Our operating results for the three and nine months ended
Net income attributable to
Financial and operating highlights include:
- Cash Flow: For the rolling twelve months ended
September 30, 2012 , operating cash flow was$1,051 million and free cash flow was$665 million . For the three months endedSeptember 30, 2012 , operating cash flow was$367 million and free cash flow was$271 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 nine months ended
September 30, 2012 was$341 million and$987 million , respectively, excluding for the nine months endedSeptember 30, 2012 the pre-tax legal proceeding contingency accrual and related expenses of$78 million . Operating income for the nine months endedSeptember 30, 2012 including this item was$909 million .
Operating income for the three and nine months ended
- Volume: Total U.S. treatments for the third quarter of 2012 were 5,550,645, or 71,162 treatments per day, representing a per day increase of 12.3% over the third quarter of 2011. Non-acquired treatment growth, as well as our normalized non-acquired treatment growth in the quarter, were both 4.4% over the prior year’s third quarter.
- Effective Tax Rate: Our effective tax rate was 36.4% for both the three and nine months ended
September 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 toDaVita Inc. was 40.5% and 40.8% for the three and nine months endedSeptember 30, 2012 , respectively. We still expect our 2012 effective tax rate attributable toDaVita Inc. to be in the range of 40.0% to 41.0%. - Acquisition: As previously announced on
May 21, 2012 , we entered into a definitive merger agreement to acquireHealthCare Partners (HCP), one of the country’s largest operators of medical groups and physician networks. The total purchase price to be paid byDaVita Inc. will consist of$3.66 billion in cash and approximately 9.38 million shares ofDaVita 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 expect the transaction to close in earlyNovember 2012 and anticipate HCP operating results will be included in our consolidated operating results beginning inNovember 2012 . - Debt Transactions: As previously announced, in
August 2012 we entered into amendments to our existing senior secured credit facilities to permit additional borrowings under the credit agreement in an aggregate principal amount of$3.0 billion to be used to finance a portion of the HCP transaction. For further details regarding these amendments, see ourSEC filing on Form 8-K datedAugust 28, 2012 .
On
- Center Activity: As of
September 30, 2012 , we operated or provided administrative services at 1,912 outpatient dialysis centers located inthe United States serving approximately 150,000 patients and 24 outpatient dialysis centers serving approximately 1,200 patients that are located in five countries outside ofthe United States . During the third quarter of 2012, we acquired 10 centers and opened a total of 21 centers located inthe United States . We also opened two centers and provided administrative services to three additional centers outside ofthe United States .
Outlook
We are updating our operating income guidance for 2012 for our dialysis services and related ancillary businesses to now be in the range of
Our consolidated operating income guidance for 2013 is expected to be in the range of
We will be holding a conference call to discuss our results for the third quarter ended September 30, 2012 on
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 and 2013 operating income, our 2013 operating cash flows and our 2012 effective tax rate attributable to
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 reform legislation that was enacted in
the United States inMarch 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 plans, such as employment by hospitals, that may erode our patient base and reimbursement rates,
- our ability to complete any acquisitions or mergers, including the consummation of the HCP transaction, dispositions that we might be considering or announce, or to integrate and successfully operate any business we may acquire, including the HCP business, or to expand our operations and services to markets outside
the United States , or to businesses outside of dialysis, - variability of DaVita’s cash flows, or
- risks arising from the use of accounting estimates in our financial statements.
In addition, upon closing of the HCP transaction, certain other risks and uncertainties related to HCP will also affect these forward-looking statements, including those relating to:
- the loss of key HCP employees following the HCP transaction,
- potential disruption from the HCP transaction making it more difficult to maintain business and operational relationships with customers, partners, affiliated physicians and physician groups and others,
- the risk that the cost of providing services under HCP’s agreements will exceed HCP’s compensation,
- the risk that laws regulating the corporate practice of medicine could restrict the manner in which HCP conducts its business,
- the risk that reductions in reimbursement 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,
- 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,
- the fact that HCP faces certain competitive threats that could reduce its profitability, or
- the risk that a disruption in HCP’s healthcare provider networks could have an adverse effect on HCP’s operations and profitability.
