[10-Q] DaVita Inc. Quarterly Earnings Report
Filing Impact
Filing Sentiment
Form Type
10-Q
Rhea-AI Filing Summary
DaVita (DVA) Q2-25 10-Q highlights: Revenue rose 6.0% YoY to $3.38 bn on higher ancillary and commercial volumes. Operating income gained 6.2% to $538 mn, but a 49% jump in debt expense to $146 mn pared results. Net income attributable to DaVita fell 10.5% to $199 mn; however, aggressive buybacks cut diluted shares 13%, lifting diluted EPS 3.2% to $2.58.
Six-month view: Revenue increased 5.5% to $6.60 bn; net income attributable declined 21.7% to $362 mn; diluted EPS slipped 11.3% to $4.57. Cash from operations dropped 24% to $504 mn, while capex consumed $264 mn, leaving roughly $240 mn of FCF.
Capital & liquidity: DaVita issued $1.0 bn of 6.75% senior notes (due 2033) and ended the quarter with $10.33 bn of debt (vs. $9.51 bn YE-24). Weighted-average interest rate is 5.73%; interest-rate caps fix 63% of exposure. Share repurchases totaled $996 mn YTD plus $393 mn post-quarter, turning shareholders鈥� equity to a negative $370 mn. Liquidity comprises $708 mn cash and a fully available $1.5 bn revolver.
Other items: Comprehensive income benefited from $185 mn FX gains. Goodwill stands at $7.47 bn. Multiple DOJ, FTC and state investigations remain unresolved; no material loss accrual recorded.
DaVita (DVA) Q2-25 evidenze dal 10-Q: I ricavi sono aumentati del 6,0% su base annua, raggiungendo 3,38 miliardi di dollari grazie a volumi maggiori nei servizi accessori e commerciali. Il reddito operativo 猫 cresciuto del 6,2% a 538 milioni di dollari, ma un aumento del 49% delle spese per interessi, pari a 146 milioni di dollari, ha ridotto i risultati. L'utile netto attribuibile a DaVita 猫 calato del 10,5% a 199 milioni di dollari; tuttavia, un programma aggressivo di riacquisto azioni ha ridotto le azioni diluite del 13%, facendo salire l'EPS diluito del 3,2% a 2,58 dollari.
Vista semestrale: I ricavi sono aumentati del 5,5% a 6,60 miliardi di dollari; l'utile netto attribuibile 猫 sceso del 21,7% a 362 milioni; l'EPS diluito 猫 diminuito dell'11,3% a 4,57 dollari. La liquidit脿 generata dalle operazioni 猫 calata del 24% a 504 milioni, mentre gli investimenti in capitale hanno assorbito 264 milioni, lasciando un flusso di cassa libero di circa 240 milioni.
Capitale e liquidit脿: DaVita ha emesso 1,0 miliardo di dollari in obbligazioni senior al 6,75% (scadenza 2033) e ha chiuso il trimestre con un debito di 10,33 miliardi (rispetto a 9,51 miliardi a fine 2024). Il tasso di interesse medio ponderato 猫 del 5,73%; i contratti di copertura sui tassi fissano il 63% dell'esposizione. I riacquisti di azioni ammontano a 996 milioni da inizio anno pi霉 393 milioni dopo il trimestre, portando il patrimonio netto a un valore negativo di 370 milioni. La liquidit脿 comprende 708 milioni in contanti e una linea di credito da 1,5 miliardi completamente disponibile.
Altri elementi: Il reddito complessivo ha beneficiato di guadagni valutari per 185 milioni. L'avviamento 猫 pari a 7,47 miliardi. Diverse indagini da parte del DOJ, FTC e autorit脿 statali sono ancora in corso; non sono stati registrati accantonamenti per perdite materiali.
Aspectos destacados del 10-Q de DaVita (DVA) Q2-25: Los ingresos aumentaron un 6,0% interanual hasta 3,38 mil millones de d贸lares debido a mayores vol煤menes en servicios auxiliares y comerciales. El ingreso operativo creci贸 un 6,2% hasta 538 millones, pero un aumento del 49% en gastos por deuda, que alcanzaron 146 millones, redujo los resultados. La utilidad neta atribuible a DaVita cay贸 un 10,5% hasta 199 millones; sin embargo, las recompras agresivas redujeron las acciones diluidas en un 13%, elevando la utilidad por acci贸n diluida un 3,2% hasta 2,58 d贸lares.
