Federal Capture Intelligence

Top VA kidney dialysis centers contractors (NAICS 621492)

Contract actions: October 1, 2021 – October 23, 2026 Updated October 24, 2026 Department of Veterans Affairs agency guide NAICS 621492 · Kidney Dialysis Centers
Latest 12 months
$464.2M
Net obligations · Down $946.1M vs. $1.4B preceding
Prime contractors
17
With positive obligations in the latest 12 months

Research the VA federal contracting market for kidney dialysis centers under NAICS 621492. Compare top federal contractors and market share, reported contract obligations and spending trends, funding-office attribution, recent award activity, and contract types, competition, and procurement methods.

Contract obligation trends for Kidney Dialysis Centers at the Department of Veterans Affairs

Federal records show $3.2B in net obligations across 232 awards in Kidney Dialysis Centers at the Department of Veterans Affairs from Oct 1, 2021 through Oct 23, 2026. This market accounts for 0.92% of $349.8B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations decreased 67.1% from $1.4B to $464.2M. 2 prime contractors accounted for at least 80% of positive obligations in that latest period.

Fiscal-year activity

FY27 is year-to-date through Oct 23, 2026; earlier years show complete fiscal-year totals.

FY27 year-to-date: $350 versus $69.1M through the same date in FY26 (−100.0%).
Net obligations · complete fiscal yearNet obligations · FY27 YTDContract actions
View fiscal-year data table
Fiscal yearNet obligationsContract actionsCoverage
FY2022$651.1M65Complete
FY2023$689.1M49Complete
FY2024$2.9M36Complete
FY2025$1.3B117Complete
FY2026$533.3M65Complete

Market at a glance

All reported prime contract awards
All-period net obligations
$3.2B
232 awards · 31 prime contractors
Latest 12-month movement
−67.1%
$464.2M vs. $1.4B
Leading eight prime share
99.7%
Share held by the eight leading prime contractors in the latest 12 months
View agency share, denominators, and set-aside reporting
Agency context
0.92% of $349.8B in agency-wide net obligations.
Set-aside share when reported
18.8% of 16 awards with reported set-aside status.
Set-aside reporting
3 set aside · 13 no set-aside · 216 not reported

What changed in the last 12 months?

Oct 24, 2025–Oct 23, 2026, compared with Oct 24, 2024–Oct 23, 2025.

Competitive shifts

FRESENIUS MEDICAL CARE HOLDINGS INC had the largest decline in reported obligations
$666.8M→$236.7M−$430.1M
The contractor now ranks #1 by positive obligations and accounts for 51.0% of positive obligations, based on 5 reported actions.
DAVITA INC. lost the most market share
39.7%→32.9%−6.8 percentage points
The contractor now ranks #2 by positive obligations, based on 9 reported actions.
FRESENIUS MEDICAL CARE HOLDINGS INC gained the most market share
47.3%→51.0%+3.7 percentage points
The contractor now ranks #1 by positive obligations, based on 5 reported actions.

Market structure

This market declined more steeply than 95.6% of comparable agency NAICS markets
−67.1%Agency median −7.0%
The agency comparison covers 149 comparable NAICS markets.

Buyer demand

Reported obligations through VHACO COMMUNITY CARE decreased
$900.4M→$201.5M−$698.9M
Latest-period activity spans 3 awards across 1 prime contractor.

Award activity

How these findings are calculated

Findings are selected from matched-period changes in obligations, share, rank, funding offices, concentration, reported set-asides, material award actions, and agency-peer outliers. Related signals are combined, and only material evidence-backed changes are shown. Review the full methodology.

Federal contract obligations by funding office

See how positive obligations were attributed across funding offices in the 12 months ending Oct 23, 2026.

56.1% of positive obligations were attributed to STRATEGIC ACQUISITION CENTER FREDERICKSBURG (36C10G). That represents $260.4M, down $228.8M from the preceding 12 months.

Latest 12-month share of positive obligations; the gray segment represents all other reported offices.

