Adjusted income from continuing operations attributable to
Financial and operating highlights include:
- Cash Flow: For the rolling twelve months ended
March 31, 2013 , operating cash flow was$1,148 million and free cash flow was$764 million . For the three months endedMarch 31, 2013 , operating cash flow was$379 million and free cash flow was$299 million . For a definition of free cash flow see Note 4 to the reconciliations of non-GAAP measures. - Operating Income: Adjusted operating income for the three months ended
March 31, 2013 was$467 million , excluding a pre-tax loss contingency reserve of$300 million , as further discussed below. Operating income for the three months endedMarch 31, 2013 including this item was$167 million .
Adjusted operating income for the three months endedMarch 31, 2012 was$327 million , excluding transactions expenses associated with the acquisition of HCP of$6 million . Operating income for the three months endedMarch 31, 2012 including this item was$321 million .
- Adjusted Diluted Income from Continuing Operations: Adjusted diluted income from continuing operations per share attributable to
DaVita HealthCare Partners Inc. for the three months endedMarch 31, 2013 , excluding a loss contingency reserve and amortization of intangible assets associated with acquisitions, which net of tax impacts totaled$221.1 million , was$2.07 per share.
Adjusted diluted income from continuing operations per share attributable toDaVita HealthCare Partners Inc. for the three months endedMarch 31, 2012 , excluding transaction expenses associated with the acquisition of HCP and the amortization of intangible assets associated with acquisitions, which net of related tax impacts totaled$147.7 million , was$1.54 per share.
- Volume: Total U.S. dialysis treatments for the first quarter of 2013 were 5,628,799, or 73,579 treatments per day, representing a per day increase of 8.0% over the first quarter of 2012. Non-acquired treatment growth in the quarter was 4.3% over the prior year’s first quarter. Our normalized non-acquired treatment growth in the quarter was 4.4% over the prior year’s first quarter.
The number of member months for which HCP provided capitated care during the first quarter of 2013 was approximately 2.2 million, representing an increase of 5.8% as compared to the fourth quarter of 2012 and an increase of 20.3% as compared to the first quarter of 2012, inclusive of growth contributed from acquisitions. These calculations include data prior to our merger with HCP onNovember 1, 2012 .
- Effective Tax Rate: Our effective tax rate was 24.6% for the three months ended
March 31, 2013 . 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 toDaVita HealthCare Partners Inc. was 47.1% for the three months endedMarch 31, 2013 . Excluding the impact of the loss contingency reserve our effective tax rate attributable toDaVita HealthCare Partners Inc. would have been 40.7%. We expect our 2013 effective tax rate attributable toDaVita HealthCare Partners Inc. to be in the range of 40.0% to 41.0%. - Loss Contingency Reserve: We are engaged in good faith discussions with the attorneys from the United States Attorney’s
Office for the District of Colorado , the Civil Division of theUnited States Department of Justice and theOffice of the Inspector General in an effort to find a mutually acceptable resolution to the 2010 and the 2011 U.S. Attorney Physician Relationship Investigations. Discussions have advanced to a point where we believe it is appropriate to accrue an estimated loss contingency reserve of$300 million in the first quarter of 2013 in connection with an offer to settle the related civil, administrative and criminal matters. However, the discussions are ongoing, and until concluded, there can be no certainty about the timing or likelihood of a definitive resolution or the scope of any potential restrictions that may be agreed upon in connection with a settlement. As these discussions proceed and additional information becomes available to us, the amount of the estimated loss contingency reserve may need to be increased or decreased to reflect this new information. - Debt Transactions: In
March 2013 , we entered into several new interest rate swap agreements. As ofMarch 31, 2013 , the amortizing notional amounts of these swap agreements totaled$1.33 billion . These agreements have the economic effect of modifying the LIBOR variable component of the Company’s interest rate on an equivalent amount of our Term Loan A-3 to fixed rates ranging from 0.49% to 0.52%, resulting in an overall weighted average effective interest rate of 3.01%, including the Term Loan A-3 margin of 2.50%. The swap agreements expire by September 30, 2016 and require monthly interest payments.
In addition, inMarch 2013 , we entered into several interest rate forward swap agreements with amortizing notional amounts totaling$600 million . These forward swap agreements will be effectiveSeptember 30, 2014 and will have the economic effect of modifying the LIBOR variable component of our interest rate on an equivalent amount of our outstanding debt to fixed rates ranging from 0.72% to 0.75%. These swap agreements expire onSeptember 30, 2016 and will require quarterly interest payments beginning inOctober 2014 .
Any unrealized gains or losses resulting from changes in the fair value of these swaps will be recorded in other comprehensive income.
DuringMarch 2013 , we entered into several interest rate cap agreements with notional amounts totaling$1.25 billion on our Term Loan B debt and$1.49 billion on our Term Loan B-2 debt. These agreements have the economic effect of capping the LIBOR variable component of our interest rate at a maximum of 2.50% on an equivalent amount of our Term Loan B and Term Loan B-2 debt. The cap agreements expire onSeptember 30, 2016 .
- Center Activity: As of
March 31, 2013 , we provided dialysis services to a total of 158,600 patients at 2,032 outpatient dialysis centers, of which 41 are located in nine countries outside ofthe United States . During the first quarter of 2013, we acquired eight dialysis centers and opened a total of 27 dialysis centers located inthe United States . We also provided management and administrative services to four dialysis centers and opened one dialysis center outside ofthe United States .
Outlook
- We are updating our consolidated operating income guidance for 2013 to now be in the range of
$1,800 million to $1,900 million . Our previous consolidated operating income guidance was expected to be in the range of$1,750 million to $1,900 million . - In addition, we are also updating our operating income guidance for our dialysis services and related ancillary businesses for 2013 to now be in the range of
$1,400 million to $1,450 million . Our previous dialysis services and related ancillary businesses guidance was expected to be in the range of$1,350 million to $1,450 million . - Operating income guidance for HCP for 2013 is still expected to be in the range of
$400 million to $450 million . - Consolidated operating cash flows for 2013 are still expected to be in the range of
$1,350 million to $1,500 million .
