DaVita Inc. 3rd Quarter 2024 Results
DaVita Inc. (DVA) reported strong financial results for Q3 2024. The company achieved consolidated revenues of $3.264 billion and operating income of $535 million. Diluted earnings per share reached $2.50, while adjusted diluted EPS was $2.59. Operating cash flow was $810 million with free cash flow of $555 million.
The company repurchased 2.7 million shares at an average price of $147.20 per share. DaVita secured new financing through a $1.1 billion Term Loan A-1 and issued $1.0 billion in senior notes. U.S. dialysis metrics showed 7,350,784 total treatments, with revenue per treatment increasing to $394.49.
DaVita Inc. (DVA) ha riportato risultati finanziari solidi per il terzo trimestre del 2024. L'azienda ha raggiunto ricavi consolidati di 3,264 miliardi di dollari e un reddito operativo di 535 milioni di dollari. L'utile per azione diluito ha raggiunto $2,50, mentre l'EPS diluito rettificato è stato di $2,59. Il flusso di cassa operativo è stato di $810 milioni con un flusso di cassa libero di $555 milioni.
L'azienda ha riacquistato 2,7 milioni di azioni a un prezzo medio di $147,20 per azione. DaVita ha ottenuto un nuovo finanziamento tramite un prestito a lungo termine da $1,1 miliardi e ha emesso $1,0 miliardi in note senior. Le metriche della dialisi negli Stati Uniti hanno mostrato un totale di 7.350.784 trattamenti, con ricavi per trattamento in aumento a $394,49.
DaVita Inc. (DVA) reportó resultados financieros sólidos para el tercer trimestre de 2024. La compañía alcanzó ingresos consolidados de $3.264 mil millones y un ingreso operativo de $535 millones. Las ganancias por acción diluidas alcanzaron $2,50, mientras que el EPS diluido ajustado fue de $2,59. El flujo de caja operativo fue de $810 millones con un flujo de caja libre de $555 millones.
La compañía recompró 2,7 millones de acciones a un precio promedio de $147,20 por acción. DaVita aseguró un nuevo financiamiento a través de un Préstamo a Plazo A-1 de $1,1 mil millones y emitió notas senior por $1,0 mil millones. Las métricas de diálisis en EE. UU. mostraron un total de 7.350.784 tratamientos, con ingresos por tratamiento aumentando a $394,49.
DaVita Inc. (DVA)는 2024년 3분기 강력한 재무 결과를 발표했습니다. 이 회사는 32억 6,400만 달러의 매출과 5억 3,500만 달러의 운영 수익을 달성했습니다. 희석주당순이익은 $2.50에 도달했으며, 조정된 희석 EPS는 $2.59였습니다. 운영 현금 흐름은 $8억 1,000만 달러였고, 자유 현금 흐름은 $5억 5,500만 달러였습니다.
회사는 주당 평균 $147.20에 270만 주를 재매입했습니다. DaVita는 $11억 달러의 A-1 기한 대출을 통해 새로운 자금을 확보하고 $10억 달러의 선순위 노트를 발행했습니다. 미국의 투석 지표는 총 7,350,784회의 치료를 보여주었으며, 치료당 수익은 $394.49로 증가했습니다.
DaVita Inc. (DVA) a annoncé de solides résultats financiers pour le troisième trimestre 2024. La société a réalisé des revenus consolidés de 3,264 milliards de dollars et un revenu opérationnel de 535 millions de dollars. Le bénéfice par action dilué a atteint $2,50, tandis que le BPA dilué ajusté était de $2,59. Le flux de trésorerie opérationnel était de $810 millions avec un flux de trésorerie libre de $555 millions.
La société a racheté 2,7 millions d'actions à un prix moyen de $147,20 par action. DaVita a sécurisé un nouveau financement par le biais d'un Prêt à Terme A-1 de $1,1 milliard et a émis pour $1,0 milliard de billets senior. Les indicateurs de dialyse aux États-Unis ont montré un total de 7.350.784 traitements, avec des revenus par traitement augmentant à $394,49.
DaVita Inc. (DVA) berichtete starke finanzielle Ergebnisse für das 3. Quartal 2024. Das Unternehmen erzielte konsolidierte Einnahmen von 3,264 Milliarden Dollar und einen Betriebsgewinn von 535 Millionen Dollar. Der verwässerte Gewinn pro Aktie erreichte $2,50, während der bereinigte verwässerte EPS bei $2,59 lag. Der operative Cashflow betrug $810 Millionen, während der freie Cashflow $555 Millionen ausmachte.
Das Unternehmen hat 2,7 Millionen Aktien zu einem Durchschnittspreis von $147,20 pro Aktie zurückgekauft. DaVita sicherte sich eine neue Finanzierung durch ein $1,1 Milliarden Term Loan A-1 und emittierte $1,0 Milliarden an vorrangigen Anleihen. Die US-Dialysekennzahlen zeigten insgesamt 7.350.784 Behandlungen, wobei die Einnahmen pro Behandlung auf $394,49 anstiegen.
- Operating income increased to $535 million with 16.4% margin vs 15.9% in previous quarter
- Operating cash flow grew to $810 million from $661 million year-over-year
- Revenue per treatment improved to $394.49, up $4.27 from previous quarter
- Completed $406 million in share repurchases during Q3
- Normalized non-acquired treatment growth declined 0.2% compared to Q3 2023
- Patient care costs per treatment increased to $257.46, up $2.21 from previous quarter
- Incurred $18.3 million in charges for U.S. dialysis center closures
- Net income decreased to $215 million from $223 million in previous quarter
Insights
DaVita delivered a strong Q3 2024 performance with notable financial metrics:
Key positives include robust operating cash flow of
However, treatment volumes show slight decline with
The operational metrics reveal both strengths and challenges. While revenue per treatment increased to
The integrated kidney care segment shows promise with 69,500 patients in risk-based arrangements, representing
"We continue to provide quality care for our patients across the continuum of care, while delivering solid third quarter financial performance," said Javier Rodriguez, CEO of DaVita Inc. "And, in light of recent severe storms, I am grateful for the remarkable resilience of our patients and our frontline caregivers."
