
• | Consolidated revenues of $2.924 billion. |
• | Operating income of $438 million or 15.0% operating margin. |
• | Diluted earnings per share from continuing operations of $1.28 and adjusted diluted earnings per share from continuing operations of $1.80. |
• | Operating cash flow from continuing operations of $483 million and free cash flow from continuing operations of $287 million. |
• | Refinanced $1.5 billion of 5% senior notes with $1.5 billion of new 3.75% senior notes in August. |
• | Deployed proceeds from issuance of $1.75 billion of 4.625% senior notes in June to redeem $1.75 billion of 5.125% senior notes in July. |
• | Repurchased 8,231,679 shares of our common stock at an average cost of $88.13 per share, including 7,981,679 shares purchased in a "modified" Dutch auction tender offer in September. |
Three months ended September 30, | Nine months ended September 30, | |||||||||||||||
2020 | 2019 | 2020 | 2019 | |||||||||||||
Net income attributable to DaVita Inc.: | (dollars in millions, except per share data) | |||||||||||||||
Net income from continuing operations | $ | 159 | $ | 150 | $ | 590 | $ | 465 | ||||||||
Diluted per share | $ | 1.28 | $ | 0.99 | $ | 4.72 | $ | 2.87 | ||||||||
Adjusted net income from continuing operations(1) | $ | 223 | $ | 232 | $ | 697 | $ | 588 | ||||||||
Diluted per share adjusted(1) | $ | 1.80 | $ | 1.53 | $ | 5.58 | $ | 3.64 | ||||||||
Net income | $ | 159 | $ | 143 | $ | 600 | $ | 566 | ||||||||
Diluted per share | $ | 1.28 | $ | 0.95 | $ | 4.80 | $ | 3.50 | ||||||||
(1) | For definitions of non-GAAP financial measures, see the note titled “Note on Non-GAAP Financial Measures” and related reconciliations beginning on page 15. |
Three months ended September 30, | Nine months ended September 30, | |||||||||||||||||||||||||||
2020 | 2019 | 2020 | 2019 | |||||||||||||||||||||||||
Amount | Margin | Amount | Margin | Amount | Margin | Amount | Margin | |||||||||||||||||||||
Operating income: | (dollars in millions) | |||||||||||||||||||||||||||
Operating income | $ | 438 | 15.0 | % | $ | 378 | 13.0 | % | $ | 1,313 | 15.2 | % | $ | 1,181 | 13.9 | % | ||||||||||||
Adjusted operating income(1)(2) | $ | 438 | 15.0 | % | $ | 462 | 15.9 | % | $ | 1,364 | 15.8 | % | $ | 1,306 | 15.4 | % | ||||||||||||
(1) | For definitions of non-GAAP financial measures, see the note titled “Note on Non-GAAP Financial Measures” and related reconciliations beginning on page 15. |
(2) | Adjusted operating income margin is adjusted operating income divided by consolidated revenues. |
Three months ended | Quarter change | Nine months ended | Year to date change | ||||||||||||||||||||
September 30, 2020 | June 30, 2020 | September 30, 2020 | September 30, 2019 | ||||||||||||||||||||
Per treatment metrics: | |||||||||||||||||||||||
Revenue | $ | 349.63 | $ | 352.26 | $ | (2.63 | ) | $ | 349.82 | $ | 349.26 | $ | 0.56 | ||||||||||
Patient care costs | $ | 232.57 | $ | 238.02 | $ | (5.45 | ) | $ | 235.97 | $ | 239.90 | $ | (3.93 | ) | |||||||||
General and administrative | $ | 39.62 | $ | 27.78 | $ | 11.84 | $ | 31.56 | $ | 28.80 | $ | 2.76 | |||||||||||
Three months ended September 30, 2020 | ||||||||||
Shares repurchased | Amount paid (in millions) | Average paid per share | ||||||||
Tender offer(1) | 7,981,679 | $ | 704 | $ | 88.22 | |||||
Open market repurchases | 250,000 | 21 | 85.04 | |||||||
8,231,679 | $ | 725 | $ | 88.13 | ||||||
(1) | The aggregate amount paid for shares repurchased pursuant to our tender offer during the three months ended September 30, 2020 includes the clearing price of $88.00 per share plus related fees and expenses of $1.8 million. |
Three months ended September 30, | Rolling twelve months ended September 30, | |||||||||||||||
2020 | 2019 | 2020 | 2019 | |||||||||||||
Cash flow: | (dollars in millions) | |||||||||||||||
Operating cash flow | $ | 483 | $ | 641 | $ | 2,175 | $ | 1,781 | ||||||||
Operating cash flow from continuing operations | $ | 483 | $ | 648 | $ | 2,172 | $ | 1,602 | ||||||||
Free cash flow from continuing operations (1) | $ | 287 | $ | 437 | $ | 1,393 | $ | 722 | ||||||||
(1) | For definitions of non-GAAP financial measures, see the note titled “Note on Non-GAAP Financial Measures” and related reconciliations beginning on page 15. |
Three months ended September 30, 2020 | Nine months ended September 30, 2020 | |||||
Effective income tax rate on: | ||||||
Income from continuing operations | 23.2 | % | 24.3 | % | ||
Income from continuing operations attributable to DaVita Inc.(1) | 29.2 | % | 28.9 | % | ||
Adjusted income from continuing operations attributable to DaVita Inc.(1) | 28.0 | % | 28.2 | % | ||
(1) | For definitions of non-GAAP financial measures, see the note titled “Note on Non-GAAP Financial Measures” and related reconciliations beginning on page 15. |
Current 2020 guidance | Prior 2020 guidance | ||||||||||||||
Low | High | Low | High | ||||||||||||
(dollars in millions, except per share data) | |||||||||||||||
