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Quote this valuation with its source: Fair value, Potential value and the price at analysis.
FAQ
DVA — frequently asked questions
Is DaVita Inc. overvalued?
In our latest published analysis dated 2026-09-20, DVA looks meaningfully undervalued. The price recorded at analysis is 184 USD versus our fair value of 386 USD; the high endpoint is presented separately as potential value of 491 USD. That implies roughly 110.2% upside to fair value at that date.
Our latest published report, analyzed 2026-09-20, gives DVA a fair value of 386 USD and a potential value of 491 USD. The conclusion is triangulated across multiple valuation models and weighted by reliability for DaVita Inc.'s archetype; it is a dated research output, not a live price.
Should I buy DVA now?
Our latest published rating for DVA, analyzed 2026-09-20, is Strong Buy. DaVita Inc. looks meaningfully undervalued at the analysis-date price of 184 USD versus fair value of 386 USD; potential value is 491 USD. This is research for educational purposes, not personalized investment advice.
What are the biggest risks for DVA?
The dedicated bear-case section in our report analyzed 2026-09-20 documents DaVita Inc.'s material risks, evidence, thresholds, and thesis-invalidation conditions. Scenario-specific explanations remain in that section so the report does not repeat or decontextualize them elsewhere.
What is DVA's rating?
Our latest published rating for DVA, analyzed 2026-09-20, is Strong Buy, with a published moat assessment of 7/10 (Narrow). It reflects our fair value of 386 USD, the potential value of 491 USD, and the price recorded at analysis (184 USD).
We assign a Strong Buy rating to DaVita Inc. based on its dominant market position in outpatient kidney dialysis, robust free cash flow generation, and aggressive share repurchases that offer substantial upside to our Fair value.
We rate DaVita Inc. as a Strong Buy. For an equity investor, this rating signifies high conviction that the stock offers substantial total return potential driven by predictable earnings compounding and a wide gap between the current market valuation and intrinsic value.
The report was prepared at a price of $183.86 on September 18, 2026. Against this level, our house valuation determines a Fair value of $386.49, indicating an upside potential of 110.21%. Under favorable operating execution and valuation expansion, reaches $490.58.
The primary risk that would challenge this view is a compression in commercial reimbursement rates or clinical wage inflation that causes clinic operating margins to fall below 12.0%. Because commercial contracts cross-subsidize government programs, such margin erosion would compress annual free cash flow below $800,000,000, elevate debt service pressure on $12,874,331,000 in total debt, and force a suspension of share repurchases.2,4,5
The primary driver of the thesis is DaVita's entrenched nationwide clinic network delivering non-discretionary dialysis, generating $13,643,069,000 in revenue and $1,310,636,000 in free cash flow. Management directs this excess cash flow into aggressive share repurchases, shrinking diluted shares from 93,182,000 in FY2023 to 75,885,000 in FY2025, systematically compounding per-share earnings toward our Fair value of $386.49.4,5
Entrenched Duopoly and Predictable Treatment Volume
DaVita controls a vital share of US kidney dialysis centers, delivering non-discretionary care that yields $11.79B in US dialysis revenue.6
Trading at $183.86 as of September 18, 2026, the stock trades at 9.99x forward earnings, well below peers and offering 110.21% upside to our $386.49 Fair value.2
Raccomandazione interna
We rate DaVita a Strong Buy because its non-discretionary dialysis duopoly generates consistent free cash flow that management systematically returns to shareholders via share buybacks, driving substantial per-share value accretion.
Panoramica dell’azienda
In addition, under an existing Executive Order, the current administration seeks the right to pursue remedies under the FCA for violations of civil rights laws implicated by inappropriate diversity, equity and inclusion programs. The ACA provides that claims tainted by a violation of the federal Anti-Kickback Statute are false for purposes of the FCA.
Although Medicare reimbursement limits the allowable charge per treatment, it provides industry participants with a relatively predictable and recurring revenue stream for dialysis services provided to patients without commercial insurance.
§2 Scenario ribassistaEN
Under a severe downside stress scenario combining clinical labor inflation, commercial reimbursement rate cuts of 150-300 bps, and a 200 bps increase in refinancing rates on $12,874,331,000 of total debt, operating margin compresses below 12.0%. This reduces free cash flow below $800,000,000 and halts share repurchases.
Refinancing coupon increases raise interest expense and halt share repurchases
The bear path reflects severe commercial payer reimbursement compression, persistent clinical nurse wage escalation that outpaces government reimbursement updates, and higher debt refinancing rates that divert operational cash away from share buybacks toward debt service.