Financial and operating highlights for the quarter ended September 30, 2024:
- Consolidated revenues were
.$3.26 4 billion - Operating income was
.$535 million - Diluted earnings per share was
and adjusted diluted earnings per share was$2.50 .$2.59 - Operating cash flow was
and free cash flow was$810 million .$555 million - Incurred an incremental Term Loan A-1 tranche in the aggregate principal amount of
and issued an aggregate principal amount of$1.1 billion of$1.0 billion 6.875% senior notes. A portion of the proceeds of these transactions was used to repay the Term Loan B-1 maturing in 2026 of approximately and the balance then outstanding on our revolving line of credit.$950 million - Repurchased 2.7 million shares of our common stock at an average price paid of
per share.$147.20
Three months ended | Nine months ended September 30, | ||||||
September 30, 2024 | June 30, 2024 | 2024 | 2023 | ||||
Net income attributable to DaVita Inc.: | (dollars in millions, except per share data) | ||||||
Net income | $ 215 | $ 223 | $ 677 | $ 541 | |||
Diluted per share | $ 2.50 | $ 2.50 | $ 7.66 | $ 5.80 | |||
Adjusted net income(1) | $ 222 | $ 230 | $ 657 | $ 566 | |||
Adjusted diluted per share(1) | $ 2.59 | $ 2.59 | $ 7.43 | $ 6.06 |
(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 | Nine months ended September 30, | ||||||||||||||
September 30, 2024 | June 30, 2024 | 2024 | 2023 | ||||||||||||
Amount | Margin | Amount | Margin | Amount | Margin | Amount | Margin | ||||||||
Operating income | (dollars in millions) | ||||||||||||||
Operating income | $ 535 | 16.4 % | $ 506 | 15.9 % | 16.0 % | 13.5 % | |||||||||
Adjusted operating income(1) | $ 535 | 16.4 % | $ 506 | 15.9 % | 15.6 % | 13.9 % |
(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. |
Volume: Total
Three months ended | Quarter change | Nine months ended | Year to date change | ||||||||
September 30, | June 30, | September 30, | September 30, | ||||||||
(dollars in millions, except per treatment data) | |||||||||||
Revenue per treatment | $ 394.49 | $ 390.22 | $ 4.27 | $ 389.79 | $ 374.46 | $ 15.33 | |||||
Patient care costs per treatment | $ 257.46 | $ 255.25 | $ 2.21 | $ 255.96 | $ 253.30 | $ 2.66 | |||||
General and administrative | $ 301 | $ 282 | $ 19 | $ 858 | $ 819 | $ 39 |
Primary drivers of the changes in the table above were as follows:
Revenue: The quarter change was primarily due to increases in average reimbursement rates and other normal fluctuations. The year to date change was primarily driven by the increase in average reimbursement rates from normal annual rate increases including from Medicare, as well as revenue cycle improvements, favorable changes in mix and an increase in hospital inpatient dialysis rates.
Patient care costs: The quarter change was primarily due to increased compensation expenses, health benefit expense, and other direct operating expenses associated with our dialysis centers. These increases were partially offset by decreases in insurance costs, travel costs, professional fees and center closure costs. The year to date change was primarily due to increases in compensation expenses, health benefit expense, and medical supplies expense. These increases were partially offset by decreased contributions to charitable organizations, contract wages, and center closure costs.
General and administrative: The quarter change was primarily due to increased advocacy costs, compensation expenses, IT-related costs, travel costs and professional fees. These increases were partially offset by a decrease in center closure costs. The year to date change was primarily due to increases in compensation expenses, advocacy costs, including a refund received in 2023 related to 2022 advocacy costs. Other drivers of this change include increases in IT-related costs, contract wages, center closure costs and professional fees. These increases were partially offset by decreased severance costs and contributions to charitable organizations.
Certain items impacting the quarter:
Closure costs. In the third quarter of 2022, we began a strategic review of our outpatient clinic capacity requirements and utilization, which had been significantly impacted by declines in our patient census due to the COVID-19 pandemic. This review continued through 2023, and has resulted in higher than normal charges for center capacity closures over the last several quarters. These capacity closure costs include net losses on assets retired, lease termination costs, asset impairments and accelerated depreciation and amortization.
During the three months ended and nine months ended September 30, 2024, we incurred charges for
As previously disclosed, we have updated the presentation of our non-GAAP measures to no longer exclude center closure costs for all periods presented as well as for our current full-year 2024 guidance. To facilitate comparisons, prior periods shown herein now conform to this revised presentation.
Debt transactions. In August 2024, we entered into the Sixth Amendment to our senior secured credit agreement. The Sixth Amendment extends an incremental Term Loan A-1 tranche in the aggregate principal amount of
Change Healthcare. During the nine months ended September 30, 2024, we experienced delays in claims processing as a result of the Change Healthcare outage. As a result, we applied for and received interest-free funding from UnitedHealth Group under the Temporary Funding Assistance Program. As of September 30, 2024 we have
Share repurchases. During the three months ended September 30, 2024, we repurchased 2.7 million shares for
Subsequent to September 30, 2024 through October 25, 2024, the Company has repurchased 0.6 million shares of our common stock for
Financial and operating metrics:
Three months ended September 30, | Twelve months ended September 30, | ||||||
2024 | 2023 | 2024 | 2023 | ||||
Cash flow: | (dollars in millions) | ||||||
Operating cash flow | $ 810 | $ 661 | $ 1,960 | $ 1,918 | |||
Free cash flow(1) | $ 555 | $ 453 | $ 1,139 | $ 1,054 |
(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 | Nine months ended September 30, 2024 | ||
Effective income tax rate on: | |||
Income | 20.8 % | 19.3 % | |
Income attributable to DaVita Inc.(1) | 26.5 % | 24.1 % | |
Adjusted income attributable to DaVita Inc.(1) | 26.5 % | 25.0 % |
(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. |
Center activity: As of September 30, 2024, we provided dialysis services to a total of approximately 265,400 patients at 3,113 outpatient dialysis centers, of which 2,660 centers were located in
Integrated kidney care (IKC): As of September 30, 2024, we had approximately 69,500 patients in risk-based integrated care arrangements representing approximately
Outlook:
The following forward-looking measures and the underlying assumptions involve significant known and unknown risks and uncertainties, including those described below, and actual results may vary materially from these forward-looking measures. We do not provide guidance for operating income or diluted net income per share attributable to DaVita Inc. on a basis consistent with
As previously disclosed, our 2024 guidance provided below no longer excludes center closure costs.