Revenue | $ | 11,500 | $ | 11,600 | $ | 11,500 | $ | 11,700 | |||||||
Adjusted operating income margin | 15.3 | % | 15.6 | % | 14.0 | % | 14.75 | % | |||||||
Effective income tax rate on adjusted income from continuing operations attributable to DaVita Inc. | 28.0 | % | 29.5 | % | 28.0 | % | 29.5 | % | |||||||
Adjusted diluted net income from continuing operations per share attributable to DaVita Inc. | $ | 7.35 | $ | 7.60 | $ | 6.25 | $ | 6.75 | |||||||
Capital expenditures from continuing operations | $ | 650 | $ | 690 | $ | 700 | $ | 750 | |||||||
Free cash flow from continuing operations | $ | 1,100 | $ | 1,250 | $ | 800 | $ | 1,000 | |||||||
• | the continuing impact of the dynamic and evolving COVID-19 pandemic, including, without limitation, on our patients, teammates, physician partners, suppliers, business, operations, reputation, financial condition and results of operations, the government’s response to the COVID-19 pandemic, and the consequences of an extended economic downturn resulting from the impacts of COVID-19, such as a potential negative impact on our commercial mix, any of which may also have the effect of heightening many of the other risks and uncertainties discussed below; |
• | our need, ability and willingness to utilize any funds received under the CARES Act or other government programs, and the consequences of our decisions with respect thereto; |
• | 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 or percentage of our patients under such plans, including without limitation 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; |
• | noncompliance by us or our business associates with any privacy or security 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 extent to which the ongoing implementation of healthcare reform, or changes in or new legislation, regulations or guidance, enforcement thereof or related litigation, result in a reduction in coverage or reimbursement rates for our services, a reduction in the number of patients enrolled in higher-paying commercial plans or that are enrolled in or select Medicare Advantage plans, or other material impacts to our business; or our making incorrect assumptions about how our patients will respond to any such developments; |
• | a reduction in government payment rates under the Medicare program or other government-based programs and the impact of the Medicare Advantage benchmark structure; |
• | risks arising from potential and proposed federal and/or state legislation, regulation, ballot, executive action or other initiatives, including such initiatives related to healthcare and/or labor matters, such as AB290 and Proposition 23 in California; |
• | the impact of the upcoming election cycle, the political environment and related developments on the current healthcare 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 healthcare marketplace, as well as the composition of the U.S. Supreme Court; |
• | our ability to successfully implement our strategy with respect to home-based dialysis, including maintaining our existing business and further developing our capabilities in a complex and highly regulated environment; |
• | changes in pharmaceutical practice patterns, reimbursement and payment policies and processes, or pharmaceutical pricing, including with respect to calcimimetics; |
• | legal and compliance risks, such as our continued compliance with complex government regulations; |
• | continued increased competition from dialysis providers and others, and other potential marketplace changes; |
• | 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; |
• | uncertainties related to potential payments and/or adjustments under certain provisions of the equity purchase agreement for the sale of our DaVita Medical Group (DMG) business, such as post-closing adjustments and indemnification obligations; |
• | the variability of our cash flows, including without limitation any extended billing or collections cycles; the risk that we may not be able to generate or access sufficient cash in the future to service our indebtedness or to fund our other liquidity needs; and the risk that we may not be able to refinance our indebtedness as it becomes due, on terms favorable to us or at all; |
• | factors that may impact our ability to repurchase stock under our stock repurchase program and the timing of any such stock repurchases, as well as our use of a considerable amount of available funds to repurchase stock; |
• | risks arising from the use of accounting estimates, judgments and interpretations in our financial statements; |
• | impairment of our goodwill, investments or other assets; and |
• | uncertainties associated with the other risk factors set forth in DaVita Inc.'s Annual Report on Form 10-K for the year ended December 31, 2019 and Quarterly Reports on Form 10-Q for the quarters ended March 31, 2020 and June 30, 2020, and the risks and uncertainties discussed in any subsequent reports that DaVita has filed or furnished with the SEC from time to time. |
