DaVita has raised its 2026 earnings guidance, primarily driven by increased treatment volumes from better census performance and Fresenius patient transfers, alongside continued labor efficiencies that improve cost management.
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DaVita stated that it raised its 2026 adjusted operating income guidance range by $40 million at the midpoint, and that the largest driver of the increase was higher treatment volume, with a second factor being continued labor efficiencies within patient care costs. 1
Management said it is increasing its full-year volume forecast to a 25 to 50 basis point increase (i.e., treatment growth). 2
They further explained that this increase is expected to translate into 50 to 75 basis points of growth in treatments per normalized day because there is a year-over-year headwind in 2026 vs. 2025. 2
DaVita attributed the volume uplift primarily to two elements:
Better underlying performance (including higher census than expected)
Patient transfers associated with Fresenius clinic closures
DaVita described the expected cadence of Fresenius-related new starts and indicated that, while Q1 would capture only part of the impact, additional new starts would come later in the year:
Bottom line on volume: In management’s framework, higher treatment volume is the largest driver of the 2026 adjusted operating income midpoint increase. 1 The volume uplift is supported by (i) stronger execution on mortality/census vs forecast and (ii) patient transfers from Fresenius closures. 3
DaVita identified the second factor behind the guidance increase as continued labor efficiencies within patient care costs. 1
Management said patient care cost per treatment were about flat to the fourth quarter, primarily due to a seasonal decline from higher Q4 health benefit costs, offset by typical wage and cost growth—but they also emphasized the key upside:
When discussing “labor,” DaVita stated that Q1 was ahead of plan, primarily from better productivity, which we expect to sustain over the balance of the year. 3
Bottom line on labor efficiency: The guidance increase is consistent with a labor story of productivity-driven outperformance in Q1 and expectation that those productivity gains continue, lowering patient care costs per treatment relative to earlier expectations. 23 This aligns with management’s stated view that labor efficiencies are the second factor behind the 2026 guidance increase. 1
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