RSA - Guam LLC

Sinajana, GU Doing business as U.s. Renal Care Sinajana Dialysis Fresenius Medical Care-North America Part of Fresenius Medical Care Holdings Inc.

UEI
TXNWZVF61KB7
CAGE
5XL34
Primary NAICS
621492 Kidney Dialysis Centers
SAM.gov registration
Active through

Company facts

FY2025 rankings

Its parent company, Fresenius Medical Care Holdings Inc., ranks:

Self-certified in SAM.gov
  • For Profit Organization
Entity structure
Corporate Entity (Not Tax Exempt)
Corporate family
SAM.gov registration date
Physical address
736 4 #101, Sinajana, 96910
Founded
1996
Employees
100K+
Estimated annual revenue
$10B+
Industry
  1. Health Care
  2. Health Care Equipment & Services
  3. Health Care Providers & Services
  4. Health Care Services
SIC code
80 Health Services

Registration and certifications come from SAM.gov and the SBA; company details from public web sources. Updated .

Contract obligations by fiscal year

Fiscal year Obligated
FY2027 To date $0
FY2026 $370,625
FY2025 $3,265,829
FY2024 $0
FY2023 $1,648,015

Top agencies by obligations

Rank Agency Obligated, FY2026–FY2027 Share
1 Department of Veterans Affairs $370,625

Contract awards

Award Agency Obligated Awarded
Express report: FY 26 november ndsc express report 36C10G26K0201 Headquarters $135,384
Express report: FY 26 october ndsc express report 36C10G26K0131 Headquarters $126,381
Express report: FY 25 september ndsc express report 36C10G26K0071 Headquarters $108,860
Express report: FY 25 august ndsc express report 36C10G25K0668 Headquarters $125,222
Express report: FY 25 july ndsc express report 36C10G25K0598 Headquarters $128,113

Latest 5 listed here. See the rest on GovTribe.

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About the company

RSA - Guam LLC is a for-profit corporate entity and subsidiary of Fresenius Medical Care-North America that operates under the business name U.S. Renal Care Sinajana Dialysis. Based in Sinajana, Guam, the company specializes in providing comprehensive dialysis services and associated medical supplies to support federal healthcare programs. The entity is registered in SAM.gov through April 23, 2026, and has established itself as a critical healthcare service provider serving the veteran population and other federal beneficiaries requiring specialized renal care.

RSA - Guam LLC has received numerous firm fixed-price delivery orders from the U.S. Department of Veterans Affairs under its Indefinite Delivery Contract vehicles. These delivery orders, spanning from October 2021 through November 2025, have ranged in value from approximately $23,940 to $1.2 million, with no set-aside designations applied to any awards. The services provided include dialysis treatments, medical supplies, and express reporting to support veterans' healthcare programs, specifically within Veterans Integrated Service Network 8 (VISN 8) and potentially VISN 19. The contract awards represent ongoing monthly or quarterly delivery orders, indicating sustained and consistent federal demand for the company's specialized kidney dialysis services. All awards have been issued without competitive set-aside restrictions, reflecting open competition for task order placement.

RSA - Guam LLC currently holds two Indefinite Delivery Contracts with substantial ceiling values. The most recent IDC, awarded October 1, 2025, is titled the "National Dialysis Service Contract" with a $1.197 billion ceiling value and completion date of September 30, 2026. This contract procures comprehensive dialysis services and medical supplies for federal healthcare beneficiaries through task orders issued to the Sinajana, Guam facility. Additionally, the company maintains the "National Kidney Dialysis Service Contract Bridge," a $1.092 billion IDC awarded by the Department of Veterans Affairs with an expiration date of September 30, 2025. Both contracts represent single-award vehicles with no set-aside provisions, enabling the federal government to issue flexible delivery orders based on operational demands. The award history demonstrates RSA - Guam LLC's established capability to manage large-scale healthcare procurement vehicles while maintaining consistent performance in delivering critical dialysis services to veteran and federal beneficiary populations.

Quick answers

Is RSA - Guam LLC registered in SAM.gov?

Yes. RSA - Guam LLC's SAM.gov registration is active through March 26, 2027.

What is RSA - Guam LLC's CAGE code?

RSA - Guam LLC's CAGE code is 5XL34, and its Unique Entity ID (UEI) is TXNWZVF61KB7.

How much has RSA - Guam LLC received in federal contracts?

Federal contracts obligated $3,265,829 to RSA - Guam LLC in fiscal year 2025 and $5,284,469 in fiscal years 2023 through 2027.

How does RSA - Guam LLC rank among federal contractors?

RSA - Guam LLC's parent company, Fresenius Medical Care Holdings Inc., ranked #1 in NAICS 6214, #1 in PSC Q9 and #5 in NAICS 62 in FY2025.

What is RSA - Guam LLC's most recent federal award?

RSA - Guam LLC's most recent federal contract award is Express report: FY 26 november ndsc express report (36C10G26K0201), from Headquarters, on November 1, 2025.

On GovTribe

See RSA - Guam LLC's full federal record

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  • IDV awards
  • Funding analysis by agency, NAICS and set-aside
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