Reported obligations through VHACO COMMUNITY CARE decreased
$758.0M→$343.9M−$414.1M
Latest-period activity spans 8 awards across 1 prime contractor.
Federal Capture Intelligence
Kidney Dialysis Centers contractors at the Department of Veterans Affairs
Contract actions: October 1, 2021 – July 27, 2026
Updated July 28, 2026 Department of Veterans Affairs agency guide
NAICS 621492 · Kidney Dialysis Centers
- Latest 12 months
- $761.1M
- Net obligations · Down $353.5M vs. $1.1B preceding
- Prime contractors
- 17
- With positive obligations in the latest 12 months
Market snapshot for Kidney Dialysis Centers at the Department of Veterans Affairs
Federal records show $3.2B in net obligations across 231 awards in Kidney Dialysis Centers at the Department of Veterans Affairs from Oct 1, 2021 through Jul 27, 2026. This market accounts for 1.0% of $316.4B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations decreased 31.7% from $1.1B to $761.1M. 2 prime contractors accounted for at least 80% of positive obligations in that latest period.
Fiscal-year activity
FY26 is year-to-date through Jul 27, 2026; earlier years show complete fiscal-year totals.
FY26 year-to-date: $534.3M versus $1.1B through the same date in FY25 (−52.1%).
Net obligations · complete fiscal yearNet obligations · FY26 YTDContract actions
View fiscal-year data table
| Fiscal year | Net obligations | Contract actions | Coverage |
|---|---|---|---|
| FY2022 | $651.1M | 65 | Complete |
| FY2023 | $689.1M | 49 | Complete |
| FY2024 | $2.9M | 36 | Complete |
| FY2025 | $1.3B | 117 | Complete |
| FY2026 | $534.3M | 62 | YTD through Jul 27, 2026 |
Market at a glance
All reported prime contract awards- All-period net obligations
- $3.2B
- 231 awards · 30 prime contractors
- Latest 12-month movement
- −31.7%
- $761.1M vs. $1.1B
- Leading eight prime share
- 99.5%
- Share held by the eight leading prime contractors in the latest 12 months
View agency share, denominators, and set-aside reporting
- Agency context
- 1.0% of $316.4B in agency-wide net obligations.
- Set-aside share when reported
- 20.0% of 15 awards with reported set-aside status.
- Set-aside reporting
- 3 set aside · 12 no set-aside · 216 not reported
What changed in the last 12 months?
Jul 28, 2025–Jul 27, 2026, compared with Jul 28, 2024–Jul 27, 2025.
Buyer demand
Reported obligations through STRATEGIC ACQUISITION CENTER FREDERICKSBURG (36C10G) increased
$336.2M→$413.5M+$77.3M
Latest-period activity spans 63 awards across 9 prime contractors.
Competitive shifts
DAVITA INC. had the largest decline in reported obligations
$446.9M→$266.2M−$180.7M
The contractor now ranks #2 by positive obligations and accounts for 35.0% of positive obligations, based on 15 reported actions.
FRESENIUS MEDICAL CARE HOLDINGS INC gained the most market share
47.0%→49.8%+2.8 percentage points
The contractor now ranks #1 by positive obligations, based on 10 reported actions.
Award activity
FRESENIUS MEDICAL CARE HOLDINGS INC received an unusually large obligation action
$160.9MDec 17, 2025 action
Reported under PIID 36C10G26K0200 by VHACO COMMUNITY CARE. Award net obligations after the action: $160.9M.
View supporting awardHow 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.
Funding pattern for Kidney Dialysis Centers at the Department of Veterans Affairs
See how positive obligations were attributed across funding offices in the 12 months ending Jul 27, 2026.
54.3% of positive obligations were attributed to STRATEGIC ACQUISITION CENTER FREDERICKSBURG (36C10G). That represents $413.5M, up $77.3M from the preceding 12 months.
Latest 12-month share of positive obligations; the gray segment represents all other reported offices.