  1. STRATEGIC ACQUISITION CENTER FREDERICKSBURG (36C10G)56.1% · $260.4M · down $228.8M
  2. VHACO COMMUNITY CARE43.4% · $201.5M · down $698.9M
  3. 261-NETWORK CONTRACT OFFICE 21 (36C261)0.32% · $1.5M · down $176K
  4. 589 KAN WESTERN ORBIT0.080% · $355K · up $97K
  5. 531-BOISE (00531)0.050% · $248K · up $213K
  6. All other reported offices0.10% of positive obligations
View reported office rankings, comparisons, and evidence

USAspending assigns each award to a funding office. That office may differ from the requiring activity, program office, contracting office, individual buyer, or actual customer.

  1. Reported funding office

    STRATEGIC ACQUISITION CENTER FREDERICKSBURG (36C10G)

    #1Up 1 from #2

    Latest 12 months

    $260.4M

    56.1% of positive obligations

    Versus preceding 12 months

    −$228.8M

    9 active prime contractors · 24 awards

    View office comparison and evidence

    Reported obligations decreased 46.8% from $489.2M to $260.4M. The office’s share of positive obligations moved from 34.7% to 56.1%, a change of +21.4 percentage points.

    The latest period contains 24 actions across 24 awards and 1 newly active prime contractor. The preceding period contained 8 active prime contractors and 56 awards.

  2. Reported funding office

    VHACO COMMUNITY CARE

    #2Down 1 from #1

    Latest 12 months

    $201.5M

    43.4% of positive obligations

    Versus preceding 12 months

    −$698.9M

    1 active prime contractor · 3 awards

    View office comparison and evidence

    Reported obligations decreased 77.6% from $900.4M to $201.5M. The office’s share of positive obligations moved from 63.8% to 43.4%, a change of −20.4 percentage points.

    The latest period contains 3 actions across 3 awards. The preceding period contained 9 active prime contractors and 30 awards.

    Leading award-level changes

  3. Reported funding office

    261-NETWORK CONTRACT OFFICE 21 (36C261)

    #3Up 1 from #4

    Latest 12 months

    $1.5M

    0.32% of positive obligations

    Versus preceding 12 months

    −$176K

    4 active prime contractors · 6 awards

    View office comparison and evidence

    Reported obligations decreased 10.7% from $1.7M to $1.5M. The office’s share of positive obligations moved from 0.12% to 0.32%, a change of +0.2 percentage points.

    The latest period contains 6 actions across 6 awards and 1 newly active prime contractor. The preceding period contained 3 active prime contractors and 7 awards.

  4. Reported funding office

    589 KAN WESTERN ORBIT

    #4Up 3 from #7

    Latest 12 months

    $355K

    0.080% of positive obligations

    Versus preceding 12 months

    +$97K

    3 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations increased 37.8% from $258K to $355K. The office’s share of positive obligations moved from 0.020% to 0.080%, a change of +0.1 percentage points.

    The latest period contains 4 actions across 4 awards and 1 newly active prime contractor. The preceding period contained 2 active prime contractors and 4 awards.

  5. Reported funding office

    531-BOISE (00531)

    #5Up 7 from #12

    Latest 12 months

    $248K

    0.050% of positive obligations

    Versus preceding 12 months

    +$213K

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations increased 593.9% from $36K to $248K. The office’s share of positive obligations moved from 0% to 0.050%, a change of +0.1 percentage points.

    The latest period contains 2 actions across 2 awards. The preceding period contained 1 active prime contractor and 4 awards.

  6. Reported funding office

    504-AMARILLO (00504)

    #6Up 4 from #10

    Latest 12 months

    $191K

    0.040% of positive obligations

    Versus preceding 12 months

    +$121K

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations increased 174.1% from $70K to $191K. The office’s share of positive obligations moved from 0% to 0.040%, a change of 0.0 percentage points.

    The latest period contains 2 actions across 2 awards. The preceding period contained 1 active prime contractor and 3 awards.

  7. Reported funding office

    636-NEBRASKA WESTERN-IOWA (00636)

    #7Up 2 from #9

    Latest 12 months

    $159K

    0.030% of positive obligations

    Versus preceding 12 months

    +$5K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations increased 3.4% from $154K to $159K. The office’s share of positive obligations moved from 0.010% to 0.030%, a change of 0.0 percentage points.

    The latest period contains 3 actions across 1 award. The preceding period contained 1 active prime contractor and 1 award.

  8. Reported funding office

    635-OKLAHOMA CITY (00635)

    #8Down 3 from #5

    Latest 12 months

    $107K

    0.020% of positive obligations

    Versus preceding 12 months

    −$995K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations decreased 90.3% from $1.1M to $107K. The office’s share of positive obligations moved from 0.080% to 0.020%, a change of −0.1 percentage points.

    The latest period contains 4 actions across 1 award. The preceding period contained 1 active prime contractor and 1 award.

  9. Reported funding office

    248-NETWORK CONTRACT OFFICE 8 (36C248)

    #9Up 2 from #11

    Latest 12 months

    $58K

    0.010% of positive obligations

    Versus preceding 12 months

    −$9K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations decreased 13.5% from $67K to $58K. The office’s share of positive obligations moved from 0% to 0.010%, a change of 0.0 percentage points.

    The latest period contains 2 actions across 1 award. The preceding period contained 1 active prime contractor and 1 award.

  10. Reported funding office

    556-FHCC(N CHICAGO)(00556)(36C556)

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    +$369K

    0 active prime contractors · 0 awards

    View office comparison and evidence

    Reported obligations moved from $369K in net deobligations to $0 in net obligations. The office’s share of positive obligations moved from 0% to 0%, a change of 0.0 percentage points.

    The latest period contains 0 actions across 0 awards. The preceding period contained 1 active prime contractor and 3 awards.

    Leading award-level changes

  11. Reported funding office

    573-NF/SG VETS HOSP(00573)(36C573)

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    −$17.1M

    0 active prime contractors · 0 awards

    View office comparison and evidence

    Reported obligations decreased 100.0% from $17.1M to $0. The office’s share of positive obligations moved from 1.2% to 0%, a change of −1.2 percentage points.

    The latest period contains 0 actions across 0 awards. The preceding period contained 2 active prime contractors and 2 awards.

  12. Reported funding office

    580-HOUSTON(00580)

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    +$6K

    0 active prime contractors · 0 awards

    View office comparison and evidence

    Reported obligations moved from $6K in net deobligations to $0 in net obligations. The office’s share of positive obligations moved from 0% to 0%, a change of 0.0 percentage points.

    The latest period contains 0 actions across 0 awards. The preceding period contained 1 active prime contractor and 1 award.

  13. Reported funding office

    637-ASHEVILLE (00637)(36C637)

    No positive-obligation rank

    Latest 12 months

    −$294K

    0% of positive obligations

    Versus preceding 12 months

    −$536K

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations moved from $242K in net obligations to $294K in net deobligations. The office’s share of positive obligations moved from 0.020% to 0%, a change of 0.0 percentage points.

    The latest period contains 2 actions across 2 awards and 1 newly active prime contractor. The preceding period contained 1 active prime contractor and 1 award.

Contract types, competition, and procurement methods

From Oct 24, 2025 through Oct 23, 2026, 36 awards had positive obligations totaling $465.0M. Only One Source was the leading reported procedure, accounting for 98.4% of positive obligations. Awards with a reported parent IDV accounted for 99.9%.

Leading award type
99.9%
Delivery Order
Leading reported procedure
98.4%
Only One Source
Reported parent IDV
99.9%
of positive obligations had a reported parent IDV
Median reported offers
1
9 of 36 awards reported offers

Buying method changes

Compared with Oct 24, 2024–Oct 23, 2025. Based on 36 current awards and 105 preceding awards with positive net obligations.

Exactly matched vehicle obligation share
0%
Down from 31.3% in the preceding period
Reported full-and-open obligation share
1.1%
Down from 31.4% in the preceding period
Median positive award obligations
$388K
Down from $818K in the preceding period
How to read these changes

Directional color and the Up or Down labels show historical movement only. Green does not mean favorable and red does not mean unfavorable; neither predicts a future procurement method.

View buying-method details and data coverage

Award types

Reported valueAwardsPositive obligationsShare
Delivery Order(C)32$464.7M99.9%
Definitive Contract(D)2$266K0.060%
Purchase Order(B)2$58K0.010%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)32$464.7M99.9%
Not reported4$324K0.070%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Single Award(S)27$460.2M99.0%
Multiple Award(M)5$4.5M0.97%
Not reported4$324K0.070%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Only One Source(SSS)21$457.5M98.4%
Subject to Multiple Award Fair Opportunity(MAFO)5$4.5M0.97%
Simplified Acquisition(SP1)4$1.8M0.40%
Negotiated Proposal/Quote(NP)2$538K0.12%
Sp1(SIMPLIFIED ACQUISITION)2$355K0.080%
Two Step(TS)1$282K0.060%
Other reported values1$350<0.0001%

Extent competed

Reported valueAwardsPositive obligationsShare
Not Competed(C)21$457.5M98.4%
Full and Open Competition(A)8$5.3M1.1%
Competed Under SAP(F)4$1.8M0.40%
F(COMPETED UNDER SAP)2$355K0.080%
C(NOT COMPETED)1$3500%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Fair Opportunity Given(FAIR)5$4.5M0.97%
Not reported31$460.5M99.0%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
Urgency (FAR 6.302-2)(URG)14$397.6M85.5%
Only One Source-Other (FAR 6.302-1 Other)(ONE)8$59.9M12.9%
Not reported14$7.5M1.6%

Contract pricing types

Reported valueAwardsPositive obligationsShare
Firm Fixed Price(J)33$464.7M99.9%
J(FIRM FIXED PRICE)3$356K0.080%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Medical- Other(Q999)30$463.7M99.7%
Medical- Nursing(Q401)2$616K0.13%
Family & Internal Medicine Services(Q509)2$408K0.090%
Hematology & Oncology(Q508)1$205K0.040%
Maint/Repair/Rebuild of Equipment- Medical, Dental, and Veterinary Equipment and Supplies(J065)1$58K0.010%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Department of Veterans Affairs(3600)36$465.0M100.0%

Awarding offices

Reported valueAwardsPositive obligationsShare
Strategic Acquisition Center Fredericksburg (36c10g)(36C10G)25$461.9M99.3%
261-Network Contract Office 21 (36c261)(36C261)4$1.7M0.36%
255-Network Contract Office 15 (36c255)(36C255)2$616K0.13%
260-Network Contract Office 20 (36c260)(36C260)1$248K0.050%
257-Network Contract Office 17 (36c257)(36C257)1$205K0.040%
Network Contract Office 23 (36c263)(36C263)1$159K0.030%
Other reported values2$165K0.035%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
36C10G24D0088(3600)2$201.5M43.3%
36C10G24D0093(3600)2$148.3M31.9%
36C10G25D0043(3600)1$34.9M7.5%
36C10G24D0096(3600)2$24.1M5.2%
36C10G24D0064(3600)2$23.0M4.9%
36C10G24D0094(3600)2$14.0M3.0%
36C10G24D0095(3600)2$5.7M1.2%
36C10G25D0031(3600)1$5.2M1.1%
Other reported values18$8.0M1.7%
Not reported4$324K0.070%

Offers, award size, and timing

Median reported offers
1 median
9 reported · 27 not reported
Positive award obligations
$388K median
$126K–$5.0M middle 50%
Reported performance period
30 days median
36 reported · 0 not reported

Calculations group latest-period actions by award, retain awards with positive net obligations for share denominators, and use each award's latest reported USAspending procurement fields as of Oct 23, 2026. Blank competition, pricing, PSC, or parent-IDV values remain not reported; they are not inferred. Offer counts must be positive and below the FPDS 999 placeholder. Awarding organizations can differ from the funding agency that defines this page.

Top federal contractors

Latest 12-month market share, concentration, and complete prime contractor rankings across the period shown.

Prime contractor concentration
2 of 17prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
51.0%of positive obligations in the last 12 months
Leading four prime contractors
95.2%of positive obligations in the last 12 months
Leading eight prime contractors
99.7%of positive obligations in the last 12 months

Based on $464.5M in positive obligations during the 12 months ending Oct 23, 2026. Individual shares and movement appear in the searchable rankings below. Movement compares with Oct 24, 2024–Oct 23, 2025.

Last 12mo obligation volume: Highest positive obligations first; net deobligations follow by magnitude; contractors with no activity in the last 12 months follow by all-period obligations. Ranks use the complete contractor list and remain fixed when search narrows the results.

15 leading contractors
  1. #1

    Last 12mo obligations

    $236.7M

    51.0%

    Dollar movement

    −$430.1M

    vs. prior 12 months

    Last 12mo awards

    5 awards

    5 actions

    Historical and award details for FRESENIUS MEDICAL CARE HOLDINGS INC
    Obligations: prior → latest
    $666.8M → $236.7M
    −64.5%
    Share: prior → latest
    47.3% → 51.0%
    +3.7 percentage points
    All-period obligations
    $1.5B
    47.9% of all-period positive obligations · 17 awards
    Recorded activity
    Since Sep 30, 2022
    through May 13, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported510
    Reported small business00
    All-period set-aside types

    None reported.

  2. #2

    Last 12mo obligations

    $152.8M

    32.9%

    Dollar movement

    −$407.2M

    vs. prior 12 months

    Last 12mo awards

    9 awards

    9 actions

    Historical and award details for DAVITA INC.
    Obligations: prior → latest
    $560.0M → $152.8M
    −72.7%
    Share: prior → latest
    39.7% → 32.9%
    −6.8 percentage points
    All-period obligations
    $1.2B
    38.7% of all-period positive obligations · 41 awards
    Recorded activity
    Since Oct 1, 2021
    through May 29, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported921
    Reported small business00
    All-period set-aside types

    None reported.

  3. #3

    Last 12mo obligations

    $28.2M

    6.1%

    Dollar movement

    −$24.9M

    vs. prior 12 months

    Last 12mo awards

    4 awards

    4 actions

    Historical and award details for AMERICAN RENAL ASSOCIATES LLC
    Obligations: prior → latest
    $53.1M → $28.2M
    −46.9%
    Share: prior → latest
    3.8% → 6.1%
    +2.3 percentage points
    All-period obligations
    $126.1M
    3.9% of all-period positive obligations · 16 awards
    Recorded activity
    Since Sep 30, 2022
    through May 13, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported410
    Reported small business00
    All-period set-aside types

    None reported.

  4. #4

    Last 12mo obligations

    $24.5M

    5.3%

    Dollar movement

    −$26.9M

    vs. prior 12 months

    Last 12mo awards

    3 awards

    3 actions

    Historical and award details for US RENAL CARE INC
    Obligations: prior → latest
    $51.4M → $24.5M
    −52.3%
    Share: prior → latest
    3.6% → 5.3%
    +1.6 percentage points
    All-period obligations
    $111.9M
    3.5% of all-period positive obligations · 15 awards
    Recorded activity
    Since Sep 30, 2022
    through May 13, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported310
    Reported small business00
    All-period set-aside types

    None reported.

  5. #5

    Last 12mo obligations

    $14.3M

    3.1%

    Dollar movement

    −$42.7M

    vs. prior 12 months

    Last 12mo awards

    5 awards

    5 actions

    Historical and award details for DIALYSIS CLINIC, INC.
    Obligations: prior → latest
    $57.0M → $14.3M
    −75.0%
    Share: prior → latest
    4.0% → 3.1%
    −1.0 percentage points
    All-period obligations
    $131.8M
    4.1% of all-period positive obligations · 21 awards
    Recorded activity
    Since Jan 1, 2022
    through May 13, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported512
    Reported small business00
    All-period set-aside types

    None reported.

  6. #6

    Last 12mo obligations

    $5.7M

    1.2%

    Dollar movement

    −$5.9M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    2 actions

    Historical and award details for DIALYSIS NEWCO, LLC
    Obligations: prior → latest
    $11.6M → $5.7M
    −51.0%
    Share: prior → latest
    0.82% → 1.2%
    +0.4 percentage points
    All-period obligations
    $30.7M
    0.95% of all-period positive obligations · 14 awards
    Recorded activity
    Since Sep 30, 2022
    through Dec 17, 2025

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported210
    Reported small business00
    All-period set-aside types

    None reported.

  7. #7

    Last 12mo obligations

    $855K

    0.18%

    Dollar movement

    +$37K

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for TOTAL RENAL CARE INC
    Obligations: prior → latest
    $818K → $855K
    +4.5%
    Share: prior → latest
    0.060% → 0.18%
    +0.1 percentage points
    All-period obligations
    $2.4M
    0.070% of all-period positive obligations · 3 awards
    Recorded activity
    Since Mar 28, 2024
    through Mar 10, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported11
    Reported small business00
    All-period set-aside types

    None reported.

  8. #8

    Last 12mo obligations

    $282K

    0.060%

    Dollar movement

    +$282K

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for RENAL TREATMENT CENTERS-WEST, INC.
    Obligations: prior → latest
    $0 → $282K
    Not comparable
    Share: prior → latest
    0% → 0.060%
    +0.1 percentage points
    All-period obligations
    $282K
    0.010% of all-period positive obligations · 1 award
    Recorded activity
    Since Nov 20, 2025
    through Nov 20, 2025

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported10
    Reported small business00
    All-period set-aside types

    None reported.

  9. #9

    Last 12mo obligations

    $262K

    0.060%

    Dollar movement

    −$3.1M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    2 actions

    Historical and award details for RSA - GUAM LLC
    Obligations: prior → latest
    $3.4M → $262K
    −92.2%
    Share: prior → latest
    0.24% → 0.060%
    −0.2 percentage points
    All-period obligations
    $7.2M
    0.22% of all-period positive obligations · 14 awards
    Recorded activity
    Since Sep 30, 2022
    through Dec 17, 2025

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported210
    Reported small business00
    All-period set-aside types

    None reported.

  10. #10

    Last 12mo obligations

    $222K

    0.050%

    Dollar movement

    −$1.5M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    2 actions

    Historical and award details for CENTRAL FLORIDA KIDNEY CENTERS, INC
    Obligations: prior → latest
    $1.7M → $222K
    −87.0%
    Share: prior → latest
    0.12% → 0.050%
    −0.1 percentage points
    All-period obligations
    $3.5M
    0.11% of all-period positive obligations · 13 awards
    Recorded activity
    Since Sep 30, 2022
    through Dec 17, 2025

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported29
    Reported small business00
    All-period set-aside types

    None reported.

  11. #11

    Last 12mo obligations

    $213K

    0.050%

    Dollar movement

    −$2.2M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    2 actions

    Historical and award details for ATLANTIS HEALTHCARE GROUP (PUERTO RICO), INC.
    Obligations: prior → latest
    $2.5M → $213K
    −91.3%
    Share: prior → latest
    0.17% → 0.050%
    −0.1 percentage points
    All-period obligations
    $5.2M
    0.16% of all-period positive obligations · 13 awards
    Recorded activity
    Since Sep 30, 2022
    through Dec 17, 2025

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported29
    Reported small business00
    All-period set-aside types

    None reported.

  12. #12

    Last 12mo obligations

    $191K

    0.040%

    Dollar movement

    +$121K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    2 actions

    Historical and award details for RENAL TREATMENT CENTERS - SOUTHEAST LP
    Obligations: prior → latest
    $70K → $191K
    +174.1%
    Share: prior → latest
    0% → 0.040%
    0.0 percentage points
    All-period obligations
    $666K
    0.020% of all-period positive obligations · 7 awards
    Recorded activity
    Since Dec 2, 2021
    through Jul 28, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported23
    Reported small business00
    All-period set-aside types

    None reported.

  13. #13

    Last 12mo obligations

    $159K

    0.030%

    Dollar movement

    +$5K

    vs. prior 12 months

    Last 12mo awards

    1 award

    3 actions

    Historical and award details for RCG MERCY DES MOINES, LLC
    Obligations: prior → latest
    $154K → $159K
    +3.4%
    Share: prior → latest
    0.010% → 0.030%
    0.0 percentage points
    All-period obligations
    $918K
    0.030% of all-period positive obligations · 1 award
    Recorded activity
    Since Jul 14, 2023
    through Jul 16, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  14. #14

    Last 12mo obligations

    $107K

    0.020%

    Dollar movement

    −$995K

    vs. prior 12 months

    Last 12mo awards

    1 award

    4 actions

    Historical and award details for RENAL TREATMENT CENTERS - WEST, INC
    Obligations: prior → latest
    $1.1M → $107K
    −90.3%
    Share: prior → latest
    0.080% → 0.020%
    −0.1 percentage points
    All-period obligations
    $2.2M
    0.070% of all-period positive obligations · 2 awards
    Recorded activity
    Since Sep 20, 2022
    through Sep 11, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  15. #15

    Last 12mo obligations

    $58K

    0.010%

    Dollar movement

    −$9K

    vs. prior 12 months

    Last 12mo awards

    1 award

    2 actions

    Historical and award details for FRESENIUS USA, INC
    Obligations: prior → latest
    $67K → $58K
    −13.5%
    Share: prior → latest
    0% → 0.010%
    0.0 percentage points
    All-period obligations
    $326K
    0.010% of all-period positive obligations · 1 award
    Recorded activity
    Since Aug 3, 2022
    through Jul 24, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

Recent federal contract award activity

Recent contract actions with unusually large obligation changes or meaningful shifts in contractor and funding-office activity.

Base award

This action

+$160.9M

FRESENIUS MEDICAL CARE HOLDINGS INC

VHACO COMMUNITY CARE

EXPRESS REPORT: FY 26 NOVEMBER NDSC EXPRESS REPORT

Why it stands out

One action equaled more than a third of the market’s latest 12-month positive obligations.

The $160.9M action represented 34.6% of the market’s positive obligations over the latest 12 months.

Award net obligations
$160.9M
Share of 12-month positive obligations
34.6%
Supporting data
Prime contractor
#1 · 51.0% share
$430.1M net decline despite this positive action
Funding office
#2 · 43.4% attributed share
$698.9M net decline despite this positive action
Related:Unusually large action
PIID 36C10G26K0200
Base award

This action

+$121.4M

DAVITA INC.

STRATEGIC ACQUISITION CENTER FREDERICKSBURG (36C10G)

EXPRESS REPORT: FY 26 NOVEMBER NDSC EXPRESS REPORT

Why it stands out

One action equaled at least a quarter of the market’s latest 12-month positive obligations.

The $121.4M action represented 26.1% of the market’s positive obligations over the latest 12 months.

Award net obligations
$121.4M
Share of 12-month positive obligations
26.1%
Supporting data
Prime contractor
#2 · 32.9% share
$407.2M net decline despite this positive action
Funding office
#1 · 56.1% attributed share
$228.8M net decline despite this positive action
PIID 36C10G26K0197
Base award

This action

+$40.5M

FRESENIUS MEDICAL CARE HOLDINGS INC

VHACO COMMUNITY CARE

EXPRESS REPORT: FY 26 OCTOBER NDSC EXPRESS REPORT

Why it stands out

A new award added obligations despite weaker contractor activity.

The action represented 8.7% of the market’s latest 12-month positive obligations while the contractor’s obligations fell $430.1M overall.

Award net obligations
$40.5M
Share of 12-month positive obligations
8.7%
Supporting data
Prime contractor
#1 · 51.0% share
$430.1M net decline despite this positive action
Funding office
#2 · 43.4% attributed share
$698.9M net decline despite this positive action
PIID 36C10G26K0130
Base award

This action

+$19.9M

US RENAL CARE INC

STRATEGIC ACQUISITION CENTER FREDERICKSBURG (36C10G)

EXPRESS REPORT: FY 26 NOVEMBER NDSC EXPRESS REPORT

Why it stands out

A new award added obligations despite weaker contractor activity.

The action represented 4.3% of the market’s latest 12-month positive obligations while the contractor’s obligations fell $26.9M overall.

Award net obligations
$19.9M
Share of 12-month positive obligations
4.3%
Supporting data
Prime contractor
#4 · 5.3% share
$26.9M net decline despite this positive action
Funding office
#1 · 56.1% attributed share
$228.8M net decline despite this positive action
PIID 36C10G26K0202
Base award

This action

+$19.2M

AMERICAN RENAL ASSOCIATES LLC

STRATEGIC ACQUISITION CENTER FREDERICKSBURG (36C10G)

EXPRESS REPORT: FY 26 NOVEMBER NDSC EXPRESS REPORT

Why it stands out

A new award added obligations despite weaker contractor activity.

The action represented 4.1% of the market’s latest 12-month positive obligations while the contractor’s obligations fell $24.9M overall.

Award net obligations
$19.2M
Share of 12-month positive obligations
4.1%
Supporting data
Prime contractor
#3 · 6.1% share
$24.9M net decline despite this positive action
Funding office
#1 · 56.1% attributed share
$228.8M net decline despite this positive action
PIID 36C10G26K0194
Base award

This action

+$11.1M

DIALYSIS CLINIC, INC.

STRATEGIC ACQUISITION CENTER FREDERICKSBURG (36C10G)

EXPRESS REPORT: FY 26 NOVEMBER NDSC EXPRESS REPORT

Why it stands out

A new award added obligations despite weaker contractor activity.

The action represented 2.4% of the market’s latest 12-month positive obligations while the contractor’s obligations fell $42.7M overall.