Come questa tesi può fallire
Commercial reimbursement squeeze and Medicare rate lag causes permanent clinic margin compression
FY2025 operating income of $2,043,615,000 on revenue of $13,643,069,000 sets a 14.98% baseline. If commercial insurers renegotiate rates or CMS fee updates trail clinic wage inflation, operating margin falling below 12.0% permanently impairs operating income and cash flows.5
FV impact
0%
Operating margin 3 points lower throughout
Segnali di allerta precoce da monitorare
I cinque sviluppi che indebolirebbero la nostra tesi d'investimento.
01
operating_margin
Operating margin falling below 12.0% indicates that commercial rate cuts or clinic wage inflation are overwhelming statutory fee updates.
Attuale:14.98%
Avviso se<12.0%
02
free_cash_flow
Free cash flow declining below $800M indicates rising interest costs and margin compression, forcing management to suspend share buybacks.
DaVita's narrow economic moat stems from efficient scale and high patient switching costs in outpatient hemodialysis. Operating alongside Fresenius in a stable US duopoly, DaVita delivers life-sustaining care to chronic kidney disease patients, generating $11,792,944,000 in US dialysis revenue.
Local clinic density and entrenched medical director relationships with community nephrologists create formidable barriers to entry. Acute hospital systems such as HCA and UHS operate in distinct care settings and face high capital barriers to replicating specialized freestanding dialysis networks.
Profitto economico
DaVita earns an ROIC of 16.39%, comfortably surpassing its WACC of 6.48% and strict cost of equity of 8.09%, demonstrating durable excess returns generated across its national clinic footprint.1
7/ 10
Narrow
Sources of advantage
01Efficient scale in outpatient dialysis clinic network — DaVita generates $11,792,944,000 in US dialysis revenue across an extensive clinic footprint that deters redundant capital entry.Wide
02High patient switching costs and nephrologist referral integration — Dialysis patients require life-sustaining treatment thrice weekly coordinated with clinic nephrologists, establishing high clinical continuity barriers.Moderate
03Scale cost advantage in procurement and clinic operations — Duopoly scale allows DaVita to maintain clinic operating efficiency and absorb regulatory compliance overhead that smaller providers cannot match.
The highlighted cell is Fair value when every assumption sits at its base level ($386.49). Each row and column shows what Fair value becomes when one assumption moves.
Free cash flow to the firm stays positive in the first projected year at $1.8B after modeled capex of $575.9M, with terminal value at 71.8% of enterprise value. A sudden drop in free cash flow is not projected unless capital spending relative to revenue, reinvestment, or gross margin resets materially.
The base path expects steady outpatient dialysis treatment volume expansion, stable commercial reimbursement agreements, and disciplined center cost management. Continued free cash flow generation enables ongoing share repurchases that compound per-share earnings, supporting a target of $386.49 with a probability of 60.0% and an expected return of 110.2% relative to $183.86.
Integrated kidney care contracts accelerate revenue growth
Commercial reimbursement rates expand ahead of clinical inflation
Accelerated share repurchases shrink share count faster than baseline
§7 Albero decisionale degli utiliEN
Superato
Maintain the rating; Maintain position and verify that share repurchases continue without increasing debt leverage.
Trigger: Diluted earnings per share and quarterly revenue exceed consensus expectations driven by commercial rate stability and center operating cost containment.
An earnings beat confirms clinic labor stabilization and commercial reimbursement durability, reinforcing cash flow generation toward $490.58.
In linea
Maintain the rating; Hold existing allocation and monitor quarterly free cash flow and debt refinancing terms.
In-line performance keeps the thesis on track, supporting progress toward Fair value of $386.49 with an upside of 110.2% from $183.86.
Mancato
Downgrade to Hold; Re-examine operating margin trajectory and pause additional capital commitments.
Trigger: Operating margin contracts sharply due to unrecovered clinical wage inflation or commercial rate cuts.
An earnings miss driven by clinic cost inflation or payer cuts weakens cash generation and limits buyback capacity, narrowing intrinsic value.
Qualità degli utili
Earnings quality remains supported by cash collection discipline, with operating cash flow exceeding reported net income. Cash conversion reflects prompt reimbursement collections and low maintenance capital requirements, while receivables and payables remain aligned with treatment volume. The primary consideration is that clinic operating income depends on commercial reimbursement rates to cover fixed clinic labor costs.
Management prioritizes share repurchases, deploying $1,308,366,000 into buybacks in FY2025. This reduced diluted average shares from 93,182,000 in FY2023 to 75,885,000 in FY2025. However, total debt of $12,874,331,000 requires careful allocation between buybacks and debt service.
