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Services-Misc Health & Allied Services, NEC: capital spending and supply chain

SIC 8090 · 7 companies with filed cash-flow statements

Capital spending, 12 months$846M
Operating cash flow$2.5B
Capex / cash flow34%
Capex / revenue3.7%
Top 3 share95%

Analysis

7 companies in Services-Misc Health & Allied Services, NEC (SIC 8090) spent $846M on capital projects over their latest twelve months, 34% of the $2.5B their operations generated; the three largest spenders — DVA, SHC, VMD — account for 95%.

Capital spending is 3.7% of the industry's $23.1B of annual revenue.

By the industry's asset mix most of it goes to equipment (48%); about $137M is imported.

The largest supplier of that spending is health care structures ($153M).

Its largest supplying industries, by the input-output tables: other real estate ($1.1B), management of companies and enterprises ($770M), imports ($671M).

Charts

Services-Misc Health & Allied Services, NEC: capital spending by company, latest twelve monthsServices-Misc Health & Allied Services, NEC: capital spending by company, latest twelve monthsDVA$577MSHC$196MVMD$32.5MPGNY$27.5MAGL$12.8MCCEL$269KPFHO$19K
Filed cash-flow statements (SEC XBRL).
Services-Misc Health & Allied Services, NEC: what the capital spending buys (US part)Services-Misc Health & Allied Services, NEC: what the capital spending buys (US part)Structures$200MEquipment$315MSoftware$94.9MOther$41.1M
Capital spending × the industry’s asset mix (BEA fixed assets): grade C, an industry average applied to filed figures.
Services-Misc Health & Allied Services, NEC: the industries that build and sell what it buysServices-Misc Health & Allied Services, NEC: the industries that build and sell what it buysHealth care structures$153MElectromedical and electrotherape…$112MSurgical and medical instrument m…$78.4MSoftware publishers$41.0MSurgical appliance and supplies m…$35.4MManufacturing structures$29.9MIrradiation apparatus manufacturi…$27.5MComputer systems design services$26.2MCustom computer programming servi…$24.2MOffice and commercial structures$13.3M
BEA fixed assets: investment by asset type → supplying industry. Estimates (grade C).
Services-Misc Health & Allied Services, NEC: its first-tier supplying industriesServices-Misc Health & Allied Services, NEC: its first-tier supplying industriesOther real estate$1.1BManagement of companies and enter…$770MImports$671MAll other food and drinking places$516MEmployment services$450MMedical and diagnostic laboratori…$323MAccommodation$261MDrugs and druggists' sundries$249MLegal services$174MBiological product (except diagno…$164M
Purchased inputs × the industry’s input mix (BEA Use table), US part: grade C.
Services-Misc Health & Allied Services, NEC: where the industry's cash came from (+) and went (−)Services-Misc Health & Allied Services, NEC: where the industry's cash came from (+) and went (−)Operating cash flow$2.5BBuybacks−$1.0BCapital spending−$846MOther financing (out)−$832MNet borrowing$522MOther investing (out)−$359MCash drawn from the balance s…$240MOther investing (in)$229MCash added to the balance she…−$188MTaxes paid on employees' shar…−$104MPaid to partners−$77.1MNet debt repaid−$24.3MSales of assets & businesses$22.8MOperating cash outflow−$16.8M
The companies’ cash-flow statements, latest four quarters or fiscal year: every figure filed (grade A).

Capital spending by company

CompanyCapital spendingOperating cash flowCapex / OCFPeriod
DVA Davita$577M$1.9B31%TTM to Q3 2026
SHC Sotera Health$196M$332M59%TTM to Q3 2026
VMD Viemed Healthcare$32.5M$53.9M60%TTM to Q3 2026
PGNY Progyny$27.5M$207M13%TTM to Q3 2026
AGL agilon health$12.8M−$4.2M—TTM to Q3 2026
CCEL Cryo Cell International$269K$4.9M5%TTM to Q3 FY26
PFHO Pacific Health Care Organization$19K$1.1M2%TTM to Q3 2026

Customers and suppliers named in annual reports

SupplierCustomerShare of supplier revenueEvidenceSource
VMDMedicare & Medicaid40%Stated in 10-K (sentence)filing
AKBADVA25%Stated in 10-K (customer table)filing

The interactive money flow: switch views, follow each dollar →

Evidence grades: A filed figure · B computed from filed figures · C industry average (BEA input-output and fixed-asset tables) applied to filed figures. Estimates are not the companies’ own records. Not investment advice.