Improving Health, Health Care and Quality of Life

DaVita 1st Quarter 2011 Results

DENVER, May 02, 2011 (BUSINESS WIRE) --

DaVita Inc. (NYSE:DVA) today announced results for the quarter ended March 31, 2011. Net income attributable to DaVita Inc. for the quarter ended March 31, 2011 was $94.5 million, or $0.96 per share. This compares to net income attributable to DaVita Inc. for the quarter ended March 31, 2010 of $109.4 million, or $1.04 per share.

 

Financial and operating highlights include:

 

  • Cash Flow: For the rolling twelve months ended March 31, 2011 operating cash flow was $908 million and free cash flow was $643 million. For the three months ended March 31, 2011 operating cash flow was $330 million and free cash flow was $267 million.
  • Operating Income: Operating income for the three months ended March 31, 2011 was $236 million as compared to $243 million for the same period of 2010.
  • Volume: Total treatments for the first quarter of 2011 were 4,602,375, or 59,771 treatments per day, representing a per day increase of 7.2% over the first quarter of 2010. Non-acquired treatment growth in the quarter was 4.0% over the prior year's first quarter. Our normalized non-acquired treatment growth in the quarter was 4.2% over the prior year's first quarter.
  • Effective Tax Rate: Our effective tax rate was 35.5% for the quarter ended March 31, 2011. This effective tax rate is impacted by the amount of third party owners' income attributable to non-tax paying entities. The effective tax rate attributable to DaVita Inc. was 40.0% for the quarter ended March 31, 2011. We are updating our effective tax rate attributable to DaVita Inc. for 2011 to now be in the range of 39.0% to 40.0%. Our previous expected effective tax rate attributable to DaVita Inc. was in the range of 39.5% to 40.5%.
  • Share Repurchases: During the first quarter of 2011, we repurchased a total of 162,300 shares of our common stock for $13.6 million, or an average price of $84.02 per share. As of March 31, 2011, all of these shares repurchases had not yet been settled in cash. In addition, we also repurchased a total of 969,100 shares of our common stock from April 1, 2011 through April 30, 2011 for $84.4 million, or an average price of $87.08 per share. As a result of these transactions, our remaining board authorization for share repurchases as of April 30, 2011 is approximately $583.5 million.
  • Center Activity: As of March 31, 2011, we operated or provided administrative services at 1,642 outpatient dialysis centers serving approximately 128,000 patients, of which 1,610 centers are consolidated in our financial statements. During the first quarter of 2011, we acquired and opened a total of 33 centers, sold one center and closed two centers.

 

Outlook

We expect our operating income for 2011 to be in the range of $1,040 million to $1,100 million and expect our operating cash flows for 2011 to be in the range of $840 million to $940 million. We also expect our operating income for 2012 to be in the range of $1,100 million to $1,200 million. These projections and the underlying assumptions involve significant risks and uncertainties, including those described below and actual results may vary significantly from these current projections.

We will be holding a conference call to discuss our results for the first quarter ended March 31, 2011 on May 3, 2011 at 8:30 a.m. Eastern Time. The dial in number is (800) 399-4406. A replay of the conference call will be available on DaVita's official web page, www.davita.com, for the following 30 days.

This release contains forward-looking statements, within the meaning of the federal securities laws, including statements related to our 2011 and 2012 operating income, our 2011 operating cash flows and our 2011 expected effective tax rate attributable to DaVita Inc. Factors that could impact future results include the uncertainties associated with governmental regulations, general economic and other market conditions, competition, accounting estimates, the variability of our cash flows and the risk factors set forth in our SEC filings, including our Annual Report on Form 10-K for the year ended December 31, 2010, and subsequent quarterly reports to be filed on Form 10-Q. The forward-looking statements should be considered in light of these risks and uncertainties.

