Kaleida Health

Kaleida Health, a Buffalo-based nonprofit healthcare system, provides federal STAT reference laboratory testing services to the Department of Veterans Affairs as a prime contractor under a single-award indefinite delivery contract, and receives federal grant funding as a sub-recipient under Health and Human Services and Federal Emergency Management Agency programs. Kaleida does not compete for or hold set-aside contracts and works exclusively in the full-and-open competitive space.

Kaleida operates as a tax-exempt nonprofit corporate entity headquartered at 726 Exchange Street in Buffalo, New York, with a secondary subsidiary, VNA Home Care Services, also listed as a nonprofit organization. The organization spans multiple healthcare facilities in Western New York, with specific federal work performed at its Snyder, New York laboratory location supporting veteran care. The vendor's federal footprint centers on medical laboratory services under NAICS 621511 (Medical Laboratories), with secondary presence in general medical and surgical hospital services and home health care.

The top customer concentration sits heavily with the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 2, which accounts for 23 awards with $1.9 million in combined potential value — representing the dominant dollars across Kaleida's recent federal portfolio. FEMA Headquarters Financial Assistance Awards account for 29 awards but carry substantially lower individual values, reflecting disaster-relief and pandemic-response grant sub-awards routed through the New York State Division of Homeland Security and Emergency Services. The Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response, HRSA, and SAMHSA round out the active customer set, accounting for 17 awards combined. The split between top-customer rankings by award count versus potential value reflects a typical pattern: FEMA sub-awards are numerous but granular, while VA work concentrates dollars in fewer, higher-value delivery orders.

The VA relationship anchors on a single-award Indefinite Delivery Contract (VA24217D0042) established February 1, 2022, with a $100,000 ceiling through January 31, 2027. Since inception, Kaleida has received six task orders against this IDV, with annual delivery orders for STAT reference laboratory testing services issued each February. Representative delivery orders include a $20,000 firm fixed-price order awarded February 1, 2026, with completion January 31, 2027; a $19,423.67 order awarded February 1, 2025; and a $22,103.86 order awarded February 1, 2024. All awards under this vehicle carry no set-aside designation and are designated sole-source under Federal Acquisition Regulation 6.302-1, recognizing Kaleida's unique operational capability to deliver these specialized diagnostic services. The IDV carries minimal obligated value against its ceiling, typical of lab-services vehicles where delivery orders are issued annually on an as-needed basis.

Activity has declined over the past five years — from 15 awards in 2023 to 6 in 2025 and 2 in 2026 year-to-date — reflecting the tail-off of pandemic-era federal grant awards routed through FEMA and New York State emergency-services channels. The combined obligated value across all 80 awards ($131.8 million) substantially exceeds the combined potential value ($2 million), a signal that many older FEMA sub-awards have been fully drawn down and closed. Only one award (the VA contract) reaches ultimate completion within the next twenty-four months, carrying minimal recompete exposure and reflecting the mature, stable nature of Kaleida's VA relationship.

Federal grant work accounts for 42 sub-awards (52% of recent activity) routed through Health Research Inc., the New York State Division of Homeland Security and Emergency Services, the New York State Office of Mental Health, and the Research Foundation for Mental Hygiene. These sub-awards span hospital preparedness program funding, COVID-19 disaster relief (PPE, testing supplies, temporary facilities, and temporary staffing), and mental-health workforce expansion. The New York State Division of Homeland Security and Emergency Services sub-awards, dating from 2021 through 2025, predominantly reflect Federal Disaster Assistance under FEMA programs and carry project-specific cost categories (Cardinal PPE procurement, temporary ventilation services, snow removal and building damage recovery). More recent 2025 sub-awards from Health Research Inc. under the Hospital Preparedness Program and from the Research Foundation for Mental Hygiene signal an uptick in HHS ASPR and SAMHSA grant activity.

Kaleida holds positions on four active parent IDV vehicles with the VA: Indefinite Delivery Contract VA52814D0043 (4 task orders, $275 thousand combined potential value) and Basic Ordering Agreement VA528BO0136 (4 task orders, $668 thousand combined potential value), alongside the primary $100,000-ceiling single-award IDC. A third vehicle, Indefinite Delivery Contract 36C24222D0031, carries 5 task orders valued at $117 thousand combined potential value. These vehicles all support laboratory and medical-supplies work for the Buffalo VA Medical Center.