The consolidated and dialysis services and related ancillary businesses operating income guidance amounts exclude the estimated loss contingency reserve of
We will be holding a conference call to discuss our results for the first quarter ended
This release contains forward-looking statements within the meaning of the federal securities laws, including statements related to our guidance and expectations for our 2013 operating income, our 2013 operating cash flows and our 2013 effective tax rate attributable to
These risks and uncertainties include, but are not limited to, and are qualified in their entirety by reference to the full text of those risk factors in our
- the concentration of profits generated by the continued downward pressure on average realized payment rates from, and a reduction in the number of patients under higher-paying commercial payor plans, which may result in the loss of revenues or patients,
- a reduction in government payment rates under the Medicare End Stage Renal Disease program or other government-based programs,
- the impact of health care reform legislation that was enacted in
the United States inMarch 2010 , - changes in pharmaceutical or anemia management practice patterns, payment policies, or pharmaceutical pricing,
- legal compliance risks, including our continued compliance with complex government regulations and current or potential investigations by various government entities and related government or private-party proceedings, including risks relating to the resolution of the 2010 and 2011 U.S. Attorney Physician Relationship Investigations,
- our ability to maintain contracts with physician medical directors, changing affiliation models for physicians, and the emergence of new models of care introduced by the government or private sector, 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 to integrate and successfully operate any business we may acquire or have acquired, including HCP, or to expand our operations and services to markets outside
the United States , - risks arising from the use of accounting estimates, judgments and interpretation in our financial statements,
- the risk that the cost of providing services under HCP’s agreements may exceed our compensation,
- the risk that reductions in reimbursement rates, including
Medicare Advantage rates, and future regulations may negatively impact HCP’s business, revenue and profitability, - the risk that HCP may not be able to successfully establish a presence in new geographic regions or successfully address competitive threats that could reduce its profitability,
- the risk that a disruption in HCP’s healthcare provider networks could have an adverse effect on HCP’s business operations and profitability,
- the risk that reductions in the quality ratings of health maintenance organization plan customers of HCP could have an adverse effect on HCP’s business, or
- the risk that health plans that acquire health maintenance organizations may not be willing to contract with HCP or may be willing to contract only on less favorable terms.
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.
DAVITA HEALTHCARE PARTNERS INC. CONSOLIDATED STATEMENTS OF INCOME (unaudited) (dollars in thousands, except per share data) |
||||||
Three months ended March 31, |
||||||
2013 | 2012 | |||||
Patient service revenues | $ | 1,979,873 | $ | 1,765,482 | ||
Less: Provision for uncollectible accounts | (70,057 | ) | (53,008 | ) | ||
Net patient service revenues | 1,909,816 | 1,712,474 | ||||
HCP capitated revenues | 746,071 |
─ |
||||
Other revenues | 173,695 | 137,059 | ||||
Total net revenues | 2,829,582 | 1,849,533 | ||||
Operating expenses and charges: | ||||||
Patient care costs | 1,953,929 | 1,249,395 | ||||
General and administrative | 291,372 | 205,401 | ||||
Depreciation and amortization | 125,909 | 75,381 | ||||
Provision for uncollectible accounts | 878 | 1,106 | ||||
Equity investment income | (9,367 | ) | (2,632 | ) | ||
Loss contingency reserve | 300,000 |
─ |
||||
Total operating expenses and charges | 2,662,721 | 1,528,651 | ||||
Operating income | 166,861 | 320,882 | ||||
Debt expense | (105,817 | ) | (61,381 | ) | ||
Other income | 598 | 1,039 | ||||
Income from continuing operations before income taxes | 61,642 | 260,540 | ||||
Income tax expense | 15,144 | 95,556 | ||||
Income from continuing operations | 46,498 | 164,984 | ||||
Discontinued operations: | ||||||
Loss from operations of discontinued operations, net of tax | (139 | ) | (101 | ) | ||
Gain on disposal of discontinued operations, net of tax | 13,375 |
─ |
||||
Net income | 59,734 | 164,883 | ||||
Less: Net income attributable to noncontrolling interests | (29,570 | ) | (24,763 | ) | ||
Net income attributable to DaVita HealthCare Partners Inc. | $ | 30,164 | $ | 140,120 | ||
Earnings per share: | ||||||
Basic income from continuing operations per share attributable to DaVita HealthCare Partners Inc. | $ | 0.16 | $ | 1.50 | ||
Basic net income per share attributable to DaVita HealthCare Partners Inc. | $ | 0.29 | $ | 1.49 | ||
Diluted income from continuing operations per share attributable to DaVita HealthCare Partners Inc. | $ | 0.16 | $ | 1.46 | ||
Diluted net income per share attributable to DaVita HealthCare Partners Inc. | $ | 0.28 | $ | 1.46 | ||
Weighted average shares for earnings per share: | ||||||
Basic | 104,484,476 | 93,769,092 | ||||
Diluted | 107,063,633 | 95,729,105 | ||||
Amounts attributable to DaVita HealthCare Partners Inc.: | ||||||
Income from continuing operations | $ | 16,915 | $ | 140,220 | ||
Discontinued operations | 13,249 | (100 | ) | |||