2024 guidance | |||
Low | High | ||
(dollars in millions, except per share data) | |||
Adjusted operating income | |||
Adjusted diluted net income per share attributable to DaVita Inc. | |||
Free cash flow |
We will be holding a conference call to discuss our results for the third quarter ended September 30, 2024, on October 29, 2024, at 5:00 p.m. Eastern Time. To join the conference call, please dial (877) 918-6630 from the
Forward looking statements
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 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. These forward-looking statements could include, among other things, statements about our balance sheet and liquidity, our expenses, revenues, billings and collections, patient census, availability or cost of supplies, including without limitation the impact of the reduction in clinical and other supplies delivered to DaVita by Baxter International Inc. or its subsidiaries (collectively, Baxter) due to closures of Baxter facilities following Hurricane Helene, treatment volumes, mix expectation, such as the percentage or number of patients under commercial insurance, the effects of the recent Change Healthcare (CHC) cybersecurity outage on us and our operations, current macroeconomic, marketplace and, labor market conditions, and overall impact on our patients and teammates, as well as other statements regarding our future operations, financial condition and prospects, capital allocation plans, expenses, cost saving initiatives, other strategic initiatives, use of contract labor, government and commercial payment rates, expectations related to value-based care (VBC), integrated kidney care (IKC), Medicare Advantage (MA) plan enrollment and our international operations, expectations regarding increased competition and marketplace changes, including those related to new or potential entrants in the dialysis and pre-dialysis marketplace and the potential impact of innovative technologies, drugs or other treatments on the dialysis industry, expectations regarding the impact of our continuing cost savings initiatives and our stock repurchase program, and statements related to our guidance and expectations for future periods and the assumptions underlying any such projections. All statements in this release, other than statements of historical fact, are forward-looking statements. Without limiting the foregoing, statements including the words "expect," "intend," "will," "could," "plan," "anticipate," "believe," "forecast," "guidance," "outlook," "goals," and similar expressions are intended to identify forward-looking statements. These forward-looking statements are based on DaVita's current expectations and are based solely on information available as of the date of this release. DaVita undertakes no obligation to publicly update or revise any forward-looking statements, whether as a result of changed circumstances, new information, future events or otherwise, except as may be required by law. Actual future events and 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:
- current macroeconomic and marketplace conditions, including, without limitation, the impact of global events and political or governmental volatility; the impact of the domestic political environment and related developments on the current healthcare marketplace, our patients and on our business; the continuing impact of the COVID-19 pandemic on our operations, reputation, financial condition and the chronic kidney disease (CKD) population and our patient population; supply chain challenges and disruptions, including without limitation with respect to certain key services provided to us and certain critical clinical supplies and equipment, and including any impacts on our supply chain as a result of natural disasters; the potential impact of new or potential entrants in the dialysis and pre-dialysis marketplace and potential impact of innovative technologies, drugs, or other treatments on our patients and industry; elevated teammate turnover or labor costs; the impact of continued increased competition from dialysis providers and others; and our ability to respond to challenging
U.S. and global economic and marketplace conditions, including, among other things, our ability to successfully identify cost saving opportunities and to invest in and implement cost saving initiatives; - the concentration of profits generated by higher-paying commercial payor plans for which there is continued downward pressure on average realized payment rates; a reduction in the number or percentage of our patients under commercial plans, including, without limitation, as a result of continuing legislative efforts to restrict or prohibit the use and/or availability of charitable premium assistance, or as a result of payors implementing restrictive plan designs;
- risks arising from potential changes in or new laws, regulations or requirements applicable to us, including, without limitation, those related to healthcare, antitrust matters, including, among others, non-competes and other restrictive covenants, and acquisition, merger, joint venture or similar transactions and/or labor matters, and potential impacts of changes in enforcement thereof or related litigation impacting, among other things, coverage or reimbursement rates for our services or the number of patients enrolled in or that select higher-paying commercial plans, and the risk that we make incorrect assumptions about how our patients will respond to any such developments;
- our ability to successfully implement our strategies with respect to IKC and VBC initiatives and home based dialysis in the desired time frame and in a complex, dynamic and highly regulated environment;
- a reduction in government payment rates under the Medicare End Stage Renal Disease program, state Medicaid or other government-based programs and the impact of the MA benchmark structure;
- our reliance on significant suppliers, service providers and other third party vendors to provide key support to our business operations and enable our provision of services to patients, such as, among others, CHC, Baxter and other suppliers of certain pharmaceuticals, services or critical clinical products; and risks resulting from a closure, reduction or other disruption in the services or products provided to us by such suppliers, service providers and third party vendors, such as the closure of certain Baxter manufacturing facilities following Hurricane Helene;
- noncompliance by us or our business associates with any privacy or security laws or any security breach by us or a third party, such as the recent cyberattack on CHC, including, among other things, any such non-compliance or breach involving the misappropriation, loss or other unauthorized use or disclosure of confidential information;
- legal and compliance risks, such as compliance with complex, and at times, evolving government regulations and requirements, and with additional laws that may apply to our operations as we expand geographically or enter into new lines of business;
- our ability to attract, retain and motivate teammates and our ability to manage potential disruptions to our business and operations, including potential work stoppages, operating cost increases or productivity decreases whether due to union organizing activities, legislative or other changes, demand for labor, volatility and uncertainty in the labor market, the current challenging and highly competitive labor market conditions, including due to the ongoing nationwide shortage of skilled clinical personnel or other reasons;
- changes in pharmaceutical practice patterns, reimbursement and payment policies and processes, or pharmaceutical pricing, including with respect to oral phosphate binders, among other things;
- our ability to develop and maintain relationships with physicians and hospitals, changing affiliation models for physicians, and the emergence of new models of care or other initiatives that, among other things, may erode our patient base and impact reimbursement rates;
- our ability to complete and successfully integrate and operate acquisitions, mergers, dispositions, joint ventures or other strategic transactions on terms favorable to us or at all; and our ability to successfully expand our operations and services in markets outside
the United States , or to businesses or products outside of dialysis services; - the variability of our cash flows, including, without limitation, any extended billing or collections cycles including, without limitation, due to defects or operational issues in our billing systems or in the billing systems or services of third parties on which we rely, such as the operational issues at CHC resulting from a recent cyberattack; 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;
- the effects on us or others of natural or other disasters, public health crises or adverse weather events such as hurricanes, earthquakes, fires or flooding;
- 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 any use by us of a considerable amount of available funds to repurchase stock;
- our aspirations, goals and disclosures related to environmental, social and governance (ESG) matters, including, among other things, evolving regulatory requirements affecting ESG standards, measurements and reporting requirements; and
- the other risk factors, trends and uncertainties set forth in our Annual Report on Form 10-K for the year ended December 31, 2023 and Quarterly Reports on Form 10-Q for the quarters ended March 31, 2024 and June 30, 2024, and the risks and uncertainties discussed in any subsequent reports that we file or furnish with the SEC from time to time.
