Document
false0000927066 0000927066 2019-08-01 2019-08-01

 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

 Form 8-K 

 
CURRENT REPORT
 
Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934
 
Date of Report (date of earliest event reported): August 1, 2019
 

 
DAVITA INC.
(Exact name of registrant as specified in its charter)
 
 
DE
1-14106
51-0354549
(State or other jurisdiction
of incorporation)
(Commission File Number)
(IRS Employer
Identification No.)
 
2000 16th Street
Denver,
CO
80202
(Address of principal executive offices including Zip Code)
 
(720) 631-2100
(Registrant’s telephone number, including area code)
 
Not applicable
(Former name or former address, if changed since last report)

 
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
 
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 240.425)
 
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
 
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
 
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐






Item 2.02 Results of Operations and Financial Condition.
 
On August 1, 2019, DaVita Inc. issued a press release announcing its financial results for the three and six months ended June 30, 2019. A copy of the press release is furnished as Exhibit 99.1 to this report.
 
The information contained in this Form 8-K (including Exhibit 99.1 attached hereto) is being furnished and shall not be deemed to be “filed” for the purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section and shall not be incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as shall be expressly set forth by specific reference in such filing.
 
Item 9.01. Financial Statements and Exhibits.
 
(d) Exhibits.
 
 
 
Exhibit
Number
Description
Press Release dated August 1, 2019 announcing the registrant’s financial results for the three and six months ended June 30, 2019.
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SIGNATURES
 
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
 
 
DAVITA INC.
 
 
 
Date: August 1, 2019
By:
/s/ James K. Hilger
 
 
James K. Hilger
 
 
Chief Accounting Officer




Exhibit


http://api.tenkwizard.com/cgi/image?quest=1&rid=23&ipage=13036835&doc=8


Contact:        Jim Gustafson
Investor Relations                    
DaVita Inc.
(310) 536-2585

DaVita Inc. 2nd Quarter 2019 Results
Denver, Colorado, August 1, 2019 — DaVita Inc. (NYSE: DVA) today announced results for the quarter ended June 30, 2019.
Second quarter 2019 financial highlights:
Completed the sale of our DMG division to Optum.
Consolidated revenues of $2,843 million.
Operating income of $462 million.
Cash flows from continuing operations of $574 million.
 
Three months ended June 30,
 
Six months ended June 30,
 
2019
 
2018
 
2019
 
2018
Net income attributable to DaVita Inc.:
(dollars in millions, except per share data)
 
Net income from continuing operations
$
194

 
$
200

 
$
314

 
$
391

 
Per share
$
1.16

 
$
1.15

 
$
1.89

 
$
2.19

 
Adjusted net income from continuing operations(1)
$
203

 
$
183

 
$
356

 
$
374

 
Per share adjusted(1)
$
1.22

 
$
1.05

 
$
2.13

 
$
2.10

 
Net income
$
274

 
$
267

 
$
423

 
$
446

 
Per share
$
1.64

 
$
1.53

 
$
2.54

 
$
2.51

 
Three months ended June 30,
 
Six months ended June 30,
 
2019
 
2018
 
2019
 
2018
Operating income:
(dollars in millions)
 
Operating income
$
462

 
$
438

 
$
802

 
$
849

 
Adjusted operating income(1)
$
462

 
$
419

 
$
843

 
$
829

 
(1) 
For the definitions of non-GAAP financial measures see the note titled “Note on Non-GAAP Financial Measures” and related reconciliations beginning at page 14.
DaVita Medical Group sale: As previously disclosed, on June 19, 2019, we completed the sale of our DaVita Medical Group (DMG) division to Collaborative Care Holdings, LLC (Optum), a subsidiary of UnitedHealth Group Inc., for an aggregate purchase price of $4.34 billion, prior to certain adjustments specified in the related purchase agreement, as amended. We recorded a preliminary pre-tax net loss of approximately $23 million related to this divestiture.
Upon the completion of the DMG sale we were required to make mandatory prepayments on debt outstanding under our senior secured credit facility, and we subsequently used the full $4.47 billion in preliminary net proceeds received at closing to prepay term debt outstanding. As a result of these prepayments we recognized a charge of $12 million to write off debt discount and deferred financing costs.

1



Financial and operating metrics:
 