- STRATEGIC ACQUISITION CENTER FREDERICKSBURG (36C10G)54.3% · $413.5M · up $77.3M
- VHACO COMMUNITY CARE45.2% · $343.9M · down $414.1M
- 261-NETWORK CONTRACT OFFICE 21 (36C261)0.18% · $1.4M · down $682K
- 635-OKLAHOMA CITY (00635)0.15% · $1.1M · up $44K
- 603-LOUISVILLE (00603)0.060% · $476K · up $138K
- All other reported offices0.13% 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.
Reported funding office
STRATEGIC ACQUISITION CENTER FREDERICKSBURG (36C10G)
#1Up 1 from #2Latest 12 months
$413.5M
54.3% of positive obligations
Versus preceding 12 months
+$77.3M
9 active prime contractors · 63 awards
View office comparison and evidence
Reported obligations increased 23.0% from $336.2M to $413.5M. The office’s share of positive obligations moved from 30.1% to 54.3%, a change of +24.2 percentage points.
The latest period contains 63 actions across 63 awards and 1 newly active prime contractor. The preceding period contained 8 active prime contractors and 17 awards.
Leading award-level changes
- DAVITA INC. · PIID 36C10G25K0288−$205.9M: $205.9M → $0
- DAVITA INC. · PIID 36C10G26K0197+$121.4M: $0 → $121.4M
Reported funding office
VHACO COMMUNITY CARE
#2Down 1 from #1Latest 12 months
$343.9M
45.2% of positive obligations
Versus preceding 12 months
−$414.1M
1 active prime contractor · 8 awards
View office comparison and evidence
Reported obligations decreased 54.6% from $758.0M to $343.9M. The office’s share of positive obligations moved from 68.0% to 45.2%, a change of −22.8 percentage points.
The latest period contains 8 actions across 8 awards. The preceding period contained 9 active prime contractors and 25 awards.
Leading award-level changes
- FRESENIUS MEDICAL CARE HOLDINGS INC · PIID 36C10G25K0286−$217.7M: $217.7M → $0
- FRESENIUS MEDICAL CARE HOLDINGS INC · PIID 36C10G25K0025−$186.0M: $186.0M → $0
Reported funding office
261-NETWORK CONTRACT OFFICE 21 (36C261)
#3Up 1 from #4Latest 12 months
$1.4M
0.18% of positive obligations
Versus preceding 12 months
−$682K
3 active prime contractors · 6 awards
View office comparison and evidence
Reported obligations decreased 33.5% from $2.0M to $1.4M. The office’s share of positive obligations moved from 0.18% to 0.18%, a change of 0.0 percentage points.
The latest period contains 6 actions across 6 awards. The preceding period contained 3 active prime contractors and 7 awards.
Reported funding office
635-OKLAHOMA CITY (00635)
#4Up 1 from #5Latest 12 months
$1.1M
0.15% of positive obligations
Versus preceding 12 months
+$44K
1 active prime contractor · 1 award
View office comparison and evidence
Reported obligations increased 4.0% from $1.1M to $1.1M. The office’s share of positive obligations moved from 0.10% to 0.15%, a change of +0.1 percentage points.
The latest period contains 2 actions across 1 award. The preceding period contained 1 active prime contractor and 1 award.
Reported funding office
603-LOUISVILLE (00603)
#5Up 1 from #6Latest 12 months
$476K
0.060% of positive obligations
Versus preceding 12 months
+$138K
1 active prime contractor · 2 awards
View office comparison and evidence
Reported obligations increased 40.7% from $338K to $476K. The office’s share of positive obligations moved from 0.030% to 0.060%, a change of 0.0 percentage points.
The latest period contains 3 actions across 2 awards. The preceding period contained 1 active prime contractor and 2 awards.
Reported funding office
589 KAN WESTERN ORBIT
#6Up 2 from #8Latest 12 months
$355K
0.050% 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 0.050%, a change of 0.0 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.
