Why Is DaVita HealthCare (DVA) Up 1.1% Since Last Earnings Report?

Core Viewpoint - DaVita HealthCare's recent earnings report indicates a mixed performance, with revenues increasing year-over-year but adjusted earnings per share falling short of estimates, leading to questions about future trends and stock performance [2][11]. Financial Performance - Adjusted earnings per share for Q3 2025 were $2.51, down 3.1% year-over-year, missing the Zacks Consensus Estimate by 23.7% [2]. - GAAP EPS for the quarter was $2.04, reflecting an 18.4% decline year-over-year [2]. - Revenues reached $3.42 billion, a 4.8% increase year-over-year, surpassing the Zacks Consensus Estimate by 0.5% [3]. - Revenue per treatment was $410.6, up 4.1% year-over-year and 1.5% sequentially [3]. Revenue Breakdown - Dialysis patient service revenues amounted to $3.29 billion, a 5.1% increase year-over-year, while other revenues were $122.1 million, down 2.3% from the previous year [4]. Treatment and Patient Metrics - Total U.S. dialysis treatments for Q3 were 7,242,725, averaging 91,680 per day, which is a 0.4% decrease sequentially [5]. - As of September 30, 2025, DaVita served approximately 293,200 patients across 3,247 outpatient dialysis centers [5]. Operational Changes - During Q3 2025, DaVita opened three dialysis centers and closed three in the U.S., while acquiring 58 and closing nine centers internationally [6]. Profitability and Margins - Gross profit decreased by 2.2% year-over-year to $1.09 billion, with a gross margin contraction of 230 basis points to 31.8% [7]. - Adjusted operating profit was $517 million, down 3.4% from the prior year, with an adjusted operating margin of 15.1%, a decrease of 130 basis points [7]. Financial Position - DaVita ended Q3 2025 with cash and cash equivalents of $736.5 million, slightly down from $739.4 million at the end of Q2 [9]. - Total debt was $10.25 billion, marginally lower than $10.26 billion at the end of Q2 [9]. - Cumulative net cash from operating activities was $1.35 billion, down from $1.47 billion a year ago [9]. Share Repurchase - In Q3 2025, DaVita repurchased 3.3 million shares for $465 million [10]. Guidance and Estimates - The adjusted earnings per share outlook for 2025 has been revised to a range of $10.35-$11.15, down from the previous guidance of $10.20-$11.30 [11]. - Consensus estimates have trended upward, with a 19.15% shift due to recent changes [12]. Industry Context - DaVita operates within the Zacks Medical - Outpatient and Home Healthcare industry, where competitors like Quest Diagnostics have shown positive performance, with a 7.9% gain over the past month [15].