Veterans Health Administration Equipment Life Cycle Management Program (VHA ELCM)

The Department of Veterans Affairs established a multiple-award Master IDIQ on August 19, 2022 for dialysis systems and associated maintenance services and consumables, with ordering authority through July 31, 2027. Ordering closes in approximately 12 months, leaving a narrow window to pursue new work under the vehicle. The vehicle remains moderately active, with 187 task orders awarded across 57 orders in 2025 and 28 through July 2026, though momentum has declined slightly from a peak of 57 orders in 2025.

The vehicle procures water purification and distribution systems (central and portable), integrated water purification and dialysate delivery systems, hemodialysis (HD) systems, Continuous Renal Replacement Therapy (CRRT) systems, peritoneal dialysis (PD) systems, and related maintenance services and consumables for VA dialysis facilities nationwide, including Alaska, Hawaii, and Puerto Rico. Task orders span both equipment purchases and service contracts, with individual orders ranging from under $5,000 in routine monthly supply orders to over $900,000 in equipment purchases and multi-year service agreements.

Five primes dominate the portfolio: Fresenius Usa, Inc. ($10.3 million combined potential value across 37 orders), Marathon Medical Corporation ($9 million, 38 orders), Vantive US Healthcare LLC ($8.1 million, 36 orders), SDV Office Systems LLC ($5.4 million, 40 orders), and Ameriwater, LLC ($2.6 million, 22 orders). These five firms hold 96 percent of combined potential value and account for 93 percent of all task orders, indicating tight competitive concentration. The remaining six primes share a small tail of remaining activity.

Roughly 62 percent of task-order volume originates from Department of Veterans Affairs Headquarters and four Veterans Integrated Service Networks (VISN 8, VISN 4, VISN 22, and VISN 6), with ordering distributed across 19 distinct VA customer entities. Nearly all task orders carry no set-aside designation (96 percent), with only 4 percent designated for Service-Disabled Veteran-Owned Small Business (SDVOSB).

The vehicle's combined potential value stands at $37.1 million, with $33.8 million already obligated (91 percent), leaving approximately $3.3 million in unobligated ceiling. Task-order values are highly variable, from small monthly consumables orders of $1,000–$50,000 to major equipment and service contracts exceeding $500,000. Typical individual order ceilings range from $30,000 to $300,000, though multi-year service contracts extend to $1.8 million ceiling value. Given the steep utilization rate and approaching order deadline, available capacity for new task-order wins is constrained.

The Department of Veterans Affairs (VA) Veterans Health Administration (VHA) requires dialysis systems and associated maintenance services and consumables for VA facilities throughout the United States that perform dialysis. The requirement includes water purification and distribution systems (central and portable), integrated water purification and dialysate delivery systems, hemodialysis (HD) systems, Continuous Renal Replacement Therapy (CRRT) systems, and peritoneal dialysis (PD) systems. VA requires the option to purchase systems for in-center use and lease systems for home use.