The financial information presented in this release is unaudited and is subject to change as a result of subsequent events or adjustments, if any, arising prior to the filing of the Company's Quarterly Report on Form 10-Q for the quarter ended September 30, 2024.
DAVITA INC. CONSOLIDATED STATEMENTS OF INCOME (unaudited) (dollars and shares in thousands, except per share data) | |||||||
Three months ended September 30, | Nine months ended September 30, | ||||||
2024 | 2023 | 2024 | 2023 | ||||
Dialysis patient service revenues | $ 3,138,561 | $ 2,951,950 | $ 9,141,195 | $ 8,602,669 | |||
Other revenues | 125,029 | 169,382 | 379,672 | 391,731 | |||
Total revenues | 3,263,590 | 3,121,332 | 9,520,867 | 8,994,400 | |||
Operating expenses: | |||||||
Patient care costs | 2,151,875 | 2,067,315 | 6,373,150 | 6,181,348 | |||
General and administrative | 393,534 | 376,883 | 1,123,859 | 1,072,513 | |||
Depreciation and amortization | 187,014 | 188,423 | 549,758 | 550,166 | |||
Equity investment income, net | (3,711) | (7,228) | (15,874) | (22,502) | |||
Gain on changes in ownership interest | — | — | (35,147) | — | |||
Total operating expenses | 2,728,712 | 2,625,393 | 7,995,746 | 7,781,525 | |||
Operating income | 534,878 | 495,939 | 1,525,121 | 1,212,875 | |||
Debt expense | (134,583) | (98,080) | (331,748) | (302,361) | |||
Debt prepayment, extinguishment and modification costs | (10,081) | — | (19,813) | (7,962) | |||
Other loss, net | (16,780) | (19,650) | (56,900) | (14,525) | |||
Income before income taxes | 373,434 | 378,209 | 1,116,660 | 888,027 | |||
Income tax expense | 77,674 | 68,848 | 215,168 | 161,621 | |||
Net income | 295,760 | 309,361 | 901,492 | 726,406 | |||
Less: Net income attributable to noncontrolling interests | (81,072) | (62,729) | (224,479) | (185,536) | |||
Net income attributable to DaVita Inc. | $ 214,688 | $ 246,632 | $ 677,013 | $ 540,870 | |||
Earnings per share attributable to DaVita Inc.: | |||||||
Basic net income | $ 2.56 | $ 2.70 | $ 7.86 | $ 5.95 | |||
Diluted net income | $ 2.50 | $ 2.62 | $ 7.66 | $ 5.80 | |||
Weighted average shares for earnings per share: | |||||||
Basic shares | 83,721 | 91,322 | 86,123 | 90,937 | |||
Diluted shares | 85,795 | 94,041 | 88,422 | 93,317 |
DAVITA INC. CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (unaudited) (dollars in thousands) | |||||||
Three months ended September 30, | Nine months ended September 30, | ||||||
2024 | 2023 | 2024 | 2023 | ||||
Net income | $ 295,760 | $ 309,361 | $ 901,492 | $ 726,406 | |||
Other comprehensive income (loss), net of tax: | |||||||
Unrealized (losses) gains on interest rate cap agreements: | |||||||
Unrealized (losses) gains | (21,576) | 6,996 | (2,340) | 28,305 | |||
Reclassifications of net realized gains into net income | (1,870) | (21,198) | (45,539) | (55,895) | |||
Unrealized gains (losses) on foreign currency translation: | 56,202 | (47,644) | (62,371) | 27,878 | |||
Other comprehensive income (loss) | 32,756 | (61,846) | (110,250) | 288 | |||
Total comprehensive income | 328,516 | 247,515 | 791,242 | 726,694 | |||
Less: Comprehensive income attributable to noncontrolling interests | (81,072) | (62,729) | (224,479) | (185,536) | |||
Comprehensive income attributable to DaVita Inc. | $ 247,444 | $ 184,786 | $ 566,763 | $ 541,158 |
DAVITA INC. CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) (dollars in thousands) | |||
Nine months ended September 30, | |||
2024 | 2023 | ||
Cash flows from operating activities: | |||
Net income | $ 901,492 | $ 726,406 | |
Adjustments to reconcile net income to net cash provided by operating activities: | |||
Depreciation and amortization | 549,758 | 550,166 | |
Loss on extinguishment of debt | 12,527 | 7,132 | |
Stock-based compensation expense | 75,392 | 82,313 | |
Deferred income taxes | (53,713) | (17,767) | |
Equity investment loss, net | 91,100 | 40,121 | |
Gain on changes in ownership interest | (35,147) | — | |
Other non-cash losses, net | 24,159 | 1,633 | |
Changes in operating assets and liabilities, net of effect of acquisitions and divestitures: | |||
Accounts receivable | (175,643) | 118,148 | |
Inventories | 20,495 | 290 | |
Other current assets | 72,477 | 31,842 | |
Other long-term assets | (12,858) | 1,101 | |
Accounts payable | (43,414) | (33,837) | |
Accrued compensation and benefits | 27,314 | 65,279 | |
Other current liabilities | 35,646 | 10,822 | |
Income taxes | (7,528) | (1,878) | |
Other long-term liabilities | (7,646) | (7,945) | |
Net cash provided by operating activities | 1,474,411 | 1,573,826 | |
Cash flows from investing activities: | |||
Additions of property and equipment | (384,786) | (409,011) | |
Acquisitions | (161,210) | (7,990) | |
Proceeds from asset and business sales | 17,937 | 24,907 | |
Purchase of debt investments held-to-maturity | (15,319) | (30,419) | |
Purchase of other debt and equity investments | (8,784) | (6,693) | |
Proceeds from debt investments held-to-maturity | 22,092 | 94,414 | |
Proceeds from sale of other debt and equity investments | 4,558 | 3,930 | |
Purchase of equity method investments | (4,497) | (276,006) | |
Distributions from equity method investments | 6,554 | 3,364 | |
Net cash used in investing activities | (523,455) | (603,504) | |
Cash flows from financing activities: | |||
Borrowings | 6,623,634 | 2,468,335 | |
Payments on long-term debt | (5,437,907) | (2,992,248) | |
Deferred and debt related financing costs | (46,011) | (53,466) | |
Purchase of treasury stock | (1,020,550) | — | |
Distributions to noncontrolling interests | (229,236) | (203,381) | |
Net payments related to stock purchases and awards | (112,496) | (41,155) | |
