DaVita Inc. 3rd Quarter 2025 Results

, /PRNewswire/ -- DaVita Inc. (NYSE: DVA) announced financial and operating results for the quarter ended September 30, 2025. "Our third quarter performance was in line with our expectations and keeps us on track to achieve our full-year guidance," said Javier Rodriguez, CEO of DaVita. "Our consistent focus on providing outstanding care is the key to these results, enabling us to continuously invest in improving the lives of our patients and supporting our dedicated teammates and physician partners." Financial and operating highlights for the quarter ended September 30, 2025: Consolidated revenues were $3.420 billion. Operating income was $506 million and adjusted operating income was $517 million. Diluted earnings per share was $2.04 and adjusted diluted earnings per share was $2.51. Operating cash flow was $842 million and free cash flow was $604 million. Refinanced existing Term Loan B-1 with a new $1.9 billion Term Loan B-2. Repurchased 3.3 million shares of the Company's common stock at an average price paid of $140.67 per share. Three months ended Nine months ended September 30, September 30, 2025 June 30, 2025 2025 2024 Net income attributable to DaVita Inc.: (dollars in millions, except per share data) Net income $ 150 $ 199 $ 513 $ 677 Diluted per share $ 2.04 $ 2.58 $ 6.62 $ 7.66 Adjusted net income(1) $ 185 $ 228 $ 576 $ 657 Adjusted diluted per share(1) $ 2.51 $ 2.95 $ 7.44 $ 7.43 (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, 2025 June 30, 2025 2025 2024 Amount Margin Amount Margin Amount Margin Amount Margin Operating income (dollars in millions) Operating income $ 506 14.8 % $ 538 15.9 % $ 1,483 14.8 % $ 1,525 16.0 % Adjusted operating income(1) $ 517 15.1 % $ 551 16.3 % $ 1,508 15.0 % $ 1,490 15.6 % (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. U.S. dialysis metrics: Volume: Total U.S. dialysis treatments for the third quarter of 2025 were 7,242,725, or an average of 91,680 treatments per day, representing a per day decrease of (0.5)% compared to the second quarter of 2025. Normalized non-acquired treatment growth in the third quarter of 2025 compared to the third quarter of 2024 was (0.6)%. Three months ended Quarter change Nine months ended Year to date change September 30, 2025 June 30, 2025 September 30, 2025 September 30, 2024 (dollars in millions, except per treatment data) Revenue per treatment $ 410.59 $ 404.58 $ 6.01 $ 405.15 $ 389.79 $ 15.36 Patient care costs per treatment $ 273.54 $ 268.36 $ 5.18 $ 271.23 $ 255.96 $ 15.27 General and administrative $ 322 $ 312 $ 10 $ 917 $ 858 $ 59 Primary drivers of the changes in the table above were as follows: Revenue : The quarter change was primarily driven by an increase in average reimbursement rates, and other normal fluctuations, as well as an increase in the volume of phosphate binders. These increases are partially offset by changes in payor mix. The year to date change was driven by the incorporation of phosphate binders into the ESRD Prospective Payment System bundle, Medicare base rate and other annual rate increases, as well as other normal fluctuations. Patient care costs: The quarter change was primarily due to increased compensation expense, pharmaceutical costs, principally related to volume of phosphate binders, and health benefit expense, partially offset by decreases in insurance costs. The year to date change was primarily driven by increases in pharmaceutical costs, principally due to the administration of phosphate binders, compensation expenses, and medical supplies expense. General and administrative: The quarter change was primarily due to IT-related costs. The year to date change was primarily driven by increases in IT-related costs and costs related to the cybersecurity incident, as described below, as well as increases in compensation expense, partially offset by decreased center closure costs. Certain items impacting the quarter: Cybersecurity incident-related charges. During the second quarter of 2025, we experienced a cybersecurity incident that impacted certain elements of our network, and resulted in a temporary disruption of our operations. As a result of our efforts to remediate the incident and restore systems with the assistance of third-party cybersecurity professionals, we incurred general and administrative charges of approximately $11.7 million during the third quarter of 2025. During the nine months ended September 30, 2025, we incurred patient care costs of approximately $1.0 million and general and