Who wins federal Kidney Dialysis Centers contracts
Federal agencies obligated $1.3 billion on contracts under NAICS 621492 (Kidney Dialysis Centers) in fiscal year 2025. The largest contractor listed was Fresenius Medical Care Holdings INC ($634.8 million).
Who wins
| Contractor | FY2025 obligations | Share |
|---|---|---|
| Fresenius Medical Care Holdings INC | $634.8 million | 47.2% |
| Davita Inc. | $533.6 million | 39.7% |
| Dialysis Clinic, Inc. | $54.4 million | 4.0% |
| American Renal Associates LLC | $49.2 million | 3.7% |
| US Renal Care INC | $49.0 million | 3.6% |
| Dialysis Newco, LLC | $11.0 million | 0.8% |
| Rsa - Guam LLC | $3.3 million | 0.2% |
| Correctional Dialysis Services LLC | $3.0 million | 0.2% |
| Atlantis Healthcare Group (puerto Rico), Inc. | $2.3 million | 0.2% |
| Central Florida Kidney Centers, INC | $1.7 million | 0.1% |
| Renal Treatment Centers - West, INC | $1.1 million | 0.1% |
| Total Renal Care INC | $818,330 | 0.1% |
| University Kidney Center, LLC | $418,313 | 0.0% |
| Renal Treatment Centers-mid-atlantic INC | $263,889 | 0.0% |
| Liberty Dialysis - Nevada Acutes LLC | $258,142 | 0.0% |
| Renal Treatment Centers-california, Inc. | $247,738 | 0.0% |
| Rcg Mercy Des Moines, LLC | $153,828 | 0.0% |
| Renal Treatment Centers - Southeast LP | $69,521 | 0.0% |
| Fresenius Usa, INC | $67,095 | 0.0% |
| Seven Corners INC | $-2,898 | -0.0% |
| Caredx, Inc. | $-5,684 | -0.0% |
| Fresenius Kidney Care American Dialysis, LLC | $-19,860 | -0.0% |
| Renal Care Group of the Southeast, Inc. | $-126,363 | -0.0% |
Who buys
| Agency | FY2025 obligations | Share |
|---|---|---|
| Department of Veterans Affairs | $1.3 billion | 99.8% |
| Department of Justice | $3.0 million | 0.2% |
| Department of Defense | $101,515 | 0.0% |
| Department of Health and Human Services | $-4,626 | -0.0% |
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Source and coverage
Source: USAspending.gov, the U.S. Treasury's public record of federal spending, retrieved 2026-11-01. Figures are contract obligations (award types A, B, C and D) for federal fiscal year 2025, October 2024 to September 2025. Covers the 100 largest NAICS codes by federal spending. This is federal money only. State, city and town contracts are not included. Obligations can be negative when earlier amounts are withdrawn, some classified work is not reported, and contractors that may be individuals are left out of the name lists, so a list is not a complete ranking of everyone paid. Pushbuild is not affiliated with any agency or company listed.