DaVita Inc.
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On October 5, 2005, we completed our acquisition of Gambro Healthcare. The operating results of Gambro Healthcare are included in our operating results effective October 1, 2005. The operating results of the historical DaVita centers divested in connection with the acquisition are reflected as discontinued operations in our consolidated financial statements for all periods presented. Net income, including discontinued operations was $64.1 million and $228.6 million, or $0.61 and $2.20 per share, respectively.
Financial and operating highlights include: -- Cash Flow: Operating cash flow for the three months ended December 31, 2005 was $183 million and free cash flow was $152 million. For the year ended December 31, 2005 operating cash flow was $441 million and free cash flow was $378 million, excluding the tax benefit from stock option exercises and the after-tax benefit of Medicare lab recoveries related to prior years' services. Including those items, the year ended operating cash flow was $486 million and free cash flow was $422 million. -- Operating Income: Operating income for the three months and year ended December 31, 2005, was $158.8 million and $465.4 million, respectively -- Volume: Total treatments for the fourth quarter were 3,498,231 or 44,281 treatments per day. The acquisition of Gambro Healthcare contributed 1,528,295 total treatments. Non-acquired treatment growth in the quarter was 2.8%, which was negatively impacted by the closure of 8 centers due to hurricane Katrina. -- Debt Expense: The increase in debt expense in the fourth quarter was due to the additional borrowings to fund the Gambro Healthcare acquisition, $2.8 million of non-cash deferred financing cost amortization and a $2.8 million interest payment to Gambro, Inc. as part of the purchase. -- Effective Tax Rate: The effective annual income tax rate for 2005 was 37.4%. We expect the annual effective tax rate for 2006 to be within a range of 39% - 40%. -- Center Activity: As of December 31, 2005, we operated or provided administrative services at 1,233 outpatient centers serving approximately 96,000 patients. During the fourth quarter, the acquisition of Gambro Healthcare resulted in a net increase of 492 centers after divestitures, and we opened 13 new centers and acquired 12 independent centers. Additionally, we closed or indefinitely shut down 8 centers related to hurricane Katrina. Outlook
We are revising our 2006 operating income guidance. Operating income is now projected to be in the $630-700 million range before the impact of FASB No. 123R related to stock option expensing. Our previous guidance was for operating income to be in the $600 - 670 million range. 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.
DaVita will be holding a conference call to discuss its fourth quarter and year end results for 2005 on February 15, 2006, at 12:00 PM 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, including statements related to our 2006 operating results. Factors which could impact future results include the uncertainties associated with governmental regulations, general economic and other market conditions, acquisitions and the risk factors set forth in the Company's SEC filings, including its Form 10-Q for the quarter ended September 30, 2005. 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 preferred provider organizations (PPO) and private indemnity patients, -- possible reductions in private and government payment rates, -- changes in pharmaceutical 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 and the ongoing review by the U.S. Attorney's Office for the Eastern District of Pennsylvania and the OIG, the subpoena from the U.S. Attorney's Office for the Eastern District of New York, the subpoena from the U.S. Attorney's Office for the Eastern District of Missouri and Gambro Healthcare's compliance with its corporate integrity agreement, and -- our ability to integrate the acquisition of Gambro Healthcare, including its billing and collection operations.
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.
