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DaVita (DVA)
NYSE:DVA

DaVita (DVA) AI Stock Analysis

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DVA

DaVita

(NYSE:DVA)

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Neutral 57 (OpenAI - 5.2)
Rating:57Neutral
Price Target:
$115.00
▲(3.43% Upside)
The score is driven mainly by mixed fundamentals: strong free cash flow but pressured margins and a high-risk balance sheet with negative equity. Valuation is supportive (P/E 11.449) and earnings guidance is modestly positive, but technicals remain weak with the stock below key longer-term moving averages and a negative MACD.
Positive Factors
Strong Free Cash Flow
Sustained FCF growth provides durable internal funding for operations, strategic investments, and shareholder returns. Strong cash conversion supports deleveraging or opportunistic M&A, and buffers the business versus reimbursement or volume cyclicality over the next 2–6 months.
IKC Clinical Advantage & Profitability
IKC’s superior clinical outcomes (better vascular access, adherence, fewer hospitalizations) and first full-year profitability create a durable competitive advantage in value-based kidney care. Lower early costs and better clinical metrics support margin expansion and differentiated contracting with payers.
Revenue per Treatment Momentum
Sustained RPT growth demonstrates pricing power and improved commercial mix that can offset flat treatment volumes. Higher RPT is a durable revenue lever under reimbursement pressure, supporting operating income and cash generation even if treatment counts remain challenged.
Negative Factors
Weak Balance Sheet / Negative Equity
Negative equity and elevated leverage materially constrain financial flexibility, increasing refinancing and covenant risk. This capital structure limits ability to absorb shocks, fund growth initiatives, or pursue M&A without dilutive or expensive financing over the medium term.
Margin Compression
Significant margin erosion reduces sustainable profitability and the cushion for adverse reimbursement or cost shocks. If patient care costs and supply inflation persist, margins and cash flow could be pressured, challenging the company’s ability to maintain capital returns and invest in growth.
Treatment Volume Pressure / Elevated Mortality
Declining treatments driven by elevated mortality is a structural demand headwind that directly reduces core revenue. Management is not modeling mortality improvement in 2026, meaning near-term volume recovery is uncertain and revenue per treatment gains may be insufficient to fully offset lost volumes.

DaVita (DVA) vs. SPDR S&P 500 ETF (SPY)

DaVita Business Overview & Revenue Model

Company DescriptionDaVita Inc. provides kidney dialysis services for patients suffering from chronic kidney failure. The company operates kidney dialysis centers and provides related lab services in outpatient dialysis centers. It also provides outpatient, hospital inpatient, and home-based hemodialysis services; owns clinical laboratories that provide routine laboratory tests for dialysis and other physician-prescribed laboratory tests for ESRD patients; and management and administrative services to outpatient dialysis centers. In addition, the company provides disease management services to 16,000 patients in risk-based integrated care arrangements and 7,000 patients in other integrated care arrangements; vascular access services; clinical research programs; physician services; and comprehensive kidney care services. As of December 31, 2021, it provided dialysis and administrative services in the United States through a network of 2,815 outpatient dialysis centers serving approximately 203,100 patients; and operated 339 outpatient dialysis centers located in 10 countries outside of the United States serving approximately 39,900 patients. Further, the company provides acute inpatient dialysis services in approximately 850 hospitals and related laboratory services in the United States. The company was formerly known as DaVita HealthCare Partners Inc. and changed its name to DaVita Inc. in September 2016. DaVita Inc. was incorporated in 1994 and is headquartered in Denver, Colorado.
How the Company Makes MoneyDaVita generates revenue primarily through its dialysis services, which are reimbursed by Medicare, Medicaid, and commercial insurance providers. The majority of its revenue comes from providing in-center hemodialysis and peritoneal dialysis treatments to patients with kidney disease. Additionally, DaVita earns income from its integrated care services, where it manages the overall care of patients with chronic kidney disease. The company also benefits from strategic partnerships with healthcare providers and payers, allowing it to expand its reach and improve care coordination. These partnerships often enhance reimbursement rates and provide access to a larger patient base, contributing significantly to DaVita's earnings.

