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DaVita Inc. 2nd Quarter 2018 Results

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DaVita Inc. 2nd Quarter 2018 Results

PR Newswire

DENVER, Aug. 1, 2018 /PRNewswire/ -- DaVita Inc. (NYSE:DVA) today announced results for the quarter ended June 30, 2018.

  • Net income from continuing operations attributable to DaVita Inc. for the quarter ended June 30, 2018 was $200 million, or $1.15 per share. Adjusted net income from continuing operations attributable to DaVita Inc. for the quarter ended June 30, 2018 was $183 million, or $1.05 per share.
  • Net income from continuing operations attributable to DaVita Inc. for the six months ended June 30, 2018 was $391 million, or $2.19 per share. Adjusted net income from continuing operations attributable to DaVita Inc. for the six months ended June 30, 2018 was $374 million, or $2.10 per share.
  • Net income from continuing operations attributable to DaVita Inc. for the quarter ended June 30, 2017 was $151 million, or $0.78 per share. Adjusted net income from continuing operations attributable to DaVita Inc. for the quarter ended June 30, 2017 was $156 million, or $0.80 per share.
  • Net income from continuing operations attributable to DaVita Inc. for six months ended June 30, 2017 was $592 million, or $3.04 per share. Adjusted net income from continuing operations attributable to DaVita Inc. for the six months ended June 30, 2017 was $303 million, or $1.56 per share.

For the definitions of non-GAAP financial measures such as adjusted net income from continuing operations attributable to DaVita Inc., see the note titled "Note on Non-GAAP Financial Measures" below.

Financial and operating highlights include:

Cash flow:  For the rolling twelve months ended June 30, 2018, consolidated operating cash flow was $1,823 million, of which $1,454 million was from continuing operations. For the three months ended June 30, 2018, consolidated operating cash flow was $562 million, of which $606 million was from continuing operations. Free cash flow from continuing operations was $470 million and $902 million for the quarter and rolling twelve months ended June 30, 2018, respectively.

Operating income and adjusted operating income:  Operating income for the quarter ended June 30, 2018 was $438 million and adjusted operating income for the same period was $419 million. Operating income for the quarter ended June 30, 2017 was $391 million, and adjusted operating income for the same period was $402 million.

Operating income for the six months ended June 30, 2018 was $849 million and adjusted operating income for the same period was $829 million. Operating income for the six months ended June 30, 2017 was $1,267 million, and adjusted operating income for the same period was $781 million.

Gain on changes in ownership interests, net:  We sold our Paladina Health direct primary care business in June 2018 and exited an international business for a net gain of $34 million.

Other asset and goodwill impairment charges:  During the quarter ended June 30, 2018, we recognized an asset impairment charge of $11 million related to the restructuring of our pharmacy business. In addition, we recognized a goodwill impairment charge of $3 million related to one of our international businesses.

Volume:  Total U.S. dialysis treatments for the second quarter of 2018 were 7,331,590, or 93,995 treatments per day, representing a per day increase of 4.2% over the second quarter of 2017. Normalized non-acquired treatment growth in the second quarter of 2018 as compared to the second quarter of 2017 was 3.4%.

Effective income tax rate:  Our effective income tax rate on income from continuing operations was 26.2% and 24.8% for the three and six months ended June 30, 2018. These effective tax rates are impacted by the amount of third party owners' income attributable to non-tax paying entities. The effective income tax rate on income from continuing operations attributable to DaVita Inc. was 29.5% and 28.3% for the three and six months ended June 30, 2018.

Our effective tax rate was impacted by the impairment charges and the net gain on business ownership changes. Excluding these items our adjusted effective tax rate attributable to DaVita Inc. for the three and six months ended June 30, 2018 would have been 30.7% and 28.9%, respectively. Our adjusted effective tax rate increased this quarter due to non-deductible advocacy costs as well as the impact of increased non-deductible expenses due to changes from the Tax Cuts and Jobs Act of 2017.

Center activity:  As of June 30, 2018, we provided dialysis services to a total of approximately 225,500 patients at 2,833 outpatient dialysis centers, of which 2,580 centers were located in the United States and 253 centers were located in 10 countries outside of the United States. During the second quarter of 2018, we opened a total of 43 new dialysis centers, acquired one dialysis center, and closed two centers in the United States. We also acquired 14 dialysis centers, opened one new dialysis center, and closed three dialysis centers outside of the United States.

New revenue accounting standard:  On January 1, 2018, we adopted Topic 606, Revenue from Contracts with Customers, using the cumulative effect method. Results for reporting periods beginning on January 1, 2018 are presented under this new guidance, while prior periods continue to be presented under the prior guidance. Due to a policy election we made allowing us to apply the new guidance only to contracts not completed as of January 1, 2018, we recognized $12 million and $36 million in the three and six months ended June 30, 2018, respectively, relating to Medicare bad debt revenue from 2017 dates of service.

Pending sale of DMG:  As previously announced in December 2017, we entered into an agreement to sell our DMG division to Optum, a subsidiary of UnitedHealth Group Inc. for $4.9 billion in cash, subject to net working capital and other customary adjustments. The transaction is subject to regulatory approvals and other customary closing conditions, and we continue to expect it to close in 2018. As a result, the DMG business is classified as held for sale and the results of operations are reported as discontinued operations for all periods presented.

Share repurchases: During the quarter ended June 30, 2018, we repurchased a total of 7,797,712 shares of our common stock for approximately $512 million at an average price of $65.60 per share. We have also repurchased 3,871,905 shares of our common stock for $273 million at an average price of $70.48 per share from July 1, 2018 through July 31, 2018. As of July 31, 2018, we have repurchased a total of 15,866,921 shares of our common stock for approximately $1,083 million at an average price of $68.24 during 2018.

On July 11, 2018, our Board of Directors approved an additional share repurchase authorization in the amount of approximately $1,390 million. This recently approved authorization was in addition to the approximately $110 million remaining at that time under our Board of Directors' prior share repurchase authorization approved in October 2017. As of July 31, 2018, we have a total of approximately $1,426 million in outstanding Board repurchase authorizations remaining under our stock repurchase program. These share repurchase authorizations have no expiration dates.

New debt capacity: On March 29, 2018, we entered into an agreement to increase our borrowing capacity under our existing Senior Secured Credit Agreement. Pursuant to this agreement, the Company entered into an additional $995 million Term Loan A-2 which bears interest at LIBOR plus 1.00%. As of June 30, 2018, the Company has drawn $952 million of the Term Loan A-2. The remaining amount of $43 million on Term Loan A-2 was drawn subsequent to June 30, 2018.

Outlook

The following forward-looking measures and the underlying assumptions involve significant risks and uncertainties, including those described below, and actual results may vary significantly from these current forward-looking measures. We do not provide guidance for Kidney Care consolidated operating income or effective tax rate on income from continuing operations on a GAAP basis nor a reconciliation of those forward-looking non-GAAP financial measures to the most directly comparable GAAP financial measures on a forward-looking basis because we are unable to predict certain items contained in the GAAP measures without unreasonable efforts. These non-GAAP financial measures do not include certain items, including goodwill and asset impairment charges, gain (loss) on ownership changes and foreign currency fluctuations.

  • We still expect our Kidney Care adjusted consolidated operating income for 2018 to be in the range of $1.5 billion to $1.6 billion, although our guidance now includes expected costs associated with countering the union policy efforts, including ballot initiatives, which had previously been excluded from our guidance.

  • We still expect our operating cash flow from continuing operations for 2018 to be in the range of $1.4 billion to $1.6 billion.

  • We now expect our 2018 effective tax rate on income from continuing operations attributable to DaVita Inc. to be approximately 28.5% to 29.5%.

    Our previous guidance for our 2018 effective tax rate on income from continuing operations attributable to DaVita Inc. was approximately 26.5% to 27.5%.

We will be holding a conference call to discuss our results for the second quarter ended June 30, 2018 on August 1, 2018 at 5:00 p.m. Eastern Time. To join the conference call, please dial (877) 918-6630 from the U.S. or (517) 308-9042 from outside the U.S., and provide the operator the password 'Earnings'. A replay of the conference call will be available on our website at investors.davita.com, for the following 30 days.

Note on Non-GAAP Financial Measures

As used in this press release the term "adjusted" refers to non-GAAP measures as follows, each as reconciled to its most comparable GAAP measure as presented in the non-GAAP reconciliations in the notes to this press release: (i) for income measures, the term "adjusted" refers to operating performance measures that exclude certain items such as impairment charges, gains (losses) on ownership changes, restructuring charges, accruals for legal matters, recent federal tax reform legislation, and gains and charges associated with settlements; and (ii) the term "effective income tax rate on adjusted income from continuing operations attributable to DaVita Inc." represents the Company's effective tax rate excluding applicable non-GAAP items and noncontrolling owners' income, which primarily relates to non-tax paying entities.

These non-GAAP or "adjusted" measures are presented because management believes these measures are useful adjuncts to GAAP results. However, these non-GAAP measures should not be considered alternatives to the corresponding measures determined under GAAP.

Specifically, we use adjusted operating income, adjusted net income from continuing operations and adjusted diluted net income from continuing operations per share attributable to DaVita Inc. to compare and evaluate our performance period over period and relative to competitors, to analyze the underlying trends in our business, to establish operational budgets and forecasts and for incentive compensation purposes. We believe these non-GAAP measures are useful to management, investors and analysts in evaluating our performance over time and relative to competitors, as well as in analyzing the underlying trends in our business. We also believe these presentations enhance a user's understanding of our normal consolidated operating income by excluding certain items which we do not believe are indicative of our ordinary results of operations. As a result, adjusting for these amounts allows for comparison to our normalized prior period results.

In addition, the effective income tax rate on income from continuing operations attributable to DaVita Inc. excludes noncontrolling owners' income, which primarily relates to non-tax paying entities, and the effective income tax rate on adjusted income from continuing operations attributable to DaVita Inc. excludes noncontrolling owners' income and certain non-deductible and other charges which we do not believe are indicative of our ordinary results. Accordingly, we believe these adjusted effective income tax rates are useful to management, investors and analysts in evaluating our performance concerning and establishing expectations for income taxes incurred on our ordinary results attributable to DaVita Inc.

Finally, free cash flow from continuing operations represents net cash provided by operating activities from continuing operations less distributions to noncontrolling interests and capital expenditures for routine maintenance and information technology from continuing operations. We believe this non-GAAP measure is useful to management, investors and analysts as an adjunct to cash flow from operating activities from continuing operations and other measures under GAAP, since free cash flow from continuing operations is meaningful for assessing our ability to fund acquisition and development activities and meet our debt service obligations.

It is important to bear in mind that these non-GAAP "adjusted" measures are not measures of financial performance or liquidity under GAAP and should not be considered in isolation from, nor as substitutes for, their most comparable GAAP measures. Reconciliations of the non-GAAP measures presented herein to their most comparable GAAP measures are included at Notes 2, 3, 4 and 5 at the end of this press release.

DaVita Inc. and its representatives may from time to time make written and oral forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 ("PSLRA"), including statements in this release, filings with the Securities and Exchange Commission ("SEC"), reports to stockholders and in meetings with investors and analysts. All such statements in this release, during the related presentation or other meetings, other than statements of historical fact, are forward-looking statements and as such are intended to be covered by the safe harbor for "forward-looking statements" provided by the PSLRA. Without limiting the foregoing, statements including the words "expect," "intend," "will," "plan," "anticipate," "believe," "forecast," "guidance," "outlook," "goals," and similar expressions are intended to identify forward-looking statements.

The forward-looking statements should be considered in light of these risks and uncertainties. All forward-looking statements in this release are based on information available to us on the date of this presentation. We undertake no obligation to publicly update or revise any of our guidance, the assessment of the underlying assumptions or other forward-looking statements, whether as a result of changed circumstances, new information, future events or otherwise.

These forward-looking statements could include but are not limited to statements related to our guidance and expectations for our 2018 Kidney Care adjusted consolidated operating income, our 2018 operating cash flows from continuing operations, our 2018 effective tax rate on income from continuing operations attributable to DaVita Inc., our expected costs associated with countering the union policy efforts, including ballot initiatives, our expectations related to our stock repurchase program, and uncertainties associated with the other risk factors set forth in our most recent annual report on Form 10-K for the year ended December 31, 2017, and the other risks discussed in our subsequent periodic and current reports filed with the SEC from time to time.

Our actual results could differ materially from any forward-looking statements due to numerous factors that involve substantial known and unknown risks and uncertainties. These risks and uncertainties include, among other things, and are qualified in their entirety by reference to the full text of those risk factors in our SEC filings relating to:

  • the concentration of profits generated by higher-paying commercial payor plans for which there is continued downward pressure on average realized payment rates, and a reduction in the number of patients under such plans, including as a result of restrictions or prohibitions on the use and/or availability of charitable premium assistance, which may result in the loss of revenues or patients, or our making incorrect assumptions about how our patients will respond to any change in financial assistance from charitable organizations;
  • the extent to which the ongoing implementation of healthcare exchanges or changes in or new legislation, regulations or guidance, or enforcement thereof, including among other things those regarding the exchanges, results in a reduction in reimbursement rates for our services from and/or the number of patients enrolled in 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 the Medicare Advantage benchmark structure;
  • risks arising from potential and proposed federal and/or state legislation or regulation, including healthcare-related and labor-related legislation or regulation;
  • the impact of the changing political environment and related developments on the current health care marketplace and on our business, including with respect to the future of the Affordable Care Act, the exchanges and many other core aspects of the current health care marketplace;
  • uncertainties related to the impact of federal tax reform legislation;
  • changes in pharmaceutical practice patterns, reimbursement and payment policies and processes, or pharmaceutical pricing, including with respect to calcimimetics;
  • legal compliance risks, such as our continued compliance with complex government regulations and the provisions of our current corporate integrity agreement and current or potential investigations by various government entities and related government or private-party proceedings, and restrictions on our business and operations required by our corporate integrity agreement and other current or potential settlement terms, and the financial impact thereof and our ability to recover any losses related to such legal matters from third parties;
  • continued increased competition from large- and medium-sized dialysis providers and others who compete, or will compete directly with us;
  • our ability to reduce administrative expenses while maintaining targeted levels of service and operating performance, including our ability to achieve anticipated savings from our recent restructurings;
  • 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, such as accountable care organizations, independent practice associations and integrated delivery systems;
  • our ability to complete acquisitions, mergers or dispositions that we might announce or be considering, on terms favorable to us or at all, or to integrate and successfully operate any business we may acquire or have acquired, or to successfully expand our operations and services in markets outside the United States, or to businesses outside of dialysis;
  • noncompliance by us or our business associates with any privacy laws or any security breach by us or a third party involving the misappropriation, loss or other unauthorized use or disclosure of confidential information;
  • the variability of our cash flows;
  • the risk that we may not be able to generate sufficient cash in the future to service our indebtedness or to fund our other liquidity needs;
  • factors that may impact our ability to repurchase stock under our stock repurchase program and the timing of any such stock repurchases, including market conditions, the price of our common stock, our cash flow position, borrowing capacity and leverage ratios, and legal, regulatory and contractual requirements;
  • the risk that we might invest material amounts of capital and incur significant costs in connection with the growth and development of our international operations, yet we might not be able to operate them profitably anytime soon, if at all;
  • risks arising from the use of accounting estimates, judgments and interpretations in our financial statements;
  • impairment of our goodwill, investments or other assets;
  • the risks and uncertainties associated with the timing, conditions and receipt of regulatory approvals and satisfaction of other closing conditions of the DMG sale transaction and potential disruption in connection with the DMG sale transaction making it more difficult to maintain business and operational relationships;
  • the risk that laws regulating the corporate practice of medicine could restrict the manner in which DMG conducts its business;
  • the risk that the cost of providing services under DMG's agreements may exceed our compensation;
  • the risk that reductions in reimbursement rates, including Medicare Advantage rates, and future regulations may negatively impact DMG's business, revenue and profitability;
  • the risk that DMG 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 DMG's healthcare provider networks could have an adverse effect on DMG's business operations and profitability;
  • the risk that reductions in the quality ratings of health maintenance organization plan customers of DMG could have an adverse effect on DMG's business; and
  • the risk that health plans that acquire health maintenance organizations may not be willing to contract with DMG or may be willing to contract only on less favorable terms.

 

Contact:

Jim Gustafson


Investor Relations


DaVita Inc.


(310) 536-2585

 

DAVITA INC.

CONSOLIDATED STATEMENTS OF INCOME

(unaudited)

(dollars in thousands, except per share data)



Three months ended
June 30,


Six months ended
June 30,


2018


2017


2018


2017

Dialysis and related lab patient service revenues

$

2,718,403



$

2,494,609



$

5,309,477



$

4,917,395


Provision for uncollectible accounts

(49,406)



(109,600)



(23,861)



(216,658)


Net dialysis and related lab patient service revenues

2,668,997



2,385,009



5,285,616



4,700,737


Other revenues

217,956



314,390



450,781



629,913


Total revenues

2,886,953



2,699,399



5,736,397



5,330,650


Operating expenses and charges:








Patient care costs and other costs

2,069,089



1,894,664



4,104,674



3,746,709


General and administrative

264,094



262,796



530,623



525,691


Depreciation and amortization

147,079



140,026



289,878



272,910


Equity investment (income) loss

(9,795)



825



(9,950)



148


Provision for uncollectible accounts

(2,100)



(606)



(8,100)



1,304


Investment and other asset impairments

11,245





11,245



15,168


Goodwill impairment charges

3,106



10,498



3,106



34,696


Gain on changes in ownership interests, net

(33,957)





(33,957)



(6,273)


Gain on settlement, net







(526,827)


Total operating expenses and charges

2,448,761



2,308,203



4,887,519



4,063,526


Operating income

438,192



391,196



848,878



1,267,124


Debt expense

(119,692)



(107,934)



(233,208)



(212,331)


Other income, net

1,994



4,798



6,576



8,784


Income from continuing operations before income taxes

320,494



288,060



622,246



1,063,577


Income tax expense

83,868



101,915



154,605



383,580


Net income from continuing operations

236,626



186,145



467,641



679,997


Net income (loss) from discontinued operations, net of tax

69,696



(24,520)



63,910



(18,087)


Net income

306,322



161,625



531,551



661,910


Less: Net income attributable to noncontrolling interests

(39,046)



(34,624)



(85,589)



(87,212)


Net income attributable to DaVita Inc.

$

267,276



$

127,001



$

445,962



$

574,698


Earnings per share:








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

$

1.16



$

0.79



$

2.23



$

3.09


Basic net income per share attributable to DaVita Inc.

$

1.56



$

0.66



$

2.54



$

3.00


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

$

1.15



$

0.78



$

2.19



$

3.04


Diluted net income per share attributable to DaVita Inc.

$

1.53



$

0.65



$

2.51



$

2.95


Weighted average shares for earnings per share:








Basic

171,617,238



191,088,216



175,267,270



191,728,913


Diluted

174,105,884



193,987,983



177,949,934



194,630,936


Amounts attributable to DaVita Inc.:








Net income from continuing operations

$

199,603



$

151,292



$

390,618



$

592,197


Net income (loss) from discontinued operations

67,673



(24,291)



55,344



(17,499)


Net income attributable to DaVita Inc.

$

267,276



$

127,001



$

445,962



$

574,698


 

 

DAVITA INC.

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(unaudited)

(dollars in thousands)



Three months ended
June 30,


Six months ended
June 30,


2018


2017


2018


2017

Net income

$

306,322



$

161,625



$

531,551



$

661,910


Other comprehensive (loss) income, net of tax:








Unrealized (losses) gains on interest rate cap agreements:








Unrealized (losses) gains on interest rate cap agreements

(268)



(1,815)



782



(5,002)


Reclassifications of net realized losses on interest rate cap agreements into net income

1,537



1,265



3,074



2,529


Unrealized gains on investments:








Unrealized gains on investments



1,057





2,614


Reclassification of net investment realized gains into net income



(71)





(211)


Unrealized (losses) gains on foreign currency translation:








Foreign currency translation adjustments

(50,529)



49,142



(30,648)



62,403


Other comprehensive (loss) income

(49,260)



49,578



(26,792)



62,333


Total comprehensive income

257,062



211,203



504,759



724,243


Less: Comprehensive income attributable to noncontrolling interests

(39,046)



(34,624)



(85,589)



(87,210)


Comprehensive income attributable to DaVita Inc.

$

218,016



$

176,579



$

419,170



$

637,033


 

DAVITA INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited)

(dollars in thousands)



Six months ended
June 30,


2018


2017

Cash flows from operating activities:




Net income

$

531,551



$

661,910


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




Depreciation and amortization

289,878



390,244


Impairment charges

14,351



100,483


Stock-based compensation expense

19,861



17,504


Deferred income taxes

56,882



40,938


Equity investment income, net

(434)



9,367


Gain on sales of business interests, net

(59,053)



(6,273)


Other non-cash charges, net

44,337



28,611


Changes in operating assets and liabilities, net of effect of acquisitions and divestitures:




Accounts receivable

(101,746)



(113,208)


Inventories

71,632



(31,067)


Other receivables and other current assets

(91,685)



(108,852)


Other long-term assets

3,454



(12,124)


Accounts payable

35,228



(55,897)


Accrued compensation and benefits

23,818



(63,727)


Other current liabilities

58,321



13,991


Income taxes

24,356



123,637


Other long-term liabilities

3,824



19,520


Net cash provided by operating activities

924,575



1,015,057


Cash flows from investing activities:




Additions of property and equipment

(473,977)



(398,940)


Acquisitions

(89,465)



(619,839)


Proceeds from asset and business sales

116,241



70,236


Purchase of investments available for sale

(4,195)



(6,812)


Purchase of investments held-to-maturity

(3,726)



(220,591)


Proceeds from sale of investments available for sale

5,662



5,049


Proceeds from investments held-to-maturity

32,628



320,484


Purchase of equity investments

(10,241)



(1,194)


Distributions received on equity investments

3,009




Net cash used in investing activities

(424,064)



(851,607)


 

DAVITA INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS - continued

(unaudited)

(dollars in thousands)



Six months ended
June 30,


2018


2017

Cash flows from financing activities:




Borrowings

28,128,131



25,529,555


Payments on long-term debt and other financing costs

(27,556,348)



(25,593,587)


Purchase of treasury stock

(805,179)



(231,674)


Stock award exercises and other share issuances, net

3,132



8,163


Distributions to noncontrolling interests

(94,006)



(116,075)


Contributions from noncontrolling interests

31,569



39,872


Proceeds from sales of additional noncontrolling interests

15




Purchases of noncontrolling interests

(13,223)



(1,432)


Net cash used in financing activities

(305,909)



(365,178)


Effect of exchange rate changes on cash, cash equivalents and restricted cash

(3,473)



4,192


Net increase (decrease) in cash, cash equivalents and restricted cash

191,129



(197,536)


Less: Net increase in cash, cash equivalents and restricted cash from discontinued operations

229,901



32,720


Net decrease in cash, cash equivalents and restricted cash from continuing operations

(38,772)



(230,256)


Cash, cash equivalents and restricted cash of continuing operations at beginning of the year

518,920



683,463


Cash, cash equivalents and restricted cash of continuing operations at end of the period

$

480,148



$

453,207


 

DAVITA INC.

CONSOLIDATED BALANCE SHEETS

(unaudited)

(dollars in thousands, except per share data)



June 30,
2018


December 31,
2017

ASSETS




Cash and cash equivalents

$

389,264



$

508,234


Restricted cash and equivalents

90,884



10,686


Short-term investments

4,528



32,830


Accounts receivable, net

1,842,108



1,714,750


Inventories

112,729



181,799


Other receivables

471,802



372,919


Income tax receivable

23,540



49,440


Prepaid and other current assets

97,426



112,058


Current assets held for sale

6,053,081



5,761,642


Total current assets

9,085,362



8,744,358


Property and equipment, net of accumulated depreciation of $3,328,176 and $3,103,662

3,229,098



3,149,213


Intangible assets, net of accumulated amortization of $362,054 and $356,774

100,255



113,827


Equity method and other investments

249,020



245,534


Long-term investments

34,200



37,695


Other long-term assets

59,070



47,287


Goodwill

6,678,559



6,610,279



$

19,435,564



$

18,948,193


LIABILITIES AND EQUITY




Accounts payable

$

542,272



$

509,116


Other liabilities

568,536



552,662


Accrued compensation and benefits

633,092



616,116


Current portion of long-term debt

1,768,514



178,213


Current liabilities held for sale

1,271,364



1,185,070


Total current liabilities

4,783,778



3,041,177


Long-term debt

8,175,573



9,158,018


Other long-term liabilities

418,123



365,325


Deferred income taxes

526,425



486,247


Total liabilities

13,903,899



13,050,767


Commitments and contingencies:




Noncontrolling interests subject to put provisions

1,047,158



1,011,360


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; 182,815,212 and 182,462,278 shares issued and 170,820,196 and 182,462,278 shares outstanding, respectively)

183



182


Additional paid-in capital

1,022,783



1,042,899


Retained earnings

4,088,043



3,633,713


Treasury stock (11,995,016 and zero shares, respectively)

(809,900)




Accumulated other comprehensive (loss) income

(21,925)



13,235


Total DaVita Inc. shareholders' equity

4,279,184



4,690,029


Noncontrolling interests not subject to put provisions

205,323



196,037


Total equity

4,484,507



4,886,066



$

19,435,564



$

18,948,193


 

DAVITA INC.

SUPPLEMENTAL FINANCIAL DATA

(unaudited)

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



Three months ended


Six months
ended
June 30, 2018


June 30,
2018


March 31,
2018


June 30,
2017 (1)


1. Consolidated Financial Results:








   Consolidated revenues(2)

$

2,887



$

2,849



$

2,699



$

5,736


   Operating income

$

438



$

411



$

391



$

849


   Adjusted operating income excluding certain items(3)

$

419



$

411



$

402



$

829


   Operating income margin

15.2

%


14.4

%


14.5

%


14.8

%

   Adjusted operating income margin excluding certain items(3) (7)

14.5

%


14.4

%


14.9

%


14.5

%

   Net income from continuing operations attributable to DaVita Inc.

$

200



$

191



$

151



$

391


   Adjusted net income from continuing operations attributable to DaVita Inc. excluding certain items(3)

$

183



$

191



$

156



$

374


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

$

1.15



$

1.05



$

0.78



$

2.19


   Adjusted diluted net income from continuing operations per share attributable to DaVita Inc. excluding certain items (3)

$

1.05



$

1.05



$

0.80



$

2.10










2. Consolidated Business Metrics:








Expenses








   General and administrative expenses as a percent of consolidated revenues(4)

9.1

%


9.4

%


9.7

%


9.3

%

   Effective income tax rate on income from continuing operations

26.2

%


23.4

%


35.4

%


24.8

%

   Effective income tax rate on income from continuing operations attributable to DaVita Inc.(3)

29.5

%


27.0

%


40.2

%


28.3

%

   Effective income tax rate on adjusted income from continuing operations attributable to DaVita Inc.(3)

30.7

%


27.0

%


40.1

%


28.9

%









3. Summary of Division Financial Results:








Revenues(2)








Kidney Care:








U.S. dialysis and related lab patient services and other

$

2,588



$

2,538



$

2,325



$

5,126


Other—Ancillary services and strategic initiatives








U.S. other

221



237



314



458


International dialysis patient service and other

107



103



79



210



328



340



394



668


Eliminations

(29)



(29)



(19)



(58)


Total consolidated revenues

$

2,887



$

2,849



$

2,699



$

5,736


 

DAVITA INC.

SUPPLEMENTAL FINANCIAL DATA - continued

(unaudited)

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



Three months ended


Six months
ended
June 30, 2018


June 30,
2018


March 31,
2018


June 30,
2017 (1)


3. Summary of Division Financial Results: (continued)








Operating income (loss)








Kidney Care:








U.S. dialysis and related lab services

$

449



$

433



$

450



$

883


   Other—Ancillary services and strategic initiatives








U.S.

4



(5)



(36)



(1)


International

(1)



(2)



(13)



(3)



3



(7)



(48)



(4)


Corporate administrative support

(14)



(16)



(11)



(30)


Total consolidated operating income

$

438



$

411



$

391



$

849










4. Summary of Reportable Segment Financial Results:








U.S. Dialysis and Related Lab Services








Revenue:(2)








Net dialysis and related lab patient service revenues

$

2,583



$

2,533



$

2,320



$

5,116


Other revenues

5



5



5



10


Total operating revenues

2,588



2,538



2,325



5,126


Operating expenses:








Patient care costs

1,810



1,779



1,561



3,590


General and administrative

196



196



189



392


Depreciation and amortization

138



135



130



273


Equity investment income

(6)



(5)



(5)



(11)


Total operating expenses

2,139



2,105



1,875



4,243


Segment operating income

$

449



$

433



$

450



$

883










5. U.S. Dialysis and Related Lab Services Business Metrics:








Volume








Treatments

7,331,590



7,174,026



7,035,894



14,505,615


Number of treatment days

78.0



77.5



78.0



155.5


Treatments per day

93,995



92,568



90,204



93,284


Per day year over year increase

4.2

%


4.8

%


4.3

%


4.5

%

Normalized non-acquired treatment growth year over year

3.4

%


3.4

%


3.6

%



Operating net revenues(2)








Dialysis and related lab services net revenue per treatment

$

352.37



$

353.05



$

329.79



$

352.71


Revenue per treatment changes from previous quarter

(0.2)

%


7.1

%


(1.0)

%



Revenue per treatment changes from previous year

6.8

%


6.0

%


(1.6)

%


6.4

%

Percent of consolidated revenues

89.0

%


88.4

%


85.6

%


88.7

%

 

DAVITA INC.

SUPPLEMENTAL FINANCIAL DATA - continued

(unaudited)

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



Three months ended


Six months
ended
June 30, 2018


June 30,
2018


March 31,
2018


June 30,
2017 (1)


5. U.S. Dialysis and Related Lab Services Business Metrics: (continued)








Expenses








Patient care costs








Percent of total segment operating net revenues

69.9

%


70.1

%


67.1

%


70.0

%

Per treatment

$

246.90



$

248.02



$

221.82



$

247.46


Per treatment changes from previous quarter

(0.5)

%


11.0

%


(2.5)

%



Per treatment changes from previous year

11.3

%


9.0

%


(1.3)

%


10.2

%

General and administrative expenses








Percent of total segment operating net revenues

7.6

%


7.7

%


8.1

%


7.7

%

Per treatment

$

26.80



$

27.28



$

26.85



$

27.04


Per treatment changes from previous quarter

(1.8)

%


6.3

%


(2.9)

%



Per treatment changes from previous year

(0.2)

%


(1.3)

%


(1.9)

%


(0.7)

%

Accounts receivable








Net receivables

1,646



1,620



1,420




DSO

59



59



56












6. Discontinued Operations








Operating results








Net revenues(2)

$

1,252



$

1,228



$

1,196



$

2,480


Expenses

1,193



1,226



1,158



2,419


Goodwill impairment charges





51




Income (loss) from discontinued operations before taxes

60



2



(13)



61


Income tax (expense) benefit

10



(7)



(12)



2


Net income (loss) from discontinued operations, net of tax

$

70



$

(6)



$

(25)



$

64










7. Cash Flow:








Operating cash flow

$

562.0



$

362.5



$

149.9



$

924.6


Operating cash flow from continuing operations

$

605.6



$

206.3



$

144.3



$

811.9


Operating cash flow from continuing operations, last twelve months

$

1,453.9



$

992.6



$

1,716.6




Free cash flow from continuing operations(3)

$

470.2



$

61.6



$

14.8



$

531.7


Free cash flow from continuing operations, last twelve months(3)

$

902.2



$

446.9



$

1,200.1




Capital expenditures from continuing operations:








Routine maintenance/IT/other

$

86.8



$

99.3



$

56.7



$

186.1


Development and relocations

$

132.4



$

102.1



$

106.8



$

234.5


Acquisition expenditures

$

72.5



$

15.7



$

522.6



$

88.2


Proceeds from sale of self-developed properties

7.6



$

18.2



3.5



25.8











Three months ended


Six months
ended
June 30, 2018


June 30,
2018


March 31,
2018


June 30,
2017 (1)


8. Debt and Capital Structure:








Total debt(5)(6)

$

10,002



$

9,526



$

9,161




Net debt, net of cash and cash equivalents(5)(6)

$

9,613



$

9,167



$

8,449




Leverage ratio (see calculation on page 16)

3.99x



3.75x



3.38x




Overall weighted average effective interest rate during the quarter

4.91

%


4.87

%


4.69

%



Overall weighted average effective interest rate at end of the quarter

4.99

%


4.98

%


4.76

%



Weighted average effective interest rate on the senior secured credit facilities at end of the quarter

4.72

%


4.67

%


4.20

%



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

49

%


51

%


53

%



Fixed and economically fixed interest rates, including our interest rate cap agreements, as a percentage of our total debt

84

%


88

%


91

%




Certain columns, rows or percentages may not sum or recalculate due to the use of rounded numbers.


(1)

As a result of the pending sale of DMG announced in December 2017, the DMG business has been classified as held for sale and its results of operations are presented as discontinued operations for all periods presented.



(2)

On January 1, 2018, the Company adopted FASB Accounting Standards Codification Topic 606 Revenue from Contracts with Customers using the cumulative effect method for those contracts which were not completed as of January 1, 2018. Results for reporting periods beginning on and after January 1, 2018 are presented under Topic 606, while prior period amounts continue to be reported in accordance with our historical accounting under Revenue Recognition (Topic 605).



(3)

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, and for a definition of adjusted amounts, see attached reconciliation schedules.



(4)

Consolidated percentages of revenues are comprised of the dialysis and related lab services business and other ancillary services and strategic initiatives. General and administrative expenses includes certain corporate support and long-term incentive compensation.



(5)

The reported balance sheet amounts at June 30, 2018, March 31, 2018, and June 30, 2017, exclude $57.9 million, $62.0 million and $71.9 million, respectively, of a debt discount associated with our Term Loan B and other deferred financing costs. The reported balance sheet amounts exclude DMG debt which is classified as held for sale liabilities for all periods presented.



(6)

The reported total debt and net debt, net of cash and cash equivalents excludes DMG cash and debt classified as held for sale assets and liabilities, respectively, for all periods presented.



(7)

Adjusted operating income margin is a calculation of adjusted operating income divided by consolidated revenues.

DAVITA 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, including short-term investments, 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 users to enhance their understanding of the Company's leverage ratio under its Credit Agreement. The leverage ratio calculated by the Company is a non-GAAP measure and should not be considered a substitute for debt to net income attributable to DaVita Inc., net income attributable to DaVita Inc. or total debt as determined in accordance with United States generally accepted accounting principles (GAAP). The Company's calculation of its leverage ratio might not be calculated in the same manner as, and thus might not be comparable to, similarly titled measures by other companies.  


Rolling twelve
months ended
June 30, 2018

Net income attributable to DaVita Inc.

$

534,882


Income taxes

(290,623)


Interest expense

416,933


Depreciation and amortization

677,119


Impairment charges

895,457


Noncontrolling interests and equity investment income, net

184,438


Stock-settled stock-based compensation

37,346


Gain on changes in ownership interest, net

(76,182)


Other

14,957


"Consolidated EBITDA"

$

2,394,327





June 30, 2018

Total debt, excluding debt discount and other deferred financing costs of $57.9 million

$

10,038,699


Letters of credit issued

36,917



10,075,616


Less: Cash and cash equivalents including short-term investments (excluding DMG's physician owned entities cash)

(526,819)


Consolidated net debt

$

9,548,797


Last twelve months "Consolidated EBITDA"

$

2,394,327


Leverage ratio

3.99x


In accordance with the Credit Agreement, the Company's leverage ratio cannot exceed 4.50 to 1.00 as of June 30, 2018. At that date the Company's leverage ratio did not exceed 4.50 to 1.00.

DAVITA INC.
RECONCILIATIONS FOR NON-GAAP MEASURES
(unaudited)
(dollars in thousands, except for per share data)

The following Notes 2 through 5 provide reconciliations of the non-GAAP financial measures presented in this press release to their most comparable GAAP measures. For more information on the nature, purposes and limitations of these non-GAAP measures, see our "Note on Non-GAAP Financial Measures" on page 3.

Note 2:   Adjusted net income from continuing operations and adjusted diluted net income from continuing operations per share attributable to DaVita Inc.


Three months ended


Six months ended


June 30,
2018


March 31,
2018


June 30,
2017


June 30,
2018


June 30,
2017

Net income from continuing operations attributable to DaVita Inc.

$

199,603



$

191,015



$

151,292



$

390,618



$

592,197


Goodwill impairment charges

3,106





10,498



3,106



34,696


Impairment of other assets

11,245







11,245



15,168


Gain on settlement, net









(526,827)


Equity investment income related to gain on settlement









(2,677)


Gain on changes in ownership interests

(33,957)







(33,957)



(6,273)


Noncontrolling interests associated with adjustments:










Goodwill impairment charges





(2,985)





(9,865)


Gain on settlement, net









24,029


Related income tax

2,652





(2,850)



2,652



182,312


Adjusted net income from continuing operations attributable to DaVita Inc.

$

182,649



$

191,015



$

155,955



$

373,664



$

302,760


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

$

1.15



$

1.05



$

0.78



$

2.19



$

3.04


Goodwill impairment charges

0.02





0.05



0.02



0.18


Impairment of other assets

0.06







0.06



0.08


Gain on settlement, net









(2.70)


Equity investment income related to gain on settlement









(0.01)


Gain on changes in ownership interests

(0.20)







(0.19)



(0.03)


Noncontrolling interests associated with adjustments:










Goodwill impairment charges





(0.02)





(0.05)


Gain on settlement, net









0.12


Related income tax

0.02





(0.01)



0.01



0.94


Adjusted diluted net income from continuing operations per share attributable to DaVita Inc.

$

1.05



$

1.05



$

0.80



$

2.10



$

1.56



Certain columns or rows may not sum or recalculate due to the use of rounded numbers.

 

DAVITA INC.

RECONCILIATIONS FOR NON-GAAP MEASURES - continued

(unaudited)

(dollars in thousands)


Note 3: Adjusted operating income



Three months ended


Six months ended


June 30,
2018


March 31,
2018


June 30,
2017


June 30,
2018


June 30,
2017

Consolidated:










Operating income

$

438,192



$

410,686



$

391,196



$

848,878



$

1,267,124


   Goodwill impairment charges

3,106





10,498



3,106



34,696


   Impairment of other assets

11,245







11,245



15,168


   Gain on settlement, net









(526,827)


   Equity investment income related to gain on settlement









(2,677)


   Gain on changes in ownership interests

(33,957)







(33,957)



(6,273)


Adjusted operating income

$

418,586



$

410,686



$

401,694



$

829,272



$

781,211




Three months ended


Six months ended


June 30,

2018


March 31,

2018


June 30,

2017


June 30,

2018


June 30,

2017

Kidney Care:










U.S. dialysis and related lab services:










Segment operating income

$

449,443



$

433,380



$

450,472



$

882,822



$

1,395,212


Gain on settlement, net









(526,827)


Equity investment income related to gain on settlement









(2,677)


Adjusted U.S. dialysis and related lab services operating income

449,443



433,380



450,472



882,822



865,708


Other - Ancillary services and strategic initiatives:










U.S.










Segment operating income (loss)

3,953



(5,186)



(35,545)



(1,233)



(88,572)


Goodwill impairment charges





10,498





34,696


Gain on changes in ownership interests

(35,205)







(35,205)




Impairment of other assets

11,245







11,245



15,168


Adjusted operating loss

(20,007)



(5,186)



(25,047)



(25,193)



(38,708)


International










Segment operating loss

(1,138)



(1,804)



(12,700)



(2,942)



(17,893)


Goodwill impairment charge

3,106







3,106




Loss (gain) on changes in ownership interests

1,248







1,248



(6,273)


Adjusted operating income (loss)

3,216



(1,804)



(12,700)



1,412



(24,166)


Adjusted Other - Ancillary services and strategic initiatives operating loss

(16,791)



(6,990)



(37,747)



(23,781)



(62,874)


Corporate administrative support:










Segment operating loss

(14,066)



(15,704)



(11,031)



(29,769)



(21,623)


Adjusted Kidney Care operating income

$

418,586



$

410,686



$

401,694



$

829,272



$

781,211



Certain columns or rows may not sum or recalculate due to the use of rounded numbers.

 

DAVITA INC.
RECONCILIATIONS FOR NON-GAAP MEASURES - continued
(unaudited)
(dollars in thousands)

Note 4:   Effective income tax rates and adjusted effective income tax rates

The effective income tax rate on income from continuing operations and on income from continuing operations attributable to DaVita Inc. is computed as follows:  


Three months ended


Six months
ended
June 30, 2018


June 30,
2018


March 31,
2018


June 30,
2017


Income from continuing operations before income taxes

$

320,494



$

301,752



$

288,060



$

622,246


Income tax expense

$

83,868



$

70,737



$

101,915



$

154,605


Effective income tax rate on income from continuing operations

26.2

%


23.4

%


35.4

%


24.8

%



Three months ended


Six months
ended
June 30, 2018


June 30,
2018


March 31,
2018


June 30,
2017


Income from continuing operations before income taxes

$

320,494



$

301,752



$

288,060



$

622,246


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

(37,374)



(40,088)



(35,135)



(77,462)


Income before income taxes attributable to DaVita Inc.

$

283,120



$

261,664



$

252,925



$

544,784










Income tax expense

$

83,868



$

70,737



$

101,915



$

154,605


Less: Income tax attributable to noncontrolling interests

(351)



(88)



(282)



(439)


Income tax expense attributable to DaVita Inc.

$

83,517



$

70,649



$

101,633



$

154,166










Effective income tax rate on income from continuing operations attributable to DaVita Inc.

29.5

%


27.0

%


40.2

%


28.3

%


Certain columns, rows or percentages may not sum or recalculate due to the use of rounded numbers.

 

DAVITA INC.
RECONCILIATIONS FOR NON-GAAP MEASURES - continued
(unaudited)
(dollars in thousands)

The effective income tax rate on adjusted income from continuing operations attributable to DaVita Inc. is computed as follows:  


Three months ended


Six months
ended
June 30, 2018

June 30,
2018


March 31,
2018


June 30,
2017


Income from continuing operations before income taxes

$

320,494



$

301,752



$

288,060



$

622,246


Goodwill impairment charges

3,106





10,498



3,106


Impairment of other assets

11,245







11,245


Gain on changes in ownership interests

(33,957)







(33,957)


Noncontrolling owners' income primarily attributable to non-tax paying entities

(37,374)



(40,088)



(35,135)



(77,462)


Noncontrolling interests associated with adjustments








Goodwill impairment charges





(2,985)




Adjusted income from continuing operations before income taxes attributable to DaVita Inc.

$

263,514



$

261,664



$

260,438



$

525,178


Income tax expense (benefit)

$

83,868



$

70,737



$

101,915



$

154,605


Add income tax related to:








Goodwill impairment charges

598





2,850



598


Impairment of other assets

2,895







2,895


Gain on changes in ownership interests, net

(6,145)







(6,145)


Less income tax related to:








Noncontrolling interests

(351)



(88)



(282)



(439)


Income tax on adjusted income from continuing operations attributable to DaVita Inc.

$

80,865



$

70,649



$

104,483



$

151,514


Effective income tax rate on adjusted income from continuing operations attributable to DaVita Inc.

30.7

%


27.0

%


40.1

%


28.9

%


Certain columns, rows or percentages may not sum or recalculate due to the use of rounded numbers.

 

DAVITA INC.

RECONCILIATIONS FOR NON-GAAP MEASURES - continued

(unaudited)

(dollars in thousands)


Note 5:   Free cash flow from continuing operations



Three months ended


Six months
ended
June 30, 2018


June 30,
2018


March 31,
2018


June 30,
2017


Cash provided by continuing operating activities

$

605,601



$

206,291



$

144,256



$

811,892


Less: Distributions to noncontrolling interests

(48,539)



(45,467)



(72,759)



(94,006)


Cash provided by continuing operating activities attributable to DaVita Inc.

557,062



160,824



71,497



717,886


Less: Expenditures for routine maintenance and information technology

(86,871)



(99,268)



(56,651)



(186,139)


Free cash flow from continuing operations

$

470,191



$

61,556



$

14,846



$

531,747


 


Rolling 12-Month Period


June 30,
2018


March 31,
2018


June 30,
2017

Cash provided by continuing operating activities

$

1,453,942



$

992,597



$

1,716,611


Less: Distributions to noncontrolling interests

(188,823)



(213,043)



(214,325)


Cash provided by continuing operating activities attributable to DaVita Inc.

1,265,119



779,554



1,502,286


Less: Expenditures for routine maintenance and information technology

(362,883)



(332,663)



(302,195)


Free cash flow from continuing operations

$

902,236



$

446,891



$

1,200,091



Certain columns or rows may not sum or recalculate due to the use of rounded numbers.

 

DaVita logo. (PRNewsFoto/DaVita)

 

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SOURCE DaVita Inc.

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