Reported funding office
504-AMARILLO (00504)
#7New to the positive-obligation rankingLatest 12 months
$205K
0.030% of positive obligations
Versus preceding 12 months
+$334K
1 active prime contractor · 1 award
View office comparison and evidence
Reported obligations moved from $129K in net deobligations to $205K in net obligations. The office’s share of positive obligations moved from 0% to 0.030%, a change of 0.0 percentage points.
The latest period contains 1 action across 1 award. The preceding period contained 1 active prime contractor and 3 awards.
Reported funding office
636-NEBRASKA WESTERN-IOWA (00636)
#8Up 2 from #10Latest 12 months
$159K
0.020% 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 0.020%, 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.
Reported funding office
248-NETWORK CONTRACT OFFICE 8 (36C248)
#9New to the positive-obligation rankingLatest 12 months
$125K
0.020% of positive obligations
Versus preceding 12 months
+$125K
1 active prime contractor · 1 award
View office comparison and evidence
Reported obligations rose from $0 to $125K. The office’s share of positive obligations moved from 0% to 0.020%, a change of 0.0 percentage points.
The latest period contains 3 actions across 1 award and 1 newly active prime contractor. The preceding period contained 0 active prime contractors and 0 awards.
Reported funding office
531-BOISE (00531)
#10Down 1 from #9Latest 12 months
$79K
0.010% of positive obligations
Versus preceding 12 months
−$127K
1 active prime contractor · 3 awards
View office comparison and evidence
Reported obligations decreased 61.6% from $205K to $79K. The office’s share of positive obligations moved from 0.020% to 0.010%, a change of 0.0 percentage points.
The latest period contains 3 actions across 3 awards. The preceding period contained 1 active prime contractor and 3 awards.
Reported funding office
564-FAYETTEVILLE (00564)
No positive-obligation rankLatest 12 months
$0
0% of positive obligations
Versus preceding 12 months
+$431K
0 active prime contractors · 0 awards
View office comparison and evidence
Reported obligations moved from $431K 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 2 awards.
Reported funding office
573-NF/SG VETS HOSP(00573)(36C573)
No positive-obligation rankLatest 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 1.5% to 0%, a change of −1.5 percentage points.
The latest period contains 0 actions across 0 awards. The preceding period contained 2 active prime contractors and 2 awards.
Reported funding office
637-ASHEVILLE (00637)(36C637)
No positive-obligation rankLatest 12 months
−$52K
0% of positive obligations
Versus preceding 12 months
−$316K
2 active prime contractors · 3 awards
View office comparison and evidence
Reported obligations moved from $264K in net obligations to $52K 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 3 actions across 3 awards and 1 newly active prime contractor. The preceding period contained 1 active prime contractor and 1 award.
Reported funding office
556-FHCC(N CHICAGO)(00556)(36C556)
No positive-obligation rankLatest 12 months
−$90K
0% of positive obligations
Versus preceding 12 months
+$190K
1 active prime contractor · 1 award
View office comparison and evidence
Reported obligations narrowed from $279K to $90K in net deobligations. The office’s share of positive obligations moved from 0% to 0%, a change of 0.0 percentage points.
The latest period contains 1 action across 1 award. The preceding period contained 1 active prime contractor and 3 awards.
How this work is bought
Reported award structure, competition, pricing, work categories, and contracting channels for Kidney Dialysis Centers at the Department of Veterans Affairs.
During Jul 28, 2025–Jul 27, 2026, this market recorded $762.3M in positive net award obligations across 82 awards. The leading reported procedure, Only One Source, accounted for 98.8% of that positive-obligation base. Awards with a reported parent IDV accounted for 99.8%.
- Leading award type
- 99.8%
- Delivery Order
- Leading reported procedure
- 98.8%
- Only One Source
- Reported parent IDV
- 99.8%
- of positive obligations had a reported parent IDV
- Median reported offers
- 1
- 10 of 82 awards reported offers · Limited reporting
Buying method changes
Compared with Jul 28, 2024–Jul 27, 2025. Based on 82 current awards and 60 preceding awards with positive net obligations.
