Dialysis and renal care services for veterans and government health beneficiaries. Find active federal and state kidney dialysis centers contracts — AI-scored against your profile across SAM.gov and 200+ portals.
The federal market for NAICS 621492, Kidney Dialysis Centers, is estimated at $500 million to $1 billion annually, driven primarily by the VA, DoD, and IHS for veteran, active-duty, and Native American beneficiaries. CMS also contracts for Medicare end-stage renal disease (ESRD) beneficiaries. Contracts are typically structured as fixed-price, requirements-type IDIQs or BPAs with multiple awardees, emphasizing geographic coverage and quality metrics. Demand is steady and non-discretionary due to the life-sustaining nature of dialysis. Competition is moderate, with a mix of large national chains (e.g., DaVita, Fresenius) and small, regional providers. Set-asides for SDVOSB, 8(a), and HUBZone are common at the VA and IHS.
These agencies are the largest buyers of kidney dialysis centers services and products in the federal government. Each awards contracts under NAICS 621492 regularly — build relationships with their small business offices first.
To win 621492 contracts, focus on VA and IHS solicitations, which often use SDVOSB or 8(a) set-asides. The highest-leverage move is obtaining VA CVE verification as an SDVOSB or VOSB, as VA buys the majority of dialysis services under set-asides. Also, pursue GSA Schedule 621I (Professional & Allied Healthcare Staffing) or direct IDIQs like VA's Community Dialysis Services BPA. Emphasize quality metrics (e.g., infection rates, patient satisfaction) and ability to serve remote/rural locations. Avoid competing head-on with large chains on price; instead, highlight local presence and patient-centered care.
Kidney dialysis services are primarily bought via agency-specific IDIQs and BPAs (e.g., VA Community Dialysis Services BPA, DoD TRICARE dialysis network). GSA Schedule 621I (Health Professional Services) is used but less common. Solicitations are often best-value tradeoff, evaluating technical approach, past performance, and price. LPTA is used for standardized services. Small business set-asides (SDVOSB, 8(a), HUBZone) are frequent.
You must be a Medicare-certified ESRD facility with a valid CMS Certification Number (CCN). Additionally, VA contracts may require CVE verification for SDVOSB/VOSB status, and IHS contracts may require Indian Health Service approval. State licensure is also necessary.
Performance and payment bonds are rarely required for dialysis services because they are service contracts, not construction. However, you will need professional liability insurance (malpractice) of at least $1 million per occurrence and general liability insurance. Some IDIQs may require a bid bond for large awards.
VA dialysis contracts typically range from $500,000 to $5 million annually per award, depending on geographic scope and patient volume. Individual BPAs for a single VA medical center may be under $1 million, while regional IDIQs covering multiple states can exceed $10 million.
Yes, but be cautious. Many large chains have their own federal contracts and may not subcontract. If you are a small business prime, you can subcontract to a large chain, but the VA and DoD often require the prime to perform at least 50% of the work (for services). Ensure your subcontracting plan complies with FAR 52.219-9.
8(a) set-asides are moderately competitive, typically attracting 3-5 bidders per solicitation. The IHS and VA use 8(a) frequently for dialysis services. To win, ensure your 8(a) business plan is current and that you have relevant past performance in dialysis, not just general healthcare.