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 INC. | ||||||||||||||||
CONSOLIDATED STATEMENTS OF INCOME | ||||||||||||||||
(unaudited) | ||||||||||||||||
(dollars in thousands, except per share data) | ||||||||||||||||
Three months ended | Nine months ended | |||||||||||||||
September 30, | September 30, | |||||||||||||||
2012 | 2011 | 2012 | 2011 | |||||||||||||
Dialysis patient service operating revenues | $ | 1,838,363 | $ | 1,669,086 | $ | 5,410,200 | $ | 4,749,469 | ||||||||
Less: Provision for uncollectible accounts related to patient service operating revenues | (59,803 | ) | (50,039 | ) | (167,227 | ) | (138,520 | ) | ||||||||
Net patient service operating revenues | 1,778,560 | 1,619,047 | 5,242,973 | 4,610,949 | ||||||||||||
Other revenues | 184,406 | 138,783 | 516,368 | 370,427 | ||||||||||||
Total net operating revenues | 1,962,966 | 1,757,830 | 5,759,341 | 4,981,376 | ||||||||||||
Operating expenses and charges: | ||||||||||||||||
Patient care costs | 1,340,918 | 1,189,638 | 3,916,324 | 3,466,860 | ||||||||||||
General and administrative | 201,198 | 182,638 | 623,208 | 498,033 | ||||||||||||
Depreciation and amortization | 80,586 | 67,558 | 234,368 | 193,641 | ||||||||||||
Provision for uncollectible accounts | 2,469 | 1,903 | 6,294 | 4,727 | ||||||||||||
Equity investment income | (3,064 | ) | (2,619 | ) | (8,314 | ) | (6,555 | ) | ||||||||
Legal proceeding contingency accrual and related expenses | ─ | ─ | 78,000 | ─ | ||||||||||||
Goodwill impairment charge | ─ | ─ | ─ | 24,000 | ||||||||||||
Total operating expenses and charges | 1,622,107 | 1,439,118 | 4,849,880 | 4,180,706 | ||||||||||||
Operating income | 340,859 | 318,712 | 909,461 | 800,670 | ||||||||||||
Debt expense |
(70,494 |
) |
(60,848 |
) |
(192,584 |
) |
(179,340 |
) |
||||||||
Other income | 819 | 798 | 2,698 | 2,195 | ||||||||||||
Income from continuing operations before income taxes | 271,184 | 258,662 | 719,575 | 623,525 | ||||||||||||
Income tax expense | 98,634 | 94,204 | 262,138 | 224,034 | ||||||||||||
Income from continuing operations | 172,550 | 164,458 | 457,437 | 399,491 | ||||||||||||
Discontinued operations: | ||||||||||||||||
Income from operations of discontinued operations, net of tax | ─ | 1,076 | ─ | 1,460 | ||||||||||||
Loss on disposal of discontinued operations, net of tax | ─ |
(3,688 |
) |
─ |
(3,688 |
) |
||||||||||
Net income | 172,550 | 161,846 | 457,437 | 397,263 | ||||||||||||
Less: Net income attributable to noncontrolling interests |
(27,829 |
) |
(26,485 |
) |
(77,259 |
) |
(67,385 |
) |
||||||||
Net income attributable to DaVita Inc. | $ | 144,721 | $ | 135,361 | $ | 380,178 | $ | 329,878 | ||||||||
Earnings per share: | ||||||||||||||||
Basic income from continuing operations per share attributable to DaVita Inc. | $ | 1.52 | $ | 1.48 | $ | 4.03 | $ | 3.50 | ||||||||
Basic net income per share attributable to DaVita Inc. | $ | 1.52 | $ | 1.45 | $ | 4.03 | $ | 3.47 | ||||||||
Diluted income from continuing operations per share attributable to DaVita Inc. | $ | 1.50 | $ | 1.45 | $ | 3.96 | $ | 3.43 | ||||||||
Diluted net income per share attributable to DaVita Inc. | $ | 1.50 | $ | 1.42 | $ | 3.96 | $ | 3.40 | ||||||||
Weighted average shares for earnings per share: | ||||||||||||||||
Basic | 94,979,858 | 93,441,620 | 94,309,099 | 95,053,339 | ||||||||||||
Diluted | 96,634,620 | 95,171,225 | 96,124,226 | 97,057,773 | ||||||||||||
Amounts attributable to DaVita Inc.: | ||||||||||||||||
Income from continuing operations | $ | 144,721 | $ | 138,192 | $ | 380,178 | $ | 332,325 | ||||||||
Discontinued operations | ─ |
(2,831 |
) |
─ |
(2,447 |
) |
||||||||||
Net income | $ | 144,721 | $ | 135,361 | $ | 380,178 | $ | 329,878 | ||||||||
DAVITA INC. | ||||||||||||||||