DAVITA INC. CONSOLIDATED STATEMENTS OF INCOME (unaudited) (dollars in thousands, except per share data) Three months ended Years ended Dec. 31, Dec. 31, 2005 2004 2005 2004 Net operating revenues $1,133,315 $583,932 $ 2,973,918 $2,177,330 Operating expenses and charges: Patient care costs 799,291 396,745 2,035,243 1,470,175 General and administrative 97,524 53,151 272,463 192,082 Depreciation and amortization 42,648 22,228 116,836 82,912 Provision for uncollectible accounts 29,165 10,421 61,916 38,786 Minority interests and equity income, net 5,905 3,297 22,089 12,249 Total operating expenses and charges 974,533 485,842 2,508,547 1,796,204 Operating income 158,782 98,090 465,371 381,126 Debt expense (72,886) (15,777) (139,586) (52,411) Swap valuation gain 5 4,548 Refinancing charges (1,298) (8,170) Other income, net 3,193 1,040 8,934 4,125 Income from continuing operations before income taxes 87,796 83,353 331,097 332,840 Income tax expense 31,385 31,086 123,675 128,332 Income from continuing operations 56,411 52,267 207,422 204,508 Discontinued operations (Loss) income from operations of discontinued operations, net of tax (326) 4,335 13,157 17,746 Gain on disposal of discontinued operations, net of tax 8,064 8,064 Net income $64,149 $56,602 228,643 $222,254 Earnings per share: Basic earnings per share from continuing operations $0.55 $0.53 $2.06 $2.07 Basic earnings per share $0.63 $0.58 $2.27 $2.25 Diluted earnings per share from continuing operations $0.54 $0.51 $1.99 $1.99 Diluted earnings per share $0.61 $0.56 $2.20 $2.16 Weighted average shares for earnings per share: Basic 101,838,000 97,984,000 100,762,000 98,727,000 Diluted 104,888,000 101,777,000 104,068,000 102,861,000 DAVITA INC. CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) (dollars in thousands) Years ended Dec. 31, 2005 2004 Cash flows from operating activities: Net income $228,643 $222,254 Adjustments to reconcile net income to cash provided by operating activities: Depreciation and amortization 119,719 86,666 Stock options, principally tax benefits 41,837 42,770 Deferred income taxes (63,357) 29,115 Minority interests in income of consolidated subsidiaries 24,714 15,135 Distributions to minority interests (16,246) (10,461) Equity investment income (1,406) (1,441) Loss on other divestitures 921 764 Gain on discontinued operations (16,777) Non-cash debt expense 5,157 2,088 Refinancing charges 8,170 Swap valuation gains (4,548) Changes in operating assets and liabilities, net of effect of acquisitions and divestitures: Accounts receivable and other receivables (62,021) (59,263) Medicare lab recoveries 19,000 Inventories 11,980 4,257 Other current assets 1,893 (381) Other long term assets (2,039) 3,345 Accounts payable 28,869 17,764 Accrued compensation and benefits 21,664 32,899 Other current liabilities 72,615 42,784 Income taxes 90,958 (25,995) Other long-term liabilities (5,192) (1,355) Net cash provided by operating activities 485,554 419,945 Cash flows from investing activities: Additions of property and equipment, net (161,365) (128,328) Acquisitions (3,196,395) (266,265) Proceeds from divestitures 297,784 1,223 Investments in and advances to affiliates, net 15,364 14,344 Intangible assets (751) (635) Net cash used in investing activities (3,045,363) (379,661) Cash flows from financing activities: Borrowings 6,832,557 4,444,160 Payments on long-term debt (4,058,951) (4,236,861) Deferred financing costs (77,884) (4,153) Purchase of treasury stock (96,540) Stock option exercises 43,919 43,432 Net cash provided by financing activities 2,739,641 150,038 Net increase in cash and cash equivalents 179,832 190,322 Cash and cash equivalents at beginning of period 251,979 61,657 Cash and cash equivalents at end of period $431,811 $251,979 DAVITA INC. CONSOLIDATED BALANCE SHEETS (unaudited) (dollars in thousands, except per share data) Dec. 31, 2005 2004 ASSETS Cash and cash equivalents $431,811 $251,979 Accounts receivable, less allowance of $138,598 and $58,166 853,560 453,295 Inventories 69,130 31,843 Other receivables 116,620 47,219 Other current assets 38,463 5,791 Deferred income taxes 144,824 78,593 Total current assets 1,654,408 868,720 Property and equipment, net 750,078 412,064 Amortizable intangibles, net 235,944 60,719 Investments in third-party dialysis businesses 3,181 3,332 Other long-term assets 41,768 10,898 Goodwill 3,594,383 1,156,226 $6,279,762 $2,511,959 LIABILITIES AND SHAREHOLDERS' EQUITY Accounts payable $212,049 $96,231 Other liabilities 381,964 157,214 Accrued compensation and benefits 231,994 133,919 Current portion of long-term debt 71,767 53,364 Income taxes payable 91,959 1,007 Total current liabilities 989,733 441,735 Long-term debt 4,085,435 1,322,468 Other long-term