Three months ended June 30,
 
Six months ended June 30,
 
2019
 
2018
 
2019
 
2018
Cash flow:
(dollars in millions)
 
Operating cash flow
$
610

 
$
562

 
$
751

 
$
925

 
Operating cash flow from continuing operations
$
574

 
$
606

 
$
647

 
$
812

 
Free cash flow from continuing operations(1)
$
461

 
$
470

 
$
410

 
$
532

 
(1) 
For the definitions of non-GAAP financial measures see the note titled “Note on Non-GAAP Financial Measures” and related reconciliations beginning at page 14.
Volume: Total U.S. dialysis treatments for the second quarter of 2019 were 7,520,587, or an average of 96,418 treatments per day, representing a per day increase of 2.6% over the second quarter of 2018. Normalized non-acquired treatment growth in the second quarter of 2019 as compared to the second quarter of 2018 was 2.1%.
Effective income tax rate: Our effective income tax rate on income from continuing operations was 23.5% and 24.6% for the three and six months ended June 30, 2019, respectively. This effective income tax rate is impacted by the amount of third party owners' income attributable to non-tax paying entities. The effective income tax rate on income from continuing operations attributable to DaVita Inc. was 28.0% and 29.6% for the three and six months ended June 30, 2019, respectively.
Our effective income tax rate on income from continuing operations attributable to DaVita Inc. for the three and six months ended June 30, 2019 was further impacted by the write-off of deferred financing costs and other debt costs and the six months ended June 30, 2019 was also impacted by the goodwill impairment charge recognized in the first quarter of 2019. Excluding these items from the three and six months ended June 30, 2019, our effective income tax rate on adjusted income from continuing operations attributable to DaVita Inc. would have been 27.9% and 28.9% for the three and six months ended June 30, 2019, respectively.
Center activity: As of June 30, 2019, we provided dialysis services to a total of approximately 231,700 patients at 2,971 outpatient dialysis centers, of which 2,723 centers were located in the United States and 248 centers were located in nine countries outside of the United States. During the second quarter of 2019, we opened a total of 33 new dialysis centers, acquired three dialysis centers and closed two dialysis centers in the United States. In addition, we acquired five dialysis centers outside of the United States during the second quarter of 2019.
Share repurchases: During the quarter ended June 30, 2019, we repurchased a total of 2,059,976 shares of our common stock for approximately $112 million at an average price of $54.46 per share. We have also repurchased 4,214,205 shares of our common stock for $238 million at an average price of $56.43 per share from July 1, 2019 through July 17, 2019. On July 17, 2019, our Board of Directors terminated all remaining prior share repurchase authorizations available to the Company and approved a new share repurchase authorization in the amount of $2.0 billion.
On July 22, 2019, we commenced a modified "Dutch auction” tender offer for up to $1.2 billion of our common stock at a price per share not less than $53.50 and not more than $61.50. The tender offer will expire at 12:00 midnight Eastern time at the end of the day on August 16, 2019, unless extended or terminated. The tender offer is contingent on successful execution of the bank financing described below on terms reasonably acceptable to the Company.
Debt Transactions: As previously announced, we plan to enter into a new bank financing consisting of a $1.0 billion secured revolving loan facility, a $1.75 billion secured term loan A facility with a delayed draw feature and a $2.5 billion secured term loan B facility. We expect to use the proceeds from the bank financing to pay off the remaining balances outstanding under our Term Loan B and revolving line of credit under our existing senior secured credit facility, to call the Company's outstanding 5.75% Senior Notes due 2022 (Senior Notes), to fund the tender offer described above, and to add cash to the balance sheet for potential future share repurchases, acquisitions, and other general corporate purposes. This press release does not constitute a call notice. The Company expects the call notice for the Senior Notes to be issued following completion of the bank financing.
As of July 31, 2019, $502 million and $650 million remained outstanding on our Term Loan B and revolving line of credit, respectively, under our existing senior secured credit facility.

2



Outlook:
As previously announced on July 22, 2019, the Company updated its adjusted operating income (a non-GAAP financial measure) guidance for fiscal year 2019 to a range of $1.64 billion to $1.70 billion. The Company's prior guidance at the time for adjusted operating income for fiscal year 2019 was $1.54 billion to $1.64 billion.
The Company is now providing further fiscal year 2019 guidance as follows:
 
Current 2019 guidance
 
Prior 2019 guidance
 
Low
 
High
 
Low
 
High
 
(dollars in millions)
Operating cash flow from continuing operations
$
1,450

 
$
1,625

 
$
1,375

 
$
1,575

Capital expenditures from continuing operations
$
800

 
$
840

 
$
800

 
$
840

Effective income tax rate on adjusted income from
 continuing operations attributable to DaVita Inc.
28.5
%
 
29.5
%
 
28.5
%
 
29.5
%
These forward-looking measures and their underlying assumptions involve significant risks and uncertainties, including those described below, and actual results may vary significantly from these current forward-looking measures. We do not provide guidance for consolidated operating income or effective tax rate on income from continuing operations on a GAAP basis nor a reconciliation of forward-looking non-GAAP financial measures to the most directly comparable GAAP financial measures on a forward-looking basis because we are unable to predict certain items contained in the GAAP measures without unreasonable efforts. These non-GAAP financial measures do not include certain items, including goodwill impairment charges and foreign currency fluctuations, any of which may be significant. The guidance for effective income tax rate on adjusted income from continuing operations attributable to DaVita Inc. also excludes the amount of third party owners' income and related taxes attributable to non-tax paying entities.
We will be holding a conference call to discuss our results for the second quarter ended June 30, 2019, on August 1, 2019, at 5:00 p.m. Eastern Time. To join the conference call, please dial (877) 918-6630 from the U.S. or (517) 308-9042 from outside the U.S., and provide the operator the password 'Earnings'. A replay of the conference call will be available on our website at investors.davita.com for the following 30 days.

3



DaVita Inc. and its representatives may from time to time make written and oral forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 (“PSLRA”), including statements in this release, filings with the Securities and Exchange Commission (“SEC”), reports to stockholders and in meetings with investors and analysts. All such statements in this release, during the related presentation or other meetings, other than statements of historical fact, are forward-looking statements and as such are intended to be covered by the safe harbor for “forward-looking statements” provided by the PSLRA. Without limiting the foregoing, statements including the words “expect,” “intend,” “will,” “plan,” “anticipate,” “believe,” “we are confident that,” “forecast,” “guidance,” “outlook,” “goals,” and similar expressions are intended to identify forward-looking statements.
The forward-looking statements should be considered in light of these risks and uncertainties. All forward-looking statements in this release are based solely on information available to us on the date of this release. We undertake no obligation to publicly update or revise any of our guidance, the assessment of the underlying assumptions or other forward-looking statements, whether as a result of changed circumstances, new information, future events or otherwise.
These forward-looking statements could include but are not limited to statements related to our guidance and expectations for our 2019 adjusted consolidated operating income, our 2019 operating cash flow from continuing operations, our 2019 effective income tax rate on adjusted income from continuing operations attributable to DaVita Inc., our 2019 capital expenditures from continuing operations, our expectations regarding the tender offer, the proposed bank financing and the use of proceeds therefrom, and the proposed redemption of our Senior Notes.
Our actual results and other events 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:
the concentration of profits generated by higher-paying commercial payor plans for which there is continued downward pressure on average realized payment rates, and a reduction in the number of patients under such plans, including as a result of restrictions or prohibitions on the use and/or availability of charitable premium assistance, which may result in the loss of revenues or patients, or our making incorrect assumptions about how our patients will respond to any change in financial assistance from charitable organizations;
the extent to which the ongoing implementation of healthcare reform, or changes in or new legislation, regulations or guidance, enforcement thereof or related litigation, and the extent to which such developments 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 other material impacts to our business;
a reduction in government payment rates under the Medicare End Stage Renal Disease 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;
the impact of the changing 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 health care marketplace;
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 and the provisions of our current corporate integrity agreement;
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; and our ability to complete the tender offer, new bank financing and redemption of our Senior Notes as described above on the terms currently contemplated or at all;
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;