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME | ||||||||||||||||
(unaudited) | ||||||||||||||||
(dollars in thousands, except per share data) |
||||||||||||||||
Three months ended | Nine months ended | |||||||||||||||
September 30, | September 30, | |||||||||||||||
2012 | 2011 | 2012 | 2011 | |||||||||||||
Net income | $ | 172,550 | $ | 161,846 | $ | 457,437 | $ | 397,263 | ||||||||
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 | (1,741 | ) | (10,869 | ) | (6,104 | ) | (27,839 | ) | ||||||||
Less: Reclassifications of net swap and cap agreements realized losses into net income | 2,530 | 2,702 | 7,586 | 7,124 | ||||||||||||
Unrealized gains (losses) on investments: | ||||||||||||||||
Unrealized gains (losses) on investments | 445 | (902 | ) | 1,387 | (587 | ) | ||||||||||
Less: Reclassification of net investment realized gains into net income | ─ | ─ | (75 | ) | (57 | ) | ||||||||||
Foreign currency translation adjustments | (135 | ) | ─ | (1,593 | ) | ─ | ||||||||||
Other comprehensive income (loss) | 1,099 | (9,069 | ) | 1,201 | (21,359 | ) | ||||||||||
Total comprehensive income | 173,649 | 152,777 | 458,638 | 375,904 | ||||||||||||
Less: Comprehensive income attributable to the noncontrolling interests | (27,829 | ) | (26,485 | ) | (77,259 | ) | (67,385 | ) | ||||||||
Comprehensive income attributable to DaVita Inc. | $ | 145,820 | $ | 126,292 | $ | 381,379 | $ | 308,519 | ||||||||
DAVITA INC. | ||||||||
CONSOLIDATED STATEMENTS OF CASH FLOWS | ||||||||
(unaudited) | ||||||||
(dollars in thousands) | ||||||||
Nine months ended | ||||||||
September 30, | ||||||||
2012 | 2011 | |||||||
Cash flows from operating activities: | ||||||||
Net income | $ | 457,437 | $ | 397,263 | ||||
Adjustments to reconcile net income to cash provided by operating activities: | ||||||||
Depreciation and amortization | 234,368 | 194,328 | ||||||
Stock-based compensation expense | 34,857 | 36,392 | ||||||
Tax benefits from stock award exercises | 60,252 | 35,096 | ||||||
Excess tax benefits from stock award exercises |
(39,346 |
) |
(19,640 |
) |
||||
Deferred income taxes |
(1,374 |
) |
38,377 | |||||
Equity investment income, net | 10 | 238 | ||||||
Other non-cash charges and loss on disposal of assets | 17,244 | 16,398 | ||||||
Goodwill impairment charge | ─ | 24,000 | ||||||
Changes in operating assets and liabilities, other than from acquisitions and divestitures: | ||||||||
Accounts receivable |
(51,349 |
) |
(61,483 |
) |
||||
Inventories | 1,958 | 11,767 | ||||||
Other receivables and other current assets | 65,047 | 81,737 | ||||||
Other long-term assets | 3,429 | 2,408 | ||||||
Accounts payable | (18,200 | ) | 56,652 | |||||
Accrued compensation and benefits | 113,101 | 121,631 | ||||||
Other current liabilities | 87,223 |
(8,733 |
) |
|||||
Income taxes |
(69,108 |
) |
88,454 | |||||
Other long-term liabilities | 5,064 | 14,502 | ||||||
Net cash provided by operating activities | 900,613 | 1,029,387 | ||||||
Cash flows from investing activities: | ||||||||
Additions of property and equipment, net |
(378,949 |
) |
(251,879 |
) |
||||
Acquisitions |
(419,114 |
) |
(927,124 | ) | ||||
Proceeds from asset sales | 2,118 | 51,623 | ||||||
Purchase of investments available for sale | (3,452 | ) | (2,118 | ) | ||||
Purchase of investments held-to-maturity | (5,257 | ) | (29,740 | ) | ||||
Proceeds from sale of investments available for sale | 6,796 | 1,149 | ||||||
Proceeds from maturities of investments held-to-maturity | 12,375 | 29,747 | ||||||
Purchase of equity investments and other assets | (1,276 | ) | (5,005 | ) | ||||
Distributions received on equity investments | 2 | 340 | ||||||
Net cash used in investing activities | (786,757 | ) | (1,133,007 | ) | ||||
Cash flows from financing activities: | ||||||||
