Care Meridian

Care Meridian, doing business as Neurorestorative, operates as a for-profit limited liability company delivering nursing home services, community nursing home case management, healthcare expenditure reporting, and specialized rehabilitation therapies focused on neurological conditions to the Veterans Health Administration as a prime contractor across multiple Veterans Integrated Service Networks (VISNs). The company competes in the open federal market with no set-aside designations across its entire portfolio of 392 prime awards, all held with the Department of Veterans Affairs.

Neurorestorative is based in Aliso Viejo, California, with places of performance concentrated in Irvine, California and subordinate service locations across Nevada and Massachusetts. The company specializes in long-term care operations for veterans, including direct nursing home services, quarterly and express reporting on community nursing home expenditures, case management for complex neurological conditions, and clinical rehabilitation support. Representative awards include a $14 million firm fixed-price delivery order from VISN 19 for express reporting services from September 2021 through October 2026, a $2.87 million delivery order from VISN 21 for CNH services in Pleasanton, California from October 2022 through October 2023, and a $2.15 million delivery order from VISN 21 for community nursing home services from October 2025 through October 2026. The company holds multiple indefinite delivery contracts (IDVs) valued between $750,000 and $6.99 million, each awarded as single-award vehicles without competitive set-aside designation.

Customer concentration is extreme and singular. VISN 21 accounts for 296 awards valued at $246.4 million (approximately 71% of combined potential value), VISN 19 holds 34 awards valued at $86.6 million (approximately 25%), and VISN 22 represents 60 awards valued at $13.7 million (approximately 4%). The top three customers cover 99% of awards by count and 100% by potential value. Activity has declined sharply—from 63 awards in 2022 to just 2 awards in 2026—reflecting either portfolio maturation or recompete and renewal cycles. Thirty-seven awards (combined potential value $40.9 million) reach ultimate completion within the next twenty-four months, creating significant recompete exposure concentrated within VISN 21's ordering agreements.

Neurorestorative operates exclusively under two vehicle types. A Basic Ordering Agreement (VA26114A0035) hosts 149 task orders valued at $95 million combined potential. Three Indefinite Delivery Contracts (36C25921D0014, 36C26122D0026, and 36C26122D0028) collectively carry 69 task orders valued at $53.2 million. These vehicles support quarterly and annual reporting cycles, monthly express reporting drops, and multi-location CNH service delivery across fiscal years. The vendor holds no subcontract footprint and operates no partnerships; all 392 awards are prime.

Neurorestorative's award portfolio is entirely concentrated in nursing care facility operations (388 awards, primary PSC code nursing home, long-term and adult day care services). The vendor has no diversification into other federal sectors, agencies beyond VA, or service lines beyond long-term care reporting and rehabilitation. The company's federal contracting profile is entirely dependent on VA-VHA's Community Nursing Home Program and regional network financial oversight requirements across a single geographic zone (California, Nevada, Massachusetts VISNs).