Net income | $ | 30,164 | $ | 140,120 | ||
DAVITA HEALTHCARE PARTNERS INC. CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (unaudited) (dollars in thousands) |
||||||
Three months ended March 31, |
||||||
2013 | 2012 | |||||
Net income | $ | 59,734 | $ | 164,883 | ||
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 | (2,369 | ) | (2,261 | ) | ||
Less: Reclassifications of net swap and cap agreements realized losses into net income | 2,507 | 2,520 | ||||
Unrealized gains on investments: | ||||||
Unrealized gains on investments | 618 | 1,146 | ||||
Less: Reclassification of net investment realized gains into net income | (94 | ) | (75 | ) | ||
Foreign currency translation adjustments | (2,106 | ) | (619 | ) | ||
Other comprehensive (loss) income | (1,444 | ) | 711 | |||
Total comprehensive income | 58,290 | 165,594 | ||||
Less: Comprehensive income attributable to the noncontrolling interests | (29,570 | ) | (24,763 | ) | ||
Comprehensive income attributable to DaVita HealthCare Partners Inc. | $ | 28,720 | $ | 140,831 | ||
DAVITA HEALTHCARE PARTNERS INC. CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) (dollars in thousands) |
||||||
Three months ended March 31, |
||||||
2013 | 2012 | |||||
Cash flows from operating activities: | ||||||
Net income | $ | 59,734 | $ | 164,883 | ||
Adjustments to reconcile net income to cash provided by operating activities: | ||||||
Loss contingency reserve | 300,000 | ─ | ||||
Depreciation and amortization | 125,756 | 75,975 | ||||
Stock-based compensation expense | 16,021 | 12,550 | ||||
Tax benefits from stock award exercises | 9,368 | 10,890 | ||||
Excess tax benefits from stock award exercises | (6,957 | ) | (6,101 | ) | ||
Deferred income taxes | (111,331 | ) | (13,335 | ) | ||
Equity investment income, net | (2,486 | ) | 483 | |||
Other non-cash charges and (gain) loss on disposal of assets | (11,396 | ) | 7,125 | |||
Changes in operating assets and liabilities, other than from acquisitions and divestitures: | ||||||
Accounts receivable | (92,339 | ) | (71,706 | ) | ||
Inventories | 2,162 | 4,851 | ||||
Other receivables and other current assets | (32,281 | ) | 56,452 | |||
Other long-term assets | (9,865 | ) | 3,742 | |||
Accounts payable | (83,896 | ) | (20,624 | ) | ||
Accrued compensation and benefits | (3,790 | ) | 41,623 | |||
Other current liabilities | 79,277 | 17,462 | ||||
Income taxes | 93,401 | 43,072 | ||||
Other long-term liabilities | 47,829 | 4,532 | ||||
Net cash provided by operating activities | 379,207 | 331,874 | ||||
Cash flows from investing activities: | ||||||
Additions of property and equipment, net | (116,724 | ) | (112,459 | ) | ||
Acquisitions | (91,498 | ) | (132,699 | ) | ||
Proceeds from asset and business sales | 62,357 | 825 | ||||
Purchase of investments available for sale | (1,212 | ) | (489 | ) | ||
Purchase of investments held-to-maturity | (4 | ) | (3,212 | ) | ||
Proceeds from sale of investments available for sale | 1,091 | 6,791 | ||||
Proceeds from maturities of investments held-to-maturity | ─ | 7,551 | ||||
Purchase of intangible assets | (137 | ) | ─ | |||
Distributions received on equity investments | 116 | 2 | ||||
Net cash used in investing activities | (146,011 | ) | (233,690 | ) | ||
Cash flows from financing activities: | ||||||
Borrowings | 16,797,510 | 8,634,603 | ||||
Payments on long-term debt | (16,860,949 | ) | (8,658,001 | ) | ||
Interest rate cap premiums and other deferred financing costs | (248 | ) | 3 | |||
Distributions to noncontrolling interests | (34,926 | ) | (26,405 | ) | ||
Stock award exercises and other share issuances, net | 5,833 | 1,663 | ||||
Excess tax benefits from stock award exercises | 6,957 | 6,101 | ||||
Contributions from noncontrolling interests | 14,257 | 3,651 | ||||
Proceeds from sales of additional noncontrolling interests | 4,174 | 100 | ||||
Purchases from noncontrolling interests | ─ | (4,372 | ) | |||
Net cash used in financing activities | (67,392 | ) | (42,657 | ) | ||
Effect of exchange rate changes on cash and cash equivalents | 119 | 11 | ||||
Net increase in cash and cash equivalents | 165,923 | 55,538 | ||||
Cash and cash equivalents at beginning of period | 533,748 | 393,752 | ||||
Cash and cash equivalents at end of period | $ | 699,671 | $ | 449,290 | ||
DAVITA HEALTHCARE PARTNERS INC. CONSOLIDATED BALANCE SHEETS (unaudited) (dollars in thousands, except per share data) |
||||||
March 31, 2013 |
December 31, 2012 |
|||||
ASSETS | ||||||
Cash and cash equivalents | $ | 699,671 | $ | 533,748 | ||
Short-term investments | 7,142 | 7,138 | ||||
Accounts receivable, less allowance of $239,669 and $245,122 | 1,516,642 | 1,424,303 | ||||
Inventories | 76,582 | 78,126 | ||||
Other receivables | 298,871 | 265,671 | ||||
Other current assets | 150,432 | 201,572 | ||||
Income tax receivable | — | 55,454 | ||||
Deferred income taxes | 441,828 | 315,782 | ||||
Total current assets | 3,191,168 | 2,881,794 | ||||
Property and equipment, net of accumulated depreciation of $1,546,266 and $1,522,183 | 1,915,453 | 1,872,370 | ||||
Intangibles, net of accumulated amortization of $349,332 and $304,323 | 2,104,044 | 2,128,118 | ||||
Equity investments | 37,520 | 35,150 | ||||
Long-term investments | 63,451 | 59,341 | ||||
Other long-term assets | 86,806 | 79,854 | ||||
Goodwill | 9,015,035 | 8,947,736 | ||||
$ | 16,413,477 | $ | 16,004,363 | |||
LIABILITIES AND EQUITY | ||||||
Accounts payable | $ | 330,247 | $ | 414,143 | ||
Other liabilities | 565,262 | 563,365 | ||||
Accrued compensation and benefits | 565,206 | 566,911 | ||||
Medical payables | 298,322 | 238,964 | ||||