These risks and uncertainties include those relating to:

 

  • the concentration of profits generated from commercial payor plans,
  • continued downward pressure on average realized payment rates from commercial payors, which may result in the loss of revenue or patients,
  • a reduction in the number of patients under higher-paying commercial plans,
  • a reduction in government payment rates or changes to the structure of payments under the Medicare End Stage Renal Disease program or other government-based programs,
  • the impact of health care reform legislation that was enacted in the United States in March 2010,
  • changes in pharmaceutical or anemia management practice patterns, payment policies, or pharmaceutical pricing,
  • our ability to maintain contracts with physician medical directors,
  • legal compliance risks, including our continued compliance with complex government regulations,
  • the resolution of ongoing investigations by various federal and state governmental agencies,
  • continued increased competition from large and medium-sized dialysis providers that compete directly with us,
  • our ability to complete any acquisitions, mergers or dispositions that we might be considering or announce, or integrate and successfully operate any business we may acquire, and
  • expansion of our operations and services to markets outside the United States.

 

We base our forward-looking statements on information currently available to us at the time of this release, and we undertake no obligation to update or revise any forward-looking statements, whether as a result of changes in underlying factors, new information, future events or otherwise.

This release contains non-GAAP financial measures. For reconciliations of these non-GAAP financial measures to their most comparable measure calculated and presented in accordance with GAAP, see the attached reconciliation schedules. For the reasons stated in the reconciliation schedules, we believe our presentation of non-GAAP financial measures provides useful supplemental information for investors.

         

DAVITA INC.

CONSOLIDATED STATEMENTS OF INCOME

(unaudited)

(dollars in thousands, except per share data)

         
        Three months ended

March 31,

        2011     2010
Net operating revenues       $ 1,605,958       $ 1,559,418  
Operating expenses and charges:              
Patient care costs         1,115,996         1,082,789  
General and administrative         151,602         137,277  
Depreciation and amortization         62,037         57,468  
Provision for uncollectible accounts         42,289         41,563  
Equity investment income         (1,519 )       (2,345 )
Total operating expenses and charges         1,370,405         1,316,752  
Operating income         235,553         242,666  
Debt expense         (58,595 )       (44,583 )
Other income         841         831  
Income before income taxes         177,799         198,914  
Income tax expense         63,047         73,914  
Net income         114,752         125,000  
Less: Net income attributable to noncontrolling interests         (20,250 )       (15,577 )
Net income attributable to DaVita Inc.       $ 94,502       $ 109,423  
Earnings per share:              
Basic earnings per share attributable to DaVita Inc.       $ 0.98       $ 1.05  
Diluted earnings per share attributable to DaVita Inc.       $ 0.96       $ 1.04  
Weighted average shares for earnings per share:              
Basic         96,263,802         103,364,869  
Diluted         98,378,371         104,765,600  
                       
         

DAVITA INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited)

(dollars in thousands)

         
        Three months ended

March 31,

        2011     2010
Cash flows from operating activities:              
Net income       $ 114,752       $ 125,000  
Adjustments to reconcile net income to cash provided by operating activities:              
Depreciation and amortization         62,037         57,468  
Stock-based compensation expense         9,716         10,233  
Tax benefits from stock award exercises         13,868         7,873  
Excess tax benefits from stock award exercises         (7,196 )       (1,378 )
Deferred income taxes         18,221         (3,311 )
Equity investment income, net         1,420         (1,334 )
Loss (gain) on disposal of assets and other non-cash charges         5,506         (695 )
Changes in operating assets and liabilities, other than from acquisitions and divestitures:              
Accounts receivable         (20,461 )       594  
Inventories         7,429         1,818  
Other receivables and other current assets         24,922         44,343  
Other long-term assets         990         (782 )
Accounts payable         26,565         1,800  
Accrued compensation and benefits         31,542         17,349  
Other current liabilities         9,483         (45,063 )
Income taxes         29,878         47,617  
Other long-term liabilities         1,111         315  
Net cash provided by operating activities         329,783         261,847  
Cash flows from investing activities:              
Additions of property and equipment, net         (67,530 )       (42,585 )
Acquisitions         (81,523 )       (1,069 )
Proceeds from asset sales         2,812         16,264  
Purchase of investments available for sale         (298 )       (521 )
Purchase of investments held-to-maturity         (15,161 )       (12,522 )
Proceeds from sale of investments available for sale         1,149         880  
Proceeds from maturities of investments held-to-maturity         15,163         15,990  
Purchase of equity investments and other assets         -         (350 )
Distributions received on equity investments         -         350  
Net cash used in investing activities         (145,388 )       (23,563 )
Cash flows from financing activities:              
Borrowings         10,983,125         4,877,000  
Payments on long-term debt         (11,000,635 )       (4,902,041 )
Interest rate cap premiums and other deferred financing costs         (13,399 )       -  
Distributions to noncontrolling interests         (22,187 )       (18,658 )
Stock award exercises and other share issuances, net         3,410         21,073  
Excess tax benefits from stock award exercises         7,196         1,378  
Contributions from noncontrolling interests         3,959         1,613  
Proceeds from sales of additional noncontrolling interests         785         108  
Purchases from noncontrolling interests         (756 )       (2,307 )
Net cash used in financing activities         (38,502 )       (21,834 )
Net increase in cash and cash equivalents         145,893         216,450  
Cash and cash equivalents at beginning of period         860,117         539,459  
Cash and cash equivalents at end of period       $ 1,006,010       $ 755,909  
                       