Borrowings | 26,992,105 | 27,506,051 | ||||||
Payments on long-term debt | (25,799,807 | ) | (27,350,513 | ) | ||||
Restricted cash | (1,268,767 | ) | ─ | |||||
Interest rate cap premiums and other deferred financing costs | (22,189 | ) | (17,863 | ) | ||||
Purchase of treasury stock | ─ | (323,348 | ) | |||||
Distributions to noncontrolling interests | (81,978 | ) | (67,408 | ) | ||||
Stock award exercises and other share issuances, net | 8,395 | 9,886 | ||||||
Excess tax benefits from stock award exercises | 39,346 | 19,640 | ||||||
Contributions from noncontrolling interests | 19,368 | 14,779 | ||||||
Proceeds from sales of additional noncontrolling interests | 1,844 | 2,675 | ||||||
Purchases from noncontrolling interests | (13,774 | ) | (9,190 | ) | ||||
Net cash used in financing activities | (125,457 | ) | (215,291 | ) | ||||
Effect of exchange rate changes on cash and cash equivalents | 43 | ─ | ||||||
Net decrease in cash and cash equivalents | (11,558 | ) | (318,911 | ) | ||||
Cash and cash equivalents at beginning of period | 393,752 | 860,117 | ||||||
Cash and cash equivalents at end of period | $ | 382,194 | $ | 541,206 | ||||
DAVITA INC. | ||||||||
CONSOLIDATED BALANCE SHEETS | ||||||||
(unaudited) | ||||||||
(dollars in thousands, except per share data) | ||||||||
September 30, | December 31, | |||||||
2012 | 2011 | |||||||
ASSETS | ||||||||
Cash and cash equivalents | $ | 382,194 | $ | 393,752 | ||||
Short-term investments | 5,836 | 17,399 | ||||||
Accounts receivable, less allowance of $232,127 and $250,343 | 1,248,050 | 1,195,163 | ||||||
Inventories | 78,322 | 75,731 | ||||||
Other receivables | 207,439 | 269,832 | ||||||
Other current assets | 46,989 | 49,349 | ||||||
Income tax receivable | 33,625 | ─ | ||||||
Deferred income taxes | 323,219 | 280,382 | ||||||
Total current assets | 2,325,674 | 2,281,608 | ||||||
Property and equipment, net | 1,654,657 | 1,432,651 | ||||||
Amortizable intangibles, net | 177,542 | 159,491 | ||||||
Equity investments | 28,705 | 27,325 | ||||||
Long-term investments | 13,249 | 9,890 | ||||||
Other long-term assets | 30,558 | 34,231 | ||||||
Restricted cash | 1,268,767 | ─ | ||||||
Goodwill | 5,324,960 | 4,946,976 | ||||||
$ | 10,824,112 | $ | 8,892,172 | |||||
LIABILITIES AND EQUITY | ||||||||
Accounts payable | $ | 272,627 | $ | 289,653 | ||||
Other liabilities | 416,897 | 325,734 | ||||||
Accrued compensation and benefits | 529,492 | 412,972 | ||||||
Current portion of long-term debt | 117,821 | 87,345 | ||||||
Income tax payable | ─ | 37,412 | ||||||
Total current liabilities | 1,336,837 | 1,153,116 | ||||||
Long-term debt | 5,620,716 | 4,417,624 | ||||||
Other long-term liabilities | 145,246 | 132,006 | ||||||
Alliance and product supply agreement, net | 15,990 | 19,987 | ||||||
Deferred income taxes | 484,918 | 423,098 | ||||||
Total liabilities | 7,603,707 | 6,145,831 | ||||||
Commitments and contingencies | ||||||||
Noncontrolling interests subject to put provisions | 550,020 | 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; 95,346,980 and 93,641,363 shares outstanding) | 135 | 135 | ||||||
Additional paid-in capital | 543,751 | 596,300 | ||||||
Retained earnings | 3,575,996 | 3,195,818 | ||||||
Treasury stock, at cost (39,515,303 and 41,220,920 shares) | (1,564,178 | ) | (1,631,694 | ) | ||||
Accumulated other comprehensive loss | (18,283 | ) | (19,484 | ) | ||||
Total DaVita Inc. shareholders’ equity | 2,537,421 | 2,141,075 | ||||||
Noncontrolling interests not subject to put provisions | 132,964 | 127,050 | ||||||
Total equity | 2,670,385 | 2,268,125 | ||||||
$ | 10,824,112 | $ | 8,892,172 | |||||
DAVITA INC. | ||||||||||||||||
SUPPLEMENTAL FINANCIAL DATA | ||||||||||||||||
(unaudited) | ||||||||||||||||