Perspectiva semestral: Los ingresos aumentaron un 5,5% hasta 6,60 mil millones; la utilidad neta atribuible disminuy贸 un 21,7% hasta 362 millones; la utilidad por acci贸n diluida baj贸 un 11,3% hasta 4,57. El efectivo generado por operaciones cay贸 un 24% hasta 504 millones, mientras que la inversi贸n en capital consumi贸 264 millones, dejando aproximadamente 240 millones de flujo de caja libre.
Capital y liquidez: DaVita emiti贸 1,0 mil millones de d贸lares en bonos senior al 6,75% (vencimiento 2033) y cerr贸 el trimestre con una deuda de 10,33 mil millones (frente a 9,51 mil millones a fin de 2024). La tasa de inter茅s promedio ponderada es del 5,73%; los l铆mites de tasa de inter茅s cubren el 63% de la exposici贸n. Las recompras de acciones totalizan 996 millones en lo que va del a帽o m谩s 393 millones despu茅s del trimestre, llevando el patrimonio neto a un valor negativo de 370 millones. La liquidez consiste en 708 millones en efectivo y una l铆nea de cr茅dito revolvente de 1,5 mil millones completamente disponible.
Otros puntos: El ingreso integral se benefici贸 de ganancias por tipo de cambio de 185 millones. El fondo de comercio es de 7,47 mil millones. Varias investigaciones del DOJ, FTC y estados siguen sin resolverse; no se registraron provisiones por p茅rdidas materiales.
DaVita (DVA) 2025雲� 2攵勱赴 10-Q 欤检殧 雮挫毄: 攵�臧� 靹滊箘鞀� 氚� 靸侅梾 攵�氍� 瓯半灅霟� 歃濌皜搿� 毵れ稖鞚� 鞝勲厔 雽�牍� 6.0% 靸侅姽頃� 33鞏� 8觳滊 雼煬毳� 旮半頄堨姷雼堧嫟. 鞓侅梾鞚挫澋鞚� 6.2% 歃濌皜頃� 5鞏� 3,800毵� 雼煬鞓�鞙茧倶, 攵�毂� 牍勳毄鞚� 49% 旮夓頃橃棳 1鞏� 4,600毵� 雼煬鞐� 雼暣 鞁れ爜鞐� 攵�雼挫潉 欤检棃鞀惦媹雼�. DaVita 攴�靻� 靾滌澊鞚奠潃 10.5% 臧愳唽頃� 1鞏� 9,900毵� 雼煬鞓�鞙茧倶, 瓿店博鞝侅澑 鞛愳偓欤� 毵れ瀰鞙茧 頋劃 欤检嫕 靾橁皜 13% 欷勳柎 頋劃 欤茧嫻靾滌澊鞚�(EPS)鞚� 3.2% 靸侅姽頃� 2.58雼煬毳� 旮半頄堨姷雼堧嫟.
6臧滌洈 鞁れ爜 鞖旍暯: 毵れ稖鞚� 5.5% 歃濌皜頃� 66鞏� 雼煬, DaVita 攴�靻� 靾滌澊鞚奠潃 21.7% 臧愳唽頃� 3鞏� 6,200毵� 雼煬, 頋劃 EPS電� 11.3% 臧愳唽頃� 4.57雼煬鞓�鞀惦媹雼�. 鞓侅梾頇滊彊 順勱笀頋愲鞚� 24% 臧愳唽頃� 5鞏� 400毵� 雼煬, 鞛愲掣鞝� 歆�於滌潃 2鞏� 6,400毵� 雼煬毳� 靷毄頃� 鞎� 2鞏� 4,000毵� 雼煬鞚� 鞛夓棳順勱笀頋愲(FCF)鞚� 雮布鞀惦媹雼�.