Contributions from noncontrolling interests | 10,623 | 11,579 | |
Proceeds from sales of additional noncontrolling interests | 860 | 50,962 | |
Purchases of noncontrolling interests | (40,751) | (7,875) | |
Net cash used in financing activities | (251,834) | (767,249) | |
Effect of exchange rate changes on cash, cash equivalents and restricted cash | (5,112) | 3,063 | |
Net increase in cash, cash equivalents and restricted cash | 694,010 | 206,136 | |
Cash, cash equivalents and restricted cash at beginning of the year | 464,634 | 338,989 | |
Cash, cash equivalents and restricted cash at end of the period | $ 1,158,644 | $ 545,125 |
DAVITA INC. CONSOLIDATED BALANCE SHEETS (unaudited) (dollars and shares in thousands, except per share data) | |||
September 30, 2024 | December 31, 2023 | ||
ASSETS | |||
Cash and cash equivalents | $ 1,070,775 | $ 380,063 | |
Restricted cash and equivalents | 87,869 | 84,571 | |
Short-term investments | 20,996 | 11,610 | |
Accounts receivable | 2,267,365 | 1,986,856 | |
Inventories | 128,999 | 143,105 | |
Other receivables | 359,485 | 422,669 | |
Prepaid and other current assets | 96,989 | 102,645 | |
Income tax receivable | 4,522 | 6,387 | |
Total current assets | 4,037,000 | 3,137,906 | |
Property and equipment, net of accumulated depreciation of | 2,939,620 | 3,073,533 | |
Operating lease right-of-use assets | 2,418,350 | 2,501,364 | |
Intangible assets, net of accumulated amortization of | 197,854 | 203,224 | |
Equity method and other investments | 430,483 | 545,848 | |
Long-term investments | 33,844 | 47,890 | |
Other long-term assets | 218,956 | 271,253 | |
Goodwill | 7,227,630 | 7,112,560 | |
$ 17,503,737 | $ 16,893,578 | ||
LIABILITIES AND EQUITY | |||
Accounts payable | $ 488,244 | $ 514,533 | |
Other liabilities | 927,530 | 828,878 | |
Accrued compensation and benefits | 806,149 | 752,598 | |
Current portion of operating lease liabilities | 404,540 | 394,399 | |
Current portion of long-term debt | 296,255 | 123,299 | |
Income tax payable | 21,268 | 28,507 | |
Total current liabilities | 2,943,986 | 2,642,214 | |
Long-term operating lease liabilities | 2,237,135 | 2,330,389 | |
Long-term debt | 9,260,331 | 8,268,334 | |
Other long-term liabilities | 183,030 | 183,074 | |
Deferred income taxes | 659,581 | 726,217 | |
Total liabilities | 15,284,063 | 14,150,228 | |
Commitments and contingencies | |||
Noncontrolling interests subject to put provisions | 1,633,011 | 1,499,288 | |
Equity: | |||
Preferred stock ( | — | — | |
Common stock ( | 90 | 89 | |
Additional paid-in capital | 295,637 | 509,804 | |
Retained earnings | 1,275,301 | 598,288 | |
Treasury stock (7,508 and zero shares, respectively) | (1,021,979) | — | |
Accumulated other comprehensive loss | (162,334) | (52,084) | |
Total DaVita Inc. shareholders' equity | 386,715 | 1,056,097 | |
Noncontrolling interests not subject to put provisions | 199,948 | 187,965 | |
Total equity | 586,663 | 1,244,062 | |
$ 17,503,737 | $ 16,893,578 |
DAVITA INC. SUPPLEMENTAL FINANCIAL DATA (unaudited) | |||||
Three months ended | Nine months ended | ||||
September 30, | June 30, | ||||
1. Consolidated business metrics: | |||||
Operating margin | 16.4 % | 15.9 % | 16.0 % | ||
Adjusted operating margin excluding certain items(2) | 16.4 % | 15.9 % | 15.6 % | ||
General and administrative expenses as a percent of consolidated revenues(1) | 12.1 % | 11.5 % | 11.8 % | ||
Effective income tax rate on income | 20.8 % | 19.3 % | 19.3 % | ||
Effective income tax rate on income attributable to DaVita Inc.(2) | 26.5 % | 24.2 % | 24.1 % | ||
Effective income tax rate on adjusted income attributable to DaVita Inc.(2) | 26.5 % | 24.3 % | 25.0 % | ||
2. Summary of financial results: | |||||
Revenues: | |||||
$ 2,906 | $ 2,841 | $ 8,503 | |||
Other—Ancillary services | |||||
Integrated kidney care | 112 | 114 | 342 | ||
Other | 6 | 7 | 20 | ||
International dialysis patient service and other | 258 | 242 | 719 | ||
376 | 362 | 1,080 | |||
Eliminations | (19) | (17) | (63) | ||
Total consolidated revenues | $ 3,264 | $ 3,187 | $ 9,521 | ||
Operating income (loss): | |||||
$ 549 | $ 550 | $ 1,625 | |||
Other—Ancillary services | |||||
Integrated kidney care | (2) | (34) | (62) | ||
Other | (2) | (2) | (6) | ||
International(3) | 18 | 17 | 51 | ||
14 | (19) | (16) | |||
Corporate administrative support expenses | (29) | (25) | (84) | ||
Total consolidated operating income | $ 535 | $ 506 | $ 1,525 |
DAVITA INC. SUPPLEMENTAL FINANCIAL DATA - continued (unaudited) (dollars in millions and shares in thousands, except per treatment and patient data) | |||||
Three months ended | Nine months ended | ||||
September 30, | June 30, | ||||
3. Summary of reportable segment financial results and metrics: | |||||
Financial results | |||||
Revenue: | |||||
Dialysis patient service revenues | $ 2,900 | $ 2,835 | $ 8,485 | ||
Other revenues | 6 | 6 | 18 | ||
Total operating revenues | 2,906 | 2,841 | 8,503 | ||
Operating expenses: | |||||
Patient care costs | 1,893 | 1,855 | 5,572 | ||
General and administrative | 301 | 282 | 858 | ||
Depreciation and amortization | 171 | 160 | 504 | ||
Equity investment income | (8) | (6) | (20) | ||
Gain on changes in ownership interests | — | — | (35) | ||
Total operating expenses | 2,357 | 2,291 | 6,878 | ||
Segment operating income | $ 549 | $ 550 | $ 1,625 | ||
Reconciliation for non-GAAP measure: | |||||
Gain on changes in ownership interest | — | — | (35) | ||
Adjusted segment operating income(2) | $ 549 | $ 550 | $ 1,590 | ||
Metrics | |||||
Volume: | |||||
Treatments | 7,350,784 | 7,265,444 | 21,767,740 | ||
Number of treatment days | 79.0 | 78.0 | 234.6 | ||
Average treatments per day | 93,048 | 93,147 | 92,787 | ||
