Q999--US Renal Care (USRC) National Dialysis Services Contract (NDSC) National Dialysis Services Contract (NDSC)
Overview
Buyer
Place of Performance
NAICS
PSC
Set Aside
Original Source
Timeline
Qualification Details
Fit reasons
- NAICS alignment with historical contract wins in similar service areas.
- Scope strongly matches core technical capabilities and delivery model.
Risks
- Past performance thresholds may require one additional teaming partner.
- Potential clarification needed on staffing minimums before bid/no-bid.
Next steps
Validate eligibility requirements, assign capture owner, and schedule partner outreach to confirm teaming strategy before submission planning.
Quick Summary
The Department of Veterans Affairs (VA) has awarded multiple Indefinite Delivery/Indefinite Quantity (IDIQ) contracts for National Dialysis Services (NDSC). These awards provide community-based dialysis services for End-Stage Renal Disease (ESRD) and Acute Kidney Injury (AKI) to Veterans. Key awardees include American Renal Associates LLC ($250M) and DaVita Inc. ($2.6B), stemming from solicitation 36C10G25R0022.
Scope of Work
Contractors are responsible for providing, supervising, and monitoring outpatient chronic dialysis and AKI services within their facilities. This also includes providing home dialysis training to Veterans. Services must adhere to Centers for Medicare and Medicaid Services (CMS) quality standards and treatment guidelines, covering center-based hemodialysis, home-based hemodialysis (Method I only), and peritoneal dialysis.
Contract Details
- Contract Type: Multiple Award Indefinite Delivery/Indefinite Quantity (IDIQ)
- Original Estimated Aggregate Value (Solicitation): Up to $6,000,000,000.00 (ceiling for each contract to be negotiated)
- Period of Performance: Base period (2026) with multiple option periods extending through 2031 (as per original solicitation)
- Set-Aside: Unrestricted (as per original solicitation)
- Product Service Code (PSC): Q999 (Other Medical Services)
- NAICS Code: 621492 (Kidney Dialysis Centers)
Award Information
The VA, through its Strategic Acquisition Center Fredericksburg, has made the following awards on May 13, 2026:
- Awardee: American Renal Associates LLC
- Award Number: 36C10G26D0016
- Award Amount: $250,000,000.00
- Awardee: DaVita Inc.
- Award Number: 36C10G26D0019
- Award Amount: $2,600,000,000.00
Original Solicitation Context
The original solicitation (36C10G25R0022) was evaluated based on a best-value trade-off, considering Facility Certification (Go/No Go), Project Management, Program Integrity, Clinical Quality, Past Performance, and Price. Technical factors were significantly more important than price. The solicitation incorporated numerous FAR and VAAR clauses related to data security, payment, labor standards, and compliance.