(dollars in millions, except for per share and per treatment data) | ||||||||||||||||
Three months ended | Nine months ended September 30, 2012 | |||||||||||||||
September 30,
2012 |
June 30,
2012 |
September 30,
2011 |
||||||||||||||
1. Consolidated Financial Results: | ||||||||||||||||
Consolidated operating revenues | $ | 2,023 | $ | 1,984 | $ | 1,808 | $ | 5,927 | ||||||||
Consolidated net operating revenues | $ | 1,963 | $ | 1,930 | $ | 1,758 | $ | 5,759 | ||||||||
Operating income | $ | 340.9 | $ | 247.9 | $ | 318.7 | $ | 909.5 | ||||||||
Operating income excluding the legal proceeding contingency accrual and related expenses(1) | $ | 340.9 | $ | 325.9 | $ | 318.7 | $ | 987.5 | ||||||||
Operating income margin | 16.9 | % | 12.5 | % | 17.6 | % | 15.3 | % | ||||||||
Operating income margin excluding the legal proceeding contingency accrual and related expenses(1) | 16.9 | % | 16.4 | % | 17.6 | % | 16.7 | % | ||||||||
Net income attributable to DaVita Inc. | $ | 144.7 | $ | 95.3 | $ | 135.4 | $ | 380.2 | ||||||||
Net income attributable to DaVita Inc. excluding the legal proceeding contingency accrual and related expenses(1) | $ | 144.7 | $ | 142.9 | $ | 135.4 | $ | 427.8 | ||||||||
Diluted net income per share attributable to DaVita Inc. | $ | 1.50 | $ | 0.99 | $ | 1.42 | $ | 3.96 | ||||||||
Diluted net income per share attributable to DaVita Inc.(1), excluding the legal proceeding contingency accrual and related expenses | $ | 1.50 | $ | 1.49 | $ | 1.42 | $ | 4.46 | ||||||||
2. Consolidated Business Metrics: | ||||||||||||||||
Expenses | ||||||||||||||||
Patient care costs as a percent of consolidated operating revenues(2) | 66.3 | % | 66.1 | % | 65.8 | % | 66.1 | % | ||||||||
General and administrative expenses as a percent of consolidated operating revenues(2) | 9.9 | % | 10.8 | % | 10.1 | % | 10.5 | % | ||||||||
Total provision for uncollectible accounts as a percent of consolidated operating revenues | 3.1 | % | 2.8 | % | 2.9 | % | 2.9 | % | ||||||||
Consolidated effective tax rate | 36.4 | % | 36.2 | % | 36.4 | % | 36.4 | % | ||||||||
Consolidated effective tax rate attributable to DaVita Inc.(1) | 40.5 | % | 41.5 | % | 40.5 | % | 40.8 | % | ||||||||
3. Segment Financial Results: (dollar amounts rounded to nearest million) | ||||||||||||||||
Operating revenues | ||||||||||||||||
Dialysis and related lab services patient service operating revenues | $ | 1,842 | $ | 1,813 | $ | 1,672 | $ | 5,423 | ||||||||
Less: Provision for uncollectible accounts related to patient service operating revenues | (60 | ) | (54 | ) | (50 | ) | (167 | ) | ||||||||
Dialysis and related lab services net patient service operating revenues | $ | 1,782 | $ | 1,759 | $ | 1,622 | $ | 5,256 | ||||||||
Other revenues | 3 | 3 | 3 | 8 | ||||||||||||
Total net dialysis and related lab services operating revenues | 1,785 | 1,762 | 1,625 | 5,264 | ||||||||||||
Other – Ancillary services and strategic initiatives | 180 | 170 | 135 | 503 | ||||||||||||
Other – Ancillary services and strategic initiatives net patient service operating revenues (related to international dialysis operations and a vascular access clinic) | 5 | 5 | 2 | 12 | ||||||||||||
Total net segment operating revenues | 1,970 | 1,937 | 1,762 | 5,779 | ||||||||||||
Elimination of intersegment revenues | (7 | ) | (7 | ) | (4 | ) | (20 | ) | ||||||||
Total net consolidated operating revenues | $ | 1,963 | $ | 1,930 | $ | 1,758 | $ | 5,759 | ||||||||
DAVITA INC. | ||||||||||||||||
SUPPLEMENTAL FINANCIAL DATA—continued | ||||||||||||||||
(unaudited) | ||||||||||||||||
(dollars in millions, except for per share and per treatment data) | ||||||||||||||||
Three months ended | Nine months ended September 30, 2012 | |||||||||||||||
September 30,
2012 |
June 30,
2012 |
