Over the years, the managers, physicians, and employees of our dialysis operations have consistently served on regional and national committees, boards and professional organizations to address and enhance the research, reporting and regulatory issues associated with the care and management of ESRD patients. HSM has tenure in facility management, proven patient outcomes, success with clinic/physician research projects. HSM also has worked extensively with academic researchers to further the delivery of dialytic therapy, and has developed an opened and academically owned Vascular Access Center.