States supplier of dialysis, is concentrating on collaborations with nephrologists. ARA accomplishes more than 240 dialysis centers in collaboration with around 400 nephrologists treating 16,500 patients. Furthermore, an increase in facility visits is contributing to the expansion of the segment.

US Dialysis Service Market By Type, 2021 (%), 2023 (%)

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U.S. Dialysis Service Market Regional Insights

Owing to high availability of facilities, the Southeast region held a notable market share in 2021. Alabama and Georgia have the largest percentage of service providers per patient, with 13.07-17.50 facilities per 1000 ESRD patients, according to the CDC. The region has a higher overall prevalence of end-stage renal disease. According to the CDC, Alabama has a 4% prevalence of ESRD compared to a national prevalence of 2.9%, making it one of the highest reported in the country.

During the forecast period, the Northeast region is expected to experience profitable growth. This can be attributed to the region's increased public healthcare funding and the region's high availability of dialysis centers.

The new regulations proposed requiring physicians, assistant physicians, or nursing professionals to be on-site 24 hours a day, seven days a week. The person providing dialysis care must have at least 6 months of experience. The service providers will be required to provide infection-related data to the California state department of public health, as well as a list of clinic owners to the patients. These regulations are expected to limit the entry of new market participants.

US Dialysis Service Market By Geography, 2022-2028, 2024-2031
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  • Fastest

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U.S. Dialysis Service Market Dynamics

US Dialysis Service Market Driver

  • Home hemodialysis may be more advantageous than a clinic or hospital treatment. Patients have the option of lengthier and more frequent sessions. The use of home healthcare services enables hospitals to serve a rising number of patients. For instance, DaVita and Fresenius Medical Care provide two classes: peritoneal and hemodialysis, the latter of which requires a machine and particular filter and is quite similar to what is provided in clinics.
  • Prevalence of end-stage renal diseases (ESRD) is increasing, which is driving up demand for dialysis services both domestically and internationally. Due to the larger patient pool brought on by the pandemic, it is predicted that the market will continue to expand. For instance, the prevalence of chronic kidney disease (CKD) among adults in the United States is rising, according to the National Health and Nutrition Examination Survey (NHANES). The prevalence of chronic renal disease among adults in the United States is close to 15%. The aging population, diabetics, hypertension, cardiovascular disease, and other illnesses are to blame for the high prevalence of the disease in the country.

US Dialysis Service Market Restraint

  • Patients with chronic kidney disease and end-stage renal disease (ESRD) can receive a kidney transplant. Because of advancements in surgical equipment, kidney transplantation is now easier. According to US government data on organ donation and transplantation, 39,000 transplants were performed in 2021, with 22,010 being kidney transplants. KidneyX is an innovative renal accelerator for the prevention, detection, and treatment of kidney disorders. It was first implemented in 2021 as a result of a collaboration between the American Society of Nephrologists (ASN) and the United States Department of Health and Human Services (HHS). The better outcomes associated with kidney transplantation and the affordability of dialysis services are expected to drive growth of the US dialysis services market during the forecast period.

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U.S. Dialysis Service Market Competitive Landscape

Manufacturers of dialysis equipment are concentrating on enhancing their market position through strategic alliances and agreements. Companies are enhancing their product ranges and increasing their global reach as a result of the creation of new platforms.

The introduction of a wide range of cutting-edge technological items is a top priority for manufacturers, who are also placing a strong emphasis on product development to accommodate every customer's budget. With product introductions, major firms are concentrating on product reach and working to make their products accessible in middle- and low-income nations.

Top Players Profiled in US Dialysis Service Market

  • DaVita Inc.
  • Fresenius Medical Care AG & Co. KGaA
  • U.S. Renal Care, Inc.
  • American Renal Associates Holdings, Inc.
  • Satellite Healthcare, Inc.
  • Dialysis Clinic, Inc.
  • Quik Travel Staffing
  • DSI Renal, Inc.
  • Total Renal Care, Inc.
  • Northwest Kidney Centers
  • Renal Ventures Management LLC
  • RAI Care Centers
  • Liberty Dialysis Holdings, Inc.
  • Atlantic Dialysis Management Services
  • Bio-Medical Applications of Florida, Inc.
  • ARA Dialysis Centers, LLC
  • NxStage Medical, Inc.
  • Caring Dialysis, LLC
  • Midwest Dialysis Centers
  • Central Dialysis Center