administrative expenses of approximately $24.2 million. These costs are excluded from our adjusted non-GAAP metrics and do not include the impact related to business interruption on our results. Debt transaction. In July 2025, we entered into the Seventh Amendment to our senior secured credit agreement to refinance our existing Term Loan B-1 facility maturing May 9, 2031 with a repriced Term Loan B-2 facility in aggregate principal amount of $1.9 billion, which includes the incremental borrowing of Tranche B-2 term loans of $250 million. We used the proceeds from the new Term Loan B-2 facility to pay off the remaining principal balance outstanding and accrued interest and fees on our prior Term Loan B-1 in the amount of $1.6 billion and to repay a portion of the principal balance then outstanding on our Term Loan A-1 facility in the amount of $250 million. Mozarc investment. During the third quarter of 2025, we incurred equity investment losses related to Mozarc Medical Holding LLC (Mozarc) of $51.3 million which included impairment and restructuring charges of $25.9 million. The impairment and restructuring charges are excluded from our adjusted non-GAAP metrics. Share repurchases. During the three months ended September 30, 2025, we repurchased 3.3 million shares for $465 million, at an average price paid of $140.67 per share. Effective August 21, 2025, the Board increased the authorization under our existing share repurchase program by $2.0 billion in additional repurchasing authority. Subsequent to September 30, 2025 through October 28, 2025, the Company has repurchased 0.4 million shares of our common stock for $54 million at an average price paid of $135.36 per share. Financial and operating metrics: Three months ended September 30, Twelve months ended September 30, 2025 2024 2025 2024 Cash flow: (dollars in millions) Operating cash flow $ 842 $ 810 $ 1,893 $ 1,960 Free cash flow(1) $ 604 $ 555 $ 996 $ 1,139 (1) For definitions of non-GAAP financial measures, see the note titled "Note on Non-GAAP Financial Measures" and related reconciliations beginning on page 15. Three months ended September 30, 2025 Nine months ended September 30, 2025 Effective income tax rate on: Income 22.2 % 22.4 % Income attributable to DaVita Inc.(1) 31.3 % 29.6 % Adjusted income attributable to DaVita Inc.(1) 27.9 % 26.1 % (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, 2025, we provided dialysis services to a total of approximately 293,200 patients at 3,247 outpatient dialysis centers, of which 2,662 centers were located in the United States and 585 centers were located in 14 countries outside of the United States. During the third quarter of 2025, we opened three and closed three dialysis centers in the United States, and acquired 58 and closed nine dialysis centers outside of the United States. Integrated kidney care (IKC): As of September 30, 2025, we had approximately 64,900 patients in risk-based integrated care arrangements representing approximately $5.5 billion in annualized medical spend. We also had an additional 9,400 patients in other integrated care arrangements; we do not include the medical spend for these patients in this annualized medical spend estimate. For an additional description of these metrics, see footnote 6 in the "Supplemental Financial Data" table below. 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 United States generally accepted accounting principles (GAAP) 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 current non-GAAP financial measures do not include certain items, including cybersecurity costs, impairments included in equity losses and foreign currency fluctuations, which may be significant. The guidance for our effective income tax rate on adjusted income attributable to DaVita Inc. also excludes the amount of third-party owners' income and related taxes attributable to non-tax paying entities. Current 2025 guidance Prior 2025 guidance Low High Low High (dollars in millions, except per share data) Adjusted operating income $2,035 $2,135 $2,010 $2,160 Adjusted diluted net income per share attributable to DaVita Inc. $10.35 $11.15 $10.20 $11.30 Free cash flow $1,000 $1,250 $1,000 $1,250 We will be holding a conference call to discuss our results for the third quarter ended September 30, 2025, on October 29, 2025, 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." This call is being webcast and can be accessed at the DaVita Investor Relations website investors.davita.com. A replay of the conference call will also be available at investors.davita.com. 