               

DAVITA INC.

CONSOLIDATED BALANCE SHEETS

(unaudited)

(dollars in thousands, except per share data)

               
ASSETS       March 31,

2011

    December 31,

2010

Cash and cash equivalents       $ 1,006,010       $ 860,117  
Short-term investments         23,006         23,003  
Accounts receivable, less allowance of $227,651 and $235,629         1,069,437         1,048,976  
Inventories         69,641         76,008  
Other receivables         277,065         304,366  
Other current assets         46,342         43,994  
Income tax receivables         10,419         40,330  
Deferred income taxes         224,996         226,060  
Total current assets         2,726,916         2,622,854  
Property and equipment, net         1,183,744         1,170,808  
Amortizable intangibles, net         156,614         162,635  
Equity investments         24,498         25,918  
Long-term investments         8,434         8,848  
Other long-term assets         40,659         32,054  
Goodwill         4,182,076         4,091,307  
        $ 8,322,941       $ 8,114,424  
LIABILITIES AND EQUITY              
Accounts payable       $ 227,401       $ 181,033  
Other liabilities         352,490         342,943  
Accrued compensation and benefits         352,931         325,477  
Current portion of long-term debt         74,551         74,892  
Total current liabilities         1,007,373         924,345  
Long-term debt         4,218,201         4,233,850  
Other long-term liabilities         86,615         89,290  
Alliance and product supply agreement, net         23,985         25,317  
Deferred income taxes         443,878         421,436  
Total liabilities         5,780,052         5,694,238  
Commitments and contingencies              
Noncontrolling interests subject to put provisions         405,988         383,052  
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; 134,862,283 shares              
issued; 96,395,372 and 96,001,535 shares outstanding)         135         135  
Additional paid-in capital         618,362         620,546  
Retained earnings         2,812,319         2,717,817  
Treasury stock, at cost (38,466,911 and 38,860,748 shares)         (1,354,744 )       (1,360,579 )
Accumulated other comprehensive (loss) income         (1,677 )       503  
Total DaVita Inc. shareholders' equity         2,074,395         1,978,422  
Noncontrolling interests not subject to put provisions         62,506         58,712  
Total equity         2,136,901         2,037,134  
        $ 8,322,941       $ 8,114,424  
                       
         

DAVITA INC.

SUPPLEMENTAL FINANCIAL DATA

(unaudited)

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

         
        Three months ended
        March 31,

2011

    December 31,

2010

    March 31,

2010

1. Consolidated Financial Results:                    
Revenues       $ 1,606       $ 1,649       $ 1,559  
Operating income       $ 235.6       $ 255.4       $ 242.7  
Operating income margin         14.7 %       15.5 %       15.6 %
Net income attributable to DaVita Inc.       $ 94.5       $ 69.0       $ 109.4  
Net income attributable to DaVita Inc., excluding after-tax debt refinancing and redemption charges(1)       $ 94.5       $ 111.9       $ 109.4  
Diluted earnings per share attributable to DaVita Inc.       $ 0.96       $ 0.70       $ 1.04  
Diluted earnings per share attributable to DaVita Inc., excluding after-tax debt refinancing and redemption charges(1)       $ 0.96       $ 1.13       $ 1.04  
                     
2. Consolidated Business Metrics:                    
Expenses                    
Patient care costs as a percent of consolidated revenue(2)         69.5 %       68.8 %       69.4 %
General and administrative expenses as a percent of consolidated revenue (2)         9.4 %       9.6 %       8.8 %
                     