Loss contingency reserve | 300,000 | — | ||||
Current portion of long-term debt | 228,219 | 227,791 | ||||
Income tax payable | 37,983 | — | ||||
Total current liabilities | 2,325,239 | 2,011,174 | ||||
Long-term debt | 8,277,259 | 8,326,534 | ||||
Other long-term liabilities | 497,708 | 443,743 | ||||
Alliance and product supply agreement, net | 13,325 | 14,657 | ||||
Deferred income taxes | 737,521 | 710,638 | ||||
Total liabilities | 11,851,052 | 11,506,746 | ||||
Commitments and contingencies | ||||||
Noncontrolling interests subject to put provisions | 605,894 | 580,692 | ||||
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; 105,702,448 and 105,498,575 shares outstanding) | 135 | 135 | ||||
Additional paid-in capital | 1,208,315 | 1,208,800 | ||||
Retained earnings | 3,761,999 | 3,731,835 | ||||
Treasury stock, at cost (29,159,835 and 29,363,708 shares) | (1,154,266 | ) | (1,162,336 | ) | ||
Accumulated other comprehensive loss | (16,741 | ) | (15,297 | ) | ||
Total DaVita HealthCare Partners Inc. shareholders’ equity | 3,799,442 | 3,763,137 | ||||
Noncontrolling interests not subject to put provisions | 157,089 | 153,788 | ||||
Total equity | 3,956,531 | 3,916,925 | ||||
$ | 16,413,477 | $ | 16,004,363 | |||
DAVITA HEALTHCARE PARTNERS INC. SUPPLEMENTAL FINANCIAL DATA (unaudited) (dollars in millions, except for per share and per treatment data) |
|||||||||
Three months ended | |||||||||
March 31,
2013 |
December 31,
2012 |
March 31,
2012 |
|||||||
1. Consolidated Financial Results: | |||||||||
Consolidated net revenues | $ | 2,830 | $ | 2,478 | $ | 1,850 | |||
Operating income | $ | 166.9 | $ | 388.1 | $ | 320.9 | |||
Operating income excluding a loss contingency reserve, transaction expenses associated with the acquisition of HCP and other legal settlement expenses(1) | $ | 466.9 | $ | 407.6 | $ | 326.9 | |||
Operating income margin | 5.9 | % | 15.7 | % | 17.3 | % | |||
Operating income margin excluding a loss contingency reserve, transaction expenses associated with the acquisition of HCP and other legal settlement expenses(1) | 16.5 | % | 16.4 | % | 17.7 | % | |||
Income from continuing operations attributable to DaVita HealthCare Partners Inc. | $ | 16.9 | $ | 156.3 | $ | 140.2 | |||
Income from continuing operations attributable to DaVita HealthCare Partners Inc. excluding a loss contingency reserve, transaction expenses associated with the acquisition of HCP, debt refinancing charges and other legal settlement expenses, which are all net of related tax(1) | $ | 196.9 | $ | 173.8 | $ | 143.8 | |||
Diluted income from continuing operations per share attributable to DaVita HealthCare Partners Inc. | $ | 0.16 | $ | 1.51 | $ | 1.46 | |||
Diluted income from continuing operations per share attributable to DaVita HealthCare Partners Inc. excluding a loss contingency reserve, transaction expenses associated with the acquisition of HCP, debt refinancing charges and other legal settlement expenses, which are all net of related tax(1) | $ | 1.84 | $ | 1.68 | $ | 1.50 | |||
2. Consolidated Business Metrics: | |||||||||
Expenses | |||||||||
General and administrative expenses as a percent of consolidated net revenues(2) | 10.3 | % | 11.2 | % | 11.1 | % | |||
Consolidated effective tax rate | 24.6 | % | 34.7 | % | 36.7 | % | |||
Consolidated effective tax rate attributable to DaVita HealthCare Partners Inc.(1) | 47.1 | % | 38.5 | % | 40.5 | % | |||
3. Summary of Segment Financial Results: | |||||||||
Net revenues | |||||||||
Net dialysis and related lab services revenues | $ | 1,852 | $ | 1,831 | $ | 1,717 | |||
Net HCP revenues | 804 | 477 | ─ | ||||||
Net ancillary services and strategic initiatives revenues | 184 | 178 | 139 | ||||||
Total net segment revenues | 2,840 | 2,486 | 1,856 | ||||||
Elimination of intersegment revenues | (10 | ) | (8 | ) | (6 | ) | |||
Total net consolidated revenues | $ | 2,830 | $ | 2,478 | $ | 1,850 | |||
Operating income | |||||||||
Dialysis and related lab services operating income | $ | 87 | $ | 362 | $ | 359 | |||
HCP operating income | 110 | 67 | ─ | ||||||
Other – Ancillary services and strategic initiatives, including international dialysis operations operating losses | (15 | ) | (15 | ) | (18 | ) | |||
Total segment operating income | 182 | 414 | 341 | ||||||
Reconciling items: | |||||||||
Corporate support and related long-term incentive based compensation | (15 | ) | (13 | ) | (14 | ) | |||
Transaction expenses | ─ | (13 | ) | (6 | ) | ||||
Consolidated operating income | $ | 167 | $ | 388 | $ | 321 | |||
DAVITA HEALTHCARE PARTNERS INC. SUPPLEMENTAL FINANCIAL DATA—continued (unaudited) (dollars in millions, except for per share and per treatment data) |
|||||||||
Three months ended | |||||||||
March 31,
2013 |
December 31,
2012 |
March 31,
2012 |
|||||||
3. Segment Financial Results: (continued) | |||||||||
Dialysis and Related Lab Services | |||||||||
Revenue: | |||||||||
Patient services revenues | $ | 1,916 | $ | 1,894 | $ | 1,767 | |||
Provision for uncollectible accounts | (67 | ) | (66 | ) | (53 | ) | |||
Net patient service operating revenues | 1,849 | 1,828 | 1,714 | ||||||
Other revenues | 3 | 3 | 3 | ||||||
Total net operating revenues | $ | 1,852 | $ | 1,831 | $ | 1,717 | |||
Operating expenses: | |||||||||
Patient care cost | $ | 1,216 | $ | 1,219 | $ | 1,129 | |||
General and administrative | 167 | 163 | 158 | ||||||
Depreciation and amortization | 85 | 83 | 74 | ||||||
Equity income | (3 | ) | (3 | ) | (3 | ) | |||
Loss contingency reserve and other legal settlement expenses | $ | 300 | 7 | ─ | |||||
Total operating expenses | 1,765 | 1,469 | 1,358 | ||||||