September 30,
2011 |
||||||||||||||
3. Segment Financial Results: (dollar amounts rounded to nearest million)(continued) | ||||||||||||||||
Operating Income | ||||||||||||||||
Dialysis and related lab services operating income | $ | 361 | $ | 286 | $ | 333 | $ | 1,002 | ||||||||
Other – Ancillary services and strategic initiatives, including international dialysis operations operating losses | (11 | ) | (19 | ) | (3 | ) | (48 | ) | ||||||||
Total segment operating income | $ | 350 | $ | 267 | $ | 330 | $ | 954 | ||||||||
Reconciling items: | ||||||||||||||||
Other corporate level general and administrative expenses including stock-based compensation | (12 | ) | (22 | ) | (13 | ) | (53 | ) | ||||||||
Equity investment income | 3 | 3 | 2 | 8 | ||||||||||||
Consolidated operating income | $ | 341 | $ | 248 | $ | 319 | $ | 909 | ||||||||
4. Segment Business Metrics: | ||||||||||||||||
Dialysis and related lab services | ||||||||||||||||
Volume | ||||||||||||||||
Treatments | 5,550,645 | 5,451,901 | 5,008,094 | 16,316,821 | ||||||||||||
Number of treatment days | 78.0 | 78.0 | 79.0 | 234.0 | ||||||||||||
Treatments per day | 71,162 | 69,896 | 63,394 | 69,730 | ||||||||||||
Per day year over year increase | 12.3 | % | 14.3 | % | 9.6 | % | 13.5 | % | ||||||||
Non-acquired growth year over year | 4.4 | % | 4.7 | % | 5.0 | % | 4.9 | % | ||||||||
Operating revenues before provision for uncollectible accounts | ||||||||||||||||
Dialysis and related lab services revenue per treatment | $ | 331.93 | $ | 332.67 | $ | 333.86 | $ | 332.34 | ||||||||
Per treatment (decrease) increase from previous quarter | (0.2 | %) | 0.1 | % | 0.5 | % | ─ | |||||||||
Per treatment (decrease) increase from previous year | (0.6 | %) | 0.1 | % | (1.5 | %) | 0.4 | % | ||||||||
Percent of consolidated revenues | 91.0 | % | 91.3 | % | 92.5 | % | 91.4 | % | ||||||||
Expenses | ||||||||||||||||
Patient care costs | ||||||||||||||||
Percent of total segment operating revenues | 64.3 | % | 64.1 | % | 64.5 | % | 64.1 | % | ||||||||
Per treatment | $ | 213.90 | $ | 213.68 | $ | 215.66 | $ | 213.25 | ||||||||
Per treatment increase (decrease) from previous quarter | 0.1 | % | 0.7 | % | (3.2 | %) | ─ | |||||||||
Per treatment decrease from previous year | (0.8 | %) | (4.1 | %) | (7.4 | %) | (3.3 | %) | ||||||||
General and administrative expenses | ||||||||||||||||
Percent of total segment operating revenues | 8.6 | % | 8.6 | % | 8.8 | % | 8.8 | % | ||||||||
Per treatment | $ | 28.55 | $ | 28.80 | $ | 29.28 | $ | 29.23 | ||||||||
Per treatment (decrease) increase from previous quarter | (0.9 | %) | (5.2 | %) | 9.3 | % | ─ | |||||||||
Per treatment (decrease) increase from previous year | (2.5 | %) | 7.5 | % | 10.0 | % | 5.8 | % | ||||||||
DAVITA INC. | |||||||||||||||
SUPPLEMENTAL FINANCIAL DATA—continued | |||||||||||||||
(unaudited) | |||||||||||||||
(dollars in millions, except for per share and per treatment data) | |||||||||||||||
Three months ended | Nine months ended September 30, 2012 | ||||||||||||||
September 30,
2012 |
June 30,
2012 |
September 30,
2011 |
|||||||||||||
5. Cash Flow: | |||||||||||||||
Operating cash flow | $ | 366.6 | $ | 202.1 | $ | 495.2 | $ | 900.6 | |||||||
Operating cash flow, last twelve months | $ | 1,051.3 | $ | 1,179.8 | $ | 1,149.9 | |||||||||
Free cash flow(1) | $ | 271.4 | $ | 111.4 | $ | 423.1 | $ | 632.7 | |||||||
Free cash flow, last twelve months(1) | $ | 664.8 | $ | 816.5 | $ | 860.2 | |||||||||
Capital expenditures: | |||||||||||||||
Routine maintenance/IT/other | $ | 63.7 | $ | 66.6 | $ | 51.1 | $ | 185.9 | |||||||
Development and relocations | $ | 64.7 | $ | 71.4 | $ | 45.7 | $ | 193.0 | |||||||
Acquisition expenditures | $ | 72.3 | $ | 214.1 | $ | 775.9 | $ | 419.1 | |||||||