US Dialysis Service Market Recent Development

  • In January 2022, U.S. Renal Care (USRC), announced that it has further expanded its in-center hemodialysis services in Southwest Florida with the opening of four additional facilities. The company's customer base will grow as a result of this strategic move, and its market position will improve.
  • On 26 May 2022, Medtronic plc and DaVita Inc. announced plans to launch a kidney technology company. The collaboration is expected to capitalize on both companies' strengths: DaVita's years of experience providing dialysis services and solutions, and Medtronic's expertise in developing medical technologies in the healthcare sector, particularly kidney care. The new company intends to bring both companies' existing renal care solutions portfolios under its umbrella and develop a range of kidney care technology, including home care technology, to make dialysis easier and more accessible for patients.

U.S. Dialysis Service Key Market Trends

  • Both telehealth and dialysis encourage more in-home treatment, less time, and fewer clinic visits. Additionally, it aids in patient education regarding self-care and home methods. To offer care to patients getting treatment, nephrologists and dialysis providers have used telehealth systems.
  • Platforms for telehealth services range from those that only provide video conferencing to those that include enabling self-scheduling, payment collection, and physician notifications. A new telehealth service was launched by Fresenius Medical Care North America with a focus on patients receiving care at home. The organization operates more than 2700 homes and in-centers. By fostering better communication between patients, the clinical care team, and physicians, telehealth intends to maintain the rapid growth of home therapies.

U.S. Dialysis Service Market SkyQuest Analysis

SkyQuest’s ABIRAW (Advanced Business Intelligence, Research & Analysis Wing) is our Business Information Services team that Collects, Collates, Co-relates, and Analyses the Data collected using Primary Exploratory Research backed by robust Secondary Desk research.

According to our analysis, by type, the hemodialysis segment dominated the US dialysis service market in 2021 and is anticipated to maintain its dominance throughout the forecast period. In 2021, Dialysis Center dominated the US dialysis service market owing to the region's improving home therapy.

Report Metric Details
Market size value in 2023 USD 26.2 billion
Market size value in 2031 USD 34.5 billion
Growth Rate 3.11%
Forecast period 2024-2031
Forecast Unit (Value) USD Billion
Segments covered
  • Type
    • Hemodialysis, Peritoneal Dialysis
  • End-User
    • Dialysis Centers, Home Healthcare, Hospitals.
  • Product and Services
    • Equipment (Dialysis machines, Water treatment systems, and Others), Consumables (Dialyzers, Catheters, Access products, Concentrates, and Others), Services (Acute dialysis and Chronic dialysis)
Regions covered North America (US, Canada), Europe (Germany, France, United Kingdom, Italy, Spain, Rest of Europe), Asia Pacific (China, India, Japan, Rest of Asia-Pacific), Latin America (Brazil, Rest of Latin America), Middle East & Africa (South Africa, GCC Countries, Rest of MEA)
Companies covered
  • DaVita Inc.
  • Fresenius Medical Care AG & Co. KGaA
  • U.S. Renal Care, Inc.
  • American Renal Associates Holdings, Inc.
  • Satellite Healthcare, Inc.
  • Dialysis Clinic, Inc.
  • Quik Travel Staffing
  • DSI Renal, Inc.
  • Total Renal Care, Inc.
  • Northwest Kidney Centers
  • Renal Ventures Management LLC
  • RAI Care Centers
  • Liberty Dialysis Holdings, Inc.
  • Atlantic Dialysis Management Services
  • Bio-Medical Applications of Florida, Inc.
  • ARA Dialysis Centers, LLC
  • NxStage Medical, Inc.
  • Caring Dialysis, LLC
  • Midwest Dialysis Centers
  • Central Dialysis Center
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Historical Year 2019

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Table Of Content

Executive Summary

Market overview

  • Exhibit: Executive Summary – Chart on Market Overview
  • Exhibit: Executive Summary – Data Table on Market Overview
  • Exhibit: Executive Summary – Chart on U.S. Dialysis Service Market Characteristics
  • Exhibit: Executive Summary – Chart on Market by Geography
  • Exhibit: Executive Summary – Chart on Market Segmentation
  • Exhibit: Executive Summary – Chart on Incremental Growth
  • Exhibit: Executive Summary – Data Table on Incremental Growth
  • Exhibit: Executive Summary – Chart on Vendor Market Positioning