Segment operating income | $ | 87 | $ | 362 | $ | 359 | |||
HCP(3) | |||||||||
Revenue: | |||||||||
HCP capitated revenues | $ | 746 | $ | 419 | $ ─ | ||||
Patient services revenues | 57 | 36 | ─ | ||||||
Provision for uncollectible accounts | (3 | ) | (2 | ) | ─ | ||||
Net patient service operating revenues | 54 | 34 | ─ | ||||||
Other revenues | 4 | 24 | ─ | ||||||
Total net operating revenues | $ | 804 | $ | 477 | $ ─ | ||||
Operating expenses: | |||||||||
Patient care cost | $ | 588 | $ | 339 | $ ─ | ||||
General and administrative | 74 | 52 | ─ | ||||||
Depreciation and amortization | 38 | 24 | ─ | ||||||
Equity income | (6 | ) | (5 | ) | ─ | ||||
Total operating expenses | 694 | 410 | ─ | ||||||
Segment operating income | $ | 110 | $ | 67 | $ ─ | ||||
4. Dialysis and Related Lab Services Business Metrics: | |||||||||
Volume | |||||||||
Treatments | 5,628,799 | 5,736,776 | 5,314,275 | ||||||
Number of treatment days | 76.5 | 79.5 | 78.0 | ||||||
Treatments per day | 73,579 | 72,161 | 68,132 | ||||||
Per day year over year increase | 8.0 | % | 9.1 | % | 14.2 | % | |||
Non-acquired growth year over year | 4.3 | % | 4.7 | % | 5.5 | % | |||
Operating revenues before provision for uncollectible accounts | |||||||||
Dialysis and related lab services revenue per treatment | $ | 340.44 | $ | 330.16 | $ | 332.43 | |||
Per treatment increase (decrease) from previous quarter | 3.1 | % | (0.5 | %) | 1.2 | % | |||
Per treatment increase from previous year | 2.4 | % | 0.5 | % | 1.8 | % | |||
Percent of net consolidated revenues | 65.2 | % | 73.7 | % | 92.6 | % | |||
DAVITA HEALTHCARE PARTNERS INC. SUPPLEMENTAL FINANCIAL DATA—continued (unaudited) (dollars in millions, except for per share and per treatment data) |
|||||||||
Three months ended | |||||||||
March 31,
2013 |
December 31,
2012 |
March 31,
2012 |
|||||||
4. Dialysis and Related Lab Services Business Metrics: (continued) | |||||||||
Expenses | |||||||||
Patient care costs | |||||||||
Percent of total segment operating revenues | 65.7 | % | 66.6 | % | 65.7 | % | |||
Per treatment | $ | 216.03 | $ | 212.51 | $ | 212.31 | |||
Per treatment increase (decrease) from previous quarter | 1.7 | % | (0.7 | %) | 1.7 | % | |||
Per treatment increase (decrease) from previous year | 1.8 | % | 1.7 | % | (5.0 | %) | |||
General and administrative expenses | |||||||||
Percent of total segment operating revenues | 9.0 | % | 8.9 | % | 9.2 | % | |||
Per treatment | $ | 29.70 | $ | 28.41 | $ | 29.74 | |||
Per treatment increase from previous quarter | 4.5 | % | 2.5 | % | 2.1 | % | |||
Per treatment (decrease) increase from previous year | (0.1 | %) | (2.5 | %) | 13.3 | % | |||
Accounts receivable | |||||||||
Net receivables | $ | 1,164 | $ | 1,169 | $ | 1,224 | |||
DSO | 57 | 59 | 65 | ||||||
Provision for uncollectible accounts as a percentage of net revenues | 3.5 | % | 3.5 | % | 3.0 | % | |||
5. HCP Business Metrics(3): | |||||||||
Capitated membership | |||||||||
Total | 742,000 | 724,000 | ─ | ||||||
Member months | 2,239,400 | 1,422,600 | ─ | ||||||
Capitated revenues by sources | |||||||||
Commercial revenues | $ | 182 | $ | 112 | $ ─ | ||||
Senior revenues | 552 | 298 | ─ | ||||||
Medicaid revenues | 12 | 9 | ─ | ||||||
Total capitated revenues | $ | 746 | $ | 419 | $ ─ | ||||
Other | |||||||||
Total care dollars under management(1) | $ | 1,045 | $ | 614 | ─ | ||||
Ratio of operating income to total care dollars under management | 10.6 | % | 10.9 | % | ─ | ||||
Full time clinicians | 1,069 | 1,079 | ─ | ||||||
IPA primary care physicians | 2,845 | 1,806 | ─ | ||||||
6. Cash Flow: | |||||||||
Operating cash flow | $ | 379.2 | $ | 200.2 | $ | 331.9 | |||
Operating cash flow, last twelve months | $ | 1,148.2 | $ | 1,100.8 | $ | 1,182.1 | |||
Free cash flow(1) | $ | 298.9 | $ | 82.6 | $ | 249.9 | |||
Free cash flow, last twelve months(1) | $ | 764.3 | $ | 715.3 | $ | 837.2 | |||
Capital expenditures: | |||||||||
Routine maintenance/IT/other | $ | 45.4 | $ | 86.1 | $ | 55.6 | |||
Development and relocations | $ | 71.3 | $ | 85.1 | $ | 56.8 | |||
Acquisition expenditures | $ | 91.5 | $ | 3,875.0 | $ | 132.7 | |||
DAVITA HEALTHCARE PARTNERS INC. SUPPLEMENTAL FINANCIAL DATA—continued (unaudited) (dollars in millions, except for per share and per treatment data) |
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Three months ended | |||||||||
March 31,
2013 |
December 31,
2012 |
March 31,
2012 |
|||||||
7. Debt and Capital Structure: | |||||||||
Total debt(4) | $ | 8,526 | $ | 8,576 | $ | 4,499 | |||
Net debt, net of cash and cash equivalents(4) | $ | 7,826 | $ | 8,042 | $ | 4,050 | |||
Leverage ratio (see calculation on page 12) | 3.41x | 3.55x | 2.55x | ||||||
Overall weighted average effective interest rate during the quarter | 4.76 | % | 4.93 | % | 5.27 | % | |||
Overall weighted average effective interest rate at end of the quarter | 4.79 | % | 4.73 | % | 5.28 | % | |||
Weighted average effective interest rate on the Senior Secured Credit Facilities at end of the quarter | 4.09 | % | 4.02 | % | 4.63 | % | |||
Fixed and economically fixed interest rates as a percentage of our total debt(5) | 61 | % | 45 | % | 57 | % | |||
Fixed and economically fixed interest rates, including our interest rate cap agreements, as a percentage of our total debt(5) | 93 | % | 59 | % | 85 | % | |||
8. Clinical: (quarterly averages) | |||||||||
Dialysis adequacy -% of patients with Kt/V > 1.2 at the end of the quarter | 98 | % | 98 | % | 97 | % | |||
Dialysis patients with arteriovenous fistulas placed | 71 | % | 71 | % | 69 | % | |||
_________________
(1) 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.