- Exactly matched vehicle obligation share
- 0%
- Down from 39.6% in the preceding period
- Reported full-and-open obligation share
- 0.73%
- Down from 39.7% 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 value | Awards | Positive obligations | Share |
|---|---|---|---|
| Delivery Order(C) | 77 | $760.4M | 99.8% |
| Definitive Contract(D) | 2 | $1.3M | 0.17% |
| BPA Call(A) | 2 | $476K | 0.060% |
| Purchase Order(B) | 1 | $125K | 0.020% |
Reported parent-award types
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| IDC(B) | 77 | $760.4M | 99.8% |
| BPA(E) | 2 | $476K | 0.060% |
| Not reported | 3 | $1.4M | 0.19% |
Single- or multiple-award parent structure
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Single Award(S) | 74 | $756.3M | 99.2% |
| Multiple Award(M) | 5 | $4.5M | 0.59% |
| Not reported | 3 | $1.4M | 0.19% |
Solicitation procedures
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Only One Source(SSS) | 65 | $753.0M | 98.8% |
| Subject To Multiple Award Fair Opportunity(MAFO) | 5 | $4.5M | 0.59% |
| Simplified Acquisition(SP1) | 8 | $3.7M | 0.49% |
| Negotiated Proposal/Quote(NP) | 3 | $780K | 0.10% |
| Two Step(TS) | 1 | $282K | 0.040% |
Extent competed
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Not Competed(C) | 65 | $753.0M | 98.8% |
| Full And Open Competition(A) | 9 | $5.6M | 0.73% |
| Competed Under SAP(F) | 7 | $3.3M | 0.43% |
| Not Competed Under SAP(G) | 1 | $415K | 0.050% |
Fair-opportunity and limited-source reporting
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Fair Opportunity Given(FAIR) | 5 | $4.5M | 0.59% |
| Not reported | 77 | $757.8M | 99.4% |
Other-than-full-and-open reasons
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Urgency (FAR 6.302-2)(URG) | 48 | $680.0M | 89.2% |
| Only One Source-Other (FAR 6.302-1 Other)(ONE) | 17 | $73.0M | 9.6% |
| SAP Non-Competition (FAR 13)(SP2) | 1 | $415K | 0.050% |
| Not reported | 16 | $8.9M | 1.2% |
Contract pricing types
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Firm Fixed Price(J) | 82 | $762.3M | 100.0% |
Product or Service Codes
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Medical- Other(Q999) | 75 | $760.7M | 99.8% |
| Medical- Nursing(Q401) | 3 | $858K | 0.11% |
| Family & Internal Medicine Services(Q509) | 2 | $408K | 0.050% |
| Hematology & Oncology(Q508) | 1 | $205K | 0.030% |
| Maint/Repair/Rebuild Of Equipment- Medical, Dental, And Veterinary Equipment And Supplies(J065) | 1 | $125K | 0.020% |
Awarding subagencies
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Department of Veterans Affairs(3600) | 82 | $762.3M | 100.0% |
Awarding offices
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Strategic Acquisition Center Fredericksburg (36c10g)(36C10G) | 69 | $757.4M | 99.4% |
| 261-Network Contract Office 21 (36c261)(36C261) | 3 | $1.7M | 0.22% |
| Network Contract Office 19 (36c259)(36C259) | 1 | $1.1M | 0.15% |
| 255-Network Contract Office 15 (36c255)(36C255) | 2 | $616K | 0.080% |
| 249-Network Contract Office 9 (36c249)(36C249) | 2 | $476K | 0.060% |
| 260-Network Contract Office 20 (36c260)(36C260) | 1 | $248K | 0.030% |
| Other reported values | 4 | $731K | 0.096% |
Reported parent IDVs
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| 36C10G24D0088(3600) | 7 | $343.9M | 45.1% |
| 36C10G24D0093(3600) | 7 | $261.9M | 34.4% |
| 36C10G24D0064(3600) | 7 | $37.7M | 5.0% |
| 36C10G25D0043(3600) | 1 | $34.9M | 4.6% |
| 36C10G24D0096(3600) | 7 | $34.4M | 4.5% |
| 36C10G24D0094(3600) | 7 | $24.9M | 3.3% |
| 36C10G24D0095(3600) | 7 | $7.9M | 1.0% |
| 36C10G25D0031(3600) | 1 | $5.2M | 0.68% |
| Other reported values | 35 | $10.1M | 1.3% |
| Not reported | 3 | $1.4M | 0.19% |
Offers, award size, and timing
- Median reported offers
- 1 median
- 10 reported · 72 not reported · Limited reporting
- Positive award obligations
- $632K median
- $125K–$4.2M middle 50%
- Reported performance period
- 30 days median
- 82 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 Jul 27, 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.
