Report
Jake Strole
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Morningstar | Underlying Trends Remain Strong in DaVita's 3Q Results; Prop 8 Failure a Win For the Industry

Narrow-moat DaVita reported third-quarter results that tracked our forecasts for the firm. Specifically, the U.S. dialysis business was in line with our view, but the international and ancillary services segment came in slightly weaker than anticipated. As we update our model, we don't expect to make any changes to our $81 per share fair value estimate, which implies 17.4 and 8.3 times our 2019 adjusted EPS and EBITDA forecasts, respectively.

Perhaps the most important event of the day was California voters' rejection of Proposition 8 by a fairly wide margin--a little over 60% of votes were on the "no" side of the ballot. We hadn't baked any potential impact of Prop 8 into our valuation for DaVita given our opinion on the likelihood of its passing, but shares rallied nearly 10% on the day as a result.

Turning to the quarter's performance, we think it could be somewhat disappointing at first blush, but actually quite strong under the surface. Management reduced its outlook for full-year operating income by nearly $40 million, but this is driven by a few discrete items including the yearlong opposition to Prop 8 and $23 million in one-time stock compensation associated with changes to the firm's retirement policy. Backing out management's full-year estimate of $95 million in total advocacy costs and the additional stock compensation, adjusted operating income would fall well ahead of the $1.5 billion to $1.6 billion range management provided at the outset of the year.

We think the underlying performance in U.S. dialysis continues to do well, with revenue per treatment in line with our expectations and same-facility volume growth clocking in at 3.3%. While somewhat below the firm's recent trend, this is in line with our long-term forecast 3%-4% patient growth nationwide. Internationally, a decline in clinic count drove the bulk of the shortfall versus our forecast, but we think this is simply a timing issue and expect ongoing investment in this area over time.

For a deeper dive into the dialysis industry and company valuations, please see our report titled "Dialysis Remains Moatworthy Despite Regulatory Concerns."
Underlying
DaVita Inc.

DaVita is a healthcare provider focused on transforming care delivery to improve quality of life for patients. The company's United States dialysis business provides kidney dialysis services for patients suffering from end stage renal disease (ESRD). The company's dialysis services include outpatient hemodialysis services, hospital inpatient hemodialysis services, home-based dialysis services, ESRD laboratory services, and management services. The company's ancillary services and strategic initiatives businesses include disease management services, physician services, ESRD Seamless Care Organization joint ventures, clinical research programs, vascular access services, as well as international dialysis operations.

Provider
Morningstar
Morningstar

Morningstar, Inc. is a leading provider of independent investment research in North America, Europe, Australia, and Asia. The company offer an extensive line of products and services for individual investors, financial advisors, asset managers, and retirement plan providers and sponsors.

Morningstar provides data on approximately 530,000 investment offerings, including stocks, mutual funds, and similar vehicles, along with real-time global market data on more than 18 million equities, indexes, futures, options, commodities, and precious metals, in addition to foreign exchange and Treasury markets. Morningstar also offers investment management services through its investment advisory subsidiaries and had approximately $185 billion in assets under advisement and management as of June 30, 2016.

We have operations in 27 countries.

Analysts
Jake Strole

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