Q402--HOME DIALYSIS SYSTEM
Veterans Affairs · 247-NETWORK CONTRACT OFFICE 7 (36C247)
Capture briefs (a one-page, shareable copy of this page) are part of Pro. The CSV here holds the notice, its timeline and past awards.
Where this opportunity stands
Every notice posted under solicitation 36C24726Q0799 in this department, oldest first.
- Aug 6, 2026 · this noticeSpecial Notice
Next steps for this stage
Standard steps for the notice type; not advice about this buyer.
- Answer the notice: this is when the requirement can still be shaped.
- Contact the contracting officer named on the notice.
- Check who won similar work; they are the likely bidders.
What the notice says
NOTICE OF INTENT TO SOLE SOURCE Veterans Health Administration (VHA) Network Contracting Office (NCO) 7 Birmingham VA Health Care System Proposed Contractor: Koffel Medical Supply NAICS: 621610 Description of Requirement The Department of Veterans Affairs, Birmingham VA Healthcare System, intends to award a firm fixed price sole source contract to Koffel Medical Supply for the continued provision and direct to patient delivery of proprietary Peritoneal Dialysis (PD) supplies and home dialysis support materials. These materials include the specific Baxter Amia cycler connection systems, tubing … (show all)
assemblies, extension sets, and sterile components currently used by active VA home PD patients. The required supplies are clinically essential and must remain compatible with veterans existing PD equipment to ensure uninterrupted and medically safe home dialysis treatment. Justification Koffel Medical Supply provides proprietary PD components uniquely compatible with the PD systems currently deployed in the homes of Birmingham VA s active PD patient population. These components cannot be safely substituted with another vendor s materials without requiring: full replacement of home PD equipment, retraining of all active PD patients, modification of clinical protocols, and risk of treatment interruption for medically fragile patients. Market research, Notice of Intent posting, and technical review confirm that no other vendor can supply components compatible with the established system without requiring a clinically unsafe platform conversion. This action is authorized under 41 U.S.C. §3304(a)(1) as implemented by RFO 6.103 1, Only One Responsible Source. Koffel Medical Supply is the only responsible source capable of supplying the proprietary PD supply system currently integrated into Birmingham VA s: clinical workflows, inventory management, patient support protocols, and home dialysis safety procedures. Transitioning veterans to any alternate PD platform would impose medical risk, continuity of care disruption, and unsafe treatment interruption, making a competitive acquisition unsuitable. Responses This notice is not a request for competitive quotes. Interested parties may submit a capability statement demonstrating full, documented compatibility with the specific proprietary PD platform and consumable system currently in use by all Birmingham VA home dialysis patients. Statements must demonstrate technical equivalence, interchangeability, and risk free patient transition, as required under RFO 6.103 1. Failure to submit evidence meeting all compatibility and continuity of care requirements may result in the Government proceeding with the proposed sole source award. The Government will not consider generic PD supply statements or proposals that would require changing patient equipment or altering clinical workflows. Capability statements must be emailed to: Darius Crane at darius.crane@va.gov All responses must have in the subject line of the email Attention: 36C24726Q0799 HOME DIALYSIS SYSTEM Responses are due no later than 12:00 August 11, 2026.
Who won similar work
47 award notices on SAM.gov in the last 24 months. Matched by: Same agency (Veterans Affairs), same product/service code (PSC) Q402.
Single-winner award sizes (44): middle half $790K to $5.9M, median $2.3M; range $104K to $10.0M.
| Winner | Awards | Value | Last |
|---|---|---|---|
| RIM COUNTRY REHAB, INC. | 3 | $10.0M | Apr 6, 2026 |
| RIDGECREST COMMUNITY HEALTHCARE, LLC · $PACS · $3.1B | 2 | $9.8M | May 29, 2026 |
| WOOD VILLAGE OF CASCADIA, LLC. Wood City OR 97060 USA | 2 | $9.0M | Oct 9, 2025 |
| HALE NANI REHAB AND NURSING CENTER, LLC | 1 | $10.0M | Apr 4, 2025 |
| Black Mountain Neuro-Medical Treatment Center Black Mountain NC 28711 USA | 1 | $7.2M | Jun 25, 2025 |
| HEBREW HOME FOR AGED DISABLED SAN FRANCISCO 94112 | 1 | $7.0M | Oct 1, 2025 |
| J F HERITAGE LLC | 1 | $7.0M | Oct 30, 2025 |
| COVENANT CARE VEGAS INC | 1 | $7.0M | Mar 31, 2025 |
| Stratford Hospital District CORPUS CHRISTI 78405 | 1 | $6.4M | Jun 26, 2025 |
| SOUTHEASTERN HEALTH FACILITIES INC | 1 | $6.3M | Apr 18, 2025 |
Value counts single-winner awards. "Shared" awards are multiple-award contracts that list every winner with the same total ceiling; that ceiling is not one company's win, so it is not added in. Revenue next to a ticker is the company's last annual revenue from its 10-K.