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, the impact of the cybersecurity incident experienced by the Company in 2025, the potential impact of the federal government shutdown and the One Big Beautiful Bill Act (OBBBA) on our business, including with respect to federal funding of Medicaid and other government programs, availability or cost of supplies, including without limitation the impact of evolving trade policies and tariffs and any reduction in clinical and other supplies due to any disruptions experienced by third party vendors, including with respect to our ability to provide home dialysis services, treatment volumes, mix expectation, such as the percentage or number of patients under commercial insurance, including potential impacts to such mix as a result of the federal government shutdown or U.S. administration policies, 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, and expectations regarding our share repurchase program. 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: external conditions, including those related to general economic, marketplace and global health 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 infectious diseases on our 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, critical clinical supplies and equipment we obtain from third parties, and including any impacts on our supply chain and cost of supplies as a result of natural disasters or evolving trade policies, including tariffs; the potential impact on our patients and industry of new or potential entrants in the dialysis and pre-dialysis marketplace and innovative technologies, drugs, or other treatments, including our ability to successfully implement new technologies or treatments in our business; 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; 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 healthcare, immigration or other policies implemented by the U.S. administration, 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, the federal government shutdown, OBBBA and those related to trade policy, healthcare, privacy, antitrust matters, and acquisition, merger, joint venture or similar transactions and/or labor matters, and potential impacts of changes in interpretation or 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, including, among others, suppliers of certain pharmaceuticals, administrative or other 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; 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 cybersecurity incident experienced by the Company in 2025, 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, including key leadership personnel, 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 continue 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, the impact of the cybersecurity incident experienced by the Company in 2025 or defects or operational issues in the billing systems or services of third parties on which we rely; 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 severe adverse weather events such as hurricanes, earthquakes, fires or flooding; factors that may impact our ability to repurchase stock under our share 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 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, 2024 and Quarterly Reports on Form 10-Q for the quarters ended March 31 and June 30, 2025, 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, 2025. 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, 2025 2024 2025 2024 Dialysis patient service revenues $ 3,298,090 $ 3,138,561 $ 9,607,954 $ 9,141,195 Other revenues 122,137 125,029 415,328 379,672 Total revenues 3,420,227 3,263,590 10,023,282 9,520,867 Operating expenses: Patient care costs 2,332,759 2,151,875 6,833,959 6,373,150 General and administrative 414,373 393,534 1,201,268 1,123,859 Depreciation and amortization 177,490 187,014 528,645 549,758 Equity investment income, net (10,162) (3,711) (23,135) (15,874) Gain on changes in ownership interests — — — (35,147) Total operating expenses 2,914,460 2,728,712 8,540,737 7,995,746 Operating income 505,767 534,878 1,482,545 1,525,121 Debt expense (150,557) (134,583) (431,674) (331,748) Debt extinguishment and modification costs (5,150) (10,081) (5,150) (19,813) Other loss, net (41,257) (16,780) (81,657) (56,900) Income before income taxes 308,803 373,434 964,064 1,116,660 Income tax expense 68,554 77,674 216,379 215,168 Net income 240,249 295,760 747,685 901,492 Less: Net income attributable to noncontrolling interests (89,917) (81,072) (235,099) (224,479) Net income attributable to DaVita Inc. $ 150,332 $ 214,688 $ 512,586 $ 677,013 Earnings per share attributable to DaVita Inc.: Basic net income $ 2.09 $ 2.56 $ 6.77 $ 7.86 Diluted net income $ 2.04 $ 2.50 $ 6.62 $ 7.66 Weighted average shares for earnings per share: Basic shares 72,075 83,721 75,768 86,123 Diluted shares 73,769 85,795 77,442 88,422 DAVITA INC. CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (unaudited) (dollars in thousands) Three months ended September 30, Nine months ended September 30, 2025 2024 2025 2024 Net income $ 240,249 $ 295,760 $ 747,685 $ 901,492 Other comprehensive income (loss), net of tax: Unrealized (losses) gains on interest rate cap agreements: Unrealized losses (4,418) (21,576) (19,358) (2,340) Reclassifications of net realized losses (gains) into net income 1,427 (1,870) 4,468 (45,539) Unrealized gains (losses) on foreign currency translation 24,669 56,202 209,526 (62,371) Other comprehensive income (loss) 21,678 32,756 194,636 (110,250) Total comprehensive income 261,927 328,516 942,321 791,242 Less: Comprehensive income attributable to noncontrolling interests (89,917) (81,072) (235,099) (224,479) Comprehensive income attributable to DaVita Inc. $ 172,010 $ 247,444 $ 707,222 $ 566,763 DAVITA INC. CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) (dollars in thousands) Nine months ended September 30, 2025 2024 Cash flows from operating activities: Net income $ 747,685 $ 901,492 Adjustments to reconcile net income to net cash provided by operating activities: Depreciation and amortization 528,645 549,758 Loss on extinguishment of debt 4,253 12,527 Stock-based compensation expense 101,559 75,392 Deferred income taxes 68,989 (53,713) Equity investment loss, net 91,532 91,100 Gain on changes in ownership interests — (35,147) Other non-cash losses 11,522 24,159 Changes in operating assets and liabilities, net of effect of acquisitions and divestitures: Accounts receivable (144,688) (175,643) Inventories 913 20,495 Other current assets (153,428) 72,477 Other long-term assets (21) (12,858) Accounts payable 97,879 (43,414) Accrued compensation and benefits 19,279 27,314 Other current liabilities 16,462 35,646 Income taxes (30,635) (7,528) Other long-term liabilities (14,172) (7,646) Net cash provided by operating activities 1,345,774 1,474,411 Cash flows from investing activities: Additions of property and equipment (430,434) (384,786) Acquisitions (118,337) (161,210) Proceeds from asset and business sales 32,337 17,937 Purchase of debt investments held-to-maturity (15,842) (15,319) Purchase of other debt and equity investments (3,352) (8,784) Proceeds from debt investments held-to-maturity 38,051 22,092 Proceeds from sale of other debt and equity investments 6,706 4,558 Purchase of equity method investments (2,466) (4,497) Distributions from equity method investments 1,514 6,554 Net cash used in investing activities (491,823) (523,455) Cash flows from financing activities: Borrowings 4,672,170 6,623,634 Payments on long-term debt (3,880,721) (5,437,907) Deferred and debt related financing costs (26,416) (46,011) Purchase of treasury stock from related party (430,286) — Other purchases of treasury stock (1,033,887) (1,020,550) Distributions to noncontrolling interests (232,721) (229,236) Net proceeds from issuance of common stock under employee stock plans 17,583 15,204 Payment of tax withholdings on net share settlements of equity awards (33,764) (127,700) Contributions from noncontrolling interests 3,999 10,623 Proceeds from sales of additional noncontrolling interests 169 860 Purchases of noncontrolling interests (16,385) (40,751) Net cash used in financing activities (960,259) (251,834) Effect of exchange rate changes on cash, cash equivalents and restricted cash 21,897 (5,112) Net (decrease) increase in cash, cash equivalents and restricted cash (84,411) 694,010 Cash, cash equivalents and restricted cash at beginning of the year 879,825 464,634 Cash, cash equivalents and restricted cash at end of the period $ 795,414 $ 1,158,644 DAVITA INC. CONSOLIDATED BALANCE SHEETS (unaudited) (dollars and shares in thousands, except per share data) September 30, 2025 December 31, 2024 ASSETS Cash and cash equivalents $ 705,960 $ 794,933 Restricted cash and equivalents 89,454 84,892 Short-term investments 30,524 51,064 Accounts receivable 2,333,319 2,146,975 Inventories 139,092 134,559 Other receivables 521,863 383,166 Prepaid and other current assets 160,968 122,948 Income tax receivable 130,646 