4



the variability of our cash flows; the risk that we may not be able to generate sufficient cash in the future to service our indebtedness or to fund our other liquidity needs; 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 (including the tender offer described above) and the timing of any such stock repurchases;
risks arising from the use of accounting estimates, judgments and interpretations in our financial statements;
impairment of our goodwill, investments or other assets;
uncertainties related to our use of the proceeds from the DMG sale transaction and other available funds, including external financing and cash flow from operations, which may be or have been used in ways that we cannot assure will improve our results of operations or enhance the value of our common stock; and
uncertainties associated with the other risk factors set forth in our most recent quarterly report on Form 10-Q, and the other risks and uncertainties discussed in any subsequent reports that we file or furnish to the SEC from time to time.

5



DAVITA INC.
CONSOLIDATED STATEMENTS OF INCOME
(unaudited)
(dollars in thousands, except per share data)
 
Three months ended June 30,
 
Six months ended June 30,
 
2019
 
2018
 
2019
 
2018
Dialysis and related lab patient service revenues
$
2,734,065

 
$
2,718,403

 
$
5,369,217

 
$
5,309,477

Provision for uncollectible accounts
(10,249
)
 
(49,406
)
 
(15,712
)
 
(23,861
)
Net dialysis and related lab patient service revenues
2,723,816

 
2,668,997

 
5,353,505

 
5,285,616

Other revenues
118,889

 
217,956

 
232,312

 
450,781

Total revenues
2,842,705

 
2,886,953

 
5,585,817

 
5,736,397

Operating expenses and charges:
 

 
 

 
 

 
 

Patient care costs
1,957,753

 
2,069,089

 
3,922,688

 
4,104,674

General and administrative
275,338

 
264,094

 
526,151

 
530,623

Depreciation and amortization
152,242

 
147,079

 
300,770

 
289,878

Provision for uncollectible accounts

 
(2,100
)
 

 
(8,100
)
Equity investment income
(4,514
)
 
(9,795
)
 
(7,222
)
 
(9,950
)
Impairment of other assets

 
11,245

 

 
11,245

Goodwill impairment charges

 
3,106

 
41,037

 
3,106

Gain on changes in ownership interest, net

 
(33,957
)
 

 
(33,957
)
Total operating expenses and charges
2,380,819

 
2,448,761

 
4,783,424

 
4,887,519

Operating income
461,886

 
438,192

 
802,393

 
848,878

Debt expense
(131,666
)
 
(119,692
)
 
(263,185
)
 
(233,208
)
Debt prepayment charges
(12,160
)
 

 
(12,160
)
 

Other income, net
5,643

 
1,994

 
12,583

 
6,576

Income from continuing operations before income taxes
323,703

 
320,494

 
539,631

 
622,246

Income tax expense
75,938

 
83,868

 
132,684

 
154,605

Net income from continuing operations
247,765

 
236,626

 
406,947

 
467,641

Net income from discontinued operations, net of tax
79,392

 
69,696

 
109,697

 
63,910

Net income
327,157

 
306,322

 
516,644

 
531,551

Less: Net income attributable to noncontrolling interests
(53,606
)
 
(39,046
)
 
(93,804
)
 
(85,589
)
Net income attributable to DaVita Inc.
$
273,551

 
$
267,276

 
$
422,840

 
$
445,962

Earnings per share attributable to DaVita Inc.:
 

 
 

 
 

 
 

Basic net income from continuing operations per share
$
1.17

 
$
1.16

 
$
1.89

 
$
2.23

Basic net income per share
$
1.64

 
$
1.56

 
$
2.54

 
$
2.54

Diluted net income from continuing operations per share
$
1.16

 
$
1.15

 
$
1.89

 
$
2.19

Diluted net income per share
$
1.64

 
$
1.53

 
$
2.54

 
$
2.51

Weighted average shares for earnings per share:
 
 
 
 
 

 
 

Basic
166,346,041

 
171,617,238

 
166,366,886

 
175,267,270

Diluted
166,799,525

 
174,105,884

 
166,789,978

 
177,949,934

Amounts attributable to DaVita Inc.:
 
 
 
 
 
 
 
Net income from continuing operations
$
194,223

 
$
199,603

 
$
314,477

 
$
390,618

Net income from discontinued operations
79,328

 
67,673

 
108,363

 
55,344

Net income attributable to DaVita Inc.
$
273,551

 
$
267,276

 
$
422,840

 
$
445,962


6



DAVITA INC.
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
(unaudited)
(dollars in thousands)
 
 
Three months ended June 30,
 
Six months ended June 30,
 
2019
 
2018
 
2019
 
2018
Net income
$
327,157

 
$
306,322

 
$
516,644

 
$
531,551

Other comprehensive income, net of tax:
 

 
 

 
 

 
 

Unrealized (losses) gains on interest rate cap agreements:
 

 
 

 
 

 
 

Unrealized (losses) gains
(31
)
 
(268
)
 
(611
)
 
782

Reclassifications of net realized losses into net income
1,606

 
1,537

 
3,212

 
3,074

Unrealized gains (losses) on foreign currency translation:
 
 
 

 
 
 
 

Foreign currency translation adjustments
12,365

 
(50,529
)
 
(1,288
)
 
(30,648
)
Other comprehensive income (loss)
13,940

 
(49,260
)
 
1,313

 
(26,792
)
Total comprehensive income
341,097

 
257,062

 
517,957

 
504,759

Less: Comprehensive income attributable to noncontrolling interests
(53,606
)
 
(39,046
)
 
(93,804
)
 
(85,589
)
Comprehensive income attributable to DaVita Inc.
$
287,491

 
$
218,016

 
$
424,153

 
$
419,170


7



DAVITA INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(unaudited)
(dollars in thousands)
 