Per day year-over-year increase | 0.6 % | 0.5 % | 0.3 % | ||
Normalized year-over-year non-acquired treatment growth(4) | (0.2) % | 0.4 % | |||
Operating net revenues: | |||||
Average patient service revenue per treatment | $ 394.49 | $ 390.22 | $ 389.79 | ||
Expenses: | |||||
Patient care costs per treatment | $ 257.46 | $ 255.25 | $ 255.96 | ||
General and administrative expenses per treatment | $ 41.01 | $ 38.79 | $ 39.41 | ||
Depreciation and amortization expense per treatment | $ 23.21 | $ 22.08 | $ 23.14 | ||
Accounts receivable: | |||||
Receivables | $ 1,707 | $ 1,812 | |||
DSO | 54 | 59 | |||
4. IKC metrics: | |||||
Patients per integrated care arrangement type: | |||||
Risk-based | 69,500 | 71,300 | |||
Other | 13,900 | 15,200 | |||
Annualized aggregate risk based spend(7) | $ 5,400 | $ 5,400 |
DAVITA INC. SUPPLEMENTAL FINANCIAL DATA - continued (unaudited) (dollars in millions and shares in thousands, except per treatment and patient data) | |||||
Three months ended | Nine months ended | ||||
September 30, | June 30, | ||||
5. Cash flow: | |||||
Operating cash flow | $ 810 | $ 799 | $ 1,474 | ||
Operating cash flow, last twelve months | $ 1,960 | $ 1,810 | |||
Free cash flow(2) | $ 555 | $ 654 | $ 882 | ||
Free cash flow, last twelve months(2) | $ 1,139 | $ 1,038 | |||
Capital expenditures: | |||||
Maintenance | $ 104 | $ 86 | $ 275 | ||
Development | $ 35 | $ 39 | $ 110 | ||
Acquisition expenditures | $ 3 | $ 53 | $ 161 | ||
Proceeds from sale of self-developed properties | $ 2 | $ 6 | $ 11 | ||
6. Debt and capital structure: | |||||
Total debt(5) | $ 9,624 | $ 9,048 | |||
Net debt, net of cash and cash equivalents(5) | $ 8,553 | $ 8,632 | |||
Leverage ratio(6) | 3.17x | 3.10x | |||
Weighted average effective interest rate: | |||||
During the quarter | 5.69 % | 4.27 % | |||
At end of the quarter | 5.71 % | 4.33 % | |||
On the senior secured credit facilities at end of the quarter | 7.01 % | 4.62 % | |||
Debt with fixed and capped rates as a percentage of total debt: | |||||
Debt with rates fixed by its terms | 59 % | 55 % | |||
Debt with rates fixed by its terms or capped by cap agreements | 95 % | 93 % | |||
Amount spent on share repurchases | $ 406 | $ 376 | $ 1,022 | ||
Number of shares repurchased | 2,734 | 2,655 | 7,508 | ||
Certain columns, rows or percentages may not sum or recalculate due to the presentation of rounded numbers. |
(1) | General and administrative expenses include certain corporate support, long-term incentive compensation and advocacy costs. | ||||
(2) | 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. Adjusted operating income margin is adjusted operating income divided by consolidated revenues. | ||||
(3) | The reported operating income for the three months ended September 30, 2024 and June 30, 2024, and for nine months ended September 30, 2024 includes foreign currency (losses) gains embedded in equity method income recognized from our | ||||
(4) | 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. | ||||
(5) | The debt amounts as of September 30, 2024 and June 30, 2024 presented exclude approximately | ||||
(6) | This is a non-GAAP measure. See "Calculation of Leverage Ratio" in non-GAAP reconciliations. | ||||
(7) | Integrated care metrics: The aggregate amount of medical spend associated with risk-based integrated care arrangements that we disclose includes both medical costs included in our reported expenses for certain risk-based arrangements (such as our SNPs), as well as the aggregate estimated benchmark amount above or below which we will incur profit or loss from VBC arrangements under which third-party medical costs are not included in our reported results. |
DAVITA INC.
RECONCILIATIONS FOR NON-GAAP MEASURES
(unaudited)
(dollars in millions)
Calculation of the Leverage Ratio
Under our amended senior secured credit facilities (the Amended Credit Agreement) dated August 13, 2024 and our prior senior secured credit facilities, the leverage ratio is defined as (a) all funded debt, minus unrestricted cash and cash equivalents (including short-term investments) not to exceed
Twelve months ended | |||
September 30, | June 30, | ||
Net income attributable to DaVita Inc. | $ 828 | $ 860 | |
Income taxes | 274 | 265 | |
Interest expense | 375 | 348 | |
Depreciation and amortization | 745 | 746 | |
Impairment charges | 26 | 26 | |
Net income attributable to noncontrolling interests | 304 | 286 | |
Stock-settled stock-based compensation | 101 | 103 | |
Debt extinguishment and modification costs | 20 | 10 | |
Expected cost savings and expense reductions | 15 | 16 | |
Severance and other related costs | — | 5 | |
Other | 112 | 116 | |
"Consolidated EBITDA" | $ 2,801 | $ 2,781 | |
September 30, | June 30, | ||
Total debt, excluding debt discount and other deferred financing costs(1) | $ 9,624 | $ 9,048 | |
Less: Cash and cash equivalents including short-term investments(2) | (750) | (432) | |
Consolidated net debt | $ 8,874 | $ 8,616 | |
Last twelve months "Consolidated EBITDA" | $ 2,801 | $ 2,781 | |
Leverage ratio | 3.17x | 3.10x | |
Maximum leverage ratio permitted under the Credit Agreement | 5.00x | 5.00x | |
Certain columns or rows may not sum or recalculate due to the presentation of rounded numbers. |
(1) | The debt amounts as of September 30, 2024 and June 30, 2024 presented exclude approximately | ||||
(2) | This excludes amounts not readily convertible to cash related to the Company's non-qualified deferred compensation plans for all periods presented. The Amended 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, including short-term investments of the Company or |
DAVITA INC.
