Focusing on quality and service have enabled the company in 2012 to receive the state order for the provision of dialysis services.

In 2013 there was a breakthrough in the provision of services, the geography of the company’s dialysis centers: there were outpatient dialysis centers in the cities of Pavlodar, Aksu, Ust Kamenogorsk. In the same year there was a significant event – efferentology office was opened on the basis of the republican center – JSC “National Scientific Center of Oncology and Transplantation” in Astana. In this division, in addition to outpatient dialysis became possible medical care for patients with acute renal failure in severe conditions: cancer and hematological pathologies, patients post-natal period. Since then, the company began to provide services to renal replacement therapy in patients with acute renal failure in different regions of the country. With the help of air ambulance specialists LLP «B.B.NURA» started implementing trips to remote regions of the country. The company actively worked on creating a comprehensive approach to patients, vascular profile experts were taken. Work has begun on the formation of vascular access: fistula and installation of permanent catheters. In 2013, the expanded range of services in addition to outpatient and inpatient hemodialysis, the company began to provide services to the population of peritoneal dialysis, plasmasorption, online hemodiafiltration, From the same period, the company implemented an electronic patient monitoring system.

In 2014, outpatient dialysis centers group complemented new clinics opened in Semey and Kyzylorda. Despite the unfavorable ecological background regions, as water purification services led to quality indicators, the appropriate standards since 2014 the clinic began to actively cooperate with the transplant center, preparing patients for the decisive moment in their lives – kidney transplantation. All patients who are served by the company are in the register of potential recipients of renal transplantation.

In 2015, was opened own, inpatient department in Astana on the basis of a multidisciplinary clinic. Resource stationary clock assistance allowed to provide medical care to patients from all branches of the company. In September 2015 it is planned to open the first model of nephrology centre, which will provide a full range of services to patients from outpatient to inpatient care with elements of preparation of patients for kidney transplantation. Since 2015 the company adopted the concept of development and policy on quality management. Was created a clinical department with the external auditors and mentors. Clinical audit is conducted on an ongoing basis. Differentiated approach to the payment of specialists has allowed to achieve motivation on the quality of service. Set goals for obtaining international accreditation JCI. One of the main aspects of the company was to focus on the principle of human resources: the quality of services for patients and focus on improving the quality of staff with continuing education methods.

In 2016, Nephrology Center was built and put into operationin Pavlodar. This medical center provides a complete nephrological cycle of treatment from diagnosis of kidney diseases to transfer to transplantation, as well as post-transplantation care of patients. It was in our Nephrological Center on March 16 that the famous joke of the President of the Republic of Kazakhstan was made: “… the doctors are divided into three categories: the first category is” from God “, the second one is” well, with God “and the third category is” God forbid “.Model for construction of Nephrology Centers was approved by company within the framework of PPP lawand draft memorandums for the construction of similar nephrological centers were sent to the Public Health Department of Kyzylorda and South Kazakhstan oblasts.In 2016, a professional  with international experience in managing dialysis clinics Dr. M. FatihErgeser was invited to the position of the company’s general manager. The company has improved quality of hemodialysis’procedure, quality of staff’s work, thus the company is coming closer to international quality standards. The company’s management is implementing measures aimed at developing medical personnel, our doctors took an active part as lecturers at the IV International Kazakh-Turkish Nephrological Congress and attended annual international conference ERA-EDTA. On a regular basis, advanced training of medium level medical staff  is carried out according to the corporate educational programs.Desire to cover the need for medical care for remote regions of the country is one of the main principles of the network of dialysis clinics “B.B. NURA”. To that effect, a center opened in the city of Kokshetauin Akmola regional hospital. This center accepts patients from all surrounding areas of Akmola region (Shchuchinsky, Zerendinsky, Atbasarsky, Zharkainsky, etc.).The center is open in the most densely populated region of our country, in Shymkent. Patients of the South Kazakhstan region were enormously happy to host the opening of “B.B. NURA”dialysis center!

In 2017, the company is developing the availability of nephrological services in the south of Kazakhstan. For this purpose, outpatient dialysis centers have been opened throughout the year in the cities of Atbasar, Shieli and Aralsk.

Since 2017, the company has been committed to expanding the range of nephrological services. The process of transformation of outpatient dialysis centers into nephrocenters has begun. The new centers not only provide dialysis services, but also the possibility of inpatient treatment of patients with acute renal failure and the formation of vascular access, providing advisory assistance to the population with preventive measures to reduce CKD. In addition, an educational center has been opened for the training of competent specialists in the field of efferent therapy and advanced training of medical personnel.

To meet the needs for nephrological services and the availability of vital dialysis procedures, outpatient dialysis centers have been opened in the largest region of the country – the Karaganda region has expanded with new centers in the cities of Atasu and Saran.

In June, an outpatient dialysis center was opened in Saran, built under a public-private partnership (PPP) project. The Saransk Center also serves patients from the nearby villages of Topar, Novodubovka and Aktas. The capacity of the center allows to receive up to 10 patients daily.

The Atasu Center was opened in November 2018 on the basis of the Central Zhanaarka Hospital. The capacity of the center allows to receive up to 6 patients per day. Today, the center's services are used by patients from Atasu and the village of Aktobek.

Previously, patients were forced to travel to Karaganda to receive hemodialysis procedures, but now this is no longer necessary. Both centers are equipped with modern Dialog+ devices, transportation to the procedure and back home is organized for patients, hot meals and wi-fi are provided.

This year is full of ambitious plans for the company, some of which have already been successfully implemented. Significant events were the opening of outpatient dialysis centers in the cities of Stepnogorsk, Akmola region and Zaisan in East Kazakhstan region.

Within the framework of the III National Congress of Nephrologists, Dialysis Doctors and Transplantologists of the Republic of Kazakhstan, representatives of B.B.NURA and ABM-Medicus companies presented a model of a modern nephrocenter.

Throughout the year, the nephrology department conducts screenings in various regions to detect CKD. To date, more than 300 residents of Astana and Stepnogorsk have been screened. During the screening, 215 people with CKD were identified.

Active participation in the provision of assistance to patients with CVI by methods of efferent therapy.