About American Renal Associates In 2021, Innovative Renal Care (IRC) and American Renal Associates (ARA) merged to become the IRC family of companies. IRC, along with ARA’s legacy clinics and partnerships, provides high-quality care to patients suffering from End Stage Renal Disease (ESRD) and other kidney conditions. Innovative Renal Care (IRC) family of companies is one of the largest dialysis services providers in the United States. IRC is a company built on partnerships. We work with nephrologists and health systems around the country to provide exceptional patient care through clinical expertise and administrative support.