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8-K - FORM 8-K - DAVITA INC.d342978d8k.htm

Exhibit 99.1

 

LOGO

Contact: Jim Gustafson

Investor Relations

DaVita Inc.

(310) 536-2585

DAVITA 1st QUARTER 2012 RESULTS

Denver, Colorado, May 1, 2012 – DaVita Inc. (NYSE: DVA) today announced results for the quarter ended March 31, 2012. Net income attributable to DaVita Inc. for the quarter ended March 31, 2012 was $140.1 million, or $1.46 per share. This compares to net income attributable to DaVita Inc. for the quarter ended March 31, 2011 of $94.5 million, or $0.96 per share.

Financial and operating highlights include:

 

 

Cash Flow: For the rolling twelve months ended March 31, 2012 operating cash flow was $1,182 million and free cash flow was $837 million. For the three months ended March 31, 2012 operating cash flow was $332 million and free cash flow was $250 million.

 

 

Operating Income: Operating income for the quarter ended March 31, 2012 was $321 million as compared to $235 million for the same period of 2011.

 

 

Volume: Total U.S. treatments for the first quarter of 2012 were 5,314,275, or 68,132 treatments per day, representing a per day increase of 14.2% over the first quarter of 2011. Non-acquired treatment growth in the quarter was 5.5% over the prior year’s first quarter. Our normalized non-acquired treatment growth in the quarter was 5.3% over the prior year’s first quarter.

 

 

Effective Tax Rate: Our effective tax rate was 36.7% for the quarter ended March 31, 2012. This effective tax rate is impacted by the amount of third party owners’ income attributable to non-tax paying entities. The effective tax rate attributable to DaVita Inc. was 40.5% for the quarter ended March 31, 2012. We still expect our 2012 effective tax rate attributable to DaVita Inc. to be in the range of 40.0% to 41.0%.

 

 

Center Activity: As of March 31, 2012, we operated or provided administrative services at 1,841 outpatient dialysis centers located in the United States serving approximately 145,000 patients and 15 outpatient dialysis centers that are located in three countries outside of the United States. During the first quarter of 2012, we acquired 28 centers and opened a total of 13 centers located in the United States. We previously provided management and administrative services to nine of the acquired centers. In addition, we also opened a total of four centers outside of the United States.

 

1


Outlook

We are raising our operating income guidance for 2012 to now be in the range of $1,230 million to $1,310 million. Our previous operating income guidance for 2012 was in the range of $1,200 million to $1,300 million. We also still expect our operating cash flows for 2012 to be in the range of $950 million to $1,050 million. These projections and the underlying assumptions involve significant risks and uncertainties, including those described below, and actual results may vary significantly from these current projections.

We will be holding a conference call to discuss our results for the first quarter ended March 31, 2012 on May 2, 2012 at 9:30 a.m. Eastern Time. The dial in number is (800) 399-4406. A replay of the conference call will be available on DaVita’s official web page, www.davita.com, for the following 30 days.

This release contains forward-looking statements, within the meaning of the federal securities laws, including statements related to our guidance and expectations for our 2012 operating income, our 2012 operating cash flows and our 2012 effective tax rate attributable to DaVita Inc. Factors that could impact future results include the uncertainties associated with governmental regulations, general economic and other market conditions, competition, accounting estimates, the variability of our cash flows and the risk factors set forth in our SEC filings, including our annual report on Form 10-K for the year ended December 31, 2011 and subsequent quarterly reports to be filed on Form 10-Q. The forward-looking statements should be considered in light of these risks and uncertainties.

These risks and uncertainties include those relating to:

 

   

the concentration of profits generated from commercial payor plans,

 

   

continued downward pressure on average realized payment rates from commercial payors, which may result in the loss of revenues or patients,

 

   

a reduction in the number of patients under higher-paying commercial plans,

 

   

a reduction in government payment rates under the Medicare End Stage Renal Disease program or other government-based programs,

 

   

the impact of health care legislation that was enacted in the United States in March 2010,

 

   

changes in pharmaceutical or anemia management practice patterns, payment policies, or pharmaceutical pricing,

 

   

our ability to maintain contracts with physician medical directors,

 

   

legal compliance risks, including our continued compliance with complex government regulations,

 

   

current or potential investigations by various government entities and related government or private-party proceedings,

 

   

continued increased competition from large and medium-sized dialysis providers that compete directly with us,

 

   

our ability to complete any acquisitions, mergers or dispositions that we might be considering or announce, or integrate and successfully operate any business we may acquire, and

 

   

expansion of our operations and services to markets outside the United States, or to businesses outside of dialysis.

We base our forward-looking statements on information currently available to us at the time of this release, and we undertake no obligation to update or revise any forward-looking statements, whether as a result of changes in underlying factors, new information, future events or otherwise.

This release contains non-GAAP financial measures. For reconciliations of these non-GAAP financial measures to their most comparable measure calculated and presented in accordance with GAAP, see the attached reconciliation schedules. For the reasons stated in the reconciliation schedules, we believe our presentation of non-GAAP financial measures provides useful supplemental information for investors.

 

2


DAVITA INC.

CONSOLIDATED STATEMENTS OF INCOME

(unaudited)

(dollars in thousands, except per share data)

 

     Three months ended March 31,  
     2012     2011  

Patient service operating revenues

   $ 1,763,700      $ 1,497,434   

Less: Provision for uncollectible accounts related to patient service operating revenues

     (53,008     (41,071
  

 

 

   

 

 

 

Net patient service operating revenues

     1,710,692        1,456,363   

Other revenues

     155,943        105,950   
  

 

 

   

 

 

 

Total net operating revenues

     1,866,635        1,562,313   
  

 

 

   

 

 

 

Operating expenses and charges:

    

Patient care costs

     1,263,159        1,114,086   

General and administrative

     207,389        151,602   

Depreciation and amortization

     75,975        61,838   

Provision for uncollectible accounts

     2,024        972   

Equity investment income

     (2,632     (1,519
  

 

 

   

 

 

 

Total operating expenses and charges

     1,545,915        1,326,979   
  

 

 

   

 

 

 

Operating income

     320,720        235,334   

Debt expense

     (61,381     (58,595

Other income

     1,039        841   
  

 

 

   

 

 

 

Income from continuing operations before income taxes

     260,378        177,580   

Income tax expense

     95,495        62,959   
  

 

 

   

 

 

 

Income from continuing operations

     164,883        114,621   

Discontinued operations:

    

Income from operations of discontinued operations, net of tax

     —          131   
  

 

 

   

 

 

 

Net income.

     164,883        114,752   

Less: Net income attributable to noncontrolling interests

     (24,763     (20,250
  

 

 

   

 

 

 

Net income attributable to DaVita Inc.

   $ 140,120      $ 94,502   
  

 

 

   

 

 

 

Earnings per share:

    

Basic income from continuing operations per share attributable to DaVita Inc.

   $ 1.49      $ 0.98   
  

 

 

   

 

 

 

Basic net income per share attributable to DaVita Inc.

   $ 1.49      $ 0.98   
  

 

 

   

 

 

 

Diluted income from continuing operations per share attributable to DaVita Inc.

   $ 1.46      $ 0.96   
  

 

 

   

 

 

 

Diluted net income per share attributable to DaVita Inc.

   $ 1.46      $ 0.96   
  

 

 

   

 

 

 

Weighted average shares for earnings per share:

    

Basic

     93,769,092        96,263,802   
  

 

 

   

 

 

 

Diluted

     95,729,105        98,378,371   
  

 

 

   

 

 

 

Amounts attributable to DaVita Inc.:

    

Income from continuing operations

   $ 140,120      $ 94,371   

Discontinued operations

     —          131   
  

 

 

   

 

 

 

Net income

   $ 140,120      $ 94,502   
  

 

 

   

 

 

 

 

3


DAVITA INC.

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(unaudited)

(dollars in thousands, except per share data)

 

     Three months ended March 31,  
     2012     2011  

Net income

   $ 164,883      $ 114,752   
  

 

 

   

 

 

 

Other comprehensive income (loss), net of tax:

    

Unrealized losses on interest rate swap and cap agreements:

    

Unrealized losses on interest rate swap and cap agreements

     (2,261     (4,134

Less: Reclassifications of net swap and cap agreements realized losses into net income

     2,520        1,743   

Unrealized gains on investments:

    

Unrealized gains on investments

     1,146        268   

Less: Reclassification of net investment realized gains into net income

     (75     (57

Foreign currency translation adjustments

     (619     —     
  

 

 

   

 

 

 

Other comprehensive income (loss)

     711        (2,180
  

 

 

   

 

 

 

Total comprehensive income

     165,594        112,572   

Less: Comprehensive income attributable to the noncontrolling interest

     (24,763     (20,250
  

 

 

   

 

 

 

Comprehensive income attributable to DaVita Inc.

     140,831      $ 92,322   
  

 

 

   

 

 

 

 

4


DAVITA INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited)

(dollars in thousands)

 

     Three months ended
March 31,
 
     2012     2011  

Cash flows from operating activities:

    

Net income

   $ 164,883      $ 114,752   

Adjustments to reconcile net income to cash provided by operating activities:

    

Depreciation and amortization

     75,975        62,037   

Stock-based compensation expense

     12,550        9,716   

Tax benefits from stock award exercises

     10,890        13,868   

Excess tax benefits from stock award exercises

     (6,101     (7,196

Deferred income taxes

     (13,335     18,221   

Equity investment income, net

     483        1,420   

Loss on disposal of assets and other non-cash charges

     7,125        5,506   

Changes in operating assets and liabilities, other than from acquisitions and divestitures:

    

Accounts receivable

     (71,706     (20,461

Inventories

     4,851        7,429   

Other receivables and other current assets

     56,452        24,922   

Other long-term assets

     3,742        990   

Accounts payable

     (20,624     26,565   

Accrued compensation and benefits

     41,623        31,542   

Other current liabilities

     17,462        9,483   

Income taxes

     43,072        29,878   

Other long-term liabilities

     4,532        1,111   
  

 

 

   

 

 

 

Net cash provided by operating activities

     331,874        329,783   
  

 

 

   

 

 

 

Cash flows from investing activities:

    

Additions of property and equipment, net

     (112,459     (67,530

Acquisitions

     (132,699     (81,523

Proceeds from asset sales

     825        2,812   

Purchase of investments available for sale

     (489     (298

Purchase of investments held-to-maturity

     (3,212     (15,161

Proceeds from sale of investments available for sale

     6,791        1,149   

Proceeds from maturities of investments held-to-maturity

     7,551        15,163   

Distributions received on equity investments

     2        —     
  

 

 

   

 

 

 

Net cash used in investing activities

     (233,690     (145,388
  

 

 

   

 

 

 

Cash flows from financing activities:

    

Borrowings

     8,634,603        10,983,125   

Payments on long-term debt

     (8,658,001     (11,000,635

Interest rate cap premiums and other deferred financing costs

     3        (13,399

Distributions to noncontrolling interests

     (26,405     (22,187

Stock award exercises and other share issuances, net

     1,663        3,410   

Excess tax benefits from stock award exercises

     6,101        7,196   

Contributions from noncontrolling interests

     3,651        3,959   

Proceeds from sales of additional noncontrolling interests

     100        785   

Purchases from noncontrolling interests

     (4,372     (756
  

 

 

   

 

 

 

Net cash used in financing activities

     (42,657     (38,502

Effect of exchange rate changes on cash and cash equivalents

     11        —     
  

 

 

   

 

 

 

Net increase in cash and cash equivalents

     55,538        145,893   

Cash and cash equivalents at beginning of period

     393,752        860,117   
  

 

 

   

 

 

 

Cash and cash equivalents at end of period

   $ 449,290      $ 1,006,010   
  

 

 

   

 

 

 

 

5


DAVITA INC.

CONSOLIDATED BALANCE SHEETS

(unaudited)

(dollars in thousands, except per share data)

 

     March 31,
2012
    December 31,
2011
 
ASSETS     

Cash and cash equivalents

   $ 449,290      $ 393,752   

Short-term investments

     8,616        17,399   

Accounts receivable, less allowance of $289,238 and $250,343

     1,266,869        1,195,163   

Inventories

     72,285        75,731   

Other receivables

     216,493        269,832   

Other current assets

     47,492        49,349   

Deferred income taxes

     313,355        280,382   
  

 

 

   

 

 

 

Total current assets

     2,374,400        2,281,608   

Property and equipment, net

     1,490,572        1,432,651   

Amortizable intangibles, net

     160,617        159,491   

Equity investments

     26,956        27,325   

Long-term investments

     9,897        9,890   

Other long-term assets

     30,065        34,231   

Goodwill

     5,064,577        4,946,976   
  

 

 

   

 

 

 
   $ 9,157,084      $ 8,892,172   
  

 

 

   

 

 

 
LIABILITIES AND EQUITY     

Accounts payable

   $ 269,029      $ 289,653   

Other liabilities

     347,096        325,734   

Accrued compensation and benefits

     455,825        412,972   

Current portion of long-term debt

     89,646        87,345   

Income tax payable

     80,519        37,412   
  

 

 

   

 

 

 

Total current liabilities

     1,242,115        1,153,116   

Long-term debt

     4,401,865        4,417,624   

Other long-term liabilities

     139,656        132,006   

Alliance and product supply agreement, net

     18,655        19,987   

Deferred income taxes

     448,372        423,098   
  

 

 

   

 

 

 

Total liabilities

     6,250,663        6,145,831   

Commitments and contingencies

    

Noncontrolling interests subject to put provisions

     504,491        478,216   

Equity:

    

Preferred stock ($0.001 par value, 5,000,000 shares authorized; none issued)

    

Common stock ($0.001 par value, 450,000,000 shares authorized; 134,862,283 shares issued; 93,983,930 and 93,641,363 shares outstanding)

     135        135   

Additional paid-in capital

     575,364        596,300   

Retained earnings

     3,335,938        3,195,818   

Treasury stock, at cost (40,878,353 and 41,220,920 shares)

     (1,618,134     (1,631,694

Accumulated other comprehensive loss

     (18,773     (19,484
  

 

 

   

 

 

 

Total DaVita Inc. shareholders’ equity

     2,274,530        2,141,075   

Noncontrolling interests not subject to put provisions

     127,400        127,050   
  

 

 

   

 

 

 

Total equity

     2,401,930        2,268,125   
  

 

 

   

 

 

 
   $ 9,157,084      $ 8,892,172   
  

 

 

   

 

 

 

 

6


DAVITA INC.

SUPPLEMENTAL FINANCIAL DATA

(unaudited)

(dollars in millions, except for per share and per treatment data)

 

     Three months ended  
     March 31,
2012
    December 31,
2011
    March 31,
2011
 

1. Consolidated Financial Results:

      

Consolidated operating revenues

   $ 1,920      $ 1,862      $ 1,603   

Consolidated net operating revenues

   $ 1,867      $ 1,810      $ 1,562   

Operating income

   $ 320.7      $ 330.1      $ 235.3   

Operating income margin

     16.7     17.7   $ 14.7

Income from continuing operations attributable to DaVita Inc.

   $ 140.1      $ 149.4      $ 94.4   

Net income attributable to DaVita Inc.

   $ 140.1      $ 148.1      $ 94.5   

Diluted income from continuing operations per share attributable to DaVita Inc.

   $ 1.46      $ 1.58      $ 0.96   

Diluted net income per share attributable to DaVita Inc.

   $ 1.46      $ 1.56      $ 0.96   

2. Consolidated Business Metrics:

      

Expenses

      

Patient care costs as a percent of consolidated operating revenues(1)

     65.8     65.2     69.5

General and administrative expenses as a percent of consolidated operating revenues(1)

     10.8     10.4     9.5

Total provision for uncollectible accounts as a percent of consolidated operating revenues

     2.9     2.9     2.6

Consolidated effective tax rate attributable to DaVita Inc.(2)

     40.5     38.0     40.0

3. Segment Financial Results: (dollar amounts rounded to nearest million)

      

Operating revenues

      

Dialysis and related lab services patient service operating revenues

   $ 1,767      $ 1,717      $ 1,500   

Less: Provision for uncollectible accounts related to patient service operating revenues

     (53     (52     (41
  

 

 

   

 

 

   

 

 

 

Dialysis and related lab services net patient service operating revenues

   $ 1,714      $ 1,665      $ 1,459   

Other revenues

     3        3        2   
  

 

 

   

 

 

   

 

 

 

Total net dialysis and related lab services operating revenues

     1,717        1,668        1,461   

Other – Ancillary services and strategic initiatives

     155        147        106   

Other – Ancillary services and strategic initiatives net patient service operating revenues

     1        1        —     
  

 

 

   

 

 

   

 

 

 

Total net segment operating revenues

     1,873        1,816        1,567   

Elimination of intersegment revenues

     (6     (6     (5
  

 

 

   

 

 

   

 

 

 

Total net consolidated operating revenues

   $ 1,867      $ 1,810      $ 1,562   
  

 

 

   

 

 

   

 

 

 

Operating Income

      

Dialysis and related lab services operating income

   $ 348      $ 353      $ 252   

Other – Ancillary services and strategic initiatives, including international dialysis operations operating losses

     (17     (13     (9
  

 

 

   

 

 

   

 

 

 

Total segment operating income

   $ 331      $ 340      $ 244   

Reconciling items:

      

Stock-based compensation

     (13     (12     (10

Equity investment income

     3        2        2   
  

 

 

   

 

 

   

 

 

 

Consolidated operating income

   $ 321      $ 330      $ 235   
  

 

 

   

 

 

   

 

 

 

 

7


DAVITA INC.

SUPPLEMENTAL FINANCIAL DATA—continued

(unaudited)

(dollars in millions, except for per share and per treatment data)

 

     Three months ended  
     March 31,
2012
    December 31,
2011
    March 31,
2011
 

4. Segment Business Metrics:

      

Dialysis and related lab services

      

Volume

      

Treatments

     5,314,275        5,227,167        4,594,550   

Number of treatment days

     78.0        79.0        77.0   

Treatments per day

     68,132        66,167        59,669   

Per day year over year increase

     14.2     12.4     7.2

Non-acquired growth year over year

     5.5     4.4     4.0

Operating revenues before provision for uncollectible accounts

      

Dialysis and related lab services revenue per treatment

   $ 332.43      $ 328.54      $ 326.40   

Per treatment increase (decrease) from previous quarter

     1.2     (1.6 %)      (1.4 %) 

Per treatment increase (decrease) from previous year

     1.8     (0.8 %)      (5.0 %) 

Percent of consolidated revenues

     92.0     92.2     93.6

Expenses

      

Patient care costs

      

Percent of total segment operating revenues

     63.7     63.4     68.3

Per treatment

   $ 212.12      $ 208.66      $ 223.28   

Per treatment increase (decrease) from previous quarter

     1.7     (3.2 %)      (0.7 %) 

Per treatment decrease from previous year

     (5.0 %)      (7.2 %)      (5.8 %) 

General and administrative expenses

      

Percent of total segment operating revenues

     9.5     8.9     8.2

Per treatment

   $ 31.51      $ 29.45      $ 26.72   

Per treatment increase (decrease) from previous quarter

     7.0     0.6     (3.5 %) 

Per treatment increase from previous year

     17.9     6.3     2.4

5. Cash Flow:

      

Operating cash flow

   $ 331.9      $ 150.7      $ 329.8   

Operating cash flow, last twelve months

   $ 1,182.1      $ 1,180.0      $ 907.6   

Free cash flow(2)

   $ 249.9      $ 32.1      $ 267.7   

Free cash flow, last twelve months(2)

   $ 837.2      $ 855.0      $ 645.3   

Capital expenditures:

      

Routine maintenance/IT/other

   $ 55.6      $ 85.3      $ 39.9   

Development and relocations

   $ 56.8      $ 63.1      $ 27.6   

Acquisition expenditures

   $ 132.7      $ 150.3      $ 81.5   

6. Accounts Receivable:

      

Net receivables

   $ 1,267      $ 1,195      $ 1,069   

DSO

     63        61        62   

 

8


DAVITA INC.

SUPPLEMENTAL FINANCIAL DATA—continued

(unaudited)

(dollars in millions, except for per share and per treatment data)

 

     Three months ended  
     March 31,
2012
    December 31,
2011
    March 31,
2011
 

7. Debt and Capital Structure:

      

Total debt(3)

   $ 4,499      $ 4,513      $ 4,301   

Net debt, net of cash(3)

   $ 4,050      $ 4,119      $ 3,295   

Leverage ratio (see Note 1 on page 10)

     2.55x        2.72x        2.58x   

Overall weighted average effective interest rate during the quarter

     5.27     5.27     5.20

Overall weighted average effective interest rate at end of the quarter

     5.28     5.27     5.34

Weighted average effective interest rate on the Senior Secured Credit Facilities at end of the quarter

     4.63     4.61     4.67

Effectively fixed interest rates as a percentage of our total debt(4)

     100     100     100

Share repurchases

   $ —        $ —        $ 13.6   

8. Clinical: (quarterly averages)

      

Dialysis adequacy -% of patients with Kt/V > 1.2 at the end of the quarter

     97     97     97

Patients with arteriovenous fistulas placed

     69     69     68

 

(1) Consolidated percentages of revenues are comprised of the dialysis and related lab services business, other ancillary services and strategic initiatives, as well as stock-based compensation expenses.
(2) These are non-GAAP financial measures. For a reconciliation of these non-GAAP financial measures to their most comparable measure calculated and presented in accordance with GAAP, see attached reconciliation schedules.
(3) The quarters ended March 31, 2012, December 31, 2011 and March 31, 2011, exclude $7.4 million, $7.8 million and $8.0 million, respectively, of debt discounts associated with our Term Loan B and our Term Loan A-2 that are not actually outstanding debt principal.
(4) The Term Loan A-2 and Term Loan B are subject to LIBOR floors of 1.00% and 1.50%, respectively. Because LIBOR, for all periods presented above, was lower than either of these floors, the interest rates on the Term Loan A-2 and the Term Loan B are treated as “fixed” for purposes of the table above. We have included both of these Term Loans in the fixed rate totals in the table above until such time as the LIBOR-based component of our interest rate exceeds 1.00% on the Term Loan A-2 and 1.50% on the Term Loan B. At such time, we will then be subject to LIBOR-based interest rate volatility on the LIBOR variable component of our interest rate on all of the Term Loan A-2, as well as for the Term Loan B, but limited to a maximum rate of 4.00% on $1.25 billion of outstanding principal debt on the Term Loan B. The remaining $478 million outstanding principal balance of the Term Loan B is subject to LIBOR-based interest rate volatility above a floor of 1.50%.

 

9


DAVITA INC.

SUPPLEMENTAL FINANCIAL DATA—continued

(unaudited)

(dollars in thousands)

 

Note 1: Calculation of the Leverage Ratio

Under the Company’s Senior Secured Credit Facilities (Credit Agreement), the leverage ratio is defined as all funded debt plus the face amount of all letters of credit issued, minus cash and cash equivalents, divided by “Consolidated EBITDA”. The leverage ratio determines the interest rate margin payable by the Company for its Term Loan A and revolving line of credit under the Credit Agreement by establishing the margin over the base interest rate (LIBOR) that is applicable. The following leverage ratio was calculated using “Consolidated EBITDA” as defined in the Credit Agreement. The calculation below is based on the last twelve months of “Consolidated EBITDA”, pro forma for routine acquisitions that occurred during the period. The Company’s management believes the presentation of “Consolidated EBITDA” is useful to investors to enhance their understanding of the Company’s leverage ratio under its Credit Agreement.

 

     Rolling twelve
months ended
March 31, 2012
 

Net income attributable to DaVita Inc.

   $ 523,619   

Income taxes

     348,174   

Interest expense

     226,855   

Depreciation and amortization

     281,253   

Noncontrolling interests and equity investment income, net

     99,324   

Other items

     127,847   
  

 

 

 

“Consolidated EBITDA”

   $ 1,607,072   
  

 

 

 
     March 31, 2012  

Total debt, excluding debt discount of $7.4 million

   $ 4,498,938   

Letters of credit issued

     52,297   
  

 

 

 
     4,551,235   

Less: cash and cash equivalents

     (449,290
  

 

 

 

Consolidated net debt

   $ 4,101,945   
  

 

 

 

Last twelve months “Consolidated EBITDA”

   $ 1,607,072   
  

 

 

 

Leverage ratio

     2.55x   
  

 

 

 

In accordance with the Credit Agreement, the Company’s leverage ratio cannot exceed 4.25 to 1.0 as of March 31, 2012. At that date the Company’s leverage ratio did not exceed 4.25 to 1.0.

 

10


DAVITA INC.