High debt leverage exposes earnings to refinancing rate shocks
Ricavi più recenti13,6 Mld USDCAGR dei ricavi +2,7%
Margine operativo15,0%10 periodi fiscali
Flusso di cassa libero più recente1,3 Mld USDFY2025
Debito netto12,2 Mld USDFY2025
Dettaglio del conto economicoCome la scala aziendale si traduce in utile dichiarato.
StockMarketAgent.AI
Ricavi13,6 Mld USDCosto del venduto−10 Mld USDUtile lordo3,7 Mld USDCosti operativi−1,6 Mld USDReddito operativo2 Mld USDVoci non operative e imposte−1,3 Mld USDUtile netto746,8 Mln USD
Dati della storia finanziaria
Ricavi
13.643.069.000 USD
Costo del venduto
9.958.824.000 USD
Utile lordo
3.684.245.000 USD
Costi operativi
1.640.630.000 USD
Reddito operativo
2.043.615.000 USD
Voci non operative e imposte
-1.296.812.000 USD
Utile netto
746.803.000 USD
Ponte dei flussi di cassaCome il flusso di cassa operativo è diventato flusso di cassa libero nel FY2025.
StockMarketAgent.AI
Riconciliazione del flusso operativo
Utile netto746,8 Mln USDAmmortamenti e svalutazioni+708,3 Mln USDCompensi basati su azioni+140 Mln USDAltre rettifiche operative+291,5 Mln USDFlusso di cassa operativo1,9 Mld USD
Riconciliazione della liquidità iniziale e finale
Liquidità iniziale879,8 Mln USDFlusso di cassa operativo+1,9 Mld USDFlusso da investimenti−654,9 Mln USDFlusso da finanziamenti−1,4 Mld USDEffetto dei tassi di cambio+21,2 Mln USDLiquidità finale757,7 Mln USD
1,9 Mld USD − 575,9 Mln USDFlusso di cassa libero 1,3 Mld USD
Dati del ponte dei flussi di cassa
Utile netto
746.803.000 USD
Afflusso operativo
1.886.500.000 USD
Ammortamenti e svalutazioni
708.252.000 USD
Compensi basati su azioni
139.953.000 USD
Altre rettifiche operative
291.492.000 USD
Flusso di cassa operativo
1.886.500.000 USD
Liquidità disponibile
2.787.476.000 USD
Liquidità iniziale
879.825.000 USD
Effetto dei tassi di cambio
21.151.000 USD
Deflusso da investimenti
654.949.000 USD
Capex
575.864.000 USD
Altre attività di investimento
79.085.000 USD
Deflusso da finanziamenti
1.374.780.000 USD
Emissione netta di debito
823.435.000 USD
Riacquisti di azioni
1.308.366.000 USD
Altre attività di finanziamento
889.849.000 USD
Liquidità finale
757.747.000 USD
Flusso da investimenti
-654.949.000 USD
Flusso da finanziamenti
-1.374.780.000 USD
Ricavi per segmento operativoQuota dei ricavi totali per 2025-12-31.
13,6 Mld USDRicavi totali
Ricavi per segmento operativoQuota
USDialysis And Related Lab Services With Intersegment11,8 Mld USD86,4%
All Other Segments1,9 Mld USD14%
Fonte: SEC EDGAR · Depositato 2026-02-11 · SEC EDGAR
Dati sulla composizione dei ricavi: Ricavi per segmento operativo
Ricavi per segmento operativo
Ricavi
Quota
a/a
USDialysis And Related Lab Services With Intersegment
11,8 Mld USD
86,4%
—
All Other Segments
1,9 Mld USD
14%
—
Ricavi e utiliCome la scala aziendale si traduce in utile dichiarato.
Liquidità e debitoLiquidità disponibile rispetto all’indebitamento totale.
Generazione di cassaFlusso di cassa operativo rispetto al flusso di cassa libero.
RedditivitàEvoluzione dei margini lordo, operativo e netto.
Dati finanziari puntuali utilizzati nell’analisi del 2026-09-20.
DaVita Inc. (DVA) trades at 10.0x forward earnings against a peer median of 12.4x. Its EV/EBITDA of 9.3x compares with a peer median of 10.4x. The comparison uses 4 peers: HCA Healthcare Inc., The Cooper Companies Inc., Universal Health Services Inc. and Biogen Inc., as of 2026-09-19 to 2026-09-20.
Demographic growth in End-Stage Renal Disease (ESRD) patient population
positive
Aging demographics and underlying chronic disease prevalence ensure non-discretionary, growing demand for recurring outpatient dialysis.
Adoption of value-based integrated kidney care models
positive
Value-based arrangements reward comprehensive patient care coordination, improving patient longevity and clinical outcomes.
Commercial payer rate resistance and Medicare Advantage penetration
negative
Insurers continue to scrutinize commercial dialysis margins, creating ongoing rate pressure on the high-margin treatment mix.
Posizionamento
DaVita maintains an entrenched position in US outpatient dialysis with $11,792,944,000 in segment revenue representing 86.44% of consolidated revenue ($13,643,069,000). Its national clinic density provides strong operational insulation from diversified hospital operators like HCA and UHS.5,6
§11 Gestione della posizioneEN
Dimensionamento
4-5%
Supported by DaVita's entrenched duopoly position, predictable patient demand for life-sustaining kidney care, and strong free cash flow generation of $1.31B.4
Rischio
Maintain position limits below 6% of total portfolio equity to manage balance sheet leverage risk given $12.87B in total debt. Monitor quarterly debt maturity schedules and refinancing rates.
DaVita trades at a forward P/E of 9.99x on report-date price of $183.86, offering 110.21% upside to Fair value of $386.49 backed by $1.31B in free cash flow.2,4
Quality Compounder
Buy
DaVita delivers an ROIC of 16.39% exceeding its WACC of 6.48%, compounding per-share earnings via an 18.56% share count reduction from FY2023 to FY2025.1,5
Defensive Total Return
Buy
Non-discretionary outpatient dialysis treatment demand provides revenue resilience across economic cycles, generating $1,886,500,000 in operating cash flow to service debt and return capital.5
§14 Raccomandazione finaleEN
Azione
Acquisto forte
We recommend establishing a full position in DaVita Inc. at $183.86 as of September 18, 2026, targeting our Fair value of $386.49 (110.21% upside) with Potential value reaching $490.58.2
The investment thesis is driven by DaVita's entrenched US dialysis duopoly generating $1.31B in annual free cash flow, which management deploys into aggressive share repurchases that compound diluted EPS ahead of low-single-digit revenue growth.
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Sources
The records this analysis drew on, as they stood when it was run.
Not every cited input appears here: internal calculations and intermediate model outputs have no external record, and some citations could not be matched to one.
Debt refinancing shock elevates cost of capital and curtails share repurchases
Total debt of $12,874,331,000 as of FY2025 and $13,406,474,240 at Q2 2026 represents 53.18% of capital structure with current pre-tax cost of debt at 6.11%. A 200 bps increase in refinancing rates above 8.11% pushes WACC from 6.48% toward 8.0%+, impairing DCF equity values.1,2
FV impact
-28.9%
Cost of capital 2 points higher
Trigger
Within 24 months
Terminal multiple de-rating as market reclassifies DaVita from compounder to highly levered low-growth provider
The primary valuation models assume an aggressive terminal exit P/E of 21.5x. DVA currently trades at a forward P/E of 9.99x and peer UHS trades at 7.39x. A 20% multiple contraction below 17.2x directly impairs terminal value across forward_earnings and discounted_earnings.2,3
FV impact
-3.2%
Terminal multiple 20% lower
Trigger
Within 12 months
Attuale:$1,310,636,000
Avviso se<$800,000,000
03
pre_tax_cost_of_debt
Refinancing rates rising above 8.11% on $12.87B debt pushes annual interest expense above $600M, directly impairing net earnings.
US dialysis segment revenue growth slowing below 1.0% indicates patient volume losses or severe commercial contracted rate cuts, eroding core earnings power.
Attuale:4.19%
Avviso se<1.0%
05
diluted_average_shares
Diluted share count rising above 80M indicates that share repurchases have been discontinued and equity dilution has resumed, breaking the EPS compounding thesis.
Attuale:75,885,000
Avviso se>80,000,000
Moderate
medium
12-24 months
Direct nurse training academies, retention bonuses, and improved clinical scheduling tools.
Limitation: Terminal value is 70.1% of this model's value, above the 60% level at which the methodology flags concentration; the value leans on the years beyond the explicit forecast.
Project EPS through the explicit advantage period, fade growth as competition catches up, and discount the full stream at cost of equity.
Limitation: Terminal value is 61.7% of this model's value, above the 60% level at which the methodology flags concentration; the value leans on the years beyond the explicit forecast.
Limitation: Terminal value is 71.8% of this model's value, above the 60% level at which the methodology flags concentration; the value leans on the years beyond the explicit forecast.
The bull path assumes accelerated expansion in integrated kidney care programs, favorable commercial payer renewals, and enhanced clinical staffing productivity. Accelerated share repurchases compound diluted earnings per share, driving the target to $490.58 with an estimated probability of 20.0% and a return of 166.8% over $183.86.
Perché è importante
Surplus cash after capital spending funds share repurchases and debt reduction; lower cash flow directly restricts buybacks and slows per-share growth.