liabilities 26,416 22,570 Gambro AB Supply Agreement and other intangibles, net 163,431 Deferred income taxes 75,499 148,859 Minority interests 88,639 53,193 Commitments and contingencies Shareholders' equity: Preferred stock ($0.001 par value, 5,000,000 shares authorized; none issued) Common stock ($0.001 par value, 195,000,000 shares authorized; 134,862,283 shares issued) 135 135 Additional paid-in capital 569,751 542,714 Retained earnings 839,930 611,287 Treasury stock, at cost (32,927,026 and 36,295,339 shares) (574,013) (632,732) Accumulated comprehensive income valuations 14,806 1,730 Total shareholders' equity 850,609 523,134 $6,279,762 $2,511,959 DAVITA INC. SUPPLEMENTAL FINANCIAL DATA (unaudited) (dollars in millions, except for per share and per treatment data) Three months ended Year ended Dec. 31, Sept. 30, Dec. 31, Dec. 31, 2005 2005 2004 2005 Financial Results: Net income $64.1 $55.2 $56.6 $228.6 Income from continuing operations $56.4 $50.9 $52.3 $207.4 Income from continuing operations, excluding Medicare lab prior years' recoveries $56.4 $50.2 $52.3 $205.1 Diluted earnings per share $0.61 $0.53 $0.56 $2.20 Diluted earnings per share from continuing operations $0.54 $0.49 $0.51 $1.99 Diluted earnings per share from continuing operations, excluding Medicare lab recoveries $0.54 $0.48 $0.51 $1.97 Operating income, excluding Medicare lab prior years' recoveries $158.8 $104.2 $98.1 $461.6 Operating income margin, excluding Medicare lab prior years' recoveries 14.0% 16.2% 16.8% 15.5% Other comprehensive income Unrealized gain on securities, net of tax expense of $2.4, $5.7, $1.3, and $10.7 $3.8 $11.1 $2.1 $16.8 Business Metrics: Volume Treatments 3,498,231 1,928,684 1,786,860 9,044,967 Number of treatment days 79.0 79.0 79.0 313.0 Treatments per day 44,281 24,414 22,617 28,898 Per day year over year increase 95.8% 13.4% 14.5% 36.2% Non-acquired growth 2.8% -- -- -- Revenue Total operating revenue $1,133 $645 $584 $2,974 Medicare lab prior years' recoveries -- $1 -- $4 Total operating revenue, excluding Medicare lab prior years' recoveries $1,133 $644 $584 $2,970 Dialysis revenue per treatment $310.62 $317.03 $312.34 $312.87 Per treatment (decrease) increase from previous quarter (2.0%) 1.1% (0.8%) -- Per treatment (decrease) increase from previous year (.6%) 0.7% 1.5% -- Expenses A. Patient care costs Percent of revenue 70.5% 67.6% 67.9% 68.5% Per treatment $228.48 $225.65 $222.05 $225.01 Per treatment increase from previous quarter 1.3% 1.4% 0.5% -- Per treatment increase from previous year 2.9% 2.2% 2.7% 1.8% B. General & administrative expenses Percent of revenue 8.6% 9.4% 9.1% 9.2% Per treatment $27.88 $31.53 $29.75 $30.12 Per treatment (decrease) from previous quarter (11.6%) (2.2%) -- -- Per treatment (decrease) increase from previous year (6.3%) 5.9% 15.8% 4.3% C. Bad debt expense as a percent of current-period revenue 2.6% 1.8% 1.8% 2.1% D. Consolidated effective tax rate from continuing operations 35.7% 37.5% 37.4% 37.4% DAVITA INC. SUPPLEMENTAL FINANCIAL DATA-continued (unaudited) (dollars in millions, except for per share and per treatment data) Three months ended Year ended Dec. 31, Sept. 30, Dec. 31, Dec. 31, 2005 2005 2004 2005 Cash Flow Operating cash flow $183.3 $84.6 $87.3 $485.6 Operating cash flow, excluding Medicare lab prior years' recoveries and tax benefit from stock option exercises $177.8 $75.3 $70.0 $441.4 Free cash flow $151.6 $75.0 $72.5 $421.9 Free cash flow, excluding Medicare lab prior years' recoveries and tax benefit from stock option exercises $146.1 $65.6 $55.1 $377.8 Capital expenditures: Development $27.8 $24.9 $25.0 $93.0 Routine maintenance /IT/other $32.3 $11.4 $14.9 $70.0 Acquisition expenditures $3,066.3 $46.1 $19.8 $3,196.4 Accounts Receivable Net receivables $854 $493 $453 DSO 71 69 69 Debt/Capital Structure Total debt $4,157 $1,365 $1,376 Net debt, net of cash $3,725 $1,028 $1,124 Leverage ratio -- (see Note 1) 4.45x Shares repurchased (in millions) .03 Average share price $30.14 Clinical (quarterly averages) Dialysis adequacy - % of patients with Kt/V > 1.2 94% 94% Patients with arteriovenous fistulas 45% 46% DAVITA INC. SUPPLEMENTAL FINANCIAL DATA-continued (unaudited) (dollars in thousands) Note 1: Calculation of the Leverage Ratio
Under the Company's credit agreement that was effective on October 5, 2005, 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 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, except that pro forma incremental "EBITDA" relating to routine acquisitions is included in the calculation of "EBITDA" under the Credit Agreement. Such calculation is based on the last twelve-months of Consolidated "EBITDA", pro forma for the Gambro Healthcare acquisition and related divestitures.