(2) Consolidated percentages of revenues are comprised of the dialysis and related lab services business, HCP’s business and other ancillary services and strategic initiatives, and in case of general and administrative expenses, includes other certain corporate support and related stock-based compensation and transaction expenses associated with the acquisition of HCP.
(3) Operating results of HCP for the three months ended
(4) The reported balance sheet amounts at
(5) The Term Loan B and Term Loan B-2 are subject to LIBOR floors of 1.50% and 1.00%, respectively. Because LIBOR, for all periods presented above, was lower than either of these embedded LIBOR floors, the interest rates on the Term Loan B and the Term Loan B-2 are set at their respective floors. At such time as the LIBOR-based component of our interest rate exceeds 1.50% on the Term Loan B and 1.00% on the Term Loan B-2, 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 B, as well as for the Term Loan B-2, but limited to a maximum rate of 2.50% on
DAVITA HEALTHCARE PARTNERS INC. SUPPLEMENTAL FINANCIAL DATA—continued (unaudited) (dollars in thousands) |
|||
Note 1: Calculation of the Leverage Ratio Under the 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. |
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Rolling twelve |
|||
Net income attributable to DaVita HealthCare Partners Inc. | $ | 426,061 | |
Income taxes | 279,689 | ||
Interest expense and debt refinancing charges | 321,562 | ||
Depreciation and amortization | 393,580 | ||
Loss contingency reserve | 300,000 | ||
Noncontrolling interests and equity investment income, net | 110,442 | ||
Stock-based compensation | 48,855 | ||
Other (primarily pro-forma EBITDA on acquisitions) | 489,364 | ||
“Consolidated EBITDA” | $ | 2,369,553 | |
March 31, 2013 | |||
Total debt, excluding debt discount of $20.6 million | $ | 8,526,052 | |
Letters of credit issued | 114,456 | ||
8,640,508 | |||
Less: Cash and cash equivalents | (569,092 | ) | |
Consolidated net debt | $ | 8,071,416 | |
Last twelve months “Consolidated EBITDA” | $ | 2,369,553 | |
Leverage ratio | 3.41x | ||
In accordance with the Credit Agreement, the Company’s leverage ratio cannot exceed 5.00 to 1.00 as of
DAVITA HEALTHCARE PARTNERS INC. RECONCILIATIONS FOR NON-GAAP MEASURES (unaudited) (dollars in thousands) |
|||||||||
1. Income from continuing operations and diluted income from continuing operations per share attributable to DaVita HealthCare Partners Inc. excluding a loss contingency reserve, transaction expenses associated with the acquisition of HCP, debt refinancing charges and other legal settlement expenses, which are all net of related tax. | |||||||||
We believe that income from continuing operations attributable to DaVita HealthCare Partners Inc. excluding a loss contingency reserve, transaction expenses associated with the acquisition of HCP, debt refinancing charges and other legal settlement expenses, which are all net of related tax, enhances a user’s understanding of our normal income from continuing operations attributable to DaVita HealthCare Partners Inc. and diluted income from continuing operations per share attributable to DaVita HealthCare Partners Inc. for these periods by providing a measure that is meaningful because it excludes an unusual amount for a loss contingency reserve related to the 2010 and 2011 U.S. Attorney Physician Relationship Investigation, an unusual amount of transaction expenses associated with the acquisition of HCP, debt refinancing charges related to the amendment of our credit agreement and the repayment of our Term Loan A- 2 and other legal expenses associated with a legal settlement that we reached to settle federal program claims relating to our historical Epogen practices and accordingly, is more comparable to prior periods and indicative of consistent income from continuing operations attributable to DaVita HealthCare Partners Inc. and diluted income from continuing operations per share attributable to DaVita HealthCare Partners 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 income from continuing operations attributable to DaVita HealthCare Partners Inc. and diluted income from continuing operations per share attributable to DaVita HealthCare Partners Inc. |
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Income from continuing operations attributable to DaVita HealthCare Partners Inc. excluding a loss contingency reserve, transaction expenses associated with the acquisition of HCP, debt refinancing charges and other legal settlement expenses, which are all net of related tax: | Three months ended | ||||||||
March 31,
2013 |
December 31,
2012 |
March 31,
2012 |
|||||||
Income from continuing operations attributable to DaVita HealthCare Partners Inc. | $ | 16,915 | $ | 156,283 | $ | 140,220 | |||
Add: | |||||||||
Loss contingency reserve | 300,000 | ─ | ─ | ||||||
Transaction expenses associated with the acquisition of HCP | ─ | 12,982 | 6,053 | ||||||
Debt refinancing charges | ─ | 8,901 | ─ | ||||||
Other legal settlement expenses | ─ | 6,545 | ─ | ||||||
Less: Related income tax | (120,000 | ) | (10,945 | ) | (2,452 | ) | |||
$ | 196,915 | $ | 173,766 | $ | 143,821 | ||||
Diluted income from continuing operations per share attributable to DaVita HealthCare Partners Inc. excluding a loss contingency reserve, transaction expenses associated with the acquisition of HCP, debt refinancing charges and other legal settlement expenses, which are all net of related tax: | Three months ended | ||||||||
March 31,
2013 |
December 31,
2012 |
March 31,
2012 |
|||||||
Diluted income from continuing operations per share attributable to DaVita HealthCare Partners Inc. | $ | 0.16 | $ | 1.51 | $ | 1.46 | |||
Add: | |||||||||
Loss contingency reserve | 1.68 | ─ | ─ | ||||||