Six months ended June 30,
 
2019
 
2018
Cash flows from operating activities:
 
 
 

Net income
$
516,644

 
$
531,551

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

Depreciation and amortization
300,770

 
289,878

Impairment charges
41,037

 
14,351

Stock-based compensation expense
29,045

 
19,861

Deferred income taxes
60,706

 
56,882

Equity investment income (loss), net
2,631

 
(434
)
Loss (gain) on sales of business interests, net
23,022

 
(59,053
)
Other non-cash charges, net
25,857

 
44,337

Changes in operating assets and liabilities, net of effect of acquisitions and divestitures:
 
 
 
Accounts receivable
(288,437
)
 
(101,746
)
Inventories
11,542

 
71,632

Other receivables and other current assets
(5,142
)
 
(91,685
)
Other long-term assets
(410
)
 
3,454

Accounts payable
(68,887
)
 
35,228

Accrued compensation and benefits
(88,473
)
 
23,818

Other current liabilities
151,780

 
58,321

Income taxes
57,551

 
24,356

Other long-term liabilities
(18,121
)
 
3,824

Net cash provided by operating activities
751,115

 
924,575

Cash flows from investing activities:
 
 
 

Additions of property and equipment
(373,918
)
 
(473,977
)
Acquisitions
(65,970
)
 
(89,465
)
Proceeds from asset and business sales
3,851,381

 
116,241

Purchase of other debt and equity investments
(4,812
)
 
(4,195
)
Purchase of investments held-to-maturity
(3,322
)
 
(3,726
)
Proceeds from sale of other debt and equity investments
5,893

 
5,662

Proceeds from investments held-to-maturity

 
32,628

Purchase of equity investments
(6,715
)
 
(10,241
)
Distributions received on equity investments
155

 
3,009

Net cash provided by (used in) investing activities
3,402,692

 
(424,064
)
Cash flows from financing activities:
 
 
 
Borrowings
32,367,300

 
28,128,131

Payments on long-term debt and other financing costs
(33,531,409
)
 
(27,556,348
)
Purchase of treasury stock
(73,078
)
 
(805,179
)
Distributions to noncontrolling interests
(95,714
)
 
(94,006
)
Stock award exercises and other share issuances, net
2,107

 
3,132

Contributions from noncontrolling interests
31,281

 
31,569

Proceeds from sales of additional noncontrolling interest

 
15

Purchases of noncontrolling interests
(11,040
)
 
(13,223
)
Net cash used in financing activities
(1,310,553
)
 
(305,909
)
Effect of exchange rate changes on cash, cash equivalents and restricted cash
(77
)
 
(3,473
)
Net increase in cash, cash equivalents and restricted cash
2,843,177

 
191,129

Less: Net (decrease) increase in cash, cash equivalents and restricted cash from discontinued operations
(423,813
)
 
229,901

Net increase (decrease) in cash, cash equivalents and restricted cash from continuing operations
3,266,990

 
(38,772
)
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year
415,420

 
518,920

Cash, cash equivalents and restricted cash of continuing operations at end of the period
$
3,682,410

 
$
480,148


8



DAVITA INC.
CONSOLIDATED BALANCE SHEETS
(unaudited)
(dollars in thousands, except share data)
 
June 30, 2019
 
December 31, 2018
ASSETS
 

 
 

Cash and cash equivalents
$
3,575,638

 
$
323,038

Restricted cash and equivalents
106,772

 
92,382

Short-term investments
5,213

 
2,935

Accounts receivable, net
2,010,801

 
1,858,608

Inventories
96,819

 
107,381

Other receivables
525,004

 
469,796

Income tax receivable
15,783

 
68,614

Prepaid and other current assets
54,599

 
111,840

Current assets held for sale, net

 
5,389,565

Total current assets
6,390,629

 
8,424,159

Property and equipment, net of accumulated depreciation of $3,649,978 and $3,524,098
3,405,315

 
3,393,669

Operating lease right-of-use assets
2,790,885

 

Intangible assets, net of accumulated amortization of $75,283 and $80,566
120,574

 
118,846

Equity method and other investments
225,677

 
224,611

Long-term investments
35,051

 
35,424

Other long-term assets
97,443

 
71,583

Goodwill
6,865,386

 
6,841,960

 
$
19,930,960

 
$
19,110,252

LIABILITIES AND EQUITY
 

 
 

Accounts payable
$
388,955

 
$
463,270

Other liabilities
726,011

 
595,850

Accrued compensation and benefits
628,022

 
658,913

Current portion of operating lease liabilities
372,625

 

Current portion of long-term debt
3,591,331

 
1,929,369

Current liabilities held for sale

 
1,243,759

Total current liabilities
5,706,944

 
4,891,161

Long-term operating lease liabilities
2,689,249

 

Long-term debt
5,377,798

 
8,172,847

Other long-term liabilities
134,605

 
450,669

Deferred income taxes
593,562

 
562,536

Total liabilities
14,502,158

 
14,077,213

Commitments and contingencies
 
 
 
Noncontrolling interests subject to put provisions
1,185,733

 
1,124,641

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; 166,532,889 and
166,387,307 shares issued and 164,472,913 and 166,387,307 shares outstanding, respectively)
167

 
166

Additional paid-in capital
989,021

 
995,006

Retained earnings
3,205,910

 
2,743,194

Treasury stock (2,059,976 and zero shares, respectively)
(112,189
)
 

Accumulated other comprehensive loss
(33,611
)
 
(34,924
)
Total DaVita Inc. shareholders' equity
4,049,298

 
3,703,442

Noncontrolling interests not subject to put provisions
193,771

 
204,956

Total equity
4,243,069

 
3,908,398

 
$
19,930,960

 
$
19,110,252


9



DAVITA INC.
SUPPLEMENTAL FINANCIAL DATA
(unaudited)
(dollars in millions, except for per share and per treatment data)
 
Three months ended
 
Six months ended
June 30, 2019
 
June 30,
2019
 
March 31,
2019
 
June 30,
2018
 
1. Consolidated business metrics:
 
 
 