27,535 Total current assets 4,111,826 3,746,072 Property and equipment, net of accumulated depreciation of $6,653,987 and $6,262,703, respectively 2,853,343 2,940,916 Operating lease right-of-use assets 2,323,123 2,393,558 Intangible assets, net of accumulated amortization of $34,444 and $32,408, respectively 219,673 197,431 Equity method and other investments 259,436 336,684 Long-term investments 40,134 33,660 Other long-term assets 204,479 261,731 Goodwill 7,543,878 7,375,216 $ 17,555,892 $ 17,285,268 LIABILITIES AND EQUITY Accounts payable $ 655,598 $ 547,200 Other liabilities 933,985 934,145 Accrued compensation and benefits 851,852 800,484 Current portion of operating lease liabilities 432,015 410,411 Current portion of long-term debt 62,921 270,867 Income tax payable 26,410 10,303 Due to related party 54,347 — Total current liabilities 3,017,128 2,973,410 Long-term operating lease liabilities 2,099,531 2,209,655 Long-term debt 10,183,863 9,175,903 Other long-term liabilities 172,195 169,588 Deferred income taxes 742,453 665,361 Total liabilities 16,215,170 15,193,917 Commitments and contingencies Noncontrolling interests subject to put provisions 1,644,954 1,695,483 Equity: Preferred stock ($0.001 par value, 5,000 shares authorized; none issued) — — Common stock ($0.001 par value, 450,000 shares authorized; 90,811 and 70,977 shares issued and outstanding at September 30, 2025, respectively, 90,369 and 80,536 shares issued and outstanding at December 31, 2024, respectively) 91 90 Additional paid-in capital 401,785 286,270 Retained earnings 2,047,216 1,534,630 Treasury stock (19,834 and 9,833 shares, respectively) (2,904,806) (1,389,072) Accumulated other comprehensive loss (116,160) (310,796) Total DaVita Inc. shareholders' equity (deficit) (571,874) 121,122 Noncontrolling interests not subject to put provisions 267,642 274,746 Total equity (deficit) (304,232) 395,868 $ 17,555,892 $ 17,285,268 DAVITA INC. SUPPLEMENTAL FINANCIAL DATA (unaudited) (dollars in millions and shares in thousands, except per treatment and patient data) Three months ended Nine months ended September 30, 2025 September 30, 2025 June 30, 2025 1. Consolidated business metrics: Operating margin 14.8 % 15.9 % 14.8 % Adjusted operating margin excluding certain items(2) 15.1 % 16.3 % 15.0 % General and administrative expenses as a percent of consolidated revenues(1) 12.1 % 12.2 % 12.0 % Effective income tax rate on income 22.2 % 25.4 % 22.4 % Effective income tax rate on income attributable to DaVita Inc.(2) 31.3 % 31.9 % 29.6 % Effective income tax rate on adjusted income attributable to DaVita Inc.(2) 27.9 % 25.5 % 26.1 % 2. Summary of financial results: Revenues: U.S. dialysis patient services and other $ 2,980 $ 2,913 $ 8,717 Other—Ancillary services Integrated kidney care 94 152 352 Other U.S. ancillary 9 8 24 International dialysis patient service and other 352 325 979 455 486 1,355 Eliminations (15) (20) (49) Total consolidated revenues $ 3,420 $ 3,380 $ 10,023 Operating income (loss): U.S. dialysis $ 530 $ 523 $ 1,529 Other—Ancillary services Integrated kidney care (21) 26 (24) Other U.S. ancillary (4) (5) (14) International 27 36 93 1 57 55 Corporate administrative support expenses (26) (42) (101) Total consolidated operating income $ 506 $ 538 $ 1,483 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, 2025 September 30, 2025 June 30, 2025 3. Summary of reportable segment financial results and metrics: U.S. dialysis Financial results Revenue: Dialysis patient service revenues $ 2,974 $ 2,907 $ 8,698 Other revenues 6 6 18 Total operating revenues 2,980 2,913 8,717 Operating expenses: Patient care costs 1,981 1,928 5,823 General and administrative 322 312 917 Depreciation and amortization 156 157 470 Equity investment income (10) (7) (22) Total operating expenses 2,450 2,391 7,188 Segment operating income $ 530 $ 523 $ 1,529 Reconciliation for non-GAAP measure: Cybersecurity incident-related charges 12 13 25 Adjusted segment operating income(2) $ 542 $ 536 $ 1,554 Metrics Volume: Treatments 7,242,725 7,186,217 21,469,460 Number of treatment days 79.0 78.0 233.7 Average treatments per day 91,680 92,131 91,868 Per day year-over-year change (1.5) % (1.1) % (1.0) % Normalized year-over-year non-acquired treatment growth(3) (0.6) % (0.8) % Operating net revenues: Average patient service revenue per treatment $ 410.59 $ 404.58 $ 405.15 Expenses: Patient care costs per treatment $ 273.54 $ 268.36 $ 271.23 General and administrative expenses per treatment $ 44.51 $ 43.43 $ 42.72 