Data / Federal awards / NAICS 621492 / Department of Veterans Affairs
Department of Veterans Affairs contracts under NAICS 621492 Kidney Dialysis Centers: $1.9 billion to 25 recipients (FY2024 to FY2027)
Updated October 6, 2026. Source: USAspending.gov.
Department of Veterans Affairs obligated $1.9 billion under NAICS 621492, Kidney Dialysis Centers, across 224 contract awards to 25 named recipients in fiscal years 2024 to 2027. The largest recipients are FRESENIUS MEDICAL CARE HOLDINGS INC ($903.5 million), DAVITA INC. ($713.6 million), AMERICAN RENAL ASSOCIATES LLC ($81.3 million).
The request: Every federal contract awarded by Department of Veterans Affairs under NAICS 621492, with the winner, the value and the period of performance. $10 of work on sign-up, no card.
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- Agency
- Department of Veterans Affairs
- NAICS code
- 621492 Kidney Dialysis Centers
- Contract awards
- 224
- Obligated
- $1.9 billion
- Named recipients
- 25
- Small business share of obligations
- 0%
- Full and open competition share
- 24%
- Set aside share
- 0%
- Latest action
- 2026-10-01
Incumbents at this agency
Ranked by dollars obligated in fiscal years 2024 to 2027.
| Recipient | Business size | Awards | Obligated | Share |
|---|---|---|---|---|
| FRESENIUS MEDICAL CARE HOLDINGS INC | Other Than Small Business | 19 | $903.5 million | 48.1% |
| DAVITA INC. | Other Than Small Business | 41 | $713.6 million | 38.0% |
| AMERICAN RENAL ASSOCIATES LLC | Other Than Small Business | 18 | $81.3 million | 4.3% |
| US RENAL CARE INC | Other Than Small Business | 17 | $75.9 million | 4.0% |
| DIALYSIS CLINIC, INC. | Other Than Small Business | 23 | $71.7 million | 3.8% |
| DIALYSIS NEWCO, LLC | Other Than Small Business | 14 | $17.3 million | 0.9% |
| RSA - GUAM LLC | Other Than Small Business | 14 | $3.6 million | 0.2% |
| ATLANTIS HEALTHCARE GROUP (PUERTO RICO), INC. | Other Than Small Business | 13 | $2.7 million | 0.1% |
| TOTAL RENAL CARE INC | Other Than Small Business | 4 | $2.4 million | 0.1% |
| RENAL TREATMENT CENTERS - WEST, INC | Other Than Small Business | 1 | $2.3 million | 0.1% |
| CENTRAL FLORIDA KIDNEY CENTERS, INC | Other Than Small Business | 13 | $1.9 million | 0.1% |
| UNIVERSITY KIDNEY CENTER, LLC | Small Business | 6 | $1.6 million | 0.1% |
| RCG MERCY DES MOINES, LLC | Other Than Small Business | 1 | $619,999 | 0.0% |
| RENAL TREATMENT CENTERS-MID-ATLANTIC INC | Other Than Small Business | 3 | $501,025 | 0.0% |
| RENAL TREATMENT CENTERS - SOUTHEAST LP | Other Than Small Business | 5 | $453,289 | 0.0% |
| RENAL TREATMENT CENTERS-WEST, INC. | Other Than Small Business | 2 | $282,450 | 0.0% |
| FRESENIUS USA, INC | Other Than Small Business | 2 | $248,194 | 0.0% |
| RENAL TREATMENT CENTERS-MID-ATLANTIC INC | Other Than Small Business | 4 | $183,420 | 0.0% |
| TOTAL RENAL CARE, INC | Other Than Small Business | 5 | $20,493 | 0.0% |
| CAREDX, INC. | Other Than Small Business | 1 | $0 | 0.0% |
| SANFORD MEDICAL CENTER | Other Than Small Business | 4 | $-42,267 | -0.0% |
| RCG MERCY DES MOINES LLC | Other Than Small Business | 1 | $-45,905 | -0.0% |
| BIO-MEDICAL APPLICATIONS OF MARYLAND, INC. | Other Than Small Business | 1 | $-268,888 | -0.0% |
| LIBERTY DIALYSIS - NEVADA ACUTES LLC | Other Than Small Business | 7 | $-321,008 | -0.0% |
| RENAL TREATMENT CENTERS-WEST, INC. | Other Than Small Business | 2 | $-766,092 | -0.0% |
Offices buying
| Sub agency | Awards | Obligated |
|---|---|---|
| Department of Veterans Affairs | 224 | $1.88 billion |
Obligations by fiscal year
| Fiscal year | Obligated |
