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Valens Research

DVA - Embedded Expectations Analysis - 2020 10 06

DaVita Inc. (DVA:USA) currently trades below historical averages relative to UAFRS-based (Uniform) earnings, with a 14.6x Uniform P/E. At these levels, the market has bearish expectations for the firm, and management may have concerns about home business leadership, ESRD patients, and capital efficiency commitments

Specifically, management may lack confidence in their ability to execute their capital efficiency commitments, sustain home business leadership, and grow home patients with their home telehealth platform. Moreover, they may have concerns about the coronavirus impact on nonacquired treatment growth, their reliance on commercial insurance patients, and the sustainability of End-Stage Renal Disease (ESRD) patient enrollment in Medicare Advantage (MA) plans. In addition, they may lack confidence in their ability to mitigate treatment volume declines and permanently add calcimimetics to their core business. They may also lack confidence in their updated guidance metrics. Furthermore, they may be exaggerating the quality of their standards of care and the efficiency gains of cohorting centers. Finally, they may have concerns about increased seasonality because of bad debt dynamics
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.

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