Dec. 31, 2005 Income from continuing operations $230,296 Debt expense 272,311 Refinancing charges 8,170 Income taxes 137,589 Depreciation and amortization 169,183 Minority interests and equity income, net 26,012 Swap valuation gain (4,548) Stock compensation expense 8,614 "Consolidated EBITDA" as materially defined in the credit agreement $847,627 Dec. 31, 2005 Total debt $4,157,209 Letters of credit issued 48,404 4,205,613 Less: cash and cash equivalents (431,811) Consolidated net debt $3,773,802 Last twelve months "Consolidated EBITDA" as materially defined in the credit agreement $847,627 Leverage ratio 4.45x In accordance with the Company's Credit Agreement, the Company's leverage ratio can not currently exceed 6.25 to 1.0. As of December 31, 2005, the Company was in compliance with its Credit Agreement. DAVITA INC. RECONCILIATIONS FOR NON-GAAP MEASURES (unaudited) (dollars in thousands) 1. Income from continuing operations,excluding Medicare lab recoveries related to prior years' services: Three months ended Year ended Dec. 31, Sept. 30, Dec. 31, Dec. 31, 2005 2005 2004 2005 Net income $64,149 $55,217 $56,602 $228,643 Discontinued operations (7,738) (4,303) (4,335) (21,221) Income from continuing operations 56,411 50,914 52,267 207,422 Less: Medicare lab recoveries related to prior years' services (1,131) (3,771) Related income tax expense 440 1,467 Income from continuing operations, excluding Medicare lab recoveries related to prior years' services $56,411 $50,223 $52,267 $205,118 2. Operating income, excluding Medicare lab recoveries related to prior years' services: Three months ended Year ended Dec. 31, Sept. 30, Dec. 31, Dec. 31, 2005 2005 2004 2004 Operating income $158,782 $105,298 $98,090 $465,371 Less: Medicare lab recoveries related to prior years' services (1,131) (3,771) $158,782 $104,167 $98,090 $461,600 3. Operating cash flow, excluding Medicare lab recoveries related to prior years' services, and tax benefit from stock option exercises: Three months ended Year ended Dec. 31, Sept. 30, Dec. 31, Dec. 31, Dec. 31, 2005 2005 2004 2005 2004 Cash provided by operating activities $183,344 $84,609 $87,341 $485,554 $419,945 Less: Medicare lab recoveries related to prior years' services (1,131) (8,293) (3,771) (27,293) Related income tax expense 440 3,234 1,467 10,644 Operating cash flow, excluding Medicare lab recoveries related to prior years' services 182,653 84,609 82,282 483,250 403,296 Less: Tax benefit from stock option exercises (4,816) (9,313) (12,305) (41,837) (42,770) $177,837 $75,296 $69,977 $441,413 $360,526 DAVITA INC. RECONCILIATIONS FOR NON-GAAP MEASURES (unaudited) (dollars in thousands) 4. Free cash flow and free cash flow, excluding Medicare lab recoveries related to prior years' services, and tax benefit from stock option exercises: Free cash flow represents net cash provided by operating activities less non-development capital expenditures.We believe free cash flow is a useful adjunct to cash flow from operating activities and other measurements under generally accepted accounting principles in the United States since it is a meaningful measure of our ability to fund acquisition and development activities and meet our debt service requirements. Free cash flow is not a measure of financial performance under generally accepted accounting principles in the United States 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 Year ended Dec. 31, Sept. 30, Dec. 31, Dec. 31, Dec. 31, 2005 2005 2004 2005 2004 Cash provided by operating activities $183,344 $84,609 $87,341 $485,554 $419,945 Less: Expenditures for routine maintenance and information technology (31,735) (9,656) (14,883) (63,639) (46,554) Free cash flow 151,609 74,953 72,458 421,915 373,391 Less: Medicare lab recoveries related to prior years' services (1,131) (8,293) (3,771) (27,293) Related income tax expense 440 3,234 1,467 10,644 Free cash flow, excluding Medicare lab recoveries related to prior years' services 150,918 74,953 67,399 419,611 356,742 Less: Tax benefit from stock option exercises (4,816) (9,313) (12,305) (41,837) (42,770) $ 146,102 $ 65,640 $55,094 $377,774 $313,972
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SOURCE: DaVita Inc.
CONTACT: LeAnne Zumwalt, Investor Relations of DaVita Inc.,
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Web site: http://www.davita.com/