RECONCILIATIONS FOR NON-GAAP MEASURES
(unaudited)
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 and expense measures, the term "adjusted" refers to operating performance measures that exclude certain items such as, but not limited to, impairment charges, (gain) loss on ownership changes, restructuring charges, accruals for legal matters, and debt extinguishment and modification costs; and (ii) the term "effective income tax rate on adjusted income attributable to DaVita Inc." represents the Company's effective tax rate excluding applicable non-GAAP items and the tax associated with them as well as noncontrolling owners' income, which primarily relates to non-tax paying entities.
In connection with a comment letter from the Securities and Exchange Commission Staff, beginning in the second quarter of 2024, we have updated the presentation of our non-GAAP measures to no longer exclude center closure costs for all periods presented. To facilitate comparisons, the non-GAAP measures presented for prior periods also have been conformed to the presentation of the non-GAAP measures for the current period.
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, management uses adjusted measures of operating expenses for its
The effective income tax rate on adjusted income 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 and establishing expectations for income taxes incurred on our ordinary results attributable to DaVita Inc.
Finally, free cash flow represents net cash provided by operating activities less distributions to noncontrolling interests, development capital expenditures, and maintenance capital expenditures; plus contributions from noncontrolling interests and proceeds from the sale of self-developed properties. Management uses this measure to assess our ability to fund acquisitions and meet our debt service obligations and we believe this measure is equally useful to investors and analysts as an adjunct to cash flows from operating activities and other measures under GAAP.
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.
The following reconciliations of the non-GAAP financial measures presented in this press release to their most comparable GAAP measures.
DAVITA INC. RECONCILIATIONS FOR NON-GAAP MEASURES - continued (unaudited) (dollars in millions, except per share data) | |||||||||||||||
Adjusted net income and adjusted diluted net income per share attributable to DaVita Inc.: | |||||||||||||||
Three months ended | Nine months ended | ||||||||||||||
September 30, | June 30, | September 30, | September 30, | ||||||||||||
Dollars | Per share | Dollars | Per share | Dollars | Per share | Dollars | Per share | ||||||||
Consolidated: | |||||||||||||||
Net income attributable to DaVita Inc. | $ 215 | $ 2.50 | $ 223 | $ 2.50 | $ 677 | $ 7.66 | $ 541 | $ 5.80 | |||||||
Legal matter(1) | — | — | — | — | — | — | 11 | 0.12 | |||||||
Gain on changes in ownership interest(2) | — | — | — | — | (35) | (0.40) | — | — | |||||||
Severance and other costs(3) | — | — | — | — | — | — | 28 | 0.30 | |||||||
Debt prepayment and refinancing charges(4) | 10 | 0.12 | 10 | 0.11 | 20 | 0.22 | 8 | 0.09 | |||||||
Other income - Mozarc gain(5) | — | — | — | — | — | — | (14) | (0.15) | |||||||
Related income tax | (3) | (0.03) | (2) | (0.03) | (5) | (0.06) | (8) | (0.09) | |||||||
Adjusted net income attributable to DaVita Inc.(6) | $ 222 | $ 2.59 | $ 230 | $ 2.59 | $ 657 | $ 7.43 | $ 566 | $ 6.06 | |||||||
Certain columns, rows or percentages may not sum or recalculate due to the presentation of rounded numbers. |
Adjusted operating income: | |||||||||||||
Three months ended September 30, 2024 | |||||||||||||
dialysis | Ancillary services | Corporate administration | |||||||||||
International | Total | Consolidated | |||||||||||
Operating income (loss) | $ 549 | $ (2) | $ (2) | $ 18 | $ 14 | $ (29) | $ 535 | ||||||
Adjusted operating income (loss)(6) | $ 549 | $ (2) | $ (2) | $ 18 | $ 14 | $ (29) | $ 535 | ||||||
Certain columns or rows may not sum or recalculate due to the presentation of rounded numbers. | |||||||||||||
Three months ended June 30, 2024 | |||||||||||||
dialysis | Ancillary services | Corporate administration | |||||||||||
International | Total | Consolidated | |||||||||||
Operating income (loss) | $ 550 | $ (34) | $ (2) | $ 17 | $ (19) | $ (25) | $ 506 | ||||||
Adjusted operating income (loss)(6) | $ 550 | $ (34) | $ (2) | $ 17 | $ (19) | $ (25) | $ 506 | ||||||
Certain columns or rows may not sum or recalculate due to the presentation of rounded numbers. | |||||||||||||
Nine months ended September 30, 2024 | |||||||||||||
dialysis | Ancillary services | Corporate administration | |||||||||||
International | Total | Consolidated | |||||||||||
Operating income (loss) | $ 1,625 | $ (62) | $ (6) | $ 51 | $ (16) | $ (84) | $ 1,525 | ||||||
Gain on changes in ownership interest(2) | (35) | — | — | — | — | — | (35) | ||||||
Adjusted operating income (loss)(6) | $ 1,590 | $ (62) | $ (6) | $ 51 | $ (16) | $ (84) | $ 1,490 | ||||||
Certain columns or rows may not sum or recalculate due to the presentation of rounded numbers. | |||||||||||||
Nine months ended September 30, 2023 | |||||||||||||
dialysis | Ancillary services | Corporate administration | |||||||||||
International | Total | Consolidated | |||||||||||
Operating income (loss) | $ 1,331 | $ (66) | $ (7) | $ 54 | $ (18) | $ (100) | $ 1,213 | ||||||
Legal matter(1) | — | — | — | — | — | 11 | 11 | ||||||
Severance and other costs(3) | 26 | — | — | — | — | 1 | 28 | ||||||
Adjusted operating income (loss)(6) | $ 1,357 | $ (65) | $ (7) | $ 54 | $ (18) | $ (87) | $ 1,252 | ||||||
Certain columns or rows may not sum or recalculate due to the presentation of rounded numbers. |
DAVITA INC. RECONCILIATIONS FOR NON-GAAP MEASURES - continued (unaudited) (dollars in millions, except per share data) | |||||
Effective income tax rates: | |||||
Three months ended | Nine months September 30, | ||||
September 30, | June 30, | ||||