Prime contractors for Kidney Dialysis Centers at the Department of Veterans Affairs
Latest 12-month 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
- 49.8%of positive obligations in the last 12 months
- Leading four prime contractors
- 94.9%of positive obligations in the last 12 months
- Leading eight prime contractors
- 99.5%of positive obligations in the last 12 months
Based on $761.6M in positive obligations during the 12 months ending Jul 27, 2026. Individual shares and movement appear in the searchable rankings below. Movement compares with Jul 28, 2024–Jul 27, 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
Last 12mo obligations
$379.1M
49.8%
Dollar movement
−$145.4M
vs. prior 12 months
Last 12mo awards
10 awards
10 actions
Historical and award details for FRESENIUS MEDICAL CARE HOLDINGS INC
- Obligations: prior → latest
- $524.4M → $379.1M
- −27.7%
- Share: prior → latest
- 47.0% → 49.8%
- +2.8 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 evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 10 5 Reported small business 0 0 All-period set-aside types
None reported.
- #2
Last 12mo obligations
$266.2M
35.0%
Dollar movement
−$180.7M
vs. prior 12 months
Last 12mo awards
15 awards
15 actions
Historical and award details for DAVITA INC.
- Obligations: prior → latest
- $446.9M → $266.2M
- −40.4%
- Share: prior → latest
- 40.1% → 35.0%
- −5.1 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 evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 15 16 Reported small business 0 0 All-period set-aside types
None reported.
- #3
Last 12mo obligations
$42.9M
5.6%
Dollar movement
+$4.5M
vs. prior 12 months
Last 12mo awards
9 awards
9 actions
Historical and award details for AMERICAN RENAL ASSOCIATES LLC
- Obligations: prior → latest
- $38.4M → $42.9M
- +11.8%
- Share: prior → latest
- 3.4% → 5.6%
- +2.2 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 evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 9 5 Reported small business 0 0 All-period set-aside types
None reported.
- #4
Last 12mo obligations
$34.8M
4.6%
Dollar movement
−$6.3M
vs. prior 12 months
Last 12mo awards
8 awards
8 actions
Historical and award details for US RENAL CARE INC
- Obligations: prior → latest
- $41.1M → $34.8M
- −15.4%
- Share: prior → latest
- 3.7% → 4.6%
- +0.9 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 evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 8 5 Reported small business 0 0 All-period set-aside types
None reported.
- #5
Last 12mo obligations
$25.1M
3.3%
Dollar movement
−$21.0M
vs. prior 12 months
Last 12mo awards
10 awards
10 actions
Historical and award details for DIALYSIS CLINIC, INC.
- Obligations: prior → latest
- $46.1M → $25.1M
- −45.5%
- Share: prior → latest
- 4.1% → 3.3%
- −0.8 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 evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 10 7 Reported small business 0 0 All-period set-aside types
None reported.