Award net obligations
$11.1M
Share of 12-month positive obligations
2.4%
Supporting data
Prime contractor
#5 · 3.1% share
$42.7M net decline despite this positive action
Funding office
#1 · 56.1% attributed share
$228.8M net decline despite this positive action
PIID 36C10G26K0198
View recent award activity by date (10)
  1. MEDICAL EDUCATION INSTITUTE, INC.Base award · PIID 36C26127P0067
    Action+$350
    Award net obligations$350
  2. RENAL TREATMENT CENTERS - WEST, INCDeobligation · PIID 36C25924C0060
    Action−$576K
    Award net obligations$2.3M
  3. RENAL TREATMENT CENTERS - WEST, INCDeobligation · PIID 36C25924C0060
    Action−$464K
    Award net obligations$2.3M
  4. RENAL TREATMENT CENTERS - SOUTHEAST LPDeobligation · PIID 36C25725N0211
    Action−$14K
    Award net obligations$185K
  5. FRESENIUS USA, INCModification · PIID 36C24822P1567
    Action+$64K
    Award net obligations$326K
  6. LIBERTY DIALYSIS - NEVADA ACUTES LLCBase award · PIID 36C26126N0581
    Action+$200K
    Award net obligations$200K
  7. LIBERTY DIALYSIS - NEVADA ACUTES LLCDeobligation · PIID 36C26124N0786
    Action−$149K
    Award net obligations$217K
  8. SANFORD MEDICAL CENTERDeobligation · PIID 36C26325N0334
    Action−$49K
    Award net obligations$45K
  9. DAVITA INC.Base award · PIID 36C26026N0336
    Action+$248K
    Award net obligations$248K
  10. DAVITA INC.Base award · PIID 36C10G26N0046
    Action+$3.8M
    Award net obligations$3.8M

VA kidney dialysis centers market FAQs

Answers based on reported federal contract data.

Who are the top VA kidney dialysis centers contractors?

In the 12 months through October 23, 2026, FRESENIUS MEDICAL CARE HOLDINGS INC, DAVITA INC., and AMERICAN RENAL ASSOCIATES LLC were the leading VA kidney dialysis centers prime contractors by positive obligations.

  1. #1

    FRESENIUS MEDICAL CARE HOLDINGS INC

    $236,690,015 in positive obligations

  2. #2

    DAVITA INC.

    $152,804,606 in positive obligations

  3. #3

    AMERICAN RENAL ASSOCIATES LLC

    $28,184,624 in positive obligations

Rankings use reported USAspending award data.

Did VA contract obligations decrease in the kidney dialysis centers market?

Yes. Measured by net prime contract obligations, reported VA activity in the kidney dialysis centers market decreased 67.1% from $1,410,292,106 in the preceding 12 months to $464,166,021 in the 12 months through October 23, 2026.

Latest 12 months
$464,166,021
Net prime contract obligations
Preceding 12 months
$1,410,292,106
Net prime contract obligations
Change
−67.1%
Between matched 12-month periods

Reported contract actions, not outlays or a forecast.

What recent VA contract award activity was reported in the kidney dialysis centers market?

Recent VA contract award activity reported in the kidney dialysis centers market included actions for FRESENIUS MEDICAL CARE HOLDINGS INC, DAVITA INC., and US RENAL CARE INC during the 12 months through October 23, 2026.

Action obligations are transaction-level amounts, not current award-level obligations.

Which procurement methods were reported for VA contracts under NAICS 621492?

From October 24, 2025 through October 23, 2026, VA reported 36 positive-obligation awards for kidney dialysis centers under NAICS 621492. The leading award type was delivery order. The leading reported procedure was only one source.

Positive-obligation awards
36
Leading reported procedure
Only One Source
98.4% of positive obligations
Leading award type
Delivery Order
99.9% of positive obligations
Full and open
1.2%
of positive obligations
Reported parent IDV
99.9%
of positive obligations

Percentages use positive obligations as the denominator.

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Related market research

Complete market indexes:

Nearby NAICS at this agency:

Leading-prime vehicle memberships:

Company memberships do not establish award-channel use.

Reported obligations include contract actions from October 1, 2021 through October 23, 2026. Set-aside and business-size fields reflect award records, not a contractor's current eligibility.

Review data methodology