DaVita Key Performance Indicators (KPIs)

Any
Any
Revenue by Segment
Revenue by Segment
Breaks down income across different business areas, showing where the company is earning the most and identifying growth or risk areas.
Chart InsightsDaVita's Dialysis segment shows steady growth, reflecting strong demand despite a recent decline in U.S. treatment volumes due to external factors like Hurricane Helene and a severe flu season. Ancillary Services are experiencing robust expansion, likely driven by strategic investments in technology and AI to enhance care and efficiency. While Eliminations have fluctuated, the overall revenue trajectory remains positive. The company is focused on overcoming challenges in Integrated Kidney Care and leveraging clinical research strengths, positioning itself for future growth as it anticipates volume recovery and improved payer mix.
Data provided by:The Fly

DaVita Earnings Call Summary

Earnings Call Date:Feb 02, 2026
(Q4-2025)
|
Next Earnings Date:Apr 30, 2026
Earnings Call Sentiment Positive
The call balanced clear operational and financial progress—IKC clinical success and first profitable year, solid full-year adjusted OI and EPS, strong cash generation, disciplined capital returns, and constructive 2026 guidance—with persistent near-term challenges including treatment-volume pressure driven by elevated mortality, residual cyber-related losses, rising patient care costs (PCC +5.9% YoY), and payer headwinds from the expiration of enhanced premium tax credits (~$40M in 2026). Management emphasized actionable clinical initiatives and gave explicit multi-year targets, and the positive results and forward guidance slightly outweigh the headwinds.
Q4-2025 Updates
Positive Updates
IKC Clinical Outcomes and Profitability
Integrated Kidney Care (IKC) delivered superior clinical outcomes (IKC patients 35% more likely to start dialysis with permanent vascular access, costs 3x lower in first 180 days, >10% improvement in treatment adherence) and fewer hospitalizations; IKC reported its first profitable full year in 2025 (full year adjusted operating income $22 million; Q4 adjusted OI $46 million) and management expects an incremental $20 million of IKC operating income growth in 2026.
Strong Full-Year Financial Results
Full year 2025 adjusted operating income was $2.094 billion and adjusted EPS from continuing operations was $10.78; Q4 adjusted OI was $586 million and Q4 adjusted EPS was $3.40. Full year free cash flow exceeded $1.0 billion.
Ambitious 2026 Guidance
Company guided 2026 adjusted operating income to $2.085B–$2.235B (midpoint ~3.2% growth) and adjusted EPS to $13.60–$15.00 (management later cited a midpoint of $14.30, ~33% YoY increase); free cash flow guidance of $1.0B–$1.25B (midpoint $1.125B).
Revenue per Treatment Momentum and Full-Year RPT Growth
Revenue per treatment (RPT) accelerated sequentially in Q4 (up approximately $12 sequentially) and full year 2025 RPT was approximately $410, up 4.7% versus 2024.
International Segment Performance
International adjusted operating income was $21 million in Q4 and $114 million for full year 2025, driven by positive organic growth and integration of Latin America acquisitions; management expects international to contribute about 1% to enterprise adjusted OI growth in 2026.
Balance Sheet and Capital Allocation Discipline
Full year share repurchases totaled nearly 13 million shares for approximately $1.8 billion; Q4 repurchases 2.7 million shares plus 1.7 million repurchased since quarter-end. Leverage ratio at year-end was 3.26x consolidated EBITDA (midpoint of 3.0–3.5x target).
Elimination of Further Mozarc Losses and Strategic Investment
No further losses expected from Mozarc (cumulative losses recognized equal to investment), improving other income; announced ~ $200 million minority investment alongside Ares for Elara Caring, expected to contribute positively to other income and support home-based ESKD care to reduce hospitalizations and missed treatments.