 
 
 
 
Operating income margin
16.2
%
 
12.4
%
 
15.2
%
 
14.4
%
Adjusted operating income margin excluding certain items(1)(5)
16.2
%
 
13.9
%
 
14.5
%
 
15.1
%
General and administrative expenses as a percent of
consolidated revenues
(2) 
9.7
%
 
9.1
%
 
9.1
%
 
9.4
%
Effective income tax rate on income from continuing
operations
23.5
%
 
26.3
%
 
26.2
%
 
24.6
%
Effective income tax rate on income from continuing
operations attributable to DaVita Inc.
(1) 
28.0
%
 
32.0
%
 
29.5
%
 
29.6
%
Effective income tax rate on adjusted income from continuing
operations attributable to DaVita Inc.
(1)
27.9
%
 
30.1
%
 
30.7
%
 
28.9
%
 
 
 
 
 
 
 
 
2. Summary of division financial results:
 
 
 
 
 
 
 
Revenues
 
 
 
 
 
 
 
U.S. net dialysis and related lab patient services and other
$
2,637

 
$
2,547

 
$
2,588

 
$
5,185

Other—Ancillary services and strategic initiatives
 
 
 
 
 
 
 
U.S. other
114

 
109

 
221

 
224

International net dialysis patient service and other
125

 
120

 
107

 
245

 
239

 
230

 
328

 
469

Eliminations
(34
)
 
(34
)
 
(29
)
 
(68
)
Total consolidated revenues
$
2,843

 
$
2,743

 
$
2,887

 
$
5,586

Operating income (loss)
 
 
 
 
 
 
 
U.S. dialysis and related lab services
$
499

 
$
417

 
$
449

 
$
916

Other—Ancillary services and strategic initiatives
 
 
 
 
 
 
 
U.S.
(16
)
 
(15
)
 
4

 
(31
)
International
1

 
(43
)
 
(1
)
 
(42
)
 
(15
)
 
(58
)
 
3

 
(73
)
Corporate administrative support expenses
(22
)
 
(19
)
 
(14
)
 
(41
)
Total consolidated operating income
$
462

 
$
341

 
$
438

 
$
802



10



DAVITA INC.
SUPPLEMENTAL FINANCIAL DATA - continued
(unaudited)
(dollars in millions, except for per share and per treatment data)
 
Three months ended
 
Six months ended
June 30, 2019
 
June 30,
2019
 
March 31,
2019
 
June 30,
2018
 
3. Summary of reportable segment financial results:
 
 
 
 
 
 
 
U.S. Dialysis and Related Lab Services
 
 
 
 
 
 
 
Revenue:
 
 
 
 
 
 
 
Net dialysis and related lab patient service revenues
$
2,632

 
$
2,542

 
$
2,583

 
$
5,174

Other revenues
6

 
5

 
5

 
10

Total operating revenues
2,637

 
2,547

 
2,588

 
5,185

Operating expenses:
 
 
 
 
 
 
 
Patient care costs
1,785

 
1,797

 
1,810

 
3,582

General and administrative
216

 
197

 
196

 
413

Depreciation and amortization
145

 
141

 
138

 
285

Equity investment income
(7
)
 
(5
)
 
(6
)
 
(12
)
Total operating expenses
2,139

 
2,130

 
2,139

 
4,269

Segment operating income
$
499

 
$
417

 
$
449

 
$
916

 
 
 
 
 
 
 
 
4. U.S. Dialysis and Related Lab Services Business metrics:
 
 
 
 
 
 
 
Volume
 
 
 
 
 
 
 
Treatments
7,520,587

 
7,297,460

 
7,331,590

 
14,818,046

Number of treatment days
78.0

 
76.6

 
78.0

 
154.6

Average treatments per day
96,418

 
95,267

 
93,995

 
95,848

Per day year over year increase
2.6
%
 
2.9
%
 
4.2
%
 
2.7
%
Normalized non-acquired treatment growth year over year
2.1
%
 
2.4
%
 
3.4
%
 
 
Operating net revenues
 
 
 
 
 
 
 
Dialysis and related lab services net revenue per
treatment
$
349.97

 
$
348.37

 
$
352.37

 
$
349.18

Expenses
 
 
 
 
 
 
 
Patient care costs per treatment
$
237.34

 
$
246.29

 
$
246.90

 
$
241.75

General and administrative expenses per treatment
$
28.68

 
$
27.00

 
$
26.80

 
$
27.85

Accounts receivable
 
 
 
 
 
 
 
Net receivables
$
1,816

 
$
1,794

 
$
1,646

 
 
DSO
63

 
64

 
59

 
 
 
 
 
 
 
 
 
 
5. Discontinued operations:
 
 
 
 
 
 
 
Operating results
 
 
 
 
 
 
 
Net revenues
$
1,331

 
$
1,382

 
$
1,252

 
$
2,713

Expenses
1,202

 
1,338

 
1,193

 
2,540

Income from operations of discontinued operations before taxes
129

 
44

 
60

 
173

Loss on sale of discontinued operations, before taxes
(23
)
 

 

 
(23
)
Income tax expense (benefit)
27

 
14

 
(10
)
 
41

Net income from discontinued operations, net of tax
$
79

 
$
30

 
$
70

 
$
110


11



DAVITA INC.
SUPPLEMENTAL FINANCIAL DATA - continued
(unaudited)
(dollars in millions, except for per share and per treatment data)
 
Three months ended
 
Six months ended
June 30, 2019
 
June 30,
2019
 
March 31,
2019
 
June 30,
2018
 
6. Cash Flow:
 
 
 
 
 
 
 
Operating cash flow
$
610

 
$
141

 
$
562

 
$
751

Operating cash flow from continuing operations
$
574

 
$
73

 
$
606

 
$
647

Operating cash flow from continuing operations, last twelve
months
$
1,316

 
$
1,348

 
$
1,454

 
 
Free cash flow from continuing operations(1)
$
461

 
$
(52
)
 