6. Accounts Receivable: | |||||||||||||||
Net receivables | $ | 1,248 | $ | 1,250 | $ | 1,165 | |||||||||
DSO | 59 | 60 | 59 | ||||||||||||
7. Debt and Capital Structure: | |||||||||||||||
Total debt(3) | $ | 5,745 | $ | 4,505 | $ | 4,508 | |||||||||
Net debt, net of cash and cash equivalents including restricted cash at September 30, 3012(3) | $ | 4,094 | $ | 4,232 | $ | 3,967 | |||||||||
Leverage ratio (see calculation on page 11) | 2.61x | 2.70x | 2.73x | ||||||||||||
Overall weighted average effective interest rate during the quarter | 5.31 | % | 5.27 | % | 5.30 | % | |||||||||
Overall weighted average effective interest rate at end of the quarter | 5.38 | % | 5.28 | % | 5.27 | % | |||||||||
Weighted average effective interest rate on the Senior Secured Credit Facilities at end of the quarter | 4.61 | % | 4.61 | % | 4.61 | % | |||||||||
Fixed and economically fixed interest rates as a percentage of our total debt(4) | 66 | % | 57 | % | 57 | % | |||||||||
Share repurchases | $ | - | $ | - | $ | 7.3 | |||||||||
8. Clinical: (quarterly averages) | |||||||||||||||
Dialysis adequacy -% of patients with Kt/V > 1.2 at the end of the quarter | 98 | % | 98 | % | 97 | % | |||||||||
Patients with arteriovenous fistulas placed | 71 | % | 70 | % | 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, 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.
(3) The reported balance sheet amounts at
(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
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 September 30, | ||
2012 | ||
Net income attributable to DaVita Inc. | $ 528,301 | |
Income taxes | 353,047 | |
Interest expense | 236,727 | |
Depreciation and amortization | 307,355 | |
Noncontrolling interests and equity investment income, net | 105,394 | |
Stock-based compensation | 47,183 | |
Other items | 23,624 | |
“Consolidated EBITDA” | $ 1,601,631 | |
September 30, 2012 | ||
Total debt, excluding debt discount of $6.6 million | $ 5,745,136 | |
Letters of credit issued | 87,953 | |
5,833,089 | ||
Less: Cash and cash equivalents and including restricted cash | (1,650,962) | |
Consolidated net debt | $ 4,182,127 | |
Last twelve months “Consolidated EBITDA” | $ 1,601,631 | |
Leverage ratio | 2.61x | |
In accordance with the Credit Agreement, the Company’s leverage ratio cannot exceed 4.25 to 1.0 as of
DAVITA INC.
RECONCILIATIONS FOR NON-GAAP MEASURES
(unaudited)
(dollars in thousands)
1. Net income attributable to
We believe that net income attributable to
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 | Nine months ended | ||||||||||||||||
September 30, | June 30, | September 30, | September 30, | September 30, | ||||||||||||||
2012 | 2012 | 2011 | 2012 | 2011 | ||||||||||||||
Net income attributable to DaVita Inc. | $ | 144,721 | $ | 95,337 | $ | 135,361 | $ | 380,178 | $ | 329,878 | ||||||||
Add: | ||||||||||||||||||
Legal proceeding contingency accrual and related expenses | ─ | 78,000 | ─ | 78,000 | ─ | |||||||||||||
Non-cash goodwill impairment charge | ─ | ─ | ─ | ─ | 24,000 | |||||||||||||
Less: Related income tax | ─ | (30,420 | ) | ─ | (30,420 | ) | (9,600 | ) | ||||||||||
$ | 144,721 | $ | 142,917 | $ | 135,361 | $ | 427,758 | $ | 344,278 | |||||||||
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 | Nine months ended | |||||||||||||
September 30, | June 30, | September 30, | September 30, | September 30, | |||||||||||
2012 | 2012 | 2011 | 2012 | 2011 | |||||||||||
Diluted earnings per share attributable to DaVita Inc. | $ | 1.50 | $ | 0.99 | $ | 1.42 | 3.96 | $ | 3.40 | ||||||
Add: | |||||||||||||||
Legal proceeding contingency accrual and related expenses | ─ | 0.50 | ─ | 0.50 | ─ | ||||||||||
Non-cash goodwill impairment charge | ─ | ─ | ─ | ─ | 0.14 | ||||||||||