Depreciation and amortization expense per treatment $ 21.57 $ 21.82 $ 21.89 Accounts receivable: Receivables $ 1,704 $ 1,838 DSO 53 58 4. IKC metrics: Patients per integrated care arrangement type: Risk-based(6) 64,900 64,400 Other(6) 9,400 9,300 Annualized aggregate risk based spend(6) $ 5,500 $ 5,300 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, 2025 September 30, 2025 June 30, 2025 5. Cash flow: Operating cash flow $ 842 $ 324 $ 1,346 Operating cash flow, last twelve months $ 1,893 $ 1,862 Free cash flow(2) $ 604 $ 157 $ 716 Free cash flow, last twelve months(2) $ 996 $ 947 Capital expenditures: Maintenance $ 119 $ 90 $ 304 Development $ 47 $ 32 $ 126 Acquisition expenditures $ 108 $ — $ 118 Proceeds from sale of self-developed properties $ 8 $ 12 $ 29 6. Debt and capital structure: Total debt(4) $ 10,310 $ 10,330 Net debt, net of cash and cash equivalents(4) $ 9,604 $ 9,622 Leverage ratio(5) 3.37x 3.34x Weighted average effective interest rate: During the quarter 5.70 % 5.71 % At end of the quarter 5.70 % 5.73 % On the senior secured credit facilities at end of the quarter 6.51 % 6.60 % Debt with fixed and capped rates as a percentage of total debt: Debt with rates fixed by its terms 63 % 63 % Debt with rates fixed by its terms or capped by cap agreements 97 % 97 % Amount spent on share repurchases $ 465 $ 446 $ 1,461 Number of shares repurchased 3,274 3,067 10,001 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) 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. (4) The debt amounts as of September 30, 2025 and June 30, 2025 presented exclude approximately $62.8 and $69.2, respectively, of debt discount, premium and other deferred financing costs related to our senior secured credit facilities and senior notes in effect or outstanding at that time. (5) This is a non-GAAP measure. See "Calculation of Leverage Ratio" in non-GAAP reconciliations. (6) 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 value-based care (VBC) arrangements under which third-party medical costs are not included in our reported results. A number of our VBC contracts are subject to complex or novel patient attribution mechanics and benchmark adjustments, some of which are based on information not reported to us until periods after we report our quarterly results. As a result, our estimates of our patients under, and the dollar amount of, our value-based contracts remain subject to estimation uncertainty. 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 July 17, 2025 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 $750 divided by (b) "Consolidated EBITDA." The leverage ratio determines the interest rate margin payable by the Company for its Term Loan A-1 and revolving line of credit under the Amended Credit Agreement by establishing the margin over the base interest rate (SOFR plus credit spread adjustment) that is applicable. The calculation below is based on the last 12 months of "Consolidated EBITDA" and "Consolidated net debt" at the end of each reported period, each as defined in the Amended Credit Agreement. The calculation of "Consolidated EBITDA" below sets forth, among other things, certain pro forma adjustments described in the Amended Credit Agreement, including pro forma adjustments for acquisitions or divestitures that occurred during the period and certain projected net cost savings, expense reductions and cost synergies. These pro forma adjustments are determined according to specified criteria set forth in the Amended Credit Agreement, and as a result, the total adjustments calculated may not be comparable to the Company's estimates for other purposes, including as operating performance measures. 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 the Amended Credit Agreement and should not be evaluated for any other purpose. The leverage ratio calculated by the Company is a non-GAAP measure and should not be considered a substitute for the ratio of total debt to operating income, determined in accordance with GAAP. The Company's calculation of its leverage ratio might not be calculated in the same manner as, and thus might not be comparable to, similarly titled measures of other companies. Twelve months ended September 30, 2025 June 30, 2025 Net income attributable to DaVita Inc. $ 772 $ 836 Income taxes 281 290 Interest expense 501 481 Depreciation and amortization 703 712 Net income attributable to noncontrolling interests 325 316 Stock-settled stock-based compensation 128 114 Debt extinguishment and modification costs 5 10 Gain on changes