Dialysis Center Valuation
Dialysis Center Valuation Calculator & Exit Planning Built for Dialysis Facility Owners
We built one platform that tracks your dialysis center's value monthly, identifies exit gaps early, and ensures your personal finances align with your exit timeline.
1,000+ Businesses have joined YourExitValue.com
Most Dialysis Center Owners Have No Idea What Their Facility is Actually Worth
Current Dialysis Center Valuation Multiples (2026)
Dialysis center valuations depend on patient census and treatment volume. Here's the market:
Every business is different. That's why you need to track your value.
Included in Your Exit Value is a complete Exit Planning Assessment where you track your progress quarterly against your results from the previous quarter.
Know your number and watch it grow
Most business owners guess at their value. You'll know it with precision.
Our platform uses six proven valuation methodologies to give you a complete picture of what your business is worth today—and tracks how that number changes month over month. No more waiting for annual appraisals or paying $15K+ for outdated reports.
See your trends. Spot opportunities. Make informed decisions
What Actually Drives Dialysis Center Value
Your patient care matters, but sophisticated buyers evaluate these factors that determine premium pricing:
Patient Census
Strong Stable Census
Patient census is fundamental—how many patients are you treating? Dialysis patients require ongoing treatment, so census represents recurring revenue. Track census over time; buyers want stable or growing patient counts. Census attrition raises questions about care quality or competition.
Declining census = buyer concern
Treatment Volume
High Station Utilization
How efficiently do you utilize your dialysis stations? Treatment volume per station indicates operational efficiency. High utilization demonstrates capacity optimization. Calculate your treatments per station per day; it's a key efficiency metric.
Low utilization = efficiency gap
Payer Mix
Commercial + Medicare Mix
Commercial insurance reimburses significantly higher than Medicare for dialysis. Your commercial vs Medicare mix dramatically affects economics. Track payer distribution carefully. Centers with higher commercial mix have better margins and command premium valuations.
Medicare-only = lower margins
Regulatory Compliance
Clean Surveys, CMS Certification
Dialysis facilities operate under CMS conditions of participation. Clean survey history and ongoing compliance are non-negotiable. Any regulatory issues—deficiencies, sanctions, or compliance problems—create deal risk that acquirers will either discount heavily or walk away from.
Compliance issues = deal risk
Quality Metrics
Strong CMS Star Ratings
CMS publishes quality metrics including star ratings. Strong quality scores demonstrate clinical excellence and increasingly affect reimbursement. Poor quality metrics raise concerns about care standards and may impact future economics.
Poor quality = reimbursement risk
Nephrologist Relationships
Strong Medical Director + Referrals
Nephrologists control patient placement. Strong medical director relationships and referral partnerships provide patient flow. Understanding your nephrologist relationships and their stability matters for assessing future census sustainability.
Weak relationships = census risk
How to Value a Dialysis Center
The U.S. dialysis market is dominated by large chains but includes hundreds of independent centers generating significant revenue. Dialysis centers provide life-sustaining treatment, creating exceptionally stable and predictable revenue streams.
EBITDA is the standard valuation method. Independent dialysis centers typically sell for 5.0x to 10.0x EBITDA. The high multiples reflect the essential nature of the service — patients require dialysis 3x per week — and the predictability of Medicare and commercial reimbursement.
Revenue multiples for dialysis centers generally range from 1.0x to 2.5x annual revenue. Centers with a favorable commercial payer mix command significantly higher multiples because commercial reimbursement rates for dialysis are substantially higher than Medicare rates.
The unique valuation driver for dialysis centers is the patient census, payer mix, and treatment station count. Each dialysis station generates predictable revenue based on utilization rates. Centers operating at high capacity with growing patient censuses are most valuable. The commercial vs. Medicare patient ratio is often the single most important valuation variable — a center where 30% of patients have commercial insurance is worth dramatically more than one with 95% Medicare patients, because commercial rates can be 3-5x higher per treatment.
DaVita and Fresenius dominate the market, but independent centers remain acquisition targets for both chains and PE-backed platforms seeking dialysis assets. Use our free calculator above to get your instant estimate, then track your value monthly with YourExitValue.
Frequently Asked Questions
What multiple do dialysis centers sell for?
Dialysis centers typically sell for 4.0x – 7.0x SDE or 6x – 12x EBITDA. Centers with strong census, good commercial payer mix, and clean compliance command premium multiples.
How does payer mix affect dialysis value?
Dramatically. Commercial insurance reimburses significantly higher than Medicare. Centers with better commercial mix have superior economics and command premium valuations.
Who buys dialysis centers?
Large dialysis companies (DaVita, Fresenius dominate the market), regional dialysis operators, hospital systems, and nephrology groups building dialysis presence.
How important is regulatory compliance?
Critical. Dialysis operates under CMS conditions of participation. Clean compliance is non-negotiable. Any regulatory issues create deal risk that buyers heavily discount or avoid.
Does census stability affect value?
Yes. Dialysis patients require ongoing treatment—census represents recurring revenue. Stable or growing census demonstrates sustainable operations. Declining census is a red flag.
What's the fastest way to increase my dialysis center value?
Three high-impact moves: 1) Grow patient census through nephrologist relationships, 2) Improve commercial payer mix through contracting, 3) Maintain impeccable regulatory compliance.