Government Kidney Dialysis Centers Contracts
NAICS 621492 ยท Kidney Dialysis Centers
Government kidney dialysis centers contracts totaled $1.9B across 240 awards from FY2024 to FY2026. Obligations were down 60.1% in FY2026 vs FY2025, and the Department of Veterans Affairs was the largest buyer, accounting for $1.9B (99% of the total).
Key figures
In FY2026, contract obligations were $536,509,201 across 75 awards with activity that year, a change of -60.1% from $1,344,897,970 in FY2025. From FY2024 to FY2026, obligations totaled $1,888,016,424 across 240 awards.
- Obligated in FY2026
- $537M
- Awards in FY2026
- 75
- Change vs FY2025
- -60.1%
- Total, FY2024 to FY2026
- $1.9B
Note: FY2026 ended on Sep 30, 2026. The Department of Defense publishes contract data with a 90-day delay, so FY2026 totals may still rise as late reports arrive.
Kidney Dialysis Centers contract spending by year
Federal kidney dialysis centers contracts per fiscal year (October to September), under NAICS 621492. The table below lists the same numbers.
| Fiscal year | Obligated | Awards | Change |
|---|---|---|---|
| FY2026 | $536,509,201 | 75 | -60.1% |
| FY2025 | $1,344,897,970 | 139 | +20248.7% |
| FY2024 | $6,609,253 | 75 | n/a |
About government kidney dialysis centers contracts
Federal spending on kidney dialysis centers contracts rose 8018% from FY2024 ($6.6M) to FY2026 ($537M), peaking in FY2025. FY2026 closed recently, and Defense Department contracts are reported up to 90 days late, so its total may still rise.
Spending is highly concentrated: the top 3 contractors account for 90% of the total. A few large firms win most of this work, so subcontracting can be the easiest way in.
The Department of Veterans Affairs spends the most on kidney dialysis centers contracts (99%), followed by the Department of Justice. The states with the most of this work are Massachusetts, Colorado and Texas.
NAICS 621492 (Kidney Dialysis Centers) is part of the Health Care and Social Assistance sector.
Top kidney dialysis centers government contractors
Companies ranked by contract dollars under NAICS 621492 (Kidney Dialysis Centers).
| # | Contractor | Obligated | Share |
|---|---|---|---|
| 1 | Fresenius Medical Care Holdings Inc | $903,526,285 | 47.9% |
| 2 | Davita Inc. | $713,644,516 | 37.8% |
| 3 | American Renal Associates LLC | $81,305,025 | 4.3% |
| 4 | US Renal Care Inc | $75,886,920 | 4.0% |
| 5 | Dialysis Clinic, Inc. | $71,676,172 | 3.8% |
| 6 | Dialysis Newco, LLC | $17,321,233 | 0.9% |
| 7 | Correctional Dialysis Services LLC | $9,015,476 | 0.5% |
| 8 | Rsa - Guam LLC | $3,636,454 | 0.2% |
| 9 | Atlantis Healthcare Group (Puerto Rico), Inc. | $2,670,575 | 0.1% |
| 10 | Total Renal Care Inc | $2,399,648 | 0.1% |
Agencies buying kidney dialysis centers services
Federal agencies ranked by contract dollars under NAICS 621492.
| # | Agency | Obligated | Share |
|---|---|---|---|
| 1 | Department of Veterans Affairs | $1,878,026,830 | 99.5% |
| 2 | Department of Justice | $9,082,938 | 0.5% |
| 3 | Department of Defense | $914,550 | <0.1% |
Where kidney dialysis centers contract work is performed
States ranked by contract dollars, using the place of performance on each award.
| # | State | Obligated | Share |
|---|---|---|---|
| 1 | Massachusetts | $985,542,982 | 52.2% |
| 2 | Colorado | $712,886,161 | 37.8% |
| 3 | Texas | $94,707,854 | 5.0% |
| 4 | Tennessee | $78,239,282 | 4.1% |
| 5 | Guam | $3,636,454 | 0.2% |
| 6 | Puerto Rico | $2,670,575 | 0.1% |
| 7 | California | $2,630,338 | 0.1% |
| 8 | Florida | $2,292,084 | 0.1% |
| 9 | Oklahoma | $1,494,087 | <0.1% |
| 10 | Kentucky | $1,197,672 | <0.1% |
Recent kidney dialysis centers contract awards
The latest kidney dialysis centers contracts, newest first. Each award ID links to its record on USAspending.gov.