Bad debt expense as a percent of consolidated revenue         2.6 %       2.6 %       2.7 %
                     
Consolidated effective tax rate attributable to DaVita Inc.(1)         40.0 %       36.5 %       40.25 %
                     
3. Segment Financial Results: (dollar amounts rounded to nearest million)                    
Revenues:                    
Dialysis and related lab services       $ 1,505       $ 1,545       $ 1,478  
Other - Ancillary services and strategic initiatives         106         107         84  
Total segment revenue         1,611         1,652         1,562  
Less elimination of intersegment revenue         (5 )       (3 )       (3 )
Total consolidated revenue       $ 1,606       $ 1,649       $ 1,559  
                     
Operating income                    
Dialysis and related lab services       $ 250       $ 268       $ 253  
Other - Ancillary services and strategic initiatives         (6 )       (2 )       (2 )
Total segment operating income       $ 244       $ 265       $ 251  
Reconciling items:                    
Stock-based compensation         (10 )       (12 )       (10 )
Equity investment income         2         2         2  
Consolidated operating income       $ 236       $ 255       $ 243  
                                 
         

DAVITA INC.

SUPPLEMENTAL FINANCIAL DATA--continued

(unaudited)

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

         
        Three months ended
        March 31,

2011

    December 31,

2010

    March 31,

2010

4. Segment Business Metrics:                    
Dialysis and related lab services                    
Volume                    
Treatments         4,602,375         4,657,498         4,294,121  
Number of treatment days         77.0         79.0         77.0  
Treatments per day         59,771         58,956         55,768  
Per day year over year increase         7.2 %       6.8 %       4.5 %
Non-acquired growth year over year         4.0 %       4.4 %       4.2 %
                     
Revenue                    
Dialysis and related lab services revenue per treatment       $ 326.40       $ 331.12       $ 343.70  
Per treatment (decrease) increase from previous quarter         (1.4 %)       (2.2 %)       1.3 %
Per treatment (decrease) increase from previous year         (5.0 %)       (2.4 %)       2.1 %
Percent of consolidated revenue         93.7 %       93.7 %       94.8 %
                     
Expenses                    
Patient care costs                    
Percent of segment revenue         68.3 %       67.8 %       68.9 %
Per treatment       $ 223.32       $ 224.91       $ 237.08  
Per treatment (decrease) increase from previous quarter         (0.7 %)       (3.4 %)       1.1 %
Per treatment (decrease) increase from previous year         (5.8 %)       (4.0 %)       2.1 %
                     
General and administrative expenses                    
Percent of segment revenue         8.3 %       8.3 %       7.6 %
Per treatment       $ 27.19       $ 27.65       $ 26.05  
Per treatment (decrease) increase from previous quarter         (1.7 %)       4.0 %       1.1 %
Per treatment increase from previous year         4.4 %       7.3 %       3.5 %
                     
5. Cash Flow:                    
Operating cash flow       $ 329.8       $ 120.6       $ 261.8  
Operating cash flow, last twelve months       $ 907.6       $ 839.7       $ 794.3  
Free cash flow(1)       $ 266.5       $ 36.0       $ 220.6  
Free cash flow, last twelve months(1)       $ 642.9       $ 597.0       $ 616.3  
Capital expenditures:                    
Routine maintenance/IT/other       $ 41.1       $ 62.1       $ 22.6  
Development and relocations       $ 27.6       $ 44.5       $ 22.8  
Acquisition expenditures       $ 81.5       $ 50.9       $ 1.1  
                     
6. Accounts Receivable:                    
Net receivables       $ 1,069       $ 1,049       $ 1,104  
DSO         62         61         66  
                                 
               

DAVITA INC.