Clinical Initiatives to Improve Outcomes
Management outlined targeted clinical programs (vaccination push—current ~80% vs target >90%; GLP-1 adoption/adherence; advanced dialysis technologies that may reduce mortality up to ~20%; Elara Caring partnership) intended to reduce mortality, missed treatments and support volume recovery over time.
Negative Updates
Treatment Volume Pressure and Mortality Headwind
U.S. dialysis treatments declined ~20 basis points in Q4 2025 versus Q4 2024 and declined 1.1% for full year 2025. Management cites elevated mortality as a near-term headwind to treatment growth and is not modeling mortality improvement in 2026.
ACA/Exchange Premium Tax Credit Expiration Headwind
Expiration of enhanced premium tax credits estimated to create an approximate $40 million revenue headwind in 2026 (management noted ~$70 million in 2027 and ~$10 million the year after), introducing payer-related pressure and uncertainty around patient payment behavior.
Cyber Incident Residual Impact
The prior cyber incident materially impacted U.S. dialysis results in 2025 (management cited a $70 million headwind: ~$25 million volume and ~$45 million RPT impact), and ~$25 million of the volume loss is expected to recur, creating ongoing drag despite RPT headwind being largely offset in 2026.
Rising Patient Care Costs Per Treatment
Patient care cost (PCC) per treatment increased approximately $6 sequentially in Q4 and finished 2025 up 5.9% year-over-year (near the top end of the revised range); half of the YoY increase attributed to binders in the bundle, with added pressure from seasonal health benefit costs and higher supply costs.
Missed Treatments and Mortality Correlation
Missed treatments were up in Q4 (a typical seasonal pattern) and management highlighted a correlation—with lag—between missed treatments and mortality; no improvement in mortality reported in the quarter.
Moderate RPT and Volume Outlook for 2026
2026 RPT growth forecast is modest at 1%–2%; U.S. dialysis treatment volume assumed to be approximately flat for 2026 with Q1 expected to show negative year-over-year volume driven by normalized treatment day headwinds.
Slower Incremental IKC Margin Expansion
While IKC reached profitability, management guided a smaller incremental OI contribution in 2026 (+$20 million) versus the larger year-over-year improvements seen historically (prior multi-year average improvements ~ $40M–$50M), indicating decelerating margin expansion as the business matures.
Uncertainty Around ACA Enrollment Payment Behavior
Management noted open enrollment was more resilient than expected but emphasized uncertainty about whether enrollees will pay premiums once bills arrive, creating potential downstream revenue/payer risk.
Company Guidance
DaVita guided 2026 adjusted operating income of $2.085B–$2.235B (midpoint $2.16B, +3.2% at midpoint) and adjusted EPS of $13.60–$15.00 (midpoint ~$14.30, ~+33% at midpoint), with free cash flow $1.0B–$1.25B (midpoint $1.125B, which is before the ~$200M Elara investment), Q1 adjusted OI expected to be ~20% of the year (~$430M at the midpoint), and U.S. dialysis assumptions of roughly flat treatment volume to 2025 (Q1 headwind/negative YoY expected), RPT growth of 1%–2% (including an estimated $40M headwind from expiration of enhanced premium tax credits offsetting the prior ~$45M cyber RPT hit), total U.S. dialysis cost growth of 1.25%–2.25% (driving ~+1.5% OI for U.S. dialysis at the midpoint), IKC and International each contributing ~1% to enterprise OI growth (IKC incremental operating income +$20M in 2026), other income ~+$10M, debt expense down $20M–$40M, noncontrolling interest ≈16% of U.S. dialysis OI, effective tax rate 24.5%–26.5%, and continued share repurchases (2025 repurchases ≈13M shares for ~$1.8B) with year-end leverage at 3.26x consolidated EBITDA (midpoint of 3.0–3.5x target).

DaVita Financial Statement Overview

Summary
Cash generation is a strength (TTM free cash flow growth +30.5% and healthy cash conversion), but profitability is weakening (gross margin down to 23.81% TTM and net margin down to 5.80%). The biggest risk is balance-sheet quality, with negative stockholders’ equity and elevated leverage, which reduces financial resilience.
Income Statement
65
Positive
DaVita's income statement shows a stable revenue growth trend with a TTM growth rate of 1.19%. However, the gross profit margin has decreased from 32.91% in 2024 to 23.81% in TTM, indicating pressure on cost management. The net profit margin has also declined to 5.80% in TTM from 7.31% in 2024, reflecting reduced profitability. EBIT and EBITDA margins have similarly contracted, suggesting challenges in operational efficiency.
Balance Sheet
40
Negative
The balance sheet reveals a concerning financial structure with a negative stockholders' equity in TTM, leading to an undefined debt-to-equity ratio. This indicates high leverage and potential financial instability. The return on equity has turned negative, reflecting poor returns for shareholders. The equity ratio is also negative, highlighting a risky capital structure.
Cash Flow
70
Positive
Cash flow analysis shows a positive trend in free cash flow growth at 30.5% in TTM, indicating improved cash generation. The operating cash flow to net income ratio remains healthy, suggesting efficient cash conversion. However, the free cash flow to net income ratio has slightly decreased, pointing to potential challenges in maintaining cash flow relative to earnings.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue13.28B12.82B12.14B11.61B11.62B11.55B
Gross Profit4.21B4.22B3.82B3.40B3.65B3.56B
EBITDA2.71B2.72B2.32B2.06B2.48B2.25B
Net Income728.59M936.34M691.53M560.40M978.45M773.64M
Balance Sheet
Total Assets17.62B17.29B16.89B16.93B17.12B16.99B
Cash, Cash Equivalents and Short-Term Investments700.74M846.00M391.67M321.78M484.21M345.06M
Total Debt12.34B12.07B11.12B11.82B11.98B11.19B
Total Liabilities16.32B15.19B14.15B14.70B14.75B14.09B
Stockholders Equity-651.08M121.12M1.06B712.33M755.51M1.38B
Cash Flow
Free Cash Flow915.34M1.47B1.49B961.14M1.29B1.30B
Operating Cash Flow1.35B2.02B2.06B1.56B1.93B1.98B
Investing Cash Flow-491.82M-771.43M-771.80M-630.35M-784.73M-825.37M
Financing Cash Flow-960.26M-816.94M-1.17B-1.12B-1.08B-1.85B

DaVita Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price111.19
Price Trends
50DMA
113.73
Negative
100DMA
120.34
Negative
200DMA
129.88
Negative
Market Momentum
MACD
-1.66
Negative
RSI
53.02
Neutral
STOCH
78.89
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For DVA, the sentiment is Neutral. The current price of 111.19 is above the 20-day moving average (MA) of 108.35, below the 50-day MA of 113.73, and below the 200-day MA of 129.88, indicating a neutral trend. The MACD of -1.66 indicates Negative momentum. The RSI at 53.02 is Neutral, neither overbought nor oversold. The STOCH value of 78.89 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral sentiment for DVA.

DaVita Risk Analysis

DaVita disclosed 26 risk factors in its most recent earnings report. DaVita reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

DaVita Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
78
Outperform
$9.94B30.5516.98%0.14%18.61%35.76%
75
Outperform
$111.42B17.240.61%6.82%15.82%
67
Neutral
$16.63B12.8934.51%-0.56%-53.50%
65
Neutral
$13.01B16.475.31%3.29%4.09%13.17%
64
Neutral
$9.51B17.8724.94%0.65%11.13%27.53%
57
Neutral
$7.72B11.455.14%4.37%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
DVA
DaVita
111.19
-65.87
-37.20%
FMS
Fresenius Medical Care
22.60
-1.35
-5.64%
HCA
HCA Healthcare
496.85
165.04
49.74%
EHC
Encompass Health
93.83
-6.11
-6.12%
THC
Tenet Healthcare
188.03
43.39
30.00%
ENSG
The Ensign Group
172.56
30.32
21.32%

DaVita Corporate Events

Business Operations and StrategyPrivate Placements and Financing
DaVita Amends Credit Agreement for $3.5 Billion Loan
Positive
Nov 25, 2025

On November 24, 2025, DaVita Inc. amended its Credit Agreement to establish new secured term loan and revolving credit facilities totaling up to $3.5 billion. This financial restructuring aims to refinance existing debt and support general corporate purposes, potentially enhancing DaVita’s financial flexibility and operational capabilities.

The most recent analyst rating on (DVA) stock is a Hold with a $143.00 price target. To see the full list of analyst forecasts on DaVita stock, see the DVA Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Feb 03, 2026