- $PACS reported $3.1B revenue in FY2025. The median single-winner award in these 44 past awards, $2.3M, is under 0.1% of that. 10-K
One award's total value against one year of revenue; many awards are paid over several years.
- Jun 9, 2026MCCULLOCH COUNTY HOSPITAL DISTRICT Waco TX 76712 USA$2.3M36C25726D0075 | NEW CNH AVIR at ConverseNo listed company matched (Materiality N/A)
- May 29, 2026RIDGECREST COMMUNITY HEALTHCARE, LLC$9.0MQ402--644 | Ridgecrest | 20-Month CNH | 07/01/26 - 02/29/28Materiality: 0.16% of $PACS revenue (Low) SEC
- Apr 16, 2026PALO DURO MANAGEMENT, LLC$1.5MQ402--New CNH Palo Duro Nursing Center POP 09/30/2026-09/29/2027 504Y61161No listed company matched (Materiality N/A)
- Apr 6, 2026RIM COUNTRY REHAB, INC.$9.0MQ402--644 | Rim Country | 5-Year CNH | 06/01/2026 - 05/31/2031No listed company matched (Materiality N/A)
- Mar 5, 2026FANNIN COUNTY HOSPITAL AUTHORITY BONHAM 75418$2.3MQ402--CNH AVIR at Walnut SpringsNo listed company matched (Materiality N/A)
- Feb 10, 2026Winnie Stowell Hospital District Hallettsville TX 77964 USA$2.3MNew CNH HallettsvilleNo listed company matched (Materiality N/A)
- Jan 23, 2026CONGRESS STREET PARTNERS LP$130KQ402--Congress Street Partners CNH DBA Kensington (VA-26-00012784) Community Nursing HomeNo listed company matched (Materiality N/A)
- Dec 11, 2025UVALDE COUNTY HOSPITAL AUTHORITY SAN ANTONIO 78250$2.3MQ402-- NEW CNH Silver Creek Nursing POP 12/31/2025-12/30/2028No listed company matched (Materiality N/A)
- Oct 30, 2025J F HERITAGE LLC$7.0MQ402--CNH Crown Point LubbockNo listed company matched (Materiality N/A)
- Oct 23, 2025RIM COUNTRY REHAB, INC.$600KQ402--644 | Rim Country | 12/01/2025 - 05/31/2026No listed company matched (Materiality N/A)
Materiality: one award's value as a share of the winner's revenue over the latest 12 months in its SEC filings (or its last fiscal year, as noted when you point at it). Low under 1%, Medium 1 to 5%, High 5% or more. Many awards are paid over several years, so this overstates a single year's share.
Competitive landscape
For the 8 most frequent past winners above. Lobbying is matched by the company's exact name or exact ticker; agencies are as named on the filings.
- 0 of these past winners lobbied Veterans Affairs, Dept of (VA) since 2024 (0 filings)
- 0 of their lobbyists list a past Veterans Affairs, Dept of (VA) job
- No corporate PAC money from them to the overseeing committees since 2024
- 0 foreign-agent (FARA) registrations
Policy around it
Bills the past winners named while lobbying this agency's issues, rules from the department, and executive orders that name the agency, last 12 months.
- 0 bills named on the past winners' lobbying filings
- 25 rules from the department in the last 12 months
- 0 executive orders naming the agency in the last 12 months
Market
For past winners matched exactly to a listed company. Insider trades are open-market buys and sells (Form 4) in the last 90 days, shown as facts; our own study found insiders do not reliably buy ahead of awards. A sale marked 10b5-1 was made under a trading plan set up in advance.
- 1 of the past winners are listed companies
- 0 insider buys and 10 insider sells at them in the last 90 days
Sources: SAM.gov notices and award notices; Senate LDA lobbying filings; FEC filings; FARA; Federal Register; congress.gov; SEC Form 4. Every row above links to its record.
Companies are matched to tickers by exact name only. A company we could not match shows no market rows; that is a miss, not a finding.