Effective income tax rates on income attributable to DaVita Inc.: | |||||
Income before income taxes | $ 373 | $ 371 | $ 1,117 | ||
Noncontrolling owners' income primarily attributable to non-tax paying entities | (81) | (78) | (225) | ||
Income before income taxes attributable to DaVita Inc. | $ 292 | $ 294 | $ 892 | ||
Income tax expense | $ 78 | $ 72 | $ 215 | ||
Income tax attributable to noncontrolling interests | — | — | (1) | ||
Income tax expense attributable to DaVita Inc. | $ 78 | $ 71 | $ 215 | ||
Effective income tax rate on income attributable to DaVita Inc. | 26.5 % | 24.2 % | 24.1 % | ||
Effective income tax rate on adjusted income attributable to DaVita Inc.: | |||||
Income before income taxes | $ 373 | $ 371 | $ 1,117 | ||
Gain on changes in ownership interest(2) | — | — | (35) | ||
Debt prepayment and refinancing charges(4) | 10 | 10 | 20 | ||
Noncontrolling owners' income primarily attributable to non-tax paying entities | (81) | (78) | (225) | ||
Adjusted income before income taxes attributable to DaVita Inc.(6) | $ 302 | $ 304 | $ 876 | ||
Income tax expense | $ 78 | $ 72 | $ 215 | ||
Plus income tax related to: | |||||
Debt prepayment and refinancing charges(4) | 3 | 2 | 5 | ||
Less income tax related to: | |||||
Noncontrolling interests | — | — | (1) | ||
Income tax on adjusted income attributable to DaVita Inc.(6) | $ 80 | $ 74 | $ 219 | ||
Effective income tax rate on adjusted income attributable to DaVita Inc.(6) | 26.5 % | 24.3 % | 25.0 % | ||
Certain columns, rows or percentages may not sum or recalculate due to the presentation of rounded numbers. |
Free cash flow: | |||||||
Three months ended | Nine months September 30, | ||||||
September 30, | June 30, | September 30, | |||||
Net cash provided by (used in) operating activities | $ 810 | $ 799 | $ 661 | $ 1,474 | |||
Adjustments to reconcile net cash provided by operating activities to free cash flow: | |||||||
Distributions to noncontrolling interests | (122) | (30) | (79) | (229) | |||
Contributions from noncontrolling interests | 3 | 4 | 5 | 11 | |||
Maintenance capital expenditures(7) | (104) | (86) | (93) | (275) | |||
Development capital expenditures(8) | (35) | (39) | (44) | (110) | |||
Proceeds from sale of self-developed properties | 2 | 6 | 4 | 11 | |||
Free cash flow | $ 555 | $ 654 | $ 453 | $ 882 | |||
Certain columns or rows may not sum or recalculate due to the presentation of rounded numbers. |
DAVITA INC. RECONCILIATIONS FOR NON-GAAP MEASURES - continued (unaudited) (dollars in millions, except per share data) | |||||
Twelve months ended | |||||
September 30, | June 30, | September 30, | |||
Net cash provided by operating activities | $ 1,960 | $ 1,810 | $ 1,918 | ||
Adjustments to reconcile net cash provided by operating activities to free cash flow: | |||||
Distributions to noncontrolling interests | (307) | (264) | (283) | ||
Contributions from noncontrolling interests | 14 | 15 | 15 | ||
Maintenance capital expenditures(7) | (394) | (383) | (434) | ||
Development capital expenditures(8) | (150) | (158) | (169) | ||
Proceeds from sale of self-developed properties | 16 | 18 | 7 | ||
Free cash flow | $ 1,139 | $ 1,038 | $ 1,054 | ||
Certain columns or rows may not sum or recalculate due to the presentation of rounded numbers. |
(1) | Represents an accrual for potential third-party settlement costs for the matter further described in Note 8 to our condensed consolidated financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2023 under the heading "2017 | ||||
(2) | Represents a non-cash gain recognized on the acquisition of a controlling financial interest in a previously nonconsolidated dialysis partnership. This gain to mark the investment to fair value prior to consolidation does not represent a normal and recurring cost of operating our business or generating revenues and may obscure analysis of underlying trends and financial performance. | ||||
(3) | Includes severance and other termination costs related to a prior strategic restructuring initiative and associated transition of certain general and administrative support functions to a third party. | ||||
(4) | Represents the non-cash write-off of debt refinancing costs associated with the Company's senior secured credit agreement. Costs associated with refinancing the Company's debt are not indicative of normal debt expense and may obscure analysis of underlying trends and financial performance. See additional discussion under "Debt transactions" above. | ||||
(5) | Represents a non-cash gain recognized on rights contributed to Mozarc Medical Holding LLC (Mozarc) upon its formation. This gain to mark these rights to fair value prior to contribution to Mozarc does not represent a normal and recurring cost of operating our business or generating revenues and may obscure analysis of underlying trends and financial performance. | ||||
(6) | In connection with the conclusion of a comment letter from the Securities and Exchange Commission Staff in July 2024, beginning in the second quarter of 2024, we have updated our non-GAAP measures to no longer exclude center closure costs for all periods presented. To facilitate comparisons, the non-GAAP measures presented for prior periods also have been conformed to the presentation of the non-GAAP measures for the current period. | ||||
(7) | Maintenance capital expenditures represent capital expenditures to maintain the productive capacity of the business and include those made for investments in information technology, dialysis center renovations, capital asset replacements, and any other capital expenditures that are not development or acquisition expenditures. | ||||
(8) | Development capital expenditures principally represent capital expenditures (other than acquisition expenditures) made to expand the productive capacity of the business and include those for new |
Contact: | Investor Relations |
DaVita Inc. | |
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SOURCE DaVita
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