$
470

 
$
410

Free cash flow from continuing operations, last twelve
months
(1)
$
748

 
$
756

 
$
902

 
 
Capital expenditures from continuing operations:
 
 
 
 
 
 
 
Routine maintenance/IT/other
$
61

 
$
80

 
$
87

 
$
142

Development and relocations
$
95

 
$
99

 
$
132

 
$
194

Acquisition expenditures
$
54

 
$
10

 
$
73

 
$
64

Proceeds from sale of self-developed properties
$
14

 
$
12

 
$
8

 
$
27

 
 
 
 
 
 
 
 
7. Debt and Capital Structure:
 
 
 
 
 
 
 
Total debt(3)(4)
$
9,004

 
$
10,512

 
$
10,002

 
 
Net debt, net of cash and cash equivalents(3)(4)
$
5,428

 
$
10,053

 
$
9,613

 
 
Leverage ratio (see calculation on page 13)
2.47x

 
4.62x

 
3.99x

 
 
Weighted average effective interest rate:
 
 
 
 
 
 
 
During the quarter
5.17
%
 
5.16
%
 
4.91
%
 
 
At end of the quarter
5.30
%
 
5.14
%
 
4.99
%
 
 
On the senior secured credit facilities at end of the quarter
5.31
%
 
5.00
%
 
4.72
%
 
 
Debt with fixed and capped rates as a percentage of total
 debt:
 
 
 
 
 
 
 
Debt with rates fixed by its terms
54
%
 
46
%
 
49
%
 
 
Debt with rates fixed or capped by cap agreements
93
%
 
79
%
 
84
%
 
 
Share repurchases
$
112

 
$

 
$
512

 
$
112

Number of shares repurchased
2,059,976

 

 
7,797,712

 
2,059,976

Certain columns, rows or percentages may not sum or recalculate due to the use of rounded numbers.
_________________
(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 and advocacy costs.
(3)
The reported balance sheet amounts at June 30, 2019, March 31, 2019 and June 30, 2018, exclude $34.5 million, $48.5 million and $57.9 million, respectively, of a debt discount associated with our Term Loan B and other deferred financing costs. The reported balance sheet amounts exclude DMG debt which is classified as held for sale liabilities for March 31, 2019 and June 30, 2018.
(4)
The reported total debt and net debt, net of cash and cash equivalents, excludes DMG cash and debt classified as held for sale assets and liabilities, respectively, as of March 31, 2019 and June 30, 2018.
(5)
Adjusted operating income margin is a calculation of adjusted operating income divided by consolidated revenues.

12



DAVITA INC.
SUPPLEMENTAL FINANCIAL DATA-continued
(unaudited)
(dollars in thousands)

Note 1: Calculation of the Leverage Ratio
Under the senior secured credit facilities (Credit Agreement), the leverage ratio is defined as all funded debt plus the face amount of all letters of credit issued, minus cash and cash equivalents, including short-term investments, divided by “Consolidated EBITDA”. The leverage ratio determines the interest rate margin payable by the Company for its Term Loan A and revolving line of credit under the Credit Agreement by establishing the margin over the base interest rate (LIBOR) that is applicable. The following leverage ratio was calculated using “Consolidated EBITDA” as defined in the Credit Agreement. The calculation below is based on the last twelve months of “Consolidated EBITDA”, pro forma for routine acquisitions that occurred during the period. The Company’s management believes the presentation of “Consolidated EBITDA” is useful to users to enhance their understanding of the Company’s leverage ratio under its Credit Agreement. The leverage ratio calculated by the Company is a non-GAAP measure and should not be considered a substitute for debt to net income attributable to DaVita Inc., net income attributable to DaVita Inc. or total debt as determined in accordance with United States generally accepted accounting principles (GAAP). As allowed by the Credit Agreement, the Company has elected to calculate debt using the existing GAAP in place at the commencement of the Credit Agreement; therefore, the Company has not adjusted its debt balance to include the lease liabilities under ASC Topic 842. The Company’s calculation of its leverage ratio might not be calculated in the same manner as, and thus might not be comparable to, similarly titled measures by other companies.
 
Rolling twelve months ended
 
June 30, 2019
 
March 31, 2019
 
June 30, 2018
Net income attributable to DaVita Inc.
$
548,180

 
$
129,997

 
$
534,882

Income taxes
236,479

 
350,689

 
(290,623
)
Interest expense
476,507

 
462,877

 
416,933

Depreciation and amortization
601,927

 
596,764

 
677,119

Impairment charges
47,130

 
103,018

 
895,457

Noncontrolling interests and equity investment income, net
194,434

 
173,609

 
184,438

Stock-settled stock-based compensation
77,766

 
75,489

 
37,346

Debt prepayment charges
12,160

 

 

Gain on changes in ownership interest, net
(26,646
)
 
(85,699
)
 
(76,182
)
Valuation adjustment on disposal group

 
316,840

 

Other
56,176

 
22,712

 
14,957

“Consolidated EBITDA”
$
2,224,113

 
$
2,146,296

 
$
2,394,327

 
 
 
 
 
 
 
June 30, 2019
 
March 31, 2019
 
June 30, 2018
Total debt, excluding debt discount and other deferred financing costs(1)
$
9,003,631

 
$
10,548,104

 
$
10,038,699

Letters of credit issued
72,763

 
79,099

 
36,917

 
9,076,394

 
10,627,203

 
10,075,616

Less: Cash and cash equivalents including short-term investments(2)
(3,578,751
)
 
(710,603
)
 
(526,819
)
Consolidated net debt
$
5,497,643

 
$
9,916,600

 
$
9,548,797

Last twelve months “Consolidated EBITDA”
$
2,224,113

 
$
2,146,296

 
$
2,394,327

Leverage ratio
2.47x

 
4.62x

 
3.99x

_________________
(1)
The reported total debt amounts at June 30, 2019, March 31, 2019 and June 30, 2018, exclude $34.5 million, $48.5 million and $57.9 million, respectively, of a debt discount associated with our Term Loan B and other deferred financing costs.
(2)
Excluding DMG’s physician owned entities cash for the twelve months ended March 31, 2019 and June 30, 2018 and amounts not readily convertible to cash related to the Company's non-qualified deferred compensation plans for all periods presented.
In accordance with the Credit Agreement, the Company’s leverage ratio cannot exceed 4.50 to 1.00 as of June 30, 2019. At that date the Company’s leverage ratio did not exceed 4.50 to 1.00.