| Start date | Recipient | Agency and description | Amount | Record |
|---|---|---|---|---|
| Jul 16, 2026 | Liberty Dialysis - Nevada Acutes LLC | Department of Veterans AffairsON-SITE HEMODIALYSIS AND PERITONEAL DIALYSIS SERVICES ORDERING PERIOD 4 | $200,052 | 36C26126N0581 |
| May 29, 2026 | Davita Inc. | Department of Veterans AffairsACUTE INPATIENT DIALYSIS SERVICES | $248,488 | 36C26026N0336 |
| May 18, 2026 | Correctional Dialysis Services LLC | Department of JusticeDIALYSIS SERVICES FOR FEDERAL MEDICAL CENTER DEVENS INMATE POPULATION, IN ACCORDANCE WITH THE PERFORMANCE WORK STATEMENT. PERIOD OF PERFORMANCE: SEP FY26 | $234,677 | 15B20526P00000104 |
| May 18, 2026 | Correctional Dialysis Services LLC | Department of JusticeDIALYSIS SERVICES FOR FEDERAL MEDICAL CENTER DEVENS INMATE POPULATION, IN ACCORDANCE WITH THE PERFORMANCE WORK STATEMENT. PERIOD OF PERFORMANCE: AUG FY26 | $239,545 | 15B20526P00000103 |
| May 13, 2026 | Davita Inc. | Department of Veterans AffairsNATIONAL (VA-WIDE) DIALYSIS SERVICES EO 14398 | $3,799,428 | 36C10G26N0046 |
| May 13, 2026 | Fresenius Medical Care Holdings Inc | Department of Veterans AffairsNATIONAL (VA-WIDE) DIALYSIS SERVICES EO 14398 | $277,000 | 36C10G26N0045 |
| May 13, 2026 | US Renal Care Inc | Department of Veterans AffairsNATIONAL (VA-WIDE) DIALYSIS SERVICES EO 14398 | $388,000 | 36C10G26N0044 |
| May 13, 2026 | American Renal Associates LLC | Department of Veterans AffairsNATIONAL (VA-WIDE) DIALYSIS SERVICES EO 14398 | $20,336 | 36C10G26N0043 |
| May 13, 2026 | Dialysis Clinic, Inc. | Department of Veterans AffairsTASK ORDER FOR DEPLOYMENT AND IMPLEMENTATION OF VA-WIDE DIALYSIS SERVICES. E0 14398 | $30,000 | 36C10G26N0042 |
| Apr 28, 2026 | Fresenius Medical Care Holdings Inc | Department of Veterans AffairsEXPRESS REPORT: FY 26 FEBRUARY NDSC EXPRESS REPORT | $34,917,899 | 36C10G26K0269 |
| Apr 28, 2026 | American Renal Associates LLC | Department of Veterans AffairsEXPRESS REPORT: FY 26 FEBRUARY NDSC EXPRESS REPORT | $5,185,757 | 36C10G26K0256 |
| Apr 22, 2026 | Renal Treatment Centers-California, Inc. | Department of DefenseDIALYSIS IDIQ | $260,125 | FA486126F0049 |
| Apr 11, 2026 | Correctional Dialysis Services LLC | Department of JusticeDIALYSIS SERVICES FOR FEDERAL MEDICAL CENTER DEVENS INMATE POPULATION, IN ACCORDANCE WITH THE PERFORMANCE WORK STATEMENT. PERIOD OF PERFORMANCE: JUNE FY26 | $232,040 | 15B20526P00000089 |
| Apr 11, 2026 | Correctional Dialysis Services LLC | Department of JusticeDIALYSIS SERVICES FOR FEDERAL MEDICAL CENTER DEVENS INMATE POPULATION, IN ACCORDANCE WITH THE PERFORMANCE WORK STATEMENT. PERIOD OF PERFORMANCE: JULY FY26 | $248,298 | 15B20526P00000088 |
| Apr 9, 2026 | Correctional Dialysis Services LLC | Department of JusticeDIALYSIS SERVICES FOR FEDERAL MEDICAL CENTER DEVENS INMATE POPULATION, IN ACCORDANCE WITH THE PERFORMANCE WORK STATEMENT. PERIOD OF PERFORMANCE: MAY FY26 | $231,559 | 15B20526P00000085 |
| Apr 8, 2026 | Correctional Dialysis Services LLC | Department of JusticeDIALYSIS SERVICES FOR FEDERAL MEDICAL CENTER DEVENS INMATE POPULATION, IN ACCORDANCE WITH THE PERFORMANCE WORK STATEMENT. PERIOD OF PERFORMANCE: APR FY26 | $237,167 | 15B20526P00000083 |
| Mar 30, 2026 | Renal Treatment Centers - Southeast LP | Department of Veterans AffairsHEMODIALYSIS SERVICES EXERCISE OPTION YEAR FOUR TASK ORDER | $204,928 | 36C25726N0204 |
| Mar 10, 2026 | Total Renal Care Inc | Department of Veterans AffairsON-SITE INPATIENT DIALYSIS SERVICES | $855,044 | 36C26126N0346 |
| Mar 9, 2026 | Correctional Dialysis Services LLC | Department of JusticeDIALYSIS SERVICES FOR FEDERAL MEDICAL CENTER DEVENS INMATE POPULATION, IN ACCORDANCE WITH THE PERFORMANCE WORK STATEMENT. PERIOD OF PERFORMANCE: MAR FY26 | $237,641 | 15B20526P00000071 |