Three months ended September 30, | Nine months ended September 30, | ||||||||||||||
2020 | 2019 | 2020 | 2019 | ||||||||||||
Dialysis patient service revenues | $ | 2,781,650 | $ | 2,777,192 | $ | 8,253,128 | $ | 8,130,697 | |||||||
Other revenues | 142,416 | 126,886 | 392,154 | 359,198 | |||||||||||
Total revenues | 2,924,066 | 2,904,078 | 8,645,282 | 8,489,895 | |||||||||||
Operating expenses and charges: | |||||||||||||||
Patient care costs | 1,971,719 | 1,991,172 | 5,931,732 | 5,913,860 | |||||||||||
General and administrative | 363,280 | 298,736 | 943,065 | 824,887 | |||||||||||
Depreciation and amortization | 156,894 | 155,915 | 468,949 | 456,685 | |||||||||||
Equity investment income | (5,496 | ) | (3,936 | ) | (27,681 | ) | (11,158 | ) | |||||||
Loss on changes in ownership interest, net | — | — | 16,252 | — | |||||||||||
Goodwill impairment charges | — | 83,855 | — | 124,892 | |||||||||||
Total operating expenses and charges | 2,486,397 | 2,525,742 | 7,332,317 | 7,309,166 | |||||||||||
Operating income | 437,669 | 378,336 | 1,312,965 | 1,180,729 | |||||||||||
Debt expense | (73,658 | ) | (88,589 | ) | (243,642 | ) | (351,774 | ) | |||||||
Debt prepayment, refinancing and redemption charges | (86,074 | ) | (21,242 | ) | (89,022 | ) | (33,402 | ) | |||||||
Other income, net | 5,395 | 5,280 | 10,590 | 17,863 | |||||||||||
Income from continuing operations before income taxes | 283,332 | 273,785 | 990,891 | 813,416 | |||||||||||
Income tax expense | 65,792 | 65,254 | 240,564 | 197,938 | |||||||||||
Net income from continuing operations | 217,540 | 208,531 | 750,327 | 615,478 | |||||||||||
Net (loss) income from discontinued operations, net of tax | — | (6,843 | ) | 9,980 | 102,854 | ||||||||||
Net income | 217,540 | 201,688 | 760,307 | 718,332 | |||||||||||
Less: Net income attributable to noncontrolling interests | (58,866 | ) | (58,418 | ) | (160,438 | ) | (152,222 | ) | |||||||
Net income attributable to DaVita Inc. | $ | 158,674 | $ | 143,270 | $ | 599,869 | $ | 566,110 | |||||||
Earnings per share attributable to DaVita Inc.: | |||||||||||||||
Basic net income from continuing operations per share | $ | 1.31 | $ | 1.00 | $ | 4.81 | $ | 2.88 | |||||||
Basic net income per share | $ | 1.31 | $ | 0.95 | $ | 4.89 | $ | 3.51 | |||||||
Diluted net income from continuing operations per share | $ | 1.28 | $ | 0.99 | $ | 4.72 | $ | 2.87 | |||||||
Diluted net income per share | $ | 1.28 | $ | 0.95 | $ | 4.80 | $ | 3.50 | |||||||
Weighted average shares for earnings per share: | |||||||||||||||
Basic | 120,905,038 | 150,675,465 | 122,582,099 | 161,147,122 | |||||||||||
Diluted | 123,953,879 | 151,295,950 | 124,927,380 | 161,636,011 | |||||||||||
Amounts attributable to DaVita Inc.: | |||||||||||||||
Net income from continuing operations | $ | 158,674 | $ | 150,113 | $ | 589,889 | $ | 464,590 | |||||||
Net (loss) income from discontinued operations | — | (6,843 | ) | 9,980 | 101,520 | ||||||||||
Net income attributable to DaVita Inc. | $ | 158,674 | $ | 143,270 | $ | 599,869 | $ | 566,110 | |||||||
Three months ended September 30, | Nine months ended September 30, | ||||||||||||||
2020 | 2019 | 2020 | 2019 | ||||||||||||
Net income | $ | 217,540 | $ | 201,688 | $ | 760,307 | $ | 718,332 | |||||||
Other comprehensive income (loss), net of tax: | |||||||||||||||
Unrealized losses on interest rate cap agreements: | |||||||||||||||
Unrealized losses | (1,628 | ) | (1,060 | ) | (16,470 | ) | (1,672 | ) | |||||||
Reclassifications of net realized losses into net income | 1,034 | 1,569 | 4,280 | 4,782 | |||||||||||
Unrealized gains (losses) on foreign currency translation: | |||||||||||||||
Foreign currency translation adjustments | 13,171 | (44,502 | ) | (62,842 | ) | (45,790 | ) | ||||||||
Other comprehensive income (loss) | 12,577 | (43,993 | ) | (75,032 | ) | (42,680 | ) | ||||||||
Total comprehensive income | 230,117 | 157,695 | 685,275 | 675,652 | |||||||||||
Less: Comprehensive income attributable to noncontrolling interests | (58,866 | ) | (58,418 | ) | (160,438 | ) | (152,222 | ) | |||||||
Comprehensive income attributable to DaVita Inc. | $ | 171,251 | $ | 99,277 | $ | 524,837 | $ | 523,430 | |||||||
Nine months ended September 30, | |||||||
2020 | 2019 | ||||||
Cash flows from operating activities: | |||||||
Net income | $ | 760,307 | $ | 718,332 | |||
Adjustments to reconcile net income to net cash provided by operating activities: | |||||||
Depreciation and amortization | 468,949 | 456,685 | |||||
Debt prepayment, refinancing and redemption charges | 86,957 | 33,402 | |||||
Impairment charges | — | 124,892 | |||||
Stock-based compensation expense | 67,217 | 47,811 | |||||
Deferred income taxes | 191,783 | 72,590 | |||||
Equity investment income, net | 3,026 | 5,131 | |||||
Loss on sales of business interests, net | 16,252 | 23,022 | |||||
Other non-cash charges, net | (7,980 | ) | 24,291 | ||||
Changes in operating assets and liabilities, net of effect of acquisitions and divestitures: | |||||||