Transaction expenses associated with the acquisition of HCP | ─ | 0.08 | 0.04 | ||||||
Debt refinancing charges | ─ | 0.05 | ─ | ||||||
Other legal settlement expenses | ─ | 0.04 | ─ | ||||||
$ | 1.84 | $ | 1.68 | $ | 1.50 | ||||
DAVITA HEALTHCARE PARTNERS INC. RECONCILIATIONS FOR NON-GAAP MEASURES (unaudited) (dollars in thousands) |
|||||||||
In addition, we have also excluded amortization of intangible assets associated with acquisitions from our adjusted income from continuing operations attributable to DaVita HealthCare Partners Inc. and from our adjusted diluted income from continuing operations per share attributable to DaVita HealthCare Partners Inc. as we believe this presentation enhances a user’s understanding of our operating results for these periods by providing an accurate reflection of the Company’s operating performance since it excludes the amortization of intangible assets that relate to the remeasurement of acquired intangible assets associated with our acquisitions to fair value, and accordingly is indicative of consistent income from continuing operations attributable to DaVita HealthCare Partners Inc. and diluted income from continuing operations per share attributable to DaVita HealthCare Partners Inc. These measures are not measures of financial performance under GAAP and should not be considered as an alternative to income from continuing operations attributable to DaVita HealthCare Partners Inc. and diluted income from continuing operations per share attributable to DaVita HealthCare Partners Inc. |
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Adjusted income from continuing operations and adjusted diluted income from continuing operations per share attributable to DaVita HealthCare Partners Inc. excluding the amortization of intangible assets associated with acquisitions: | Three months ended | ||||||||
March 31,
2013 |
December 31,
2012 |
March 31,
2012 |
|||||||
Adjusted income from continuing operations attributable to DaVita HealthCare Partners Inc. | $ | 196,915 | $ | 173,766 | $ | 143,821 | |||
Add: Amortization of intangible assets associated with acquisitions | 40,244 | 28,448 | 6,489 | ||||||
Related income tax | (16,098 | ) | (10,953 | ) | (2,628 | ) | |||
$ | 221,061 | $ | 191,261 | $ | 147,682 | ||||
Adjusted diluted income from continuing operations per share attributable to DaVita HealthCare Partners Inc. | $ | 1.84 | $ | 1.68 | $ | 1.50 | |||
Add: Amortization of intangible assets associated with acquisitions, net of tax | 0.23 | 0.17 | 0.04 | ||||||
$ | 2.07 | $ | 1.85 | $ | 1.54 | ||||
DAVITA HEALTHCARE PARTNERS INC. RECONCILIATIONS FOR NON-GAAP MEASURES (unaudited) (dollars in thousands) |
||||||
2. Operating income excluding a pre-tax loss contingency reserve, pre-tax transaction expenses related to the acquisition of HCP and pre-tax other legal settlement expenses.
We believe that operating income excluding a pre-tax loss contingency reserve, pre-tax transaction expenses associated with the acquisition of HCP and pre-tax other legal settlement expenses 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 amount for a loss contingency reserve related to the 2010 and 2011 U.S. Attorney Physician Relationship Investigations, an unusual amount of transaction expenses associated with the acquisition of HCP and expenses associated with a legal settlement that was reached to settle federal program claims relating to our historical Epogen practices 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 loss contingency reserve, pre-tax transaction expenses associated with the acquisition of HCP and pre-tax other legal settlement expenses: | Three months ended | |||||
March 31,
2013 |
December 31,
2012 |
March 31,
2012 |
||||
Operating income | $ | 166,861 | $ | 388,056 | $ | 320,882 |
Add: | ||||||
Loss contingency reserve | 300,000 | ─ | ─ | |||
Transactions expenses associated with the acquisition of HCP | ─ | 12,982 | 6,053 | |||
Other legal settlement expenses | ─ | 6,545 | ─ | |||
Adjusted operating income | $ | 466,861 | $ | 407,583 | $ | 326,935 |
DAVITA HEALTHCARE PARTNERS INC. RECONCILIATIONS FOR NON-GAAP MEASURES (unaudited) (dollars in thousands) |
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3. Effective Income Tax Rates
We believe that reporting the effective income tax rate attributable to DaVita HealthCare Partners Inc., as well as the adjusted effective income tax rate attributable to DaVita HealthCare Partners Inc., excluding a loss contingency reserve, enhances an investor’s understanding of DaVita’s effective income tax rate and DaVita’s adjusted effective income tax rate for the periods presented because it excludes noncontrolling owners’ income that primarily relates to non-tax paying entities and an unusual amount for a loss contingency reserve related to the 2010 and 2011 U.S. Attorney Physician Relationship Investigations 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 HealthCare Partners Inc.’s operating results. These are not measures 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 HealthCare Partners Inc. is as follows: |
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Three months ended | |||||||||
March 31,
2013 |
December 31,
2012 |
March 31,
2012 |
|||||||
Income from continuing operations before income taxes | $ | 61,642 | $ | 282,162 | $ | 260,540 | |||
Income tax expense | $ | 15,144 | $ | 97,902 | $ | 95,556 | |||
Effective income tax rate | 24.6 | % | 34.7 | % | 36.7 | % | |||
Three months ended | |||||||||
March 31,
2013 |
December 31,
2012 |
March 31,
2012 |
|||||||
Income from continuing operations before income taxes | $ | 61,642 | $ | 282,162 | $ | 260,540 | |||
Less: Noncontrolling owners’ income primarily attributable to non-tax paying entities | (29,638 | ) | (28,036 | ) | (24,883 | ) | |||
Income before income taxes attributable to DaVita HealthCare Partners Inc. | $ | 32,004 | $ | 254,126 | $ | 235,657 | |||