SUPPLEMENTAL FINANCIAL DATA--continued

(unaudited)

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

               
        Three months ended
        March 31,

2011

    December 31,

2010

    March 31,

2010

7. Debt and Capital Structure:                          
Total debt(3)       $ 4,301       $ 4,317       $ 3,606  
Net debt, net of cash(3)       $ 3,295       $ 3,457       $ 2,850  
Leverage ratio (see Note 1 on page 9)      

2.58

x

   

2.72

x

   

2.36

x

Overall weighted average effective interest rate during the quarter         5.20 %       4.86 %       4.67 %
Overall weighted average effective interest rate at end of the quarter         5.34 %       4.94 %       4.66 %
Weighted average effective interest rate on the Senior Secured Credit Facilities at end of the quarter         4.67 %       4.05 %       2.57 %
Economically fixed interest rates as a percentage of our total debt at March 31, 2011(4)and March 31, 2010 and fixed interest rates at December 31, 2010(4)         100 %       77 %       59 %
Share repurchases       $ 13.6       $ 420.0       $ --  
                           
8. Clinical: (quarterly averages)                          
Dialysis adequacy -% of patients with Kt/V > 1.2 at the end of the quarter         97 %       96 %       96 %
90 day patients average Hb>=10 <=12         79 %       73 %       65 %
Patients with arteriovenous fistulas placed         68 %       67 %       66 %
                                 
_________________
        (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, see attached reconciliation schedules.
        (2)   Consolidated percentages of revenue are comprised of the dialysis and related lab services business, other ancillary services and strategic initiatives, as well as stock-based compensation expenses.
        (3)   This is a non-GAAP financial measure. It excludes $8.0 million and $8.4 million, respectively, of a debt discount associated with out Term Loan B for the quarters ended March 31, 2011 and December 31, 2010 that is not actually outstanding debt principal. The quarter ended March 31, 2010 excludes $2.5 million of the unamortized balance of a debt premium associated with our senior notes that is not actually outstanding debt principal.
        (4)   This includes the Term Loan B outstanding amount for the quarters ended March 31, 2011 and December 31, 2010, since the Term Loan B bears interest at LIBOR (floor of 1.50%) plus a margin of 3.00%.
             

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

Note 1: Calculation of the Leverage Ratio

Under the Company's 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, 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 investors to enhance their understanding of the Company's leverage ratio under its Credit Agreement.

           
       

Rolling twelve

months ended

March 31, 2011

Net income attributable to DaVita Inc.       $ 390,762  
Income taxes         249,372  
Interest expense         183,749  
Depreciation and amortization         238,947  
Debt refinancing and redemption charges         74,382  
Noncontrolling interests         83,209  
Equity investment income, net         (532 )
Amortization of deferred financing costs         9,444  
Other         19,120  
Stock-based compensation expense         45,034  
"Consolidated EBITDA"       $ 1,293,487  
           
        March 31, 2011
Total debt, excluding debt discount of $8.0 million       $ 4,300,764  
Letters of credit issued         45,789  
          4,346,553  
Less: cash and cash equivalents         (1,006,010 )
Consolidated net debt       $ 3,340,543  
Last twelve months "Consolidated EBITDA"       $ 1,293,487  
Leverage ratio      

2.58

x

           

In accordance with the Credit Agreement, the Company's leverage ratio cannot exceed 4.25 to 1.0 as of March 31, 2011. At that date the Company's leverage ratio did not exceed 4.25 to 1.0.

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

1.Net income attributable to DaVita Inc. excluding after-tax debt refinancing and redemption charges and diluted earnings per share attributable to DaVita Inc. excluding after-tax debt refinancing and redemption charges.

We believe that net income attributable to DaVita Inc. excluding after-tax debt refinancing and redemption charges and diluted earnings per share attributable to DaVita Inc. excluding after-tax debt refinancing and redemption charges enhances a user's understanding of our normal net income attributable to DaVita Inc. and diluted earnings per share attributable to DaVita Inc. for these periods by providing a measure that is more meaningful because it excludes charges that resulted from the refinancing of our Senior Secured Credit Facilities and the redemption of the aggregate principal amount of our outstanding 6 5/8% senior notes due 2013 and the aggregate principal amount of our outstanding 7 ¼% senior subordinated notes 2015 and accordingly, is more comparable to prior periods and indicative of consistent net income attributable to DaVita Inc. and diluted earnings per share attributable to DaVita Inc. These measures are not measures of financial performance under United States generally accepted accounting principles (GAAP) and should not be considered as an alternative to net income attributable to DaVita Inc. and diluted earnings per share attributable to DaVita Inc.

