The requirement is to lease four Amia Automated Peritoneal Dialysis (APD) cyclers for Brooke Army Medical Center at Joint Base San Antonio, Fort Sam Houston, Texas. The Government intends to award noncompetitively to Vantive US Healthcare LLC due to the proprietary closed ecosystem and the inability of other brands to interface with established patient-care connectivity software. The period of performance is 1 February 2027 through 31 January 2032 and includes maintenance, repair, consumables, training, and support for clinical staff and patients. The anticipated award date is on or around 1 December 2026 under RFO FAR Part 12 commercial products and services procedures. All responsible sources may provide information in response to this opportunity for Agency consideration.