Accounts receivable | (12,405 | ) | (182,684 | ) | |||
Inventories | (8,445 | ) | 9,519 | ||||
Other receivables and other current assets | (62,025 | ) | 51,319 | ||||
Other long-term assets | (1,853 | ) | 2,324 | ||||
Accounts payable | 445 | (106,662 | ) | ||||
Accrued compensation and benefits | (12,124 | ) | (57,930 | ) | |||
Other current liabilities | 123,833 | 140,046 | |||||
Income taxes | (100,160 | ) | 57,279 | ||||
Other long-term liabilities | (19,547 | ) | (27,542 | ) | |||
Net cash provided by operating activities | 1,494,230 | 1,391,825 | |||||
Cash flows from investing activities: | |||||||
Additions of property and equipment | (449,896 | ) | (547,183 | ) | |||
Acquisitions | (112,597 | ) | (77,348 | ) | |||
Proceeds from asset and business sales | 83,339 | 3,863,619 | |||||
Purchase of debt investments held-to-maturity | (147,829 | ) | (98,322 | ) | |||
Purchase of other debt and equity investments | (3,388 | ) | (5,160 | ) | |||
Proceeds from debt investments held-to-maturity | 148,341 | — | |||||
Proceeds from sale of other debt and equity investments | 3,434 | 5,893 | |||||
Purchase of equity method investments | (9,613 | ) | (8,770 | ) | |||
Distributions from equity method investments | 902 | 1,296 | |||||
Net cash (used in) provided by investing activities | (487,307 | ) | 3,134,025 | ||||
Cash flows from financing activities: | |||||||
Borrowings | 3,826,484 | 38,519,991 | |||||
Payments on long-term debt | (3,927,411 | ) | (40,485,415 | ) | |||
Deferred financing and debt redemption costs | (105,705 | ) | (84,588 | ) | |||
Purchase of treasury stock | (1,025,878 | ) | (1,837,022 | ) | |||
Distributions to noncontrolling interests | (179,098 | ) | (157,170 | ) | |||
Stock award exercises and other share issuances, net | 3,838 | 7,333 | |||||
Contributions from noncontrolling interests | 32,854 | 44,095 | |||||
Purchases of noncontrolling interests | (6,782 | ) | (10,988 | ) | |||
Net cash used in financing activities | (1,381,698 | ) | (4,003,764 | ) | |||
Effect of exchange rate changes on cash, cash equivalents and restricted cash | (16,606 | ) | (4,178 | ) | |||
Net increase in cash, cash equivalents and restricted cash | (391,381 | ) | 517,908 | ||||
Less: Net decrease in cash, cash equivalents and restricted cash from discontinued operations | — | (423,813 | ) | ||||
Net (decrease) increase in cash, cash equivalents and restricted cash from continuing operations | (391,381 | ) | 941,721 | ||||
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year | 1,208,718 | 415,420 | |||||
Cash, cash equivalents and restricted cash of continuing operations at end of the period | $ | 817,337 | $ | 1,357,141 | |||
September 30, 2020 | December 31, 2019 | ||||||
ASSETS | |||||||
Cash and cash equivalents | $ | 710,514 | $ | 1,102,372 | |||
Restricted cash and equivalents | 106,823 | 106,346 | |||||
Short-term investments | 19,360 | 11,572 | |||||
Accounts receivable | 1,804,390 | 1,795,598 | |||||
Inventories | 106,254 | 97,949 | |||||
Other receivables | 548,381 | 489,695 | |||||
Prepaid and other current assets | 58,512 | 66,866 | |||||
Income tax receivable | 75,441 | 19,772 | |||||
Total current assets | 3,429,675 | 3,690,170 | |||||
Property and equipment, net of accumulated depreciation of $4,368,659 and $3,969,566, respectively | 3,417,919 | 3,473,384 | |||||
Operating lease right-of-use assets | 2,834,163 | 2,830,047 | |||||
Intangible assets, net of accumulated amortization of $75,727 and $81,922, respectively | 118,078 | 135,684 | |||||
Equity method and other investments | 252,483 | 241,983 | |||||
Long-term investments | 29,867 | 36,519 | |||||
Other long-term assets | 96,110 | 115,972 | |||||
Goodwill | 6,868,377 | 6,787,635 | |||||
$ | 17,046,672 | $ | 17,311,394 | ||||
LIABILITIES AND EQUITY | |||||||
Accounts payable | $ | 388,504 | $ | 403,840 | |||
Other liabilities | 879,792 | 756,174 | |||||
Accrued compensation and benefits | 701,968 | 695,052 | |||||
Current portion of operating lease liabilities | 365,190 | 343,912 | |||||
Current portion of long-term debt | 163,787 | 130,708 | |||||
Income tax payable | — | 42,412 | |||||
Total current liabilities | 2,499,241 | 2,372,098 | |||||
Long-term operating lease liabilities | 2,710,550 | 2,723,800 | |||||
Long-term debt | 7,866,545 | 7,977,526 | |||||
Other long-term liabilities | 147,371 | 160,809 | |||||
Deferred income taxes | 765,691 | 577,543 | |||||
Total liabilities | 13,989,398 | 13,811,776 | |||||
Commitments and contingencies | |||||||
Noncontrolling interests subject to put provisions | 1,303,934 | 1,180,376 | |||||
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; 126,065,294 and 113,781,317 shares issued and outstanding at September 30, 2020, respectively, and 125,842,853 shares issued and outstanding at December 31, 2019) | 126 | 126 | |||||
Additional paid-in capital | 694,132 | 749,043 | |||||
Retained earnings | 2,031,607 | 1,431,738 | |||||
