Physician-Owned Dialysis Is Back

Premier Dialysis Partners helps nephrologists reclaim ownership of outpatient dialysis — building de novo clinics with favorable economics and full clinical autonomy.

Explore the Opportunity
34
Clinics Opened
12
States Active
2.8×
Avg. Equity Multiple
92%
Physician Retention
The Opportunity

Why Nephrologists Are Building Again

For decades, large dialysis organizations have consolidated the outpatient dialysis market, leaving physicians as salaried medical directors with limited upside. That era is ending. Regulatory tailwinds, value-based care models, and frustrated nephrologists are creating a new wave of physician-owned clinics.

Premier Dialysis Partners provides the capital, operational infrastructure, and regulatory expertise to help nephrologists open and own their own dialysis facilities — without leaving their existing practice.

01

De Novo Development

We handle site selection, Certificate of Need applications where required, construction management, and equipment procurement. You focus on patients — we build the clinic.

02

Majority Physician Ownership

Unlike traditional JV models with 20-30% physician stakes, our structure starts physicians at 51% equity with clear paths to increase ownership as the clinic scales.

03

Operational Management

Our management services organization handles billing, staffing, compliance, and supply chain. Physicians retain full clinical authority while we manage the business.

From Our Partners
"After 15 years as a medical director at a large dialysis organization, I had no equity and no voice. Premier helped me open my own 24-station clinic in 14 months. The economics are transformative."
— Board-Certified Nephrologist, Southeast Region
Financial Model

Economics That Work for Physicians

Our clinics are designed to reach operational breakeven within 12-18 months and generate attractive physician distributions by year two. Here's what a typical 24-station clinic looks like:

Representative Unit Economics — 24 Station Clinic

Development Cost (Build-Out + Equipment) $2.4M – $3.1M
Target Census at Maturity 72 – 96 patients
Annual Revenue at Maturity $4.2M – $5.8M
EBITDA Margin (Stabilized) 22% – 28%
Physician Annual Distribution (51% Equity) $470K – $830K
Time to Operational Breakeven 12 – 18 months
Target Exit Multiple (Year 5-7) 8× – 12× EBITDA
Why Premier

Built by Nephrologists, for Nephrologists

Our founding team includes practicing nephrologists who have personally navigated JV exits, noncompete disputes, and the frustrations of corporate dialysis. We built Premier because we lived the problem.

Stark & Anti-Kickback Compliant

Every partnership is structured with healthcare regulatory counsel to ensure full compliance with federal and state self-referral and anti-kickback statutes.

No Noncompete Traps

We don't lock physicians into restrictive covenants. If the partnership isn't working, you retain your equity and your patient relationships.

Value-Based Care Ready

Our clinics are designed from day one for CKCC, KCE, and future CMS value-based payment models — with integrated data infrastructure and care coordination staffing.

Ready to Explore Ownership?

We're selectively partnering with nephrologists in high-growth markets. Schedule a confidential conversation to discuss your market.

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