- #6
Last 12mo obligations
$7.9M
1.0%
Dollar movement
−$1.6M
vs. prior 12 months
Last 12mo awards
7 awards
7 actions
Historical and award details for DIALYSIS NEWCO, LLC
- Obligations: prior → latest
- $9.4M → $7.9M
- −16.5%
- Share: prior → latest
- 0.85% → 1.0%
- +0.2 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 evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 7 5 Reported small business 0 0 All-period set-aside types
None reported.
- #7
Last 12mo obligations
$1.1M
0.15%
Dollar movement
+$44K
vs. prior 12 months
Last 12mo awards
1 award
2 actions
Historical and award details for RENAL TREATMENT CENTERS - WEST, INC
- Obligations: prior → latest
- $1.1M → $1.1M
- +4.0%
- Share: prior → latest
- 0.10% → 0.15%
- +0.1 percentage points
- All-period obligations
- $3.2M
- 0.10% of all-period positive obligations · 2 awards
- Recorded activity
- Since Sep 20, 2022
- through May 28, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 1 1 Not reported 0 0 Reported small business 0 0 All-period set-aside types
None reported.
- #8
Last 12mo obligations
$855K
0.11%
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
- 0.070% → 0.11%
- 0.0 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 evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 1 1 Reported small business 0 0 All-period set-aside types
None reported.
- #9
Last 12mo obligations
$854K
0.11%
Dollar movement
−$1.9M
vs. prior 12 months
Last 12mo awards
7 awards
7 actions
Historical and award details for RSA - GUAM LLC
- Obligations: prior → latest
- $2.8M → $854K
- −69.3%
- Share: prior → latest
- 0.25% → 0.11%
- −0.1 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 evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 7 5 Reported small business 0 0 All-period set-aside types
None reported.
- #10
Last 12mo obligations
$656K
0.090%
Dollar movement
−$1.4M
vs. prior 12 months
Last 12mo awards
6 awards
6 actions
Historical and award details for ATLANTIS HEALTHCARE GROUP (PUERTO RICO), INC.
- Obligations: prior → latest
- $2.0M → $656K
- −67.4%
- Share: prior → latest
- 0.18% → 0.090%
- −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 evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 6 5 Reported small business 0 0 All-period set-aside types
None reported.
- #11
Last 12mo obligations
$553K
0.070%
Dollar movement
−$823K
vs. prior 12 months
Last 12mo awards
7 awards
7 actions
Historical and award details for CENTRAL FLORIDA KIDNEY CENTERS, INC
- Obligations: prior → latest
- $1.4M → $553K
- −59.8%
- Share: prior → latest
- 0.12% → 0.070%
- −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 evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 7 4 Reported small business 0 0 All-period set-aside types
None reported.
- #12
Last 12mo obligations
$476K
0.060%
Dollar movement
+$138K
vs. prior 12 months
Last 12mo awards
2 awards
3 actions
Historical and award details for UNIVERSITY KIDNEY CENTER, LLC
- Obligations: prior → latest
- $338K → $476K
- +40.7%
- Share: prior → latest
- 0.030% → 0.060%
- 0.0 percentage points
- All-period obligations
- $1.7M
- 0.050% of all-period positive obligations · 6 awards
- Recorded activity
- Since Oct 1, 2021
- through Mar 19, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 0 1 Reported no set-aside 2 1 Not reported 0 0 Reported small business 2 2 All-period set-aside types
- 2 · Total small business
- #13
Last 12mo obligations
$282K
0.040%
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% → 0.040%
- 0.0 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 evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 1 0 Reported small business 0 0 All-period set-aside types
None reported.
- #14
Last 12mo obligations
$242K
0.030%
Dollar movement
+$242K
vs. prior 12 months
Last 12mo awards
1 award
1 action
Historical and award details for RENAL TREATMENT CENTERS-MID-ATLANTIC INC
- Obligations: prior → latest
- $0 → $242K
- Not comparable
- Share: prior → latest
- 0% → 0.030%
- 0.0 percentage points
- All-period obligations
- $242K
- 0.010% of all-period positive obligations · 1 award
- Recorded activity
- Since Oct 1, 2025
- through Oct 1, 2025
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 1 0 Reported small business 0 0 All-period set-aside types
None reported.