Treasury stock (12,283,977 and zero shares, respectively) | (1,028,578 | ) | — | ||||
Accumulated other comprehensive loss | (122,530 | ) | (47,498 | ) | |||
Total DaVita Inc. shareholders' equity | 1,574,757 | 2,133,409 | |||||
Noncontrolling interests not subject to put provisions | 178,583 | 185,833 | |||||
Total equity | 1,753,340 | 2,319,242 | |||||
$ | 17,046,672 | $ | 17,311,394 | ||||
Three months ended | Nine months ended September 30, 2020 | ||||||||||||||
September 30, 2020 | June 30, 2020 | September 30, 2019 | |||||||||||||
1. Consolidated business metrics: | |||||||||||||||
Operating income margin | 15.0 | % | 14.2 | % | 13.0 | % | 15.2 | % | |||||||
Adjusted operating income margin excluding certain items(1)(3) | 15.0 | % | 16.0 | % | 15.9 | % | 15.8 | % | |||||||
General and administrative expenses as a percent of consolidated revenues(2) | 12.4 | % | 11.0 | % | 10.3 | % | 10.9 | % | |||||||
Effective income tax rate on income from continuing operations | 23.2 | % | 24.6 | % | 23.8 | % | 24.3 | % | |||||||
Effective income tax rate on income from continuing operations attributable to DaVita Inc.(1) | 29.2 | % | 29.2 | % | 30.3 | % | 28.9 | % | |||||||
Effective income tax rate on adjusted income from continuing operations attributable to DaVita Inc.(1) | 28.0 | % | 28.0 | % | 27.6 | % | 28.2 | % | |||||||
2. Summary of financial results: | |||||||||||||||
Revenues: | |||||||||||||||
U.S. dialysis patient services and other | $ | 2,694 | $ | 2,675 | $ | 2,691 | $ | 7,986 | |||||||
Other—Ancillary services | |||||||||||||||
U.S. other | 125 | 116 | 118 | 365 | |||||||||||
International dialysis patient service and other | 147 | 129 | 131 | 412 | |||||||||||
271 | 245 | 248 | 777 | ||||||||||||
Eliminations | (41 | ) | (40 | ) | (36 | ) | (117 | ) | |||||||
Total consolidated revenues | $ | 2,924 | $ | 2,880 | $ | 2,904 | $ | 8,645 | |||||||
Operating income (loss): | |||||||||||||||
U.S. dialysis | $ | 471 | $ | 523 | $ | 501 | $ | 1,485 | |||||||
Other—Ancillary services | |||||||||||||||
U.S. | (14 | ) | (41 | ) | (15 | ) | (74 | ) | |||||||
International(4) | 7 | 1 | (83 | ) | 25 | ||||||||||
(7 | ) | (40 | ) | (98 | ) | (49 | ) | ||||||||
Corporate administrative support expenses | (26 | ) | (73 | ) | (25 | ) | (123 | ) | |||||||
Total consolidated operating income | $ | 438 | $ | 410 | $ | 378 | $ | 1,313 | |||||||
Three months ended | Nine months ended September 30, 2020 | ||||||||||||||
September 30, 2020 | June 30, 2020 | September 30, 2019 | |||||||||||||
3. Summary of reportable segment financial results: | |||||||||||||||
U.S. dialysis | |||||||||||||||
Revenue: | |||||||||||||||
Dialysis patient service revenues | $ | 2,677 | $ | 2,667 | $ | 2,681 | $ | 7,955 | |||||||
Other revenues | 17 | 8 | 10 | 31 | |||||||||||
Total operating revenues | 2,694 | 2,675 | 2,691 | 7,986 | |||||||||||
Operating expenses: | |||||||||||||||
Patient care costs | 1,781 | 1,802 | 1,813 | 5,366 | |||||||||||
General and administrative | 303 | 210 | 235 | 718 | |||||||||||
Depreciation and amortization | 148 | 148 | 148 | 443 | |||||||||||
Equity investment income | (9 | ) | (8 | ) | (5 | ) | (25 | ) | |||||||
Total operating expenses | 2,224 | 2,152 | 2,191 | 6,501 | |||||||||||
Segment operating income | $ | 471 | $ | 523 | $ | 501 | $ | 1,485 | |||||||
4. U.S. dialysis business metrics: | |||||||||||||||
Volume: | |||||||||||||||
Treatments | 7,656,173 | 7,570,908 | 7,673,191 | 22,740,403 | |||||||||||
Number of treatment days | 79.0 | 78.0 | 79.0 | 234.6 | |||||||||||
Average treatments per day | 96,914 | 97,063 | 97,129 | 96,933 | |||||||||||
Per day year over year (decrease) increase | (0.2 | )% | 0.7 | % | 2.7 | % | 0.7 | % | |||||||
Normalized non-acquired treatment growth year over year(5) | 0.6 | % | 1.6 | % | 2.2 | % | |||||||||
Operating net revenues: | |||||||||||||||
Average patient service revenue per treatment | $ | 349.63 | $ | 352.26 | $ | 349.41 | $ | 349.82 | |||||||
Expenses: | |||||||||||||||
Patient care costs per treatment | $ | 232.57 | $ | 238.02 | $ | 236.32 | $ | 235.97 | |||||||
General and administrative expenses per treatment | $ | 39.62 | $ | 27.78 | $ | 30.63 | $ | 31.56 | |||||||
Accounts receivable: | |||||||||||||||
Receivables | $ | 1,670 | $ | 1,649 | $ | 1,719 | |||||||||
DSO | 58 | 57 | 60 | ||||||||||||
Three months ended | Nine months ended September 30, 2020 | ||||||||||||||
September 30, 2020 | June 30, 2020 | September 30, 2019 | |||||||||||||
5. Cash flow: | |||||||||||||||
Operating cash flow | $ | 483 | $ | 651 | $ | 641 | $ | 1,494 | |||||||
Operating cash flow from continuing operations | $ | 483 | $ | 651 | $ | 648 | $ | 1,494 | |||||||
Operating cash flow from continuing operations, last twelve months | $ | 2,172 | $ | 2,337 | $ | 1,602 | |||||||||
Free cash flow from continuing operations(1) | $ | 287 | $ | 507 | $ | 437 | $ | 977 | |||||||
Free cash flow from continuing operations, last twelve months(1) | $ | 1,393 | $ | 1,543 | $ | 722 | |||||||||
Capital expenditures from continuing operations: | |||||||||||||||
Routine maintenance/IT/other | $ | 84 | $ | 74 | $ | 84 | $ | 239 | |||||||
Development and relocations | $ | 75 | $ | 63 | $ | 90 | $ | 211 | |||||||
Acquisition expenditures | $ | 68 | $ | 10 | $ | 11 | $ | 113 | |||||||
Proceeds from sale of self-developed properties | $ | 11 | $ | 42 | $ | 12 | $ | 79 | |||||||
6. Debt and capital structure: | |||||||||||||||
Total debt(6) | $ | 8,111 | $ | 9,886 | $ | 8,212 | |||||||||
Net debt, net of cash and cash equivalents(6) | $ | 7,401 | $ | 6,957 | $ | 6,959 | |||||||||
Leverage ratio (see calculation on page 14) | 2.96x | 3.66x | 3.21x | ||||||||||||
Weighted average effective interest rate: | |||||||||||||||
During the quarter | 3.31 | % | 3.64 | % | 5.09 | % | |||||||||
At end of the quarter | 3.11 | % | 3.65 | % | 4.66 | % | |||||||||
On the senior secured credit facilities at end of the quarter | 2.11 | % | 2.10 | % | 4.30 | % | |||||||||
Debt with fixed and capped rates as a percentage of total debt: | |||||||||||||||
Debt with rates fixed by its terms | 45 | % | 54 | % | 44 | % | |||||||||
Debt with rates fixed by its terms or capped by cap agreements | 88 | % | 90 | % | 86 | % | |||||||||
Amount spent on share repurchases | $ | 725 | $ | — | $ | 1,748 | $ | 1,029 | |||||||
Number of shares repurchased | 8,231,679 | — | 30,591,750 | 12,283,977 | |||||||||||
(1) | These are non-GAAP financial measures. For a reconciliation of these non-GAAP financial measures to their most comparable measure calculated and presented in accordance with GAAP, and for a definition of adjusted amounts, see attached reconciliation schedules. |
(2) | General and administrative expenses includes certain corporate support, long-term incentive compensation, accruals for legal matters, advocacy costs and charitable contributions. |
(3) | Adjusted operating income margin is adjusted operating income divided by consolidated revenues. |
(4) | The reported operating income (loss) for the three months ended September 30, 2020, June 30, 2020 and September 30, 2019, include foreign currency (losses) gains of approximately $(2.9), $(3.7) and $2.9, respectively, and approximately $3.1 for the nine months ended September 30, 2020. |
(5) | Normalized non-acquired treatment growth reflects year over year growth in treatment volume, adjusted to exclude acquisitions and other similar transactions, and further adjusted to normalize for the number and mix of treatment days in a given quarter versus the prior year quarter. |
(6) | The debt amounts as of September 30, 2020, June 30, 2020 and September 30, 2019 presented exclude approximately $80.9, $85.1 and $76.0, respectively, of debt discount and other deferred financing costs related to our senior secured credit facilities and senior notes in effect or outstanding at that time. |
Rolling twelve months ended | |||||||||||
September 30, 2020 | June 30, 2020 | September 30, 2019 | |||||||||
Net income attributable to DaVita Inc. from continuing operations (1) | $ | 832,131 | $ | 823,570 | $ | 624,922 | |||||
Income taxes | 322,254 | 321,716 | 249,686 | ||||||||
Interest expense | 297,145 | 307,509 | 437,513 | ||||||||
Depreciation and amortization | 627,416 | 626,436 | 611,841 | ||||||||
Impairment charges | — | 83,855 | 124,892 | ||||||||
Noncontrolling interests and equity investment income, net | 226,307 | 221,002 | 210,641 | ||||||||
Stock-settled stock-based compensation | 86,417 | 80,228 | 56,784 | ||||||||
Debt prepayment, refinancing and redemption charges | 89,022 | 24,190 | 33,402 | ||||||||
Loss (gain) on changes in ownership interest, net | 16,252 | 16,252 | (28,152 | ) | |||||||
Other | 18,421 | 10,264 | 24,088 | ||||||||
“Consolidated EBITDA” | $ | 2,515,365 | $ | 2,515,022 | $ | 2,345,617 | |||||
September 30, 2020 | June 30, 2020 | September 30, 2019 | |||||||||
Total debt, excluding debt discount and other deferred financing costs(2) | $ | 8,111,276 | $ | 9,886,314 | $ | 8,211,895 | |||||
Letters of credit issued | 64,634 | 57,452 | 72,777 | ||||||||
8,175,910 | 9,943,766 | 8,284,672 | |||||||||
Less: Cash and cash equivalents including short-term investments(3) | (718,726 | ) | (750,000 | ) | (750,000 | ) | |||||
Consolidated net debt | $ | 7,457,184 | $ | 9,193,766 | $ | 7,534,672 | |||||
Last twelve months “Consolidated EBITDA” | $ | 2,515,365 | $ | 2,515,022 | $ | 2,345,617 | |||||
Leverage ratio | 2.96x | 3.66x | 3.21x | ||||||||
Maximum leverage ratio permitted under the Credit Agreement | 5.00x | 5.00x | 5.00x | ||||||||
(1) | The net income measure presented is our net income from continuing operations attributable to DaVita Inc., since the Credit Agreement requires divestitures to be reflected on a pro forma basis for our leverage ratio calculation, and this measure of net income already excludes our discontinued operations divested. |
(2) | The debt amounts as of September 30, 2020, June 30, 2020 and September 30, 2019 presented exclude approximately $80,945, $85,080 and $75,979, respectively, of debt discount and other deferred financing costs related to our senior secured credit facilities and senior notes in effect at that time. |
(3) | This excludes amounts not readily convertible to cash related to the Company's non-qualified deferred compensation plans for all periods presented. The Credit Agreement limits the amount deducted for cash and cash equivalents, including short-term investments, to the lesser of all unrestricted cash and cash equivalents of the Company or $750,000. |
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 | |||||||||||||||||||||||
September 30, 2020 | June 30, 2020 | September 30, 2019 | |||||||||||||||||||||
Dollars | Per share | Dollars | Per share | Dollars | Per share | ||||||||||||||||||
Net income from continuing operations attributable to DaVita Inc. | $ | 158,674 | $ | 1.28 | $ | 201,602 | $ | 1.62 | $ | 150,113 | $ | 0.99 | |||||||||||
Operating charges: | |||||||||||||||||||||||
Goodwill impairment charges | — | — | — | — | 83,855 | 0.55 | |||||||||||||||||
Loss on changes in ownership interests, net | — | — | 16,252 | 0.13 | — | — | |||||||||||||||||
General and administrative: | |||||||||||||||||||||||
Accruals for legal matters | — | — | 35,000 | 0.28 | — | — | |||||||||||||||||
Debt prepayment, refinancing and redemption charges | 86,074 | 0.69 | — | — | 21,242 | 0.14 | |||||||||||||||||
Related income tax | (21,476 | ) | (0.17 | ) | (10,988 | ) | (0.09 | ) | (23,236 | ) | (0.15 | ) | |||||||||||
Adjusted net income from continuing operations attributable to DaVita Inc. | $ | 223,272 | $ | 1.80 | $ | 241,866 | $ | 1.95 | $ | 231,974 | $ | 1.53 | |||||||||||
Nine months ended | |||||||||||||||
September 30, 2020 | September 30, 2019 | ||||||||||||||
Dollars | Per share | Dollars | Per share | ||||||||||||
Net income from continuing operations attributable to DaVita Inc. | $ | 589,889 | $ | 4.72 | $ | 464,590 | $ | 2.87 | |||||||
Operating charges: | |||||||||||||||
Goodwill impairment charges | — | — | 124,892 | 0.77 | |||||||||||
Loss on changes in ownership interests, net | 16,252 | 0.13 | — | — | |||||||||||
General and administrative: | |||||||||||||||
Accruals for legal matters | 35,000 | 0.28 | — | — | |||||||||||
Debt prepayment, refinancing and redemption charges | 89,022 | 0.71 | 33,402 | 0.21 | |||||||||||
Related income tax | (33,200 | ) | (0.27 | ) | (35,231 | ) | (0.22 | ) | |||||||
Adjusted net income from continuing operations attributable to DaVita Inc. | $ | 696,963 | $ | 5.58 | $ | 587,653 | $ | 3.64 | |||||||
Three months ended | Nine months ended | ||||||||||||||||||
September 30, 2020 | June 30, 2020 | September 30, 2019 | September 30, 2020 | September 30, 2019 | |||||||||||||||
Consolidated: | |||||||||||||||||||
Operating income | $ | 437,669 | $ | 409,920 | $ | 378,336 | $ | 1,312,965 | $ | 1,180,729 | |||||||||
Operating charges: | |||||||||||||||||||
Goodwill impairment charges | — | — | 83,855 | — | 124,892 | ||||||||||||||
Loss on changes in ownership interests, net | — | 16,252 | — | 16,252 | — | ||||||||||||||
General and administrative: | |||||||||||||||||||
Accruals for legal matters | — | 35,000 | — | 35,000 | — | ||||||||||||||
Adjusted operating income | $ | 437,669 | $ | 461,172 | $ | 462,191 | $ | 1,364,217 | $ | 1,305,621 | |||||||||
Three months ended | Nine months ended | ||||||||||||||||||
September 30, 2020 | June 30, 2020 | September 30, 2019 | September 30, 2020 | September 30, 2019 | |||||||||||||||
Consolidated: | |||||||||||||||||||
U.S. dialysis: | |||||||||||||||||||
Segment operating income | $ | 470,596 | $ | 522,630 | $ | 500,742 | $ | 1,484,833 | $ | 1,416,680 | |||||||||
Other - Ancillary services: | |||||||||||||||||||
U.S. | |||||||||||||||||||
Segment operating loss | (13,912 | ) | (40,991 | ) | (14,928 | ) | (74,273 | ) | (45,498 | ) | |||||||||
Loss on changes in ownership interests, net | — | 16,252 | — | 16,252 | — | ||||||||||||||
Adjusted operating loss | (13,912 | ) | (24,739 | ) | (14,928 | ) | (58,021 | ) | (45,498 | ) | |||||||||
International | |||||||||||||||||||
Segment operating income (loss) | 6,826 | 1,370 | (82,797 | ) | 24,919 | (124,906 | ) | ||||||||||||
Goodwill impairment charges | — | — | 83,855 | — | 124,892 | ||||||||||||||
Adjusted operating income (loss) | 6,826 | 1,370 | 1,058 | 24,919 | (14 | ) | |||||||||||||
Adjusted Other - Ancillary services operating loss | (7,086 | ) | (23,370 | ) | (13,870 | ) | (33,102 | ) | (45,513 | ) | |||||||||
Corporate administrative support expenses: | |||||||||||||||||||
Segment expenses | (25,841 | ) | (73,088 | ) | (24,681 | ) | (122,514 | ) | (65,546 | ) | |||||||||
Accruals for legal matters | — | 35,000 | — | 35,000 | — | ||||||||||||||
Adjusted Corporate administrative support expenses | (25,841 | ) | (38,088 | ) | (24,681 | ) | (87,513 | ) | (65,547 | ) | |||||||||
Adjusted operating income | $ | 437,669 | $ | 461,172 | $ | 462,191 | $ | 1,364,217 | $ | 1,305,621 | |||||||||
Three months ended | Nine months ended September 30, 2020 | ||||||||||||||
September 30, 2020 | June 30, 2020 | September 30, 2019 | |||||||||||||
Income from continuing operations before income taxes | $ | 283,332 | $ | 338,084 | $ | 273,785 | $ | 990,891 | |||||||
Less: Noncontrolling owners’ income primarily attributable to non-tax paying entities | (59,216 | ) | (53,335 | ) | (58,502 | ) | (160,923 | ) | |||||||
Income from continuing operations before income taxes attributable to DaVita Inc. | $ | 224,116 | $ | 284,749 | $ | 215,283 | $ | 829,968 | |||||||
Income tax expense for continuing operations | $ | 65,792 | $ | 83,212 | $ | 65,254 | $ | 240,564 | |||||||
Less: Income tax attributable to noncontrolling interests | (350 | ) | (65 | ) | (84 | ) | (485 | ) | |||||||
Income tax expense from continuing operations attributable to DaVita Inc. | $ | 65,442 | $ | 83,147 | $ | 65,170 | $ | 240,079 | |||||||
Effective income tax rate on income from continuing operations attributable to DaVita Inc. | 29.2 | % | 29.2 | % | 30.3 | % | 28.9 | % | |||||||
Three months ended | Nine months ended September 30, 2020 | ||||||||||||||
September 30, 2020 | June 30, 2020 | September 30, 2019 | |||||||||||||
Income from continuing operations before income taxes | $ | 283,332 | $ | 338,084 | $ | 273,785 | $ | 990,891 | |||||||
Operating charges: | |||||||||||||||
Goodwill impairment charges | — | — | 83,855 | — | |||||||||||
Loss on changes in ownership interests, net | — | 16,252 | — | 16,252 | |||||||||||
General and administrative: | |||||||||||||||
Accruals for legal matters | — | 35,000 | — | 35,000 | |||||||||||
Debt prepayment, refinancing and redemption charges | 86,074 | — | 21,242 | 89,022 | |||||||||||
Noncontrolling owners’ income primarily attributable to non-tax paying entities | (59,216 | ) | (53,335 | ) | (58,502 | ) | (160,923 | ) | |||||||
Adjusted income from continuing operations before income taxes attributable to DaVita Inc. | $ | 310,190 | $ | 336,001 | $ | 320,380 | $ | 970,242 | |||||||
Income tax expense | $ | 65,792 | $ | 83,212 | $ | 65,254 | $ | 240,564 | |||||||
Add income tax related to: | |||||||||||||||
Operating charges: | |||||||||||||||
Goodwill impairment charges | — | — | 17,768 | — | |||||||||||
Loss on changes in ownership interests, net | — | 2,255 | — | 2,255 | |||||||||||
General and administrative: | |||||||||||||||
Accruals for legal matters | — | 8,733 | — | 8,733 | |||||||||||
Debt prepayment, refinancing and redemption charges | 21,476 | — | 5,468 | 22,212 | |||||||||||
Less income tax related to: | |||||||||||||||
Noncontrolling interests | (350 | ) | (65 | ) | (84 | ) | (485 | ) | |||||||
Income tax on adjusted income from continuing operations attributable to DaVita Inc. | $ | 86,918 | $ | 94,135 | $ | 88,406 | $ | 273,279 | |||||||
Effective income tax rate on adjusted income from continuing operations attributable to DaVita Inc. | 28.0 | % | 28.0 | % | 27.6 | % | 28.2 | % | |||||||
Three months ended | Nine months ended September 30, 2020 | ||||||||||||||
September 30, 2020 | June 30, 2020 | September 30, 2019 | |||||||||||||
Net cash provided by continuing operating activities | $ | 482,727 | $ | 651,122 | $ | 647,553 | $ | 1,494,230 | |||||||
Less: Distributions to noncontrolling interests | (60,545 | ) | (60,422 | ) | (61,456 | ) | (179,098 | ) | |||||||
Plus: Contributions from noncontrolling interests | 12,272 | 11,195 | 12,814 | 32,854 | |||||||||||
Cash provided by continuing operating activities attributable to DaVita Inc. | 434,454 | 601,895 | 598,911 | 1,347,986 | |||||||||||
Less: Expenditures for routine maintenance and information technology | (83,507 | ) | (74,196 | ) | (83,513 | ) | (239,317 | ) | |||||||
Less: Expenditures for development | (74,722 | ) | (62,529 | ) | (89,752 | ) | (210,579 | ) | |||||||
Plus: Proceeds from sale of self-developed properties | 10,530 | 41,574 | 11,616 | 79,307 | |||||||||||
Free cash flow from continuing operations | $ | 286,755 | $ | 506,744 | $ | 437,262 | $ | 977,397 | |||||||
Rolling twelve months ended | |||||||||||
September 30, 2020 | June 30, 2020 | September 30, 2019 | |||||||||
Net cash provided by continuing operating activities | $ | 2,172,131 | $ | 2,336,957 | $ | 1,602,098 | |||||
Less: Distributions to noncontrolling interests | (255,051 | ) | (255,962 | ) | (213,938 | ) | |||||
Plus: Contributions from noncontrolling interests | 46,076 | 46,618 | 53,227 | ||||||||
Cash provided by continuing operating activities attributable to DaVita Inc. | 1,963,156 | 2,127,613 | 1,441,387 | ||||||||
Less: Expenditures for routine maintenance and information technology | (369,560 | ) | (369,566 | ) | (363,946 | ) | |||||
Less: Expenditures for development | (299,699 | ) | (314,729 | ) | (406,309 | ) | |||||
Plus: Proceeds from sale of self-developed properties | 98,672 | 99,758 | 51,058 | ||||||||
Free cash flow from continuing operations | $ | 1,392,569 | $ | 1,543,076 | $ | 722,190 | |||||