Parent Market Analysis

Market overview

Market size

  • Market Dynamics
    • Exhibit: Impact analysis of DROC, 2021
      • Drivers
      • Opportunities
      • Restraints
      • Challenges
  • SWOT Analysis

KEY MARKET INSIGHTS

  • Technology Analysis
    • (Exhibit: Data Table: Name of technology and details)
  • Pricing Analysis
    • (Exhibit: Data Table: Name of technology and pricing details)
  • Supply Chain Analysis
    • (Exhibit: Detailed Supply Chain Presentation)
  • Value Chain Analysis
    • (Exhibit: Detailed Value Chain Presentation)
  • Ecosystem Of the Market
    • Exhibit: Parent Market Ecosystem Market Analysis
    • Exhibit: Market Characteristics of Parent Market
  • IP Analysis
    • (Exhibit: Data Table: Name of product/technology, patents filed, inventor/company name, acquiring firm)
  • Trade Analysis
    • (Exhibit: Data Table: Import and Export data details)
  • Startup Analysis
    • (Exhibit: Data Table: Emerging startups details)
  • Raw Material Analysis
    • (Exhibit: Data Table: Mapping of key raw materials)
  • Innovation Matrix
    • (Exhibit: Positioning Matrix: Mapping of new and existing technologies)
  • Pipeline product Analysis
    • (Exhibit: Data Table: Name of companies and pipeline products, regional mapping)
  • Macroeconomic Indicators

COVID IMPACT

  • Introduction
  • Impact On Economy—scenario Assessment
    • Exhibit: Data on GDP - Year-over-year growth 2016-2022 (%)
  • Revised Market Size
    • Exhibit: Data Table on U.S. Dialysis Service Market size and forecast 2021-2027 ($ million)
  • Impact Of COVID On Key Segments
    • Exhibit: Data Table on Segment Market size and forecast 2021-2027 ($ million)
  • COVID Strategies By Company
    • Exhibit: Analysis on key strategies adopted by companies

MARKET DYNAMICS & OUTLOOK

  • Market Dynamics
    • Exhibit: Impact analysis of DROC, 2021
      • Drivers
      • Opportunities
      • Restraints
      • Challenges
  • Regulatory Landscape
    • Exhibit: Data Table on regulation from different region
  • SWOT Analysis
  • Porters Analysis
    • Competitive rivalry
      • Exhibit: Competitive rivalry Impact of key factors, 2021
    • Threat of substitute products
      • Exhibit: Threat of Substitute Products Impact of key factors, 2021
    • Bargaining power of buyers
      • Exhibit: buyers bargaining power Impact of key factors, 2021
    • Threat of new entrants
      • Exhibit: Threat of new entrants Impact of key factors, 2021
    • Bargaining power of suppliers
      • Exhibit: Threat of suppliers bargaining power Impact of key factors, 2021
  • Skyquest special insights on future disruptions
    • Political Impact
    • Economic impact
    • Social Impact
    • Technical Impact
    • Environmental Impact
    • Legal Impact

Market Size by Region

  • Chart on Market share by geography 2021-2027 (%)
  • Data Table on Market share by geography 2021-2027(%)
  • North America
    • Chart on Market share by country 2021-2027 (%)
    • Data Table on Market share by country 2021-2027(%)
    • USA
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • Canada
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
  • Europe
    • Chart on Market share by country 2021-2027 (%)
    • Data Table on Market share by country 2021-2027(%)
    • Germany
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • Spain
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • France
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • UK
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • Rest of Europe
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
  • Asia Pacific
    • Chart on Market share by country 2021-2027 (%)
    • Data Table on Market share by country 2021-2027(%)
    • China
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • India
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • Japan
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • South Korea
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • Rest of Asia Pacific
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
  • Latin America
    • Chart on Market share by country 2021-2027 (%)
    • Data Table on Market share by country 2021-2027(%)
    • Brazil
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • Rest of South America
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
  • Middle East & Africa (MEA)
    • Chart on Market share by country 2021-2027 (%)
    • Data Table on Market share by country 2021-2027(%)
    • GCC Countries
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • South Africa
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • Rest of MEA
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)

KEY COMPANY PROFILES

  • Competitive Landscape
    • Total number of companies covered
      • Exhibit: companies covered in the report, 2021
    • Top companies market positioning
      • Exhibit: company positioning matrix, 2021
    • Top companies market Share
      • Exhibit: Pie chart analysis on company market share, 2021(%)

Methodology

For the U.S. Dialysis Service Market, our research methodology involved a mixture of primary and secondary data sources. Key steps involved in the research process are listed below:

1. Information Procurement: This stage involved the procurement of Market data or related information via primary and secondary sources. The various secondary sources used included various company websites, annual reports, trade databases, and paid databases such as Hoover's, Bloomberg Business, Factiva, and Avention. Our team did 45 primary interactions Globally which included several stakeholders such as manufacturers, customers, key opinion leaders, etc. Overall, information procurement was one of the most extensive stages in our research process.