- #15
Last 12mo obligations
$205K
0.030%
Dollar movement
+$334K
vs. prior 12 months
Last 12mo awards
1 award
1 action
Historical and award details for RENAL TREATMENT CENTERS - SOUTHEAST LP
- Obligations: prior → latest
- −$129K → $205K
- Not comparable
- Share: prior → latest
- 0% → 0.030%
- 0.0 percentage points
- All-period obligations
- $481K
- 0.010% of all-period positive obligations · 7 awards
- Recorded activity
- Since Dec 2, 2021
- through Mar 30, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 1 3 Reported small business 0 0 All-period set-aside types
None reported.
Award activity for Kidney Dialysis Centers at the Department of Veterans Affairs
Recent contract actions with unusually large obligation changes or meaningful shifts in contractor and funding-office activity.
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
A new award added obligations despite weaker contractor activity.
The action represented 15.9% of the market’s latest 12-month positive obligations while the contractor’s obligations fell $180.7M overall.
- Award net obligations
- $121.4M
- Share of 12-month positive obligations
- 15.9%
Supporting data
- Prime contractor
- #2 · 35.0% share
- $180.7M net decline despite this positive action
- Funding office
- #1 · 54.3% attributed share
- up 1 rank · +24.2 percentage points · $77.3M net increase; action exceeded it by $44.1M
Related:Funding office gain
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 about a fifth of the market’s latest 12-month positive obligations.
The $160.9M action represented 21.1% of the market’s positive obligations over the latest 12 months.
- Award net obligations
- $160.9M
- Share of 12-month positive obligations
- 21.1%
Supporting data
- Prime contractor
- #1 · 49.8% share
- $145.4M net decline despite this positive action
- Funding office
- #2 · 45.2% attributed share
- $414.1M net decline despite this positive action
Related:Unusually large action
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
The contractor climbed 2 positions in this market.
It now ranks #3 by positive obligations over the latest 12 months.
- Award net obligations
- $19.2M
- Share of 12-month positive obligations
- 2.5%
Supporting data
- Prime contractor
- #3 · 5.6% share
- up 2 ranks · +2.2 percentage points · $4.5M net increase; action exceeded it by $14.7M
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 2.6% of the market’s latest 12-month positive obligations while the contractor’s obligations fell $6.3M overall.
- Award net obligations
- $19.9M
- Share of 12-month positive obligations
- 2.6%
Supporting data
- Prime contractor
- #4 · 4.6% share
- $6.3M net decline despite this positive action
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 1.5% of the market’s latest 12-month positive obligations while the contractor’s obligations fell $21.0M overall.
- Award net obligations
- $11.1M
- Share of 12-month positive obligations
- 1.5%
Supporting data
- Prime contractor
- #5 · 3.3% share
- $21.0M net decline despite this positive action
Base award
This action
+$5.0M
DIALYSIS NEWCO, 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 0.66% of the market’s latest 12-month positive obligations while the contractor’s obligations fell $1.6M overall.
- Award net obligations
- $5.0M
- Share of 12-month positive obligations
- 0.66%
Supporting data
- Prime contractor
- #6 · 1.0% share
- $1.6M net decline despite this positive action
View recent award activity by date (10)
- Action+$64KAward net obligations$326K
- Action+$200KAward net obligations$200K
- Action−$149KAward net obligations$217K
- Action−$49KAward net obligations$45K
- Action+$248KAward net obligations$248K
- Action+$3.8MAward net obligations$3.8M
- Action+$388KAward net obligations$388K
- Action+$277KAward net obligations$277K
- Action+$30KAward net obligations$30K
- Action+$20KAward net obligations$20K
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Company memberships do not establish award-channel use.Reported obligations include contract actions from October 1, 2021 through July 27, 2026. Set-aside and business-size fields reflect award records, not a contractor's current eligibility.
Review data methodology