$ | 1.50 | $ | 1.49 | $ | 1.42 | $ | 4.46 | $ | 3.54 | ||||||
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 during the second quarter of 2012 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 | Nine months ended | |||||||||||||
September 30, | June 30, | September 30, | September 30, | September 30, | |||||||||||
2012 | 2012 | 2011 | 2012 | 2011 | |||||||||||
Operating income | $ | 340,859 | $ | 247,882 | $ | 318,712 | $ | 909,461 | $ | 800,670 | |||||
Add: | |||||||||||||||
Legal proceeding contingency accrual and related expenses | ─ | 78,000 | ─ | 78,000 | ─ | ||||||||||
Non-cash goodwill impairment charge | ─ | ─ | ─ | ─ | 24,000 | ||||||||||
$ | 340,859 | $ | 325,882 | $ | 318,712 | $ | 987,461 | $ | 824,670 | ||||||
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
Effective income tax rate as compared to the effective income tax rate attributable to
Three months ended | Nine months ended September 30, 2012 | |||||||||||||||
September 30,
2012 |
June 30,
2012 |
September 30,
2011 |
||||||||||||||
Income from continuing operations before income taxes | $ | 271,184 | $ | 188,013 | $ | 258,662 | $ | 719,575 | ||||||||
Income tax expense | $ | 98,634 | $ | 68,009 | $ | 94,204 | $ | 262,138 | ||||||||
Effective income tax rate | 36.4 | % | 36.2 | % | 36.4 | % | 36.4 | % | ||||||||
Three months ended | Nine months ended September 30, 2012 | |||||||||||||||
September 30,
2012 |
June 30,
2012 |
September 30,
2011 |
||||||||||||||
Income from continuing operations before income taxes | $ | 271,184 | $ | 188,013 | $ | 258,662 | $ | 719,575 | ||||||||
Less: Noncontrolling owners’ income primarily attributable to non-tax paying entities | (27,954 | ) | (25,051 | ) | (26,604 | ) | (77,888 | ) | ||||||||
Income before income taxes attributable to DaVita Inc. | $ | 243,230 | $ | 162,962 | $ | 232,058 | $ | 641,687 | ||||||||
Income tax expense | 98,634 | 68,009 | $ | 94,204 | $ | 262,138 | ||||||||||
Less: Income tax attributable to noncontrolling interests | (125 | ) | (384 | ) | (119 | ) | (629 | ) | ||||||||
Income tax attributable to DaVita Inc. | $ | 98,509 | $ | 67,625 | $ | 94,085 | $ | 261,509 | ||||||||
Effective income tax rate attributable to DaVita Inc. | 40.5 | % | 41.5 | % | 40.5 | % | 40.8 | % | ||||||||
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 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
Three months ended | Nine months ended September 30, 2012 | |||||||||||||||
September 30,
2012 |
June 30,
2012 |
September 30,
2011 |
||||||||||||||
Cash provided by operating activities | $ | 366,634 | $ | 202,105 | $ | 495,194 | $ | 900,613 | ||||||||
Less: Distributions to noncontrolling interests | (31,500 | ) | (24,073 | ) | (20,985 | ) | (81,978 | ) | ||||||||
Cash provided by operating activities attributable to DaVita Inc. | 335,134 | 178,032 | 474,209 | 818,635 | ||||||||||||
Less: Expenditures for routine maintenance and information technology | (63,718 | ) | (66,603 | ) | (51,107 | ) | (185,930 | ) | ||||||||
Free cash flow | $ | 271,416 | $ | 111,429 | $ | 423,102 | $ | 632,705 | ||||||||
Rolling 12-Month Period | ||||||||||||
September 30, | June 30, | September 30, | ||||||||||
2012 | 2012 | 2011 | ||||||||||
Cash provided by operating activities | $ | 1,051,272 | $ | 1,179,832 | $ | 1,149,938 | ||||||
Less: Distributions to noncontrolling interests | (115,223 | ) | (104,708 | ) | (89,887 | ) | ||||||
Cash provided by operating activities attributable to DaVita Inc. | 936,049 | 1,075,124 | 1,060,051 | |||||||||
Less: Expenditures for routine maintenance and information technology | (271,234 | ) | (258,623 | ) | (199,860 | ) | ||||||
Free cash flow | $ | 664,815 | $ | 816,501 | $ | 860,191 | ||||||
Source:
DaVita Inc.
Jim Gustafson, 310-536-2585
Investor Relations