2. Information Analysis: This step involved triangulation of data through bottom-up and top-down approaches to estimate and validate the total size and future estimate of the U.S. Dialysis Service Market.

3. Report Formulation: The final step entailed the placement of data points in appropriate Market spaces in an attempt to deduce viable conclusions.

4. Validation & Publishing: Validation is the most important step in the process. Validation & re-validation via an intricately designed process helped us finalize data points to be used for final calculations. The final Market estimates and forecasts were then aligned and sent to our panel of industry experts for validation of data. Once the validation was done the report was sent to our Quality Assurance team to ensure adherence to style guides, consistency & design.

Analyst Support

Customization Options

With the given market data, our dedicated team of analysts can offer you the following customization options are available for the U.S. Dialysis Service Market:

Product Analysis: Product matrix, which offers a detailed comparison of the product portfolio of companies.

Regional Analysis: Further analysis of the U.S. Dialysis Service Market for additional countries.

Competitive Analysis: Detailed analysis and profiling of additional Market players & comparative analysis of competitive products.

Go to Market Strategy: Find the high-growth channels to invest your marketing efforts and increase your customer base.

Innovation Mapping: Identify racial solutions and innovation, connected to deep ecosystems of innovators, start-ups, academics, and strategic partners.

Category Intelligence: Customized intelligence that is relevant to their supply Markets will enable them to make smarter sourcing decisions and improve their category management.

Public Company Transcript Analysis: To improve the investment performance by generating new alpha and making better-informed decisions.

Social Media Listening: To analyze the conversations and trends happening not just around your brand, but around your industry as a whole, and use those insights to make better Marketing decisions.

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FAQs

US Dialysis Service Market size was valued at USD 26.2 billion in 2019 and is poised to grow from USD 27.03 billion in 2023 to USD 34.5 billion by 2031, growing at a CAGR of 3.11% in the forecast period (2024-2031).

Manufacturers of dialysis equipment are concentrating on enhancing their market position through strategic alliances and agreements. Companies are enhancing their product ranges and increasing their global reach as a result of the creation of new platforms. 'DaVita Inc.', 'Fresenius Medical Care AG & Co. KGaA', 'U.S. Renal Care, Inc.', 'American Renal Associates Holdings, Inc.', 'Satellite Healthcare, Inc.', 'Dialysis Clinic, Inc.', 'Quik Travel Staffing', 'DSI Renal, Inc.', 'Total Renal Care, Inc.', 'Northwest Kidney Centers', 'Renal Ventures Management LLC', 'RAI Care Centers', 'Liberty Dialysis Holdings, Inc.', 'Atlantic Dialysis Management Services', 'Bio-Medical Applications of Florida, Inc.', 'ARA Dialysis Centers, LLC', 'NxStage Medical, Inc.', 'Caring Dialysis, LLC', 'Midwest Dialysis Centers', 'Central Dialysis Center'

Home hemodialysis may be more advantageous than a clinic or hospital treatment. Patients have the option of lengthier and more frequent sessions. The use of home healthcare services enables hospitals to serve a rising number of patients. For instance, DaVita and Fresenius Medical Care provide two classes: peritoneal and hemodialysis, the latter of which requires a machine and particular filter and is quite similar to what is provided in clinics.

Both telehealth and dialysis encourage more in-home treatment, less time, and fewer clinic visits. Additionally, it aids in patient education regarding self-care and home methods. To offer care to patients getting treatment, nephrologists and dialysis providers have used telehealth systems.

Owing to high availability of facilities, the Southeast region held a notable market share in 2021. Alabama and Georgia have the largest percentage of service providers per patient, with 13.07-17.50 facilities per 1000 ESRD patients, according to the CDC. The region has a higher overall prevalence of end-stage renal disease. According to the CDC, Alabama has a 4% prevalence of ESRD compared to a national prevalence of 2.9%, making it one of the highest reported in the country.

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