鞛愲掣 氚� 鞙犽彊靹�: DaVita電� 6.75% 旮堧Μ鞚� 10鞏� 雼煬 靹犾垳鞙� 毂勱秾(毵岅赴 2033雲�)鞚� 氚滍枆頄堨溂氅�, 攵勱赴 毵� 攵�毂� 齑濎暋鞚� 103鞏� 3觳滊 雼煬搿� 2024雲� 毵� 95鞏� 1觳滊 雼煬鞐愳劀 歃濌皜頄堨姷雼堧嫟. 臧�欷戫弶攴� 旮堧Μ電� 5.73%鞚措┌, 旮堧Μ 靸來暅 瓿勳暯鞙茧 雲胳稖鞚� 63%毳� 瓿犾爼頄堨姷雼堧嫟. 鞓暣 雸勳爜 鞛愳偓欤� 毵れ瀰鞎§潃 9鞏� 9,600毵� 雼煬, 攵勱赴 鞚错泟 於旉皜 毵れ瀰鞚� 3鞏� 9,300毵� 雼煬搿� 欤检＜歆�攵勳潃 毵堨澊雱堨姢 3鞏� 7觳滊 雼煬臧� 霅橃棃鞀惦媹雼�. 鞙犽彊靹膘潃 7鞏� 800毵� 雼煬 順勱笀瓿� 鞕勳爠 靷毄 臧�電ロ暅 15鞏� 雼煬 須岇爠 鞁犾毄 頃滊弰搿� 甑劚霅╇媹雼�.
旮绊儉 靷暛: 韽磩靻愳澋鞐愲姅 1鞏� 8,500毵� 雼煬鞚� 頇橃湪 彀澋鞚� 氚橃榿霅橃棃鞀惦媹雼�. 鞓侅梾甓岇潃 74鞏� 7觳滊 雼煬鞛呺媹雼�. DOJ, FTC 氚� 欤检爼攵�鞚� 鞐煬 臁办偓臧� 歆勴枆 欷戩澊氅�, 欷戩殧頃� 靻愳嫟 於╇嫻旮堨潃 靹れ爼霅橃 鞎婌晿鞀惦媹雼�.
Points cl茅s du 10-Q de DaVita (DVA) T2-25 : Le chiffre d'affaires a augment茅 de 6,0 % en glissement annuel pour atteindre 3,38 milliards de dollars gr芒ce 脿 une hausse des volumes annexes et commerciaux. Le r茅sultat d'exploitation a progress茅 de 6,2 % 脿 538 millions, mais une hausse de 49 % des charges d'int茅r锚ts, 脿 146 millions, a r茅duit les r茅sultats. Le b茅n茅fice net attribuable 脿 DaVita a diminu茅 de 10,5 % 脿 199 millions ; cependant, des rachats d'actions agressifs ont r茅duit les actions dilu茅es de 13 %, ce qui a fait augmenter le BPA dilu茅 de 3,2 % 脿 2,58 dollars.
Vue semestrielle : Le chiffre d'affaires a augment茅 de 5,5 % 脿 6,60 milliards ; le b茅n茅fice net attribuable a chut茅 de 21,7 % 脿 362 millions ; le BPA dilu茅 a recul茅 de 11,3 % 脿 4,57. La tr茅sorerie g茅n茅r茅e par les op茅rations a diminu茅 de 24 % 脿 504 millions, tandis que les investissements ont absorb茅 264 millions, laissant environ 240 millions de flux de tr茅sorerie disponible.
Capital et liquidit茅s : DaVita a 茅mis 1,0 milliard de dollars d'obligations senior 脿 6,75 % (茅ch茅ance 2033) et a termin茅 le trimestre avec une dette de 10,33 milliards (contre 9,51 milliards 脿 fin 2024). Le taux d'int茅r锚t moyen pond茅r茅 est de 5,73 % ; les plafonds de taux d'int茅r锚t couvrent 63 % de l'exposition. Les rachats d'actions totalisent 996 millions depuis le d茅but de l'ann茅e, plus 393 millions apr猫s le trimestre, ce qui porte les capitaux propres 脿 un niveau 苍茅驳补迟颈蹿 de 370 millions. La liquidit茅 comprend 708 millions en tr茅sorerie et une ligne de cr茅dit renouvelable enti猫rement disponible de 1,5 milliard.
Autres 茅l茅ments : Le r茅sultat global a b茅n茅fici茅 de gains de change de 185 millions. Le goodwill s'茅l猫ve 脿 7,47 milliards. Plusieurs enqu锚tes du DOJ, de la FTC et des 脡tats restent en cours ; aucune provision pour perte significative n'a 茅t茅 comptabilis茅e.
DaVita (DVA) Q2-25 10-Q Highlights: Der Umsatz stieg im Jahresvergleich um 6,0 % auf 3,38 Mrd. USD aufgrund h枚herer Nebendienstleistungs- und Handelsvolumina. Das Betriebsergebnis erh枚hte sich um 6,2 % auf 538 Mio. USD, jedoch schm盲lerten gestiegene Zinsaufwendungen um 49 % auf 146 Mio. USD das Ergebnis. Der auf DaVita entfallende Nettogewinn sank um 10,5 % auf 199 Mio. USD; aggressive Aktienr眉ckk盲ufe reduzierten jedoch die verw盲sserten Aktien um 13 %, wodurch das verw盲sserte Ergebnis je Aktie um 3,2 % auf 2,58 USD stieg.