Net income attributable to DaVita Inc. excluding after-tax debt refinancing and redemption charges:       Three months ended
        March 31,

2011

    December 31,

2010

    March 31,

2010

Net income attributable to DaVita Inc.       $ 94,502     $ 69,020       $ 109,423
Add: Debt refinancing and redemption charges         -       70,255         -
Less: Related income tax         -       (27,329 )       -
        $ 94,502     $ 111,946       $ 109,423
                             
Diluted earnings per share attributable to DaVita Inc. excluding after-tax debt refinancing and redemption charges:       Three months ended
        March 31,

2011

    December 31,

2010

    March 31,

2010

Diluted earnings per share attributable to DaVita Inc.       $ 0.96     $ 0.70     $ 1.04
Add: Net after-tax debt refinancing and redemption charges         -       0.43       -
        $ 0.96     $ 1.13     $ 1.04
                           

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

2.Effective Income Tax Rates

We believe that reporting the effective income tax rate attributable to DaVita Inc. enhances an investor's understanding of DaVita's effective income tax rate for the periods presented because it excludes noncontrolling owners' income that primarily relates to non-tax paying entities and accordingly is more comparable to prior periods presentations regarding DaVita's effective income tax rate and is more meaningful to an investor to fully understand the related income tax effects on DaVita Inc.'s operating results. This is not a measure under GAAP and should not be considered as an alternative to the effective income tax rate calculated in accordance with GAAP.

Effective income tax rate as compared to the effective income tax rate attributable to DaVita Inc. is as follows:

         
        Three months ended
        March 31,

2011

    December 31,

2010

    March 31,

2010

Income before income taxes       $ 177,799       $ 132,362       $ 198,914  
Income tax expense       $ 63,047       $ 39,917       $ 73,914  
Effective income tax rate         35.5 %       30.2 %       37.2 %
                                 
         
        Three months ended
        March 31,

2011

    December 31,

2010

    March 31,

2010

Income before income taxes       $ 177,799       $ 132,362       $ 198,914  
Less: Noncontrolling owners' income primarily attributable to non-tax paying entities         (20,297 )       (23,602 )       (15,781 )
Income before income taxes attributable to DaVita Inc.       $ 157,502       $ 108,760       $ 183,133  
                     
Income tax expense       $ 63,047       $ 39,917       $ 73,914  
Less income tax attributable to noncontrolling interests         (47 )       (177 )       (204 )
Income tax attributable to DaVita Inc.       $ 63,000       $ 39,740       $ 73,710  
                     
Effective income tax rate attributable to DaVita Inc.         40.0 %       36.5 %       40.25 %
                                 

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

3.Free cash flow

Free cash flow represents net cash provided by operating activities less income distributions to noncontrolling interests and capital expenditures for routine maintenance and information technology. We believe free cash flow is a useful adjunct to cash flow from operating activities and other measurements under GAAP, since free cash flow is a meaningful measure of our ability to fund acquisition and development activities and meet our debt service requirements. In addition, free cash flow excluding income distributions to noncontrolling interests provides an investor with an understanding of free cash flows that are attributable to DaVita Inc. Free cash flow is not a measure of financial performance under GAAP and should not be considered as an alternative to cash flows from operating, investing or financing activities, as an indicator of cash flows or as a measure of liquidity.

         
        Three months ended
        March 31,

2011

    December 31,

2010

    March 31,

2010

Cash provided by operating activities       $ 329,783       $ 120,551       $ 261,847  
Less: Income distributions to noncontrolling interests         (22,187 )       (22,479 )       (18,658 )
Cash provided by operating activities attributable to DaVita Inc.         307,596         98,072         243,189  
Less: Expenditures for routine maintenance and information technology         (41,079 )       (62,083 )       (22,563 )
Free cash flow       $ 266,517       $ 35,989       $ 220,626  
                                 
         
        Rolling 12-Month Period
        March 31,

2011

    December 31,

2010

    March 31,

2010

Cash provided by operating activities       $ 907,619       $ 839,683       $ 794,308  
Less: Income distributions to noncontrolling interests         (87,120 )       (83,591 )       (72,839 )
Cash provided by operating activities attributable to DaVita Inc.         820,499         756,092         721,469  
Less: Expenditures for routine maintenance and information technology         (177,612 )       (159,096 )       (105,171 )
Free cash flow       $ 642,887       $ 596,996       $ 616,298  
                     

SOURCE: DaVita Inc.

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

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