Thesis

Street consensus, scenarios, merits, risks, and invalidation triggers

AI-assisted
Thesis Summary

DaVita entered the second half of 2026 with stronger operating momentum: second-quarter operating income reached USD 579 million, adjusted diluted EPS was USD 4.02, trailing-12-month free cash flow was USD 1.308 billion, and management maintained FY2026 adjusted EPS guidance of USD 14.10-15.20. Pricing and cost execution remain favorable, while integrated kidney care produced USD 40 million of second-quarter operating income. The counterweights are modest 0.3% normalized non-acquired treatment growth, a 3.37x leverage ratio, substantial sensitivity to commercial-payor mix and government reimbursement, and continuing technology, labor and supply-chain exposure.

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This section is the 12-month view: analyst targets and the probability-weighted scenarios built from them. The intrinsic value at the top of this page answers a different question: what the business is worth today.
Street view · analyst 12-month targets7 analysts · as of 18 Aug 2026
Low · most bearish analyst$165.00
Mean target$218.43
High · most bullish analyst$270.00
Our research · scenarios, merits, risks, and invalidation triggersResearch as of 2 Sep 2026
Scenarios · 12-month scenario targetsAnchored at research date
Bear CaseDownside scenario
$165.0020%

Organic treatment growth turns negative, reimbursement or commercial-payor mix weakens, labor and supply costs compress unit economics, and integrated-care results become volatile. Free cash flow falls below management's guidance floor while leverage limits capital-return flexibility. Applying the bear scenario's capitalization assumption to the USD 14.10 guidance low produces the stated target.

Base CaseCentral scenario
$218.4355%
Matches the consensus mean

DaVita delivers near the midpoint of FY2026 adjusted EPS guidance, with modestly positive treatment growth, broadly stable per-treatment economics, continued but uneven integrated-care profitability and leverage remaining near current levels. Applying the base scenario's capitalization assumption to the USD 14.65 guidance midpoint produces the stated target.

Bull CaseUpside scenario
$270.0025%

DaVita reaches the high end of FY2026 adjusted EPS guidance as reimbursement gains continue to exceed patient-care cost growth, organic treatment growth remains positive, integrated kidney care sustains profitability, and free cash flow supports additional share reduction. Applying the bull scenario's capitalization assumption to the USD 15.20 guidance high produces the stated target.

Scenarios are anchored to street consensus at the research date, with our probabilities and rationale.

Key Investment Merits
  • Second-quarter 2026 operating income was USD 579 million and adjusted diluted EPS was USD 4.02, supporting maintained full-year guidance.
  • U.S. revenue per treatment of USD 415.87 remained materially above patient-care cost per treatment of USD 277.40.
  • Integrated kidney care generated USD 40 million of second-quarter operating income while covering approximately 64,900 patients in risk-based arrangements.
  • Trailing-12-month free cash flow reached USD 1.308 billion, and ongoing repurchases reduced the diluted weighted-average share count.
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Key Investment Risks
  • Normalized non-acquired U.S. treatment growth was only 0.3%, leaving limited volume protection if census trends weaken.
  • The disclosed leverage ratio was 3.37x, with USD 10.848 billion of total debt excluding discounts and deferred financing costs.
  • DaVita identifies commercial-payor concentration, government reimbursement changes and Medicare Advantage methodologies as material uncertainties.
  • The company continues to identify cybersecurity, skilled-clinical-labor, supplier and technology-transition risks.
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All scenarios are estimates and subject to change. Past performance is not indicative of future results.

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AI-assisted, source-linked narrative; figures from company filings (SEC EDGAR) and market data. Dates shown per section. Not investment advice. Terms of Use.