Care Meridian

Care Meridian, operating as Neurorestorative, a for-profit limited liability company headquartered in Aliso Viejo, California, provides nursing home services and community nursing home case management to the Department of Veterans Affairs as a prime contractor across multiple Veterans Integrated Service Networks (VISNs), competing entirely full-and-open with no set-aside designations. The company holds an exclusively VA-concentrated portfolio of 396 prime awards totaling $348.5 million in combined potential value, with 20 percent of that amount obligated to date.

Customer concentration is extreme and fixed across two customer-ranking dimensions. VISN 21 dominates both volume and dollars, accounting for 297 awards (75% of the total) worth $247 million in combined potential value, while VISN 19 and VISN 22 together account for 97 awards worth $101 million. The three VISNs make up 99 percent of award count and 100 percent of potential value. Neurorestorative's scope of performance spans multiple locations: administrative oversight and primary operations are based in Aliso Viejo and Irvine, California, with subordinate performance across service delivery locations in California (Irvine, Reno, Palo Alto, Pleasanton, Fresno, Gilroy, Granite Bay, Fairfax), Nevada (Reno), and Massachusetts (Lawrence).

The company's federal capability footprint centers on express reporting services for Community Nursing Home (CNH) expenditures on a quarterly and annual basis, direct CNH services delivery including case management and specialized rehabilitation therapies focused on neurological conditions, and healthcare expenditure analysis and financial management support to VHA programs. Representative work includes a $2.15 million delivery order from VISN 21 awarded in October 2025 for CNH services through October 2026; multiple quarterly express reporting delivery orders from VISN 19 and VISN 21 ranging from $79,755 to $625,348 issued monthly through April 2026; and a $1.7 million CNH services delivery order from VISN 21 awarded in October 2023 for the period through October 2024, performed in Reno, Nevada.

Neurorestorative operates under multiple indefinite delivery contracts with VISN 21 and VISN 22. The largest vehicle is a single-award IDC valued at $6.99 million awarded to VISN 21 in October 2021 with an ultimate completion date of October 2026, which has generated 19 delivery orders totaling approximately $13.9 million through fiscal year 2026. A second VISN 21 IDC of identical value and award date carries express reporting task orders with cumulative value exceeding $6 million. VISN 22 holds a $750,000 single-award IDC awarded in June 2023 for nursing home services through May 2024. A Basic Ordering Agreement VA26114A0035 anchors the largest share of recent activity, with 149 task orders worth $95 million in combined potential value. The company also operates under additional IDVs and BOAs structured to support quarterly, annual, and express reporting cycles across multiple VISN locations.

Activity has contracted in recent years. The vendor received 63 awards in 2022 and 59 in 2023, declining to 18 in 2024, 15 in 2025, and 6 through August 2026. Thirty-seven awards with ultimate completion dates in the next twenty-four months carry combined potential value of $40.9 million, representing substantial recompete exposure as quarterly and annual reporting contracts and CNH service delivery orders cycle through renewal. Neurorestorative holds no identifiable subcontractor footprint and receives no work from other federal agencies. The company's business model relies entirely on delivery order issuance against standing IDVs and BOAs held with three VA VISNs, with no pursuit beyond the Veterans Health Administration or involvement in federal teaming arrangements across the source data.