|---|---|
| FY2024 | $2.9 million |
| FY2025 | $1.34 billion |
| FY2026 | $533.3 million |
| FY2027 | $742,286 |
Products and services bought
| Code | Product or service | Awards | Obligated |
|---|---|---|---|
| Q999 | Medical- Other | 174 | $1.88 billion |
| Q401 | Medical- Nursing | 19 | $1.6 million |
| Q509 | Family & Internal Medicine Services | 12 | $1.1 million |
| J065 | Maint/repair/rebuild of Equipment- Medical, Dental, and Veterinary Equipment and Supplies | 2 | $248,194 |
| Q508 | Medical- Hematology | 11 | $204,894 |
| Q525 | Medical- Urology | 1 | $3,549 |
| Q531 | Nephrology Medicine Services | 1 | $0 |
| 6515 | Medical and Surgical Instruments, Equipment, and Supplies | 1 | $0 |
Largest contract awards
| Award ID | Recipient | Agency | Type | NAICS | What it buys | Obligated in window | Award value | Starts | Ends | Place of performance | Source |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 36C10G25K0286 | FRESENIUS MEDICAL CARE HOLDINGS INC | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 25 1ST QUARTER NDSC - FRESENIUS | $217,668,253 | $217,668,253 | October 1, 2024 | December 31, 2024 | Waltham, MA | usaspending.gov |
| 36C10G25K0288 | DAVITA INC. | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 25 1ST QUARTER NDSC - DAVITA | $205,913,750 | $205,913,750 | October 1, 2024 | December 31, 2024 | Denver, CO | usaspending.gov |
| 36C10G25K0025 | FRESENIUS MEDICAL CARE HOLDINGS INC | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 24 1ST, 2ND, AND 3RD QUARTER NDSC | $186,048,198 | $186,048,198 | October 1, 2023 | June 30, 2024 | Waltham, MA | usaspending.gov |
| 36C10G26K0200 | FRESENIUS MEDICAL CARE HOLDINGS INC | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 26 NOVEMBER NDSC EXPRESS REPORT | $160,945,352 | $160,945,352 | November 1, 2025 | November 30, 2025 | Waltham, MA | usaspending.gov |
| 36C10G25K0021 | DAVITA INC. | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 24 1ST, 2ND, AND 3RD QUARTER NDSC | $131,332,191 | $131,332,191 | October 1, 2023 | June 30, 2024 | Denver, CO | usaspending.gov |
| 36C10G26K0197 | DAVITA INC. | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 26 NOVEMBER NDSC EXPRESS REPORT | $121,425,309 | $121,425,309 | November 1, 2025 | November 30, 2025 | Denver, CO | usaspending.gov |
| 36C10G25K0381 | FRESENIUS MEDICAL CARE HOLDINGS INC | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 25 2ND QUARTER NDSC EXPRESS REPORT - FRESENIUS | $83,896,330 | $83,896,330 | January 1, 2025 | March 31, 2025 | Waltham, MA | usaspending.gov |
| 36C10G25K0385 | DAVITA INC. | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 25 2ND QUARTER NDSC EXPRESS REPORT - DAVITA | $73,163,510 | $73,163,510 | January 1, 2025 | March 31, 2025 | Denver, CO | usaspending.gov |
| 36C10G26K0130 | FRESENIUS MEDICAL CARE HOLDINGS INC | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 26 OCTOBER NDSC EXPRESS REPORT | $40,549,764 | $40,549,764 | October 1, 2025 | October 31, 2025 | Waltham, MA | usaspending.gov |
| 36C10G26K0269 | FRESENIUS MEDICAL CARE HOLDINGS INC | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 26 FEBRUARY NDSC EXPRESS REPORT | $34,917,899 | $34,917,899 | February 1, 2026 | February 28, 2026 | Waltham, MA | usaspending.gov |
| 36C10G26K0070 | FRESENIUS MEDICAL CARE HOLDINGS INC | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 25 SEPTEMBER NDSC EXPRESS REPORT | $32,029,790 | $32,029,790 | September 1, 2025 | September 30, 2025 | Waltham, MA | usaspending.gov |
| 36C10G25K0667 | FRESENIUS MEDICAL CARE HOLDINGS INC | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 25 AUGUST NDSC EXPRESS REPORT | $31,906,923 | $31,906,923 | August 1, 2025 | August 31, 2025 | Waltham, MA | usaspending.gov |
| 36C10G25K0417 | FRESENIUS MEDICAL CARE HOLDINGS INC | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 25 APRIL NDSC EXPRESS REPORT | $31,298,769 | $31,298,769 | April 1, 2025 | April 30, 2025 | Waltham, MA | usaspending.gov |
| 36C10G25K0522 | FRESENIUS MEDICAL CARE HOLDINGS INC | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 25 JUNE NDSC EXPRESS REPORT | $30,264,292 | $30,264,292 | June 1, 2025 | June 30, 2025 | Waltham, MA | usaspending.gov |
| 36C10G25K0597 | FRESENIUS MEDICAL CARE HOLDINGS INC | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 25 JULY NDSC EXPRESS REPORT | $29,307,155 | $29,307,155 | July 1, 2025 | July 31, 2025 | Waltham, MA | usaspending.gov |
| 36C10G26K0127 | DAVITA INC. | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 26 OCTOBER NDSC EXPRESS REPORT | $26,893,447 | $26,893,447 | October 1, 2025 | October 31, 2025 | Denver, CO | usaspending.gov |
| 36C10G25K0664 | DAVITA INC. | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 25 AUGUST NDSC EXPRESS REPORT | $26,812,688 | $26,812,688 | August 1, 2025 | August 31, 2025 | Denver, CO | usaspending.gov |
| 36C10G26K0067 | DAVITA INC. | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 25 SEPTEMBER NDSC EXPRESS REPORT | $26,790,486 | $26,790,486 | September 1, 2025 | September 30, 2025 | Denver, CO | usaspending.gov |
| 36C10G25K0594 | DAVITA INC. | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 25 JULY NDSC EXPRESS REPORT | $26,265,333 | $26,265,333 | July 1, 2025 | July 31, 2025 | Denver, CO | usaspending.gov |
| 36C10G25K0421 | DAVITA INC. | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 25 APRIL NDSC EXPRESS REPORT | $24,596,588 | $24,596,588 | April 1, 2025 | April 30, 2025 | Denver, CO | usaspending.gov |
| 36C10G25K0515 | DAVITA INC. | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 25 MAY NDSC EXPRESS REPORT | $22,405,184 | $22,405,184 | May 1, 2025 | May 31, 2025 | Denver, CO | usaspending.gov |
| 36C10G26K0202 | US RENAL CARE INC | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 26 NOVEMBER NDSC EXPRESS REPORT | $19,890,296 | $19,890,296 | November 1, 2025 | November 30, 2025 | Plano, TX | usaspending.gov |
| 36C10G25K0255 | DIALYSIS CLINIC, INC. | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 25 1ST QUARTER NDSC | $19,517,865 | $19,517,865 | October 1, 2024 | December 31, 2024 | Nashville, TN | usaspending.gov |
| 36C10G26K0194 | AMERICAN RENAL ASSOCIATES LLC | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 26 NOVEMBER NDSC EXPRESS REPORT | $19,178,069 | $19,178,069 | November 1, 2025 | November 30, 2025 | Beverly, MA | usaspending.gov |
| 36C10G25K0521 | FRESENIUS MEDICAL CARE HOLDINGS INC | Department of Veterans Affairs | Delivery Order | 621492 | EXPRESS REPORT: FY 25 MAY NDSC EXPRESS REPORT | $18,889,054 | $18,889,054 | May 1, 2025 | May 31, 2025 | Waltham, MA | usaspending.gov |
Public U.S. federal spending data (U.S. Department of the Treasury). Obligations are the contract actions dated in fiscal years 2024 to 2027 of the USAspending.gov award archive of 2026-10-06; a contract's total value is its current value as USAspending reports it, including earlier years. Recipients are matched on their SAM.gov UEI, never on the name, and are shown as the government prints them. Sole proprietorships and opted-out entities count in the totals and are not named. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.