厂别肠丑蝉尘辞苍补迟蝉眉产别谤蝉颈肠丑迟: Der Umsatz stieg um 5,5 % auf 6,60 Mrd. USD; der auf DaVita entfallende Nettogewinn sank um 21,7 % auf 362 Mio. USD; das verw盲sserte Ergebnis je Aktie fiel um 11,3 % auf 4,57 USD. Der operative Cashflow ging um 24 % auf 504 Mio. USD zur眉ck, w盲hrend die Investitionen 264 Mio. USD betrugen, was einen freien Cashflow von etwa 240 Mio. USD hinterlie脽.
Kapital & Liquidit盲t: DaVita gab 1,0 Mrd. USD Senior Notes mit 6,75 % Zinsen (F盲lligkeit 2033) aus und beendete das Quartal mit einer Verschuldung von 10,33 Mrd. USD (gegen眉ber 9,51 Mrd. USD zum Jahresende 2024). Der gewichtete durchschnittliche Zinssatz betr盲gt 5,73 %; Zinsobergrenzen decken 63 % der Zinsrisiken ab. Aktienr眉ckk盲ufe beliefen sich bisher im Jahr auf 996 Mio. USD plus 393 Mio. USD nach Quartalsende, wodurch das Eigenkapital auf minus 370 Mio. USD sank. Die Liquidit盲t umfasst 708 Mio. USD Barreserven und eine vollst盲ndig verf眉gbare revolvierende Kreditlinie von 1,5 Mrd. USD.
Sonstiges: Das Gesamtergebnis profitierte von W盲hrungsgewinnen in H枚he von 185 Mio. USD. Der Firmenwert betr盲gt 7,47 Mrd. USD. Mehrere Untersuchungen des DOJ, der FTC und der Bundesstaaten sind noch nicht abgeschlossen; es wurden keine wesentlichen Verlustr眉ckstellungen gebildet.
Positive
- Revenue up 6.0% YoY to $3.38 bn with growth across dialysis and ancillary services.
- Operating income +6.2% to $538 mn, sustaining 15.9% margin.
- Diluted EPS improved 3.2% to $2.58 due to 13% share-count reduction.
- Ample liquidity: $708 mn cash and full $1.5 bn revolver; rate caps hedge 63% of floating debt.
Negative
- Net income down 10.5% YoY as interest expense surged 49% to $146 mn.
- Cash from operations fell 24% to $504 mn, pressuring free cash flow.
- Total debt increased to $10.3 bn; shareholders鈥� equity turned negative $370 mn after $996 mn buybacks.
- Multiple ongoing investigations (DOJ, FTC, state AGs) create regulatory overhang.
Insights
TL;DR: Modest top-line growth offset by higher leverage; EPS protected by buybacks.
Revenue momentum of ~6% and stable operating margin (15.9%) are encouraging given reimbursement pressure, but incremental borrowing pushed interest expense up nearly 50%. Share-count reduction masked a 10% earnings decline, highlighting financial-engineering reliance. Negative equity and 4.0脳 net-debt/EBITDA maintain a leveraged profile, yet $1.5 bn undrawn revolver and 63% rate hedging temper liquidity risk. No guidance provided; regulatory overhang persists.
TL;DR: Leverage, rising rates and equity deficit raise credit risk, but cash/hedges provide cushion.
Debt grew $820 mn to finance buybacks and a new 6.75% note, pushing total debt/EBITDA toward ~4.5脳. Interest coverage slipped to 3.7脳 despite rate caps. Negative book equity signals thin tangible capital, though covenant headroom remains and liquidity (cash + revolver) exceeds $2.2 bn. Legal contingencies are disclosed as immaterial but represent tail-risk. Overall credit impact is neutral-to-slightly-negative until leverage trends improve.
DaVita (DVA) Q2-25 evidenze dal 10-Q: I ricavi sono aumentati del 6,0% su base annua, raggiungendo 3,38 miliardi di dollari grazie a volumi maggiori nei servizi accessori e commerciali. Il reddito operativo 猫 cresciuto del 6,2% a 538 milioni di dollari, ma un aumento del 49% delle spese per interessi, pari a 146 milioni di dollari, ