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8-K - FORM 8-K - DAVITA INC.d375855d8k.htm

Exhibit 99.1

 

LOGO

Contact: Jim Gustafson

Investor Relations

DaVita Inc.

(310) 536-2585

DAVITA 2nd QUARTER 2012 RESULTS

Denver, Colorado, August 1, 2012 – DaVita Inc. (NYSE: DVA) today announced results for the quarter ended June 30, 2012. Net income attributable to DaVita Inc. for the three and six months ended June 30, 2012 was $142.9 million and $283.0 million, or $1.49 and $2.96 per share, respectively, excluding an after-tax legal proceeding contingency accrual and related expenses of $47.6 million, or $0.50 per share, as further discussed below. This compares to net income attributable to DaVita Inc. for the three and six months ended June 30, 2011 of $114.4 million and $208.9 million, or $1.17 and $2.13 per share, respectively, excluding an after-tax non-cash goodwill impairment charge of approximately $14.4 million, or $0.14 per share, related to our infusion therapy business.

Net income attributable to DaVita Inc. for the three and six months ended June 30, 2012 including the after-tax legal proceeding contingency accrual was $95.3 million and $235.5 million, or $0.99 and $2.46 per share, respectively. Net income attributable to DaVita Inc. for the three and six months ended June 30, 2011 including the after-tax goodwill impairment charge was $100.0 million and $194.5 million, or $1.03 and $1.99 per share, respectively.

Financial and operating highlights include:

 

 

Cash Flow: For the rolling twelve months ended June 30, 2012 operating cash flow was $1,180 million and free cash flow was $817 million. For the three months ended June 30, 2012 operating cash flow was $202 million and free cash flow was $111 million. For a definition of free cash flow see Note 4 to the reconciliations of non-GAAP measures.

 

 

Operating Income: Operating income for the three and six months ended June 30, 2012 was $326 million and $647 million, respectively, excluding the pre-tax legal proceeding contingency accrual and related expenses of $78 million. This compares to operating income of $271 million and $506 million, respectively, excluding the pre-tax non-cash goodwill impairment charge of $24 million for the same periods of 2011.

Operating income for the three and six months ended June 30, 2012 including the legal proceeding contingency accrual and related expenses was $248 million and $569 million, respectively. Operating income for the three and six months ended June 30, 2011 including the non-cash goodwill impairment charge was $247 million and $482 million, respectively.

 

 

Volume: Total U.S. treatments for the second quarter of 2012 were 5,451,901, or 69,896 treatments per day, representing a per day increase of 14.3% over the second quarter of 2011. Non-acquired treatment growth, as well as our normalized non-acquired treatment growth in the quarter, were both 4.7% over the prior year’s second quarter.

 

 

Effective Tax Rate: Our effective tax rate was 36.2% and 36.5% for the three and six months ended June 30, 2012, respectively. 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 41.5% and 40.9% for the three and six months ended June 30, 2012, respectively. We still expect our 2012 effective tax rate attributable to DaVita Inc. to be in the range of 40.0% to 41.0%.

 

1


 

Acquisition: As previously announced on May 21, 2012, we entered into a definitive merger agreement to acquire HealthCare Partners (HCP), the country’s largest operator of medical groups and physician networks. The total purchase price to be paid by DaVita Inc. will consist of $3.66 billion in cash and approximately 9.38 million shares of DaVita common stock, subject to post-close adjustments. In addition to the total merger consideration payable at close, DaVita will pay to the owners of HCP a total of up to $275 million of additional cash consideration in the form of two separate earn-out payments if certain financial performance targets are achieved by HCP in 2012 and 2013. We still expect the transaction to close early in the fourth quarter of this year.

 

 

Legal Proceeding Contingency Accrual: As previously announced on July 3, 2012, we reached an agreement in principle to settle all allegations relating to claims arising out of the previously disclosed litigation filed in 2002 in the U.S. District Court in the Eastern District of Texas (Settlement). In connection with the Settlement we accrued a pre-tax charge of approximately $78 million in the second quarter of 2012 that consists of $55 million for the settlement plus attorney fees and other related expenses. We expect that the Settlement will resolve federal program claims regarding Epogen that were or could have been raised in the complaint relating to historical Epogen practices dating back to 1997. The Settlement is subject to certain conditions, such as court approval. Until the conditions and documentation are completed, there can be no assurance that this matter will in fact be resolved pursuant to the terms of the Settlement.

 

 

Center Activity: As of June 30, 2012, we operated or provided administrative services at 1,884 outpatient dialysis centers located in the United States serving approximately 149,000 patients and 19 outpatient dialysis centers serving approximately 1,000 patients that are located in four countries outside of the United States. During the second quarter of 2012, we acquired 33 centers and opened a total of 14 centers located in the United States. In addition, we also acquired and opened a total of four centers outside of the United States.

Outlook

We are raising our operating income guidance for 2012 to now be in the range of $1,275 million to $1,325 million. Our previous operating income guidance for 2012 was in the range of $1,230 million to $1,310 million. These projections exclude any operating results associated with the proposed acquisition of HealthCare Partners as well as the legal proceeding contingency accrual and related expenses of $78 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 second quarter ended June 30, 2012 on August 1, 2012 at 5:00 p.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.

 

2


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., the anticipated timing and closing of the HCP transaction and expected timing and impact of the Settlement. 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 quarterly report on Form 10-Q for the quarter ended March 31, 2012 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,

 

   

the emergence of new models of care introduced by the government or private sector, such as accountable care organizations, independent practice association and integrated delivery systems, and changing affiliation models for physicians, such as employment by hospitals, that may erode our patient base and reimbursement rates,

 

   

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, including the HCP transaction, 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.

 

3


DAVITA INC.

CONSOLIDATED STATEMENTS OF INCOME

(unaudited)

(dollars in thousands, except per share data)

 

     Three months ended June 30,     Six months ended June 30,  
     2012     2011     2012     2011  

Dialysis patient service operating revenues

   $ 1,809,259      $ 1,582,949      $ 3,571,837      $ 3,080,383   

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

     (54,416     (47,410     (107,424     (88,481
  

 

 

   

 

 

   

 

 

   

 

 

 

Net patient service operating revenues

     1,754,843        1,535,539        3,464,413        2,991,902   

Other revenues

     174,897        125,694        331,962        231,644   
  

 

 

   

 

 

   

 

 

   

 

 

 

Total net operating revenues

     1,929,740        1,661,233        3,796,375        3,223,546   
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating expenses and charges:

        

Patient care costs

     1,312,247        1,163,136        2,575,406        2,277,222   

General and administrative

     214,621        163,793        422,010        315,395   

Depreciation and amortization

     77,807        64,245        153,782        126,083   

Provision for uncollectible accounts

     1,801        1,852        3,825        2,824   

Equity investment income

     (2,618     (2,417     (5,250     (3,936

Legal proceeding contingency accrual and related expenses

     78,000        —          78,000        —     

Goodwill impairment charge

     —          24,000        —          24,000   
  

 

 

   

 

 

   

 

 

   

 

 

 

Total operating expenses and charges

     1,681,858        1,414,609        3,227,773        2,741,588   
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating income

     247,882        246,624        568,602        481,958   

Debt expense

     (60,709     (59,897     (122,090     (118,492

Other income

     840        556        1,879        1,397   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations before income taxes

     188,013        187,283        448,391        364,863   

Income tax expense

     68,009        66,871        163,504        129,830   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations

     120,004        120,412        284,887        235,033   

Discontinued operations:

        

Income from operations of discontinued operations, net of tax

     —          253        —          384   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

     120,004        120,665        284,887        235,417   

Less: Net income attributable to noncontrolling interests

     (24,667     (20,650     (49,430     (40,900
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to DaVita Inc.

   $ 95,337      $ 100,015      $ 235,457      $ 194,517   
  

 

 

   

 

 

   

 

 

   

 

 

 

Earnings per share:

        

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

   $ 1.01      $ 1.05      $ 2.51      $ 2.03   
  

 

 

   

 

 

   

 

 

   

 

 

 

Basic net income per share attributable to DaVita Inc.

   $ 1.01      $ 1.05      $ 2.51      $ 2.03   
  

 

 

   

 

 

   

 

 

   

 

 

 

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

   $ 0.99      $ 1.02      $ 2.46      $ 1.98   
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted net income per share attributable to DaVita Inc.

   $ 0.99      $ 1.03      $ 2.46      $ 1.99   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average shares for earnings per share:

        

Basic

     94,171,583        95,488,449        93,970,295        95,872,466   
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted

     96,002,190        97,657,578        95,865,605        98,014,315   
  

 

 

   

 

 

   

 

 

   

 

 

 

Amounts attributable to DaVita Inc.:

        

Income from continuing operations

   $ 95,337      $ 99,762      $ 235,457      $ 194,133   

Discontinued operations

     —          253        —          384   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

   $ 95,337      $ 100,015      $ 235,457      $ 194,517   
  

 

 

   

 

 

   

 

 

   

 

 

 

 

 

4


DAVITA INC.

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(unaudited)

(dollars in thousands, except per share data)

 

     Three months ended June 30,     Six months ended June 30,  
     2012     2011     2012     2011  

Net income

   $ 120,004      $ 120,665      $ 284,887      $ 235,417   
  

 

 

   

 

 

   

 

 

   

 

 

 

Other comprehensive (loss) income, net of tax:

        

Unrealized losses on interest rate swap and cap agreements:

        

Unrealized losses on interest rate swap and cap agreements

     (2,102     (12,837     (4,363     (16,971

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

     2,536        2,680        5,056        4,423   

Unrealized (loss) gains on investments:

        

Unrealized (loss) gains on investments

     (204     47        942        315   

Less: Reclassification of net investment realized gains into net income

     —          —          (75     (57

Foreign currency translation adjustments

     (839     —          (1,458     —     
  

 

 

   

 

 

   

 

 

   

 

 

 

Other comprehensive (loss) income

     (609     (10,110     102        (12,290
  

 

 

   

 

 

   

 

 

   

 

 

 

Total comprehensive income

     119,395        110,555        284,989        223,127   

Less: Comprehensive income attributable to the noncontrolling interests

     (24,667     (20,650     (49,430     (40,900
  

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income attributable to DaVita Inc.

   $ 94,728      $ 89,905      $ 235,559      $ 182,227   
  

 

 

   

 

 

   

 

 

   

 

 

 

 

5


DAVITA INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited)

(dollars in thousands)

 

     Six months ended
June 30,
 
     2012     2011  

Cash flows from operating activities:

    

Net income

   $ 284,887      $ 235,417   

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

    

Depreciation and amortization

     153,782        126,507   

Stock-based compensation expense

     24,344        23,058   

Tax benefits from stock award exercises

     27,583        33,765   

Excess tax benefits from stock award exercises

     (14,841     (19,009

Deferred income taxes

     (25,531     24,225   

Equity investment income, net

     (139     472   

Other non-cash charges and loss on disposal of assets

     12,903        10,842   

Goodwill impairment charge

     —          24,000   

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

    

Accounts receivable

     (53,294     (83,075

Inventories

     1,713        9,369   

Other receivables and other current assets

     61,938        23,791   

Other long-term assets

     4,486        2,164   

Accounts payable

     8,178        41,436   

Accrued compensation and benefits

     23,209        68,008   

Other current liabilities

     65,349        (25,716

Income taxes

     (49,069     34,799   

Other long-term liabilities

     8,481        4,140   
  

 

 

   

 

 

 

Net cash provided by operating activities

     533,979        534,193   
  

 

 

   

 

 

 

Cash flows from investing activities:

    

Additions of property and equipment, net

     (250,508     (154,929

Acquisitions

     (346,774     (151,196

Proceeds from asset sales

     2,023        2,954   

Purchase of investments available for sale

     (3,070     (1,868

Purchase of investments held-to-maturity

     (5,257     (19,684

Proceeds from sale of investments available for sale

     6,791        1,149   

Proceeds from maturities of investments held-to-maturity

     9,582        19,683   

Purchase of equity investments and other assets

     —          (5,005

Distributions received on equity investments

     2        340   
  

 

 

   

 

 

 

Net cash used in investing activities

     (587,211     (308,556
  

 

 

   

 

 

 

Cash flows from financing activities:

    

Borrowings

     17,217,404        19,169,580   

Payments on long-term debt

     (17,254,503     (19,201,362

Interest rate cap premiums and other deferred financing costs

     (2     (13,457

Purchase of treasury stock

     —          (290,593

Distributions to noncontrolling interests

     (50,478     (46,423

Stock award exercises and other share issuances, net

     4,845        7,410   

Excess tax benefits from stock award exercises

     14,841        19,009   

Contributions from noncontrolling interests

     10,584        6,490   

Proceeds from sales of additional noncontrolling interests

     142        2,067   

Purchases from noncontrolling interests

     (9,800     (8,650
  

 

 

   

 

 

 

Net cash used in financing activities

     (66,967     (355,929

Effect of exchange rate changes on cash and cash equivalents

     (108     —    
  

 

 

   

 

 

 

Net decrease in cash and cash equivalents

     (120,307     (130,292

Cash and cash equivalents at beginning of period

     393,752        860,117   
  

 

 

   

 

 

 

Cash and cash equivalents at end of period

   $ 273,445      $ 729,825   
  

 

 

   

 

 

 

 

 

6


DAVITA INC.

CONSOLIDATED BALANCE SHEETS

(unaudited)

(dollars in thousands, except per share data)

 

     June 30,
2012
    December 31,
2011
 
ASSETS     

Cash and cash equivalents

   $ 273,445      $ 393,752   

Short-term investments

     8,629        17,399   

Accounts receivable, less allowance of $253,199 and $250,343

     1,249,995        1,195,163   

Inventories

     77,684        75,731   

Other receivables

     211,487        269,832   

Other current assets

     45,649        49,349   

Income tax receivable

     11,586        —     

Deferred income taxes

     300,276        280,382   
  

 

 

   

 

 

 

Total current assets

     2,178,751        2,281,608   

Property and equipment, net

     1,586,460        1,432,651   

Amortizable intangibles, net

     162,322        159,491   

Equity investments

     27,578        27,325   

Long-term investments

     12,143        9,890   

Other long-term assets

     29,623        34,231   

Goodwill

     5,258,056        4,946,976   
  

 

 

   

 

 

 
   $ 9,254,933      $ 8,892,172   
  

 

 

   

 

 

 
LIABILITIES AND EQUITY     

Accounts payable

   $ 299,005      $ 289,653   

Other liabilities

     395,024        325,734   

Accrued compensation and benefits

     436,273        412,972   

Current portion of long-term debt

     105,562        87,345   

Income tax payable

     —          37,412   
  

 

 

   

 

 

 

Total current liabilities

     1,235,864        1,153,116   

Long-term debt

     4,392,908        4,417,624   

Other long-term liabilities

     146,948        132,006   

Alliance and product supply agreement, net

     17,322        19,987   

Deferred income taxes

     431,196        423,098   
  

 

 

   

 

 

 

Total liabilities

     6,224,238        6,145,831   

Commitments and contingencies

    

Noncontrolling interests subject to put provisions

     522,748        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; 94,486,725 and 93,641,363 shares outstanding)

     135        135   

Additional paid-in capital

     564,795        596,300   

Retained earnings

     3,431,275        3,195,818   

Treasury stock, at cost (40,375,558 and 41,220,920 shares)

     (1,598,231     (1,631,694

Accumulated other comprehensive loss

     (19,382     (19,484
  

 

 

   

 

 

 

Total DaVita Inc. shareholders’ equity

     2,378,592        2,141,075   

Noncontrolling interests not subject to put provisions

     129,355        127,050   
  

 

 

   

 

 

 

Total equity

     2,507,947        2,268,125   
  

 

 

   

 

 

 
   $ 9,254,933      $ 8,892,172   
  

 

 

   

 

 

 

 

7


DAVITA INC.

SUPPLEMENTAL FINANCIAL DATA

(unaudited)

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

 

     Three months ended     Six months
ended
June 30, 2012
 
     June 30,
2012
    March 31,
2012
    June 30,
2011
   

1. Consolidated Financial Results:

        

Consolidated operating revenues

   $ 1,984      $ 1,920      $ 1,709      $ 3,904   

Consolidated net operating revenues

   $ 1,930      $ 1,867      $ 1,661      $ 3,797   

Operating income

   $ 247.9      $ 320.7      $ 246.6      $ 568.6   

Operating income excluding the legal proceeding contingency accrual and related expenses and the non-cash goodwill impairment charge

   $ 325.9      $ 320.7      $ 270.6      $ 646.6   

Operating income margin

     12.5     16.7     14.4     14.6

Operating income margin excluding the legal proceeding contingency accrual and related expenses and the non-cash goodwill impairment charge

     16.4     16.7     15.8     16.6

Net income attributable to DaVita Inc.

   $ 95.3      $ 140.1      $ 100.0      $ 235.5   

Net income attributable to DaVita Inc. excluding the legal proceeding contingency accrual and related expenses and the non-cash goodwill impairment charge

   $ 142.9      $ 140.1      $ 114.4      $ 283.0   

Diluted net income per share attributable to DaVita Inc.

   $ 0.99      $ 1.46      $ 1.03      $ 2.46   

Diluted net income per share attributable to DaVita Inc. excluding the legal proceeding contingency accrual and related expenses and the non-cash goodwill impairment charge

   $ 1.49      $ 1.46      $ 1.17      $ 2.96   

2. Consolidated Business Metrics:

        

Expenses

        

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

     66.1     65.8     68.1     66.0

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

     10.8     10.8     9.6     10.8

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

     2.8     2.9     2.9     2.9

Consolidated effective tax rate

     36.2     36.7     35.7     36.5

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

     41.5     40.5     40.0     40.9

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

        

Operating revenues

        

Dialysis and related lab services patient service operating revenues

   $ 1,813      $ 1,767      $ 1,585      $ 3,580   

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

     (54     (53     (48     (107
  

 

 

   

 

 

   

 

 

   

 

 

 

Dialysis and related lab services net patient service operating revenues

   $ 1,759      $ 1,714      $ 1,537      $ 3,473   

Other revenues

     3        3        3        6   
  

 

 

   

 

 

   

 

 

   

 

 

 

Total net dialysis and related lab services operating revenues

     1,762        1,717        1,540        3,479   

Other – Ancillary services and strategic initiatives

     170        153        121        323   

Other – Ancillary services and strategic initiatives net patient service operating revenues (related to international dialysis operations and a vascular access clinic)

     5        3        2        8   
  

 

 

   

 

 

   

 

 

   

 

 

 

Total net segment operating revenues

     1,937        1,873        1,663        3,810   

Elimination of intersegment revenues

     (7     (6     (2     (13
  

 

 

   

 

 

   

 

 

   

 

 

 

Total net consolidated operating revenues

   $ 1,930      $ 1,867      $ 1,661      $ 3,797   
  

 

 

   

 

 

   

 

 

   

 

 

 

 

8


DAVITA INC.

SUPPLEMENTAL FINANCIAL DATA—continued

(unaudited)

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

 

     Three months ended     Six months
ended

June 30, 2012
 
     June 30,
2012
    March 31,
2012
    June 30,
2011
   

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

        

Operating Income

        

Dialysis and related lab services operating income

   $ 286      $ 354      $ 288      $ 641   

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

     (19     (17     (30     (37
  

 

 

   

 

 

   

 

 

   

 

 

 

Total segment operating income

   $ 267      $ 337      $ 258      $ 604   

Reconciling items:

        

Other corporate level general and administrative expenses including stock-based compensation

     (22     (19     (13     (40

Equity investment income

     3        3        2        5   
  

 

 

   

 

 

   

 

 

   

 

 

 

Consolidated operating income

   $ 248      $ 321      $ 247      $ 569   
  

 

 

   

 

 

   

 

 

   

 

 

 

4. Segment Business Metrics:

        

Dialysis and related lab services

        

Volume

        

Treatments

     5,451,901        5,314,275        4,769,661        10,766,176   

Number of treatment days

     78.0        78.0        78.0        156.0   

Treatments per day

     69,896        68,132        61,150        69,014   

Per day year over year increase

     14.3     14.2     7.1     14.2

Non-acquired growth year over year

     4.7     5.5     4.6     5.1

Operating revenues before provision for uncollectible accounts

        

Dialysis and related lab services revenue per treatment

   $ 332.67      $ 332.43      $ 332.30      $ 332.55   

Per treatment increase from previous quarter

     0.1     1.2     1.8     —     

Per treatment increase (decrease) from previous year

     0.1     1.8     (0.7 %)      1.0

Percent of consolidated revenues

     91.6     92.2     92.9     91.9

Expenses

        

Patient care costs

        

Percent of total segment operating revenues

     64.1     63.7     66.9     63.9

Per treatment

   $ 213.68      $ 212.12      $ 222.79      $ 212.91   

Per treatment increase (decrease) from previous quarter

     0.7     1.7     (0.2 %)      —     

Per treatment decrease from previous year

     (4.1 %)      (5.0 %)      (4.0 %)      (4.5 %) 

General and administrative expenses

        

Percent of total segment operating revenues

     8.6     9.1     8.0     8.9

Per treatment

   $ 28.80      $ 30.38      $ 26.79      $ 29.58   

Per treatment (decrease) increase from previous quarter

     (5.2 %)      3.2     0.3     —     

Per treatment increase from previous year

     7.5     13.7     9.8     10.5

 

9


DAVITA INC.

SUPPLEMENTAL FINANCIAL DATA—continued

(unaudited)

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

 

     Three months ended     Six months
ended
June 30, 2012
 
     June 30,
2012
    March 31,
2012
    June 30,
2011
   

5. Cash Flow:

        

Operating cash flow

   $ 202.1      $ 331.9      $ 204.4      $ 534.0   

Operating cash flow, last twelve months

   $ 1,179.8      $ 1,182.1      $ 816.1     

Free cash flow(2)

   $ 111.4      $ 249.9      $ 132.1      $ 361.3   

Free cash flow, last twelve months(2)

   $ 816.5      $ 837.2      $ 528.0     

Capital expenditures:

        

Routine maintenance/IT/other

   $ 66.6      $ 55.6      $ 48.0      $ 122.2   

Development and relocations

   $ 71.4      $ 56.8      $ 39.4      $ 128.3   

Acquisition expenditures

   $ 214.1      $ 132.7      $ 69.7      $ 346.8   

6. Accounts Receivable:

        

Net receivables

   $ 1,250      $ 1,267      $ 1,132     

DSO

     60        63        63     

7. Debt and Capital Structure:

        

Total debt(3)

   $ 4,505      $ 4,499      $ 4,294     

Net debt, net of cash(3)

   $ 4,232      $ 4,050      $ 3,564     

Leverage ratio (see calculation on page 11)

     2.70x        2.55x        2.69x     

Overall weighted average effective interest rate during the quarter

     5.27     5.27     5.33  

Overall weighted average effective interest rate at end of the quarter

     5.28     5.28     5.34  

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

     4.61     4.63     4.68  

Fixed and economically fixed interest rates as a percentage of our total debt(4)

     57.0     56.9     59.3  

Share repurchases

   $ —        $ —        $ 302.4     

8. Clinical: (quarterly averages)

        

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

     98     97     97  

Patients with arteriovenous fistulas placed

     70     69     69  

 

(1) Consolidated percentages of revenues are comprised of the dialysis and related lab services business, other ancillary services and strategic initiatives, stock-based compensation expenses, and in case of general and administrative expenses, includes other certain corporate level general and administrative 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 reported balance sheet amounts at June 30, 2012, March 31, 2012 and June 30, 2011, are net of $7.0 million, $7.4 million and $7.6 million, respectively, of debt discounts associated with our Term Loan B and our Term Loan A-2.
(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 set at their respective floors. At 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, 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 $474 million outstanding principal balance of the Term Loan B is subject to LIBOR-based interest rate volatility above a floor of 1.50%.

 

10


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
June 30, 2012
 

Net income attributable to DaVita Inc.

   $ 518,941   

Income taxes

     349,143   

Interest expense

     227,380   

Depreciation and amortization

     294,590   

Noncontrolling interests and equity investment income, net

     103,667   

Stock-based compensation

     50,004   

Other items

     41,681   
  

 

 

 

“Consolidated EBITDA”

   $ 1,585,406   
  

 

 

 
     June 30, 2012  

Total debt, excluding debt discount of $7.0 million

   $ 4,505,483   

Letters of credit issued

     48,940   
  

 

 

 
     4,554,423   

Less: Cash and cash equivalents

     (273,445
  

 

 

 

Consolidated net debt

   $ 4,280,978   
  

 

 

 

Last twelve months “Consolidated EBITDA”

   $ 1,585,406   
  

 

 

 

Leverage ratio

     2.70x   
  

 

 

 

In accordance with the Credit Agreement, the Company’s leverage ratio cannot exceed 4.25 to 1.0 as of June 30, 2012. At that date the Company’s leverage ratio did not exceed 4.25 to 1.0.

 

11


DAVITA INC.

RECONCILIATIONS FOR NON-GAAP MEASURES

(unaudited)

(dollars in thousands)

1. Net income attributable to DaVita Inc. excluding an after-tax legal proceeding contingency accrual and related expenses and an after-tax non-cash goodwill impairment charge and diluted earnings per share attributable to DaVita Inc. excluding an after-tax legal proceeding contingency accrual and related expenses and an after-tax non-cash goodwill impairment charge.

We believe that net income attributable to DaVita Inc. excluding an after-tax legal proceeding contingency accrual and related expenses and an after-tax non-cash goodwill impairment charge enhances a user’s understanding of our normal net income attributable to DaVita Inc. and diluted earnings per share attributable to DaVita Inc. for these periods by providing a measure that is meaningful because it excludes an unusual charge for a legal proceeding contingency accrual that resulted from an agreement we reached in principle to settle federal program claims relating to our historical Epogen practices and also excludes a non-cash goodwill impairment charge that resulted from a decrease in the implied fair value of goodwill below its carrying amount associated with our infusion therapy business during the second quarter of 2011 and accordingly, is more comparable to prior periods and indicative of consistent net income attributable to DaVita Inc. and diluted earnings per share to DaVita Inc. These measures are not measures of financial performance under United States generally accepted accounting principles (GAAP) and should not be considered as an alternative to net income attributable to DaVita Inc., and diluted earnings per share attributable to DaVita Inc.

Net income attributable to DaVita Inc. excluding an after-tax legal proceeding contingency accrual and related expenses and an after-tax non-cash goodwill impairment charge:

 

     Three months ended     Six months ended  
     June 30,
2012
    March 31,
2012
     June 30,
2011
    June 30,
2012
    June 30,
2011
 

Net income attributable to DaVita Inc.

   $ 95,337      $ 140,120       $ 100,015      $ 235,457      $ 194,517   

Add:

           

Legal proceeding contingency accrual and related expenses

     78,000        —           —          78,000        —     

Non-cash goodwill impairment charge

     —          —           24,000        —          24,000   

Less: Related income tax

     (30,420     —           (9,600     (30,420     (9,600
  

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 
   $ 142,917      $ 140,120       $ 114,415      $ 283,037      $ 208,917   
  

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Diluted earnings per share attributable to DaVita Inc. excluding an after-tax legal proceeding contingency accrual and related expenses and an after-tax non-cash goodwill impairment charge:

 

     Three months ended      Six months ended  
     June 30,
2012
     March 31,
2012
     June 30,
2011
     June 30,
2012
     June 30,
2011
 

Diluted earnings per share attributable to DaVita Inc.

   $ 0.99       $ 1.46       $ 1.03       $ 2.46       $ 1.99   

Add:

              

Legal proceeding contingency accrual and related expenses

     0.50         —           —           0.50         —     

Non-cash goodwill impairment charge

     —           —           0.14         —           0.14   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 
   $ 1.49       $ 1.46       $ 1.17       $ 2.96       $ 2.13   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

 

12


DAVITA INC.

RECONCILIATIONS FOR NON-GAAP MEASURES

(unaudited)

(dollars in thousands)

2. Operating income excluding a pre-tax legal proceeding contingency accrual and related expenses and a pre-tax non-cash goodwill impairment charge.

We believe that operating income excluding a pre-tax legal proceeding contingency accrual and related expenses and a pre-tax non-cash goodwill impairment charge enhances a user’s understanding of our normal operating income for these periods by providing a measure that is meaningful because it excludes an unusual charge for a legal proceeding contingency accrual that resulted from an agreement we reached in principle to settle federal program claims relating to our historical Epogen practices and also excludes a non-cash goodwill impairment charge that resulted from a decrease in the implied fair value of goodwill below its carrying amount associated with our infusion therapy business during the second quarter of 2011 and accordingly, is more comparable to prior periods and indicative of consistent operating income. This measure is not a measure of financial performance under GAAP and should not be considered as an alternative to operating income.

Operating income excluding a pre-tax legal proceeding contingency accrual and related expenses and a pre-tax non-cash goodwill impairment charge:

 

     Three months ended      Six months ended  
     June 30,
2012
     March 31,
2012
     June 30,
2011
     June 30,
2012
     June 30,
2011
 

Operating income

   $ 247,882       $ 320,720       $ 246,624       $ 568,602       $ 481,958   

Add:

              

Legal proceeding contingency accrual and related expenses

     78,000         —           —           78,000         —     

Non-cash goodwill impairment charge

     —           —           24,000         —           24,000   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 
   $ 325,882       $ 320,720       $ 270,624       $ 646,602       $ 505,958   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

 

13


DAVITA INC.

RECONCILIATIONS FOR NON-GAAP MEASURES

(unaudited)

(dollars in thousands)

3. 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 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     Six months
ended
June 30, 2012
 
     June 30,
2012
    March 31,
2012
    June 30,
2011
   

Income from continuing operations before income taxes

   $ 188,013      $ 260,378      $ 187,283      $ 448,391   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income tax expense

   $ 68,009      $ 95,495      $ 66,871      $ 163,504   
  

 

 

   

 

 

   

 

 

   

 

 

 

Effective income tax rate

     36.2     36.7     35.7     36.5
  

 

 

   

 

 

   

 

 

   

 

 

 

 

     Three months ended     Six months
ended
June 30, 2012
 
     June 30,
2012
    March 31,
2012
    June 30,
2011
   

Income from continuing operations before income taxes

   $ 188,013      $ 260,378      $ 187,283      $ 448,391   

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

     (25,051     (24,883     (21,020     (49,934
  

 

 

   

 

 

   

 

 

   

 

 

 

Income before income taxes attributable to DaVita Inc.

   $ 162,962      $ 235,495      $ 166,263      $ 398,457   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income tax expense

     68,009        95,495      $ 66,871      $ 163,504   

Less: Income tax attributable to noncontrolling interests

     (384     (120     (370     (504
  

 

 

   

 

 

   

 

 

   

 

 

 

Income tax attributable to DaVita Inc.

   $ 67,625      $ 95,375      $ 66,501      $ 163,000   
  

 

 

   

 

 

   

 

 

   

 

 

 

Effective income tax rate attributable to DaVita Inc.

     41.5     40.5     40.0     40.9
  

 

 

   

 

 

   

 

 

   

 

 

 

 

14


DAVITA INC.

RECONCILIATIONS FOR NON-GAAP MEASURES

(unaudited)

(dollars in thousands)

4. 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     Six months
ended
June 30, 2012
 
     June 30,
2012
    March 31,
2012
    June 30,
2011
   

Cash provided by operating activities

   $ 202,105      $ 331,874      $ 204,410      $ 533,979   

Less: Income distributions to noncontrolling interests

     (24,073     (26,405     (24,236     (50,478
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash provided by operating activities attributable to DaVita Inc.

     178,032        305,469        180,174        483,501   

Less: Expenditures for routine maintenance and information technology

     (66,603     (55,609     (48,027     (122,212
  

 

 

   

 

 

   

 

 

   

 

 

 

Free cash flow

   $ 111,429      $ 249,860      $ 132,147      $ 361,289   
  

 

 

   

 

 

   

 

 

   

 

 

 

 

     Rolling 12-Month Period  
     June 30,
2012
    March 31,
2012
    June 30,
2011
 

Cash provided by operating activities

   $ 1,179,832      $ 1,182,137      $ 816,110   

Less: Income distributions to noncontrolling interests

     (104,708     (104,871     (92,713
  

 

 

   

 

 

   

 

 

 

Cash provided by operating activities attributable to DaVita Inc.

     1,075,124        1,077,266        723,397   

Less: Expenditures for routine maintenance and information technology

     (258,623     (240,047     (195,443
  

 

 

   

 

 

   

 

 

 

Free cash flow

   $ 816,501      $ 837,219      $ 527,954   
  

 

 

   

 

 

   

 

 

 

 

15