Dialysis Clinic, Inc.

Dialysis Clinic, Inc., a Nashville, Tennessee-based nonprofit organization, provides onsite hemodialysis treatments, laboratory and reference laboratory testing, and physician evaluations to the Department of Veterans Affairs and the Department of Justice Bureau of Prisons as a prime contractor on a 100% prime footprint with no subcontractor activity. The organization holds no SBA set-aside designations and competes full-and-open across all federal awards.

Dialysis Clinic's federal work centers on specialized renal care delivery. The vendor holds four primary indefinite-delivery contracts anchoring its business: the National Dialysis Service Contract Bridge 2.0 (ceiling $1.197 billion, through September 2026), the National Dialysis Service Contracts program (ceiling $250 million, through September 2031, a multiple-award vehicle awarded in May 2026), a single-award on-site hemodialysis services contract with Veterans Integrated Service Network 15 in Columbia, Missouri (ceiling $1.706 million, through December 2030), and the prior National Dialysis Service Contract Bridge (ceiling $1.092 billion, through September 2025). Task orders under these vehicles account for the preponderance of the vendor's federal activity. Representative work includes monthly express reporting deliverables under the NDSC Bridge (task orders ranging from $2.6 million to $31.7 million per fiscal-quarter express report), on-site hemodialysis services at the Columbia VA Medical Center (task orders between $184 thousand and $333 thousand), and laboratory testing for transplant services across multiple VISNs (task orders in the $300 thousand to $700 thousand range). The vendor also performs small-dollar purchase orders for dialysis services at the Federal Medical Center Lexington serving inmate populations (individual treatments priced at $400–$550 per session, monthly physician evaluations at $570).

Customer concentration is extreme and monolithic. The top five customer agencies account for 52% of awards by count but anchor 100% of the combined potential value across the entire portfolio. The Department of Veterans Affairs Headquarters (13 awards, $2.57 billion combined potential value) and the VA Veterans Integrated Service Network 8 (6 awards, $3.13 billion combined potential value) together represent the vast majority of the vendor's potential value, followed distantly by VISN 19 ($990.6 million across 22 awards) and VISN 9 ($10.2 million across 25 awards). The Department of Justice Bureau of Prisons accounts for small-dollar individual inmate dialysis purchase orders but represents negligible dollar share. This concentration reflects the vendor's position as a critical single-source provider within VA's dialysis services infrastructure rather than a competitive vendor developing multiple customer relationships.

Activity has accelerated sharply in recent years. The vendor recorded five awards per year from 2022 through 2024, then thirteen awards in 2025 and four in 2026 (year-to-date). The 233 total awards in the source dataset span a thirty-year horizon beginning in 1996. However, the recompete cliff signal is minimal: only one award (the May 2026 NDSC deployment order, $30 thousand) reaches ultimate completion within the next twenty-four months, indicating that Dialysis Clinic's major contract vehicles have extended runways through 2026–2031 with limited near-term recompete exposure. Combined obligated dollars across all awards stand at $317.6 million (5% of the $6.77 billion combined potential value), reflecting the typical federal contracting pattern wherein IDVs carry high ceilings but task-order obligation trails significantly behind.

Service Contract Inventory data, capturing federal service contracts above the $150,000 reporting threshold, shows minimal SCI footprint: five prime records spanning fiscal years 2022–2023, with $422 thousand in total invoiced revenue and 4.6 FTEs reported in FY2023. SCI-reportable rates ranged from a 10th percentile of $109.30 per hour to a 90th percentile of $661.54 per hour, with a median of $385.42 per hour. This sparse SCI activity reflects that most of Dialysis Clinic's federal work is organized as delivery orders under indefinite-delivery contracts and purchase orders for services — transaction types that may fall below the $150,000 SCI reporting threshold on an individual task-order basis or that are classified as goods or services not captured in the SCI dataset. The vendor performed zero subcontractor hours across its SCI-reportable prime contracts, confirming the 100% prime footprint and absence of supply-chain leverage.

Dialysis Clinic operates a single identified subsidiary, Big Horn Basin Regional Dialysis Center LLC (for-profit organization), which does not appear to anchor separate federal award activity in the source dataset and may represent regional operational structuring or equity holdings rather than a distinct federal business line.

The vendor's federal posture is specialized and concentrated. Dialysis Clinic does not compete across multiple customer agencies or service lines; rather, it functions as a single-source, mission-critical provider of renal care services to the VA system, with episodic small-dollar work for the Bureau of Prisons. The absence of set-asides, the 100% prime footprint, and the magnitude of the vendor's IDIQ ceilings ($6.77 billion across 233 awards) indicate that Dialysis Clinic occupies a protected incumbent position within VA's dialysis infrastructure, insulated from competitive threat by the specialized nature of the work and the vendor's operational integration with VA's clinical networks across multiple VISNs.