13



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 measures, the term “adjusted” refers to operating performance measures that exclude certain items such as impairment charges, (gain) loss on ownership changes, restructuring charges, debt prepayment charges and gains and charges associated with settlements; and (ii) the term “effective income tax rate on adjusted income from continuing operations attributable to DaVita Inc.” represents the Company’s effective tax rate excluding applicable non-GAAP items and noncontrolling owners’ income, which primarily relates to non-tax paying entities.
These non-GAAP or “adjusted” measures are presented because management believes these measures are useful adjuncts to GAAP results. However, these non-GAAP measures should not be considered alternatives to the corresponding measures determined under GAAP. 
Specifically, we use adjusted operating income, adjusted net income from continuing operations attributable to DaVita Inc. and adjusted diluted net income from continuing operations per share attributable to DaVita Inc. to compare and evaluate our performance period over period and relative to competitors, to analyze the underlying trends in our business, to establish operational budgets and forecasts and for incentive compensation purposes. We believe these non-GAAP measures are useful to management, investors and analysts in evaluating our performance over time and relative to competitors, as well as in analyzing the underlying trends in our business. We also believe these presentations enhance a user's understanding of our normal consolidated operating income by excluding certain items which we do not believe are indicative of our ordinary results of operations. As a result, adjusting for these amounts allows for comparison to our normalized prior period results.
In addition, the effective income tax rate on income from continuing operations attributable to DaVita Inc. excludes noncontrolling owners' income, which primarily relates to non-tax paying entities, and the effective income tax rate on adjusted income from continuing operations attributable to DaVita Inc. excludes noncontrolling owners' income and certain non-deductible and other charges which we do not believe are indicative of our ordinary results. Accordingly, we believe these adjusted effective income tax rates are useful to management, investors and analysts in evaluating our performance and establishing expectations for income taxes incurred on our ordinary results attributable to DaVita Inc.
Finally, free cash flow from continuing operations represents net cash provided by operating activities from continuing operations less distributions to noncontrolling interests and capital expenditures for routine maintenance and information technology from continuing operations. We believe this non-GAAP measure is useful to management, investors and analysts as an adjunct to cash flows from operating activities from continuing operations and other measures under GAAP, since free cash flow from continuing operations is meaningful for assessing our ability to fund acquisition and development activities and meet our debt service obligations.
It is important to bear in mind that these non-GAAP "adjusted" measures are not measures of financial performance or liquidity under GAAP and should not be considered in isolation from, nor as substitutes for, their most comparable GAAP measures.
The following Notes 2 through 5 provide reconciliations of the non-GAAP financial measures presented in this press release to their most comparable GAAP measures.

14



DAVITA INC.
RECONCILIATIONS FOR NON-GAAP MEASURES - continued
(unaudited)
(dollars in thousands, except for per share data)
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
 
June 30, 2019
 
March 31, 2019
 
June 30, 2018
 
Dollars
 
Per share
 
Dollars
 
Per share
 
Dollars
 
Per share
Net income from continuing operations attributable to
DaVita Inc.
$
194,223

 
$
1.16

 
$
120,254

 
$
0.72

 
$
199,603

 
$
1.15

Operating charges:
 
 
 
 
 
 
 
 
 
 
 
Goodwill impairment charges

 

 
41,037

 
0.25

 
3,106

 
0.02

Impairment of other assets

 

 

 

 
11,245

 
0.06

Gain on changes in ownership interests, net

 

 

 

 
(33,957
)
 
(0.20
)
Debt prepayment charges
12,160

 
0.07

 

 

 

 

Related income tax
(3,130
)
 
(0.02
)
 
(8,865
)
 
(0.05
)
 
2,652

 
0.02

Adjusted net income from continuing operations attributable
to DaVita Inc.
$
203,253

 
$
1.22

 
$
152,426

 
$
0.91

 
$
182,649

 
$
1.05

 
Six months ended
 
June 30, 2019
 
June 30, 2018
 
Dollars
 
Per share
 
Dollars
 
Per share
Net income from continuing operations attributable to
DaVita Inc.
$
314,477

 
$
1.89

 
$
390,618

 
$
2.19

Operating charges:
 
 
 
 
 
 
 
Goodwill impairment charges
41,037

 
0.25

 
3,106

 
0.02

Impairment of other assets

 

 
11,245

 
0.06

Gain on changes in ownership interests, net

 

 
(33,957
)
 
(0.19
)
Debt prepayment charges
12,160

 
0.07

 

 

Related income tax
(11,995
)
 
(0.07
)
 
2,652

 
0.01

Adjusted net income from continuing operations attributable
to DaVita Inc.
$
355,679

 
$
2.13

 
$
373,664

 
$
2.10

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

15



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

Note 3:    Adjusted operating income
 
Three months ended
 
Six months ended
 
June 30, 2019
 
March 31, 2019
 
June 30, 2018
 
June 30, 2019
 
June 30, 2018
Consolidated:
 
 
 
 
 
 
 
 
 
Operating income
$
461,886

 
$
340,507

 
$
438,192

 
$
802,393

 
$
848,878

Goodwill impairment charges

 
41,037

 
3,106

 
41,037

 
3,106

Impairment of other assets

 

 
11,245

 

 
11,245

Gain on changes in ownership interests, net

 

 
(33,957
)
 

 
(33,957
)
Adjusted operating income
$
461,886

 
$
381,544

 
$
418,586

 
$
843,430

 
$
829,272

 
Three months ended
 
Six months ended
 
June 30, 2019
 
March 31, 2019
 
June 30, 2018
 
June 30, 2019
 
June 30, 2018
Consolidated:
 
 
 
 
 
 
 
 
 
U.S. dialysis and related lab services:
 
 
 
 
 
 
 
 
 
Segment operating income
$
498,957

 
$
416,981

 
$
449,443

 
$
915,939

 
$
882,822

Other - Ancillary services and strategic initiatives:
 
 
 
 
 
 
 
 
 
U.S.
 