| Mar 1, 2026 | Correctional Dialysis Services LLC | Department of JusticeDIALYSIS SERVICES FOR FEDERAL MEDICAL CENTER DEVENS INMATE POPULATION, IN ACCORDANCE WITH THE PERFORMANCE WORK STATEMENT. PERIOD OF PERFORMANCE: FEB FY26 | $216,208 | 15B20526P00000067 |
| Jan 29, 2026 | Fresenius Medical Care Holdings Inc | Department of Veterans AffairsEXPRESS REPORT: FY 26 DECEMBER NDSC EXPRESS REPORT | $0 | 36C10G26K0251 |
| Jan 29, 2026 | Davita Inc. | Department of Veterans AffairsEXPRESS REPORT: FY 26 DECEMBER NDSC EXPRESS REPORT | $0 | 36C10G26K0248 |
| Jan 26, 2026 | Davita Inc. | Department of Veterans AffairsINPATIENT DIALYSIS SERVICES AT VACCHCS ORDERING PERIOD 2 | $632,484 | 36C26126N0318 |
| Jan 20, 2026 | Correctional Dialysis Services LLC | Department of JusticeDIALYSIS SERVICES FOR FEDERAL MEDICAL CENTER DEVENS INMATE POPULATION, IN ACCORDANCE WITH THE PERFORMANCE WORK STATEMENT. PERIOD OF PERFORMANCE: JAN FY26 | $243,213 | 15B20526P00000053 |
| Dec 30, 2025 | Dialysis Clinic, Inc. | Department of Veterans AffairsONSITE HEMODIALYSIS SERVICES - BASE YEAR TASK ORDER | $333,416 | 36C25526N0008 |
Open kidney dialysis centers government bids
No open kidney dialysis centers bids right now. Check the open bids page, which is updated daily from SAM.gov.
How to win government kidney dialysis centers contracts
Federal kidney dialysis centers contracts are posted on SAM.gov under NAICS 621492. Register your business free on SAM.gov with this code, watch for kidney dialysis centers bids, and look for small business set-asides: many kidney dialysis centers contracts for small business are reserved for small firms.
Explore government kidney dialysis centers contracts by state, agency and contractor
- Department of Veterans Affairs contracts
- Department of Justice contracts
- Department of Defense contracts
- Government contracts in Massachusetts
- Government contracts in Colorado
- Government contracts in Texas
- Government contracts in Tennessee
- Government contracts in Guam
- Fresenius Medical Care Holdings government contracts
- Davita government contracts
Frequently asked questions
- What NAICS code is used for government kidney dialysis centers contracts?
- Federal kidney dialysis centers contracts use NAICS 621492 (Kidney Dialysis Centers). List this code in your free SAM.gov registration to be found for these contracts.
- Who are the largest kidney dialysis centers government contractors?
- By contract dollars under NAICS 621492 from FY2024 to FY2026, the largest were Fresenius Medical Care Holdings Inc ($904M), Davita Inc. ($714M) and American Renal Associates LLC ($81.3M).
- Which agencies buy the most kidney dialysis centers?
- From FY2024 to FY2026, the biggest buyers were the Department of Veterans Affairs ($1.9B), the Department of Justice ($9.1M) and the Department of Defense ($915K).
- Where are government kidney dialysis centers contracts performed?
- By contract dollars, the most federal kidney dialysis centers work is performed in Massachusetts ($986M), Colorado ($713M) and Texas ($94.7M).
- Is federal spending on kidney dialysis centers contracts growing?
- Federal kidney dialysis centers contract obligations rose 8018% from FY2024 ($6.6M) to FY2026 ($537M), peaking in FY2025. FY2026 closed recently, and Defense Department contracts are reported up to 90 days late, so its total may still rise.
- Do I qualify as a small business for kidney dialysis centers contracts?
- It depends on the SBA size standard for NAICS 621492, which is set either by average annual revenue or by number of employees. Check the current table of size standards on sba.gov before you bid on small business set-asides.
- What do I need to bid on government kidney dialysis centers contracts?
- An active SAM.gov registration (free) with NAICS 621492 listed, the licenses and insurance your state requires for kidney dialysis centers work, and examples of similar past work. Some solicitations also ask for specific certifications or security clearances.