in ownership interests (74) (74) Expected cost savings and expense reductions 14 5 Other 191 181 "Consolidated EBITDA" $ 2,844 $ 2,871 September 30, 2025 June 30, 2025 Total debt, excluding debt discount and other deferred financing costs(1) $ 10,310 $ 10,330 Less: Cash and cash equivalents including short-term investments(2) (732) (737) Consolidated net debt $ 9,577 $ 9,594 Last twelve months "Consolidated EBITDA" $ 2,844 $ 2,871 Leverage ratio 3.37x 3.34x 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, 2025 and June 30, 2025 presented exclude approximately $62.8 and $69.2, respectively, of debt discount, premium and other deferred financing costs related to our senior secured credit facilities and senior notes in effect or outstanding at that time. (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 $750. 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, cybersecurity costs, 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. 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 operating income, adjusted net income attributable to DaVita Inc. and adjusted diluted net income 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 also are useful to investors and analysts in evaluating our performance over time and relative to competitors, as well as in analyzing the underlying trends in our business. Furthermore, we believe these presentations enhance a user's understanding of our normal consolidated results 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. 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, 2025 June 30, 2025 September 30, 2025 September 30, 2024 Dollars Per share Dollars Per share Dollars Per share Dollars Per share Consolidated: Net income attributable to DaVita Inc. $ 150 $ 2.04 $ 199 $ 2.58 $ 513 $ 6.62 $ 677 $ 7.66 Cybersecurity incident-related charges(1) 12 0.16 13 0.17 25 0.33 — — Gain on changes in ownership interests(2) — — — — — — (35) (0.40) Other loss, net - Mozarc loss(3) 26 0.35 — — 26 0.33 — — Debt refinancing charges(4) — — — — — — 20 0.22 Income tax impact related to prior legal matter(5) — — 19 0.24 19 0.24 — — Related income tax (3) (0.04) (3) (0.04) (6) (0.08) (5) (0.06) Adjusted net income attributable to DaVita Inc. $ 185 $ 2.51 $ 228 $ 2.95 $ 576 $ 7.44 $ 657 $ 7.43 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, 2025 U.S. dialysis Ancillary services Corporate administration U.S. IKC U.S. Other International Total Consolidated Operating income (loss) $ 530 $ (21) $ (4) $ 27 $ 1 $ (26) $ 506 Cybersecurity incident-related charges(1) 12 — — — — — 12 Adjusted operating income (loss) $ 542 $ (21) $ (4) $ 27 $ 1 $ (26) $ 517 Certain columns or rows may not sum or recalculate due to the presentation of rounded numbers. Three months ended June 30, 2025 U.S. dialysis Ancillary services Corporate administration U.S. IKC U.S. Other International Total Consolidated Operating income (loss) $ 523 $ 26 $ (5) $ 36 $ 57 $ (42) $ 538 Cybersecurity incident-related charges(1) 13 — — — — — 13 Adjusted operating income (loss) $ 536 $ 26 $ (5) $ 36 $ 57 $ (42) $ 551 Certain columns or rows may not sum or recalculate due to the presentation of rounded numbers. Nine months ended September 30, 2025 U.S. dialysis Ancillary services Corporate administration Consolidated U.S. IKC U.S. Other International Total Operating income (loss) $ 1,529 $ (24) $ (14) $ 93 $ 55 $ (101) $ 1,483 Cybersecurity incident-related charges(1) 25 — — — — — 25 Adjusted operating income (loss) $ 1,554 $ (24) $ (14) $ 93 $ 55 $ (101) $ 1,508 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) Nine months ended September 30, 2024 U.S. dialysis Ancillary services Corporate administration Consolidated U.S. IKC U.S. Other International Total Operating income (loss) $ 1,625 $ (48) $ (19) $ 51 $ (16) $ (84) $ 1,525 Gain on changes in ownership interests(2) (35) — — — — — (35) Adjusted operating income (loss) $ 1,590 $ (48) $ (19) $ 51 $ (16) $ (84) $ 1,490 Certain columns or rows may not sum or recalculate due to the presentation of rounded numbers. Effective income tax rates: Three months ended Nine months ended September 30, 2025 September 30, 2025 June 30, 2025 Effective income tax rates on income attributable to DaVita Inc.: Income before income taxes $ 309 $ 369 $ 964 Noncontrolling owners' income primarily attributable to non-tax paying entities (90) (76) (236) Income before income taxes attributable to DaVita Inc. $ 219 $ 293 $ 729 Income tax expense $ 69 $ 94 $ 216 Taxes attributable to noncontrolling interests — — — Income tax expense attributable to DaVita Inc. $ 68 $ 93 $ 216 Effective income tax rate on income attributable to DaVita Inc. 31.3 % 31.9 % 29.6 % Effective income tax rate on adjusted income attributable to DaVita Inc.: Income before income taxes $ 309 $ 369 $ 964 Cybersecurity incident-related charges(1) 12 13 25 Other loss, net - Mozarc loss(3) 26 — 26 Noncontrolling owners' income primarily attributable to non-tax paying entities (90) (76) (236) Adjusted income before income taxes attributable to DaVita Inc. $ 256 $ 306 $ 780 Income tax expense $ 69 $ 94 $ 216 Plus income tax related to: Cybersecurity incident-related charges(1) 3 3 6 Less income tax related to: Income tax impact related to prior legal matter(5) — (19) (19) Taxes attributable to noncontrolling interests — — — Income tax on adjusted income attributable to DaVita Inc. $ 71 $ 78 $ 203 Effective income tax rate on adjusted income attributable to DaVita Inc. 27.9 % 25.5 % 26.1 % Certain columns, rows or percentages 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) Free cash flow: Three months ended Nine months ended September 30, 2025 September 30, 2025 June 30, 2025 September 30, 2024 Net cash provided by operating activities $ 842 $ 324 $ 810 $ 1,346 Adjustments to reconcile net cash provided by operating activities to free cash flow: Distributions to noncontrolling interests (82) (58) (122) (233) Contributions from noncontrolling interests 1 — 3 4 Maintenance capital expenditures(6) (119) (90) (104) (304) Development capital expenditures(7) (47) (32) (35) (126) Proceeds from sale of self-developed properties 8 12 2 29 Free cash flow $ 604 $ 157 $ 555 $ 716 Certain columns or rows may not sum or recalculate due to the presentation of rounded numbers. Twelve months ended September 30, 2025 June 30, 2025 September 30, 2024 Net cash provided by operating activities $ 1,893 $ 1,862 $ 1,960 Adjustments to reconcile net cash provided by operating activities to free cash flow: Distributions to noncontrolling interests (341) (381) (307) Contributions from noncontrolling interests 8 9 14 Maintenance capital expenditures(6) (423) (407) (394) Development capital expenditures(7) (178) (167) (150) Proceeds from sale of self-developed properties 36 30 16 Free cash flow $ 996 $ 947 $ 1,139 Certain columns or rows may not sum or recalculate due to the presentation of rounded numbers. (1) Represents charges recognized to work to remediate a cybersecurity incident and restore systems following the occurrence of the incident in the second quarter of 2025. We have excluded these charges from our non-GAAP metrics as we do not believe they are indicative of our ordinary results of operations. (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 our prior investment in the business to fair value before consolidation does not represent a normal and recurring requirement of operating our business or generating revenues and may obscure analysis of underlying trends and financial performance. (3) Represents non-cash impairment and restructuring charges included in other losses related to our equity investment in Mozarc Medical Holding LLC (Mozarc). This loss does not represent a normal and recurring cost of operating our business or generating returns from investments and may obscure analysis of underlying trends and financial performance. (4) Represents the non-cash write-off of deferred financing costs and cash charges for creditor fees and third-party 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. (5) Represents the write-down of a tax receivable related to a 2014 tax refund claim. The claim related to estimated tax expense associated with a legal matter previously presented as a non-GAAP adjustment. We have excluded this charge from our non-GAAP metrics because, among other things, we do not believe it is indicative of our ordinary results of operations because the charge is significant and may obscure analysis of underlying trends and financial performance of our current business. (6) 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. (7) 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 U.S. and international dialysis center developments, dialysis center expansions and relocations, and new or expanded contracted hospital operations. SOURCE DaVita WANT YOUR COMPANY'S NEWS FEATURED ON PRNEWSWIRE.COM? 440k+ Newsrooms & Influencers 9k+ Digital Media Outlets 270k+ Journalists Opted In

DaVita Inc. 3rd Quarter 2025 Results

FAQ

Why Bullish?

How important is it?

Why Short Term?

Related Companies

Related News