 
 
 
 
 
 
 
 
Segment operating (loss) income
$
(15,652
)
 
$
(14,918
)
 
$
3,953

 
$
(30,570
)
 
$
(1,233
)
Impairment of other assets

 

 
11,245

 

 
11,245

Gain on changes in ownership interests

 

 
(35,205
)
 

 
(35,205
)
Adjusted operating loss
$
(15,652
)
 
$
(14,918
)
 
$
(20,007
)
 
$
(30,570
)
 
$
(25,193
)
International
 
 
 
 
 
 
 
 
 
Segment operating income (loss)
$
602

 
$
(42,712
)
 
$
(1,138
)
 
$
(42,110
)
 
$
(2,942
)
Goodwill impairment charge

 
41,037

 
3,106

 
41,037

 
3,106

Loss on changes in ownership interests

 

 
1,248

 

 
1,248

Adjusted operating income (loss)
$
602

 
$
(1,675
)
 
$
3,216

 
$
(1,073
)
 
$
1,412

Adjusted Other - Ancillary services and strategic initiatives
operating loss
$
(15,050
)
 
$
(16,593
)
 
$
(16,791
)
 
$
(31,643
)
 
$
(23,781
)
Corporate administrative support expenses
$
(22,021
)
 
$
(18,844
)
 
$
(14,066
)
 
$
(40,866
)
 
$
(29,769
)
Adjusted operating income
$
461,886

 
$
381,544

 
$
418,586

 
$
843,430

 
$
829,272

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

16



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

Note 4:    Effective income tax rates on income from continuing operations attributable to DaVita Inc.
 
Three months ended
 
Six months ended
June 30, 2019
 
June 30,
2019
 
March 31,
2019
 
June 30,
2018
 
Income from continuing operations before income taxes
$
323,703

 
$
215,928

 
$
320,494

 
$
539,631

Less: Noncontrolling owners’ income primarily attributable to
non-tax paying entities
(53,916
)
 
(39,008
)
 
(37,374
)
 
(92,924
)
Income before income taxes attributable to DaVita Inc.
$
269,787

 
$
176,920

 
$
283,120

 
$
446,707

 
 
 
 
 
 
 
 
Income tax expense
$
75,938

 
$
56,746

 
$
83,868

 
$
132,684

Less: Income tax attributable to noncontrolling interests
(374
)
 
(80
)
 
(351
)
 
(454
)
Income tax expense attributable to DaVita Inc.
$
75,564

 
$
56,666

 
$
83,517

 
$
132,230

 
 
 
 
 
 
 
 
Effective income tax rate on income from continuing operations
attributable to DaVita Inc.
28.0
%
 
32.0
%
 
29.5
%
 
29.6
%
The effective income tax rate on adjusted income from continuing operations attributable to DaVita Inc. is computed as follows:
 
Three months ended
 
Six months ended
June 30, 2019
June 30,
2019
 
March 31,
2019
 
June 30,
2018
 
Income from continuing operations before income taxes
$
323,703

 
$
215,928

 
$
320,494

 
$
539,631

Operating charges:
 
 
 
 
 
 
 
Goodwill impairment charges

 
41,037

 
3,106

 
41,037

Impairment of other assets

 

 
11,245

 

Gain on changes in ownership interests, net

 

 
(33,957
)
 

Debt prepayment charges
12,160

 

 

 
12,160

Noncontrolling owners’ income primarily attributable to non-tax
paying entities
(53,916
)
 
(39,008
)
 
(37,374
)
 
(92,924
)
Adjusted income from continuing operations before income taxes
attributable to DaVita Inc.
$
281,947

 
$
217,957

 
$
263,514

 
$
499,904

Income tax expense
$
75,938

 
$
56,746

 
$
83,868

 
$
132,684

Add income tax related to:
 
 
 
 
 
 
 
Goodwill impairment charges

 
8,865

 
598

 
8,865

Impairment of other assets

 

 
2,895

 

Gain on changes in ownership interests, net

 

 
(6,145
)
 

Debt prepayment charges
3,130

 

 

 
3,130

Less income tax related to:
 
 
 
 
 
 
 
Noncontrolling interests
(374
)
 
(80
)
 
(351
)
 
(454
)
Income tax on adjusted income from continuing operations
attributable to DaVita Inc.
$
78,694

 
$
65,531

 
$
80,865

 
$
144,225

Effective income tax rate on adjusted income from continuing
operations attributable to DaVita Inc.
27.9
%
 
30.1
%
 
30.7
%
 
28.9
%
Certain columns, rows or percentages may not sum or recalculate due to the use of rounded numbers.

17



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

Note 5:    Free cash flow from continuing operations
 
Three months ended
 
Six months ended
June 30, 2019
 
June 30,
2019
 
March 31,
2019
 
June 30,
2018
 
Net cash provided by continuing operating activities
$
574,203

 
$
73,064

 
$
605,601

 
$
647,267

Less: Distributions to noncontrolling interests
(51,484
)
 
(44,230
)
 
(48,539
)
 
(95,714
)
Cash provided by continuing operating activities attributable to DaVita Inc.
522,719

 
28,834

 
557,062

 
551,553

Less: Expenditures for routine maintenance and information technology
(61,298
)
 
(80,390
)
 
(86,871
)
 
(141,688
)
Free cash flow from continuing operations
$
461,421

 
$
(51,556
)
 
$
470,191

 
$
409,865

 
Rolling 12-Month Period
 
June 30,
2019
 
March 31,
2019
 
June 30,
2018
Net cash provided by continuing operating activities
$
1,316,331

 
$
1,347,729

 
$
1,453,942

Less: Distributions to noncontrolling interests
(198,149
)