We're moving "upstream" to help preserve kidney function for patients with CKD.

It’s time to revolutionize kidney care

Every day, millions of patients across America receive kidney dialysis, the numbers aren’t adding up. The traditional approach to kidney disease costs us thousands of lives and billions of dollars every year. Something has got to change.

High Mortality & Hospitalization

Dialysis patients in the U.S. have a 16% mortality rate and face an average of 1.7 hospitalizations per year.

High Cost

Dialysis and related complications cost private and government payers billions of dollars every year.

Poor Experience

Dialysis centers are often very negative environments with a high number of “non-compliant” patients. Staff suffer from high turnover and burnout.

We're moving "upstream"

The good news? Most patients can avoid dialysis when kidney disease is identified and managed early. We're here to empower patients with the tools and knowledge they need to preserve kidney function. We're rebuilding the entire system from the ground up, forming a new kind of healthcare team centered around the empowered patient.

Kidney care patients deserve control, hope, and dignity.

Meet Dr. Richard Gibney

Dr. Richard Gibney has been in the kidney care industry for over four decades. Like many nephrologists (kidney specialists) he simply didn’t know that there were alternatives to the status quo. In 2006, a partnership with the Institute for Healthcare Improvement (IHI) inspired him to innovate. Years later, his eyes were further opened by a visit from two healthcare professionals from an acclaimed dialysis program in Jonkoping, Sweden.

Over a four year period, Dr. Gibney led the successful transformation of 11 dialysis units in central Texas to an empowered in-center self-care dialysis model, serving over 500 patients. Staff and patients were extremely satisfied, and mortality and hospitalizations were cut in half.

Today, Dr. Gibney and his specialized team of doctors, nurses, and technicians have shifted their focus "upstream" to successfully preserve kidney function for patients with CKD.


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Our “empowered” health philosophy

We are changing the medical experience across the nation, rediscovering patients as people and empowering them to take control of their own health — starting with kidney care.


We help inform, educate, and involve patients, empowering them to take control of their own health.


We help staff members become mentors and coaches, working together with patients in a partnership towards better health.


We help create cultures of mutual trust, earned by listening, sharing stories, and building relationships.


We create communities where everyone is working together towards the same goals and looking out for each other. Empowered staff and patients are happy, appreciative, and productive.

What's your story?

We are in the business of helping kidney patients get the information they need to take control of their health ... and equipping healthcare providers to adopt an empowered kidney care culture!