Top VA kidney dialysis centers contractors
In the 12 months ending Oct 5, 2026, the Department of Veterans Affairs obligated $533.4M in net prime contract dollars under NAICS 621492, down 60.2% from $1.3B in the preceding 12 months. 16 prime contractors received positive obligations, and 2 of them accounted for 80% of that spend.
Prime contracts funded by the Department of Veterans Affairs. Latest 12 months: Oct 6, 2025 to Oct 5, 2026. Source: USAspending.gov.
Obligations by fiscal year
Net prime contract obligations by federal fiscal year (October to September).
Top VA contractors for NAICS 621492
Ranked by positive obligations in the latest 12 months. Share is of all positive obligations in this market.
| # | Contractor | Latest 12 mo | Prior 12 mo | Share | Rank change |
|---|---|---|---|---|---|
| 1 | Fresenius Medical Care Holdings Inc | $268.7M | $634.8M | 50.4% | — |
| 2 | Davita Inc. | $179.4M | $533.4M | 33.6% | — |
| 3 | American Renal Associates LLC | $32.1M | $49.2M | 6.0% | ▲ 1 |
| 4 | US Renal Care Inc | $26.9M | $49.0M | 5.0% | ▲ 1 |
| 5 | Dialysis Clinic, Inc. | $16.9M | $54.4M | 3.2% | ▼ 2 |
| 6 | Dialysis Newco, LLC | $6.3M | $11.1M | 1.2% | — |
| 7 | Total Renal Care Inc | $855K | $449K | 0.2% | ▲ 4 |
| 8 | University Kidney Center, LLC | $408K | $430K | 0.1% | ▲ 4 |
| 9 | Renal Treatment Centers-West, Inc. | $389K | $1.1M | 0.1% | ▲ 1 |
| 10 | RSA - Guam LLC | $371K | $3.3M | 0.1% | ▼ 3 |
| 11 | Atlantis Healthcare Group (Puerto Rico), Inc. | $327K | $2.3M | 0.1% | ▼ 3 |
| 12 | Central Florida Kidney Centers, Inc | $278K | $1.7M | 0.1% | ▼ 3 |
| 13 | Renal Treatment Centers - Southeast LP | $191K | $70K | 0.0% | ▲ 3 |
| 14 | RCG Mercy DES Moines, LLC | $159K | $154K | 0.0% | ▲ 1 |
| 15 | Fresenius USA, Inc | $114K | $67K | 0.0% | ▲ 2 |
What changed in the last 12 months
Contractors with the largest change in reported obligations versus the preceding 12 months.
Largest gains
- Total Renal Care Inc$449K → $855K (+$406K) · now #7
- Renal Treatment Centers - Southeast LP$70K → $191K (+$121K) · now #13
- Alam Shamsul−$118K → $0 (+$118K) · no latest-period obligations
Largest declines
- Fresenius Medical Care Holdings Inc$634.8M → $268.7M (−$366.1M) · now #1
- Davita Inc.$533.4M → $179.4M (−$354.0M) · now #2
- Dialysis Clinic, Inc.$54.4M → $16.9M (−$37.5M) · now #5
Where the money comes from
Funding sub-agencies within the Department of Veterans Affairs, latest 12 months. The funding organization can differ from the office that runs the requirement.
| Funding sub-agency | Latest 12 mo | Prior 12 mo | Change |
|---|---|---|---|
| Department of Veterans Affairs | $533.4M | $1.3B | Down $808.2M (60.2%) |
Potential recompetes
Large awards in this market whose current period of performance ends in the next 18 months. Treat these as research leads: options, extensions, and follow-on vehicles often change the timing.
| Award | Incumbent | Obligated | Current end |
|---|---|---|---|
| 36C25924C0060 | Renal Treatment Centers - West, Inc ON-SITE DIALYSIS SERVICES | $2.3M | Mar 31, 2027 |
Common questions
Who are the top VA contractors for NAICS 621492?
In the latest 12 months, Fresenius Medical Care Holdings Inc ($268.7M), Davita Inc. ($179.4M), American Renal Associates LLC ($32.1M) received the most VA obligations for kidney dialysis centers.
How concentrated is this market?
The eight largest primes held 99.7% of positive obligations, and Fresenius Medical Care Holdings Inc alone held 50.4%. 0 contractors won their first obligations in this market during the latest 12 months.
Are any large VA NAICS 621492 contracts ending soon?
1 of the largest awards in this market reach their current end date in the next 18 months. The first is 36C25924C0060 (Renal Treatment Centers - West, Inc, $2.3M obligated), ending Mar 31, 2027. An end date is a research lead, not a confirmed recompete: options and extensions often move it.
Related markets
Figures are net obligations on prime contracts (award types A–D) from USAspending.gov, grouped by funding agency and the NAICS code on each award. Net obligations include deobligations and corrections, so they can differ from positive-obligation totals. See methodology.
Ready to connect your pursuit work?
GovEagle gives BD directors, capture managers, and proposal teams one AI workspace from pipeline through proposal, with CMMC/FedRAMP Certified compliance built in.