RECONCILIATIONS FOR NON-GAAP MEASURES

(unaudited)

(dollars in thousands)

1. Effective Income Tax Rates

We believe that reporting the effective income tax rate attributable to DaVita Inc. enhances an investor’s understanding of DaVita’s effective income tax rate for the periods presented because it excludes noncontrolling owners’ income that primarily relates to non-tax paying entities and accordingly is more comparable to prior periods presentations regarding DaVita’s effective income tax rate and is more meaningful to an investor to fully understand the related income tax effects on DaVita Inc.’s operating results. This is not a measure under GAAP and should not be considered as an alternative to the effective income tax rate calculated in accordance with GAAP.

Effective income tax rate as compared to the effective income tax rate attributable to DaVita Inc. is as follows:

 

     Three months ended  
     March 31,
2012
    December 31,
2011
    March 31,
2011
 

Income from continuing operations before income taxes

   $ 260,378      $ 269,149      $ 177,580   
  

 

 

   

 

 

   

 

 

 

Income tax expense

   $ 95,495      $ 91,710      $ 62,959   
  

 

 

   

 

 

   

 

 

 

Effective income tax rate

     36.7     34.1     35.5
  

 

 

   

 

 

   

 

 

 

 

     Three months ended  
     March 31,
2012
    December 31,
2011
    March 31,
2011
 

Income from continuing operations before income taxes

   $ 260,378      $ 269,149      $ 177,580   

Less: Noncontrolling owners’ income primarily attributable to non-tax paying entities

     (24,883     (28,128     (20,297
  

 

 

   

 

 

   

 

 

 

Income before income taxes attributable to DaVita Inc.

   $ 235,495      $ 241,021      $ 157,283   
  

 

 

   

 

 

   

 

 

 

Income tax expense

     95,495        91,710      $ 62,959   

Less income tax attributable to noncontrolling interests

     (120     (119     (47
  

 

 

   

 

 

   

 

 

 

Income tax attributable to DaVita Inc.

   $ 95,375      $ 91,591      $ 62,912   
  

 

 

   

 

 

   

 

 

 

Effective income tax rate attributable to DaVita Inc.

     40.5     38.0     40.0
  

 

 

   

 

 

   

 

 

 

 

11


DAVITA INC.

RECONCILIATIONS FOR NON-GAAP MEASURES

(unaudited)

(dollars in thousands)

2. Free cash flow

Free cash flow represents net cash provided by operating activities less income distributions to noncontrolling interests and capital expenditures for routine maintenance and information technology. We believe free cash flow is a useful adjunct to cash flow from operating activities and other measurements under GAAP, since free cash flow is a meaningful measure of our ability to fund acquisition and development activities and meet our debt service requirements. In addition, free cash flow excluding income distributions to noncontrolling interests provides an investor with an understanding of free cash flows that are attributable to DaVita Inc. Free cash flow is not a measure of financial performance under GAAP and should not be considered as an alternative to cash flows from operating, investing or financing activities, as an indicator of cash flows or as a measure of liquidity.

 

     Three months ended  
     March 31,
2012
    December 31,
2011
    March 31,
2011
 

Cash provided by operating activities

   $ 331,874      $ 150,659      $ 329,783   

Less: Income distributions to noncontrolling interests

     (26,405     (33,245     (22,187
  

 

 

   

 

 

   

 

 

 

Cash provided by operating activities attributable to DaVita Inc.

     305,469        117,414        307,596   

Less: Expenditures for routine maintenance and information technology

     (55,609     (85,304     (39,928
  

 

 

   

 

 

   

 

 

 

Free cash flow

   $ 249,860      $ 32,110      $ 267,668   
  

 

 

   

 

 

   

 

 

 

 

     Rolling 12-Month Period  
     March 31,
2012
    December 31,
2011
    March 31,
2011
 

Cash provided by operating activities

   $ 1,182,137      $ 1,180,046      $ 907,619   

Less: Income distributions to noncontrolling interests

     (104,871     (100,653     (87,120
  

 

 

   

 

 

   

 

 

 

Cash provided by operating activities attributable to DaVita Inc.

     1,077,266        1,079,393        820,499   

Less: Expenditures for routine maintenance and information technology

     (240,047     (224,366     (175,181
  

 

 

   

 

 

   

 

 

 

Free cash flow

   $ 837,219      $ 855,027      $ 645,318   
  

 

 

   

 

 

   

 

 

 

 

12