Income tax expense | 15,144 | 97,902 | $ | 95,556 | |||||
Less: Income tax attributable to noncontrolling interests | (68 | ) | (75 | ) | (120 | ) | |||
Income tax attributable to DaVita HealthCare Partners Inc. | $ | 15,076 | $ | 97,827 | $ | 95,436 | |||
Effective income tax rate attributable to DaVita HealthCare Partners Inc. | 47.1 | % | 38.5 | % | 40.5 | % | |||
Three months ended | |||||||||
Adjusted effective income tax rates excluding the loss contingency reserve | March 31,
2013 |
December 31,
2012 |
March 31,
2012 |
||||||
Income from continuing operations before income taxes | $ | 61,642 | $ | 282,162 | $ | 260,540 | |||
Add: Loss contingency reserve | 300,000 | ─ | ─ | ||||||
361,642 | 282,162 | 260,540 | |||||||
Less: Noncontrolling owners’ income primarily attributable to non-tax paying entities | (29,638 | ) | (28,036 | ) | (24,883 | ) | |||
Adjusted income before income taxes attributable to DaVita HealthCare Partners Inc. | $ | 332,004 | $ | 254,126 | $ | 235,657 | |||
Income tax expense | $ | 15,144 | $ | 97,902 | $ | 95,556 | |||
Add: Income taxes attributable to loss contingency reserve | 120,000 |
─ |
─ | ||||||
Less: Income tax attributable to noncontrolling interests | (68 | ) | (75 | ) | (120 | ) | |||
Adjusted income tax attributable to DaVita HealthCare Partners Inc. | $ | 135,076 | $ | 97,827 | $ | 95,436 | |||
Adjusted effective income tax rate attributable to DaVita HealthCare Partners Inc. | 40.7 | % | 38.5 | % | 40.5 | % | |||
DAVITA HEALTHCARE PARTNERS 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 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 distributions to noncontrolling interests provides an investor with an understanding of free cash flows that are attributable to DaVita HealthCare Partners 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. |
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Three months ended | |||||||||
March 31,
2013 |
December 31,
2012 |
March 31,
2012 |
|||||||
Cash provided by operating activities | $ | 379,207 | $ | 200,235 | $ | 331,874 | |||
Less: Distributions to noncontrolling interests | (34,926 | ) | (31,526 | ) | (26,405 | ) | |||
Cash provided by operating activities attributable to DaVita HealthCare Partners Inc. | 344,281 | 168,709 | 305,469 | ||||||
Less: Expenditures for routine maintenance and information technology | (45,426 | ) | (86,065 | ) | (55,609 | ) | |||
Free cash flow | $ | 298,855 | $ | 82,644 | $ | 249,860 | |||
Rolling 12-Month Period | |||||||||
March 31,
2013 |
December 31,
2012 |
March 31,
2012 |
|||||||
Cash provided by operating activities | $ | 1,148,181 | $ | 1,100,848 | $ | 1,182,137 | |||
Less: Distributions to noncontrolling interests | (122,025 | ) | (113,504 | ) | (104,871 | ) | |||
Cash provided by operating activities attributable to DaVita HealthCare Partners Inc. | 1,026,156 | 987,344 | 1,077,266 | ||||||
Less: Expenditures for routine maintenance and information technology | (261,812 | ) | (271,995 | ) | (240,047 | ) | |||
Free cash flow | $ | 764,344 | $ | 715,349 | $ | 837,219 | |||
DAVITA HEALTHCARE PARTNERS INC. RECONCILIATIONS FOR NON-GAAP MEASURES (unaudited) (dollars in thousands) |
|||
5. Total care dollars under management
In California, as a result of its managed care administrative services agreement with hospitals, HCP does not assume the direct financial risk for institutional (hospital) services, but is responsible for managing the care dollars associated with both the professional (physician) and institutional services being provided for the Per Member Per Month (PMPM) fee attributable to both professional and institutional services. In those cases, HCP recognizes the surplus of institutional revenue less institutional expense as HCP revenue. In addition to revenues recognized for financial reporting purposes, HCP measures its total care dollars under management, which includes the Per Member Per Month (PMPM) fee payable to third parties for institutional (hospital) services where HCP manages the care provided to its members by the hospitals and other institutions, which are not included in GAAP revenues. HCP uses total care dollars under management as a supplement to GAAP revenues as it allows HCP to measure profit margins on a comparable basis across both the global capitation model (where HCP assumes the full financial risk for all services, including institutional services) and the risk sharing models (where HCP operates under managed care administrative services agreements where HCP does not assume the full risk). HCP believes that presenting amounts in this manner is useful because it presents its operations on a unified basis without the complication caused by models that HCP has adopted in its California market as a result of various regulations related to the assumption of institutional risk. Total care dollars under management is not a measure of financial performance computed in accordance with GAAP and should not be considered in isolation or as a substitute for revenues calculated in accordance with GAAP. Total care dollars under management includes PMPM payments to third parties that are not recorded in our accounting records and have not been reviewed and are not otherwise subject to procedures by our independent auditors. The following table reconciles Total Care Dollars Under Management to medical revenues to the periods indicated. “Total Care Dollars Under Management” is a non-GAAP measure. |
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Three months ended
March 31, 2013 |
|||
Medical revenues | $ | 799,673 | |
Less: Risk share revenue, net | (39,824 | ) | |
Add: Institutional capitation amounts | 284,733 | ||
Total care dollars under management | $ | 1,044,582 | |
Source:
DaVita HealthCare Partners Inc.
Jim Gustafson
Investor Relations
(310) 536-2585