DaVita Inc. announced results for the quarter ended June 30, 2018.
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 Six months ended
June 30, 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 Six months ended
June 30, 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, December 31,
2018 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, March 31, June 30,
2018 2018 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, March 31, June 30,
2018 2018 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, March 31, June 30,
2018 2018 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, March 31, June 30,
2018 2018 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, March 31, June 30, June 30, June 30,
2018 2018 2017 2018 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, March 31, June 30, June 30, June 30,
2018 2018 2017 2018 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, March 31, June 30, June 30, June 30,
2018 2018 2017 2018 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, March 31, June 30,
2018 2018 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, March 31, June 30,
2018 2018 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, March 31, June 30,
2018 2018 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, March 31, June 30,
2018 2018 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, March 31, June 30,
2018 2018 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.
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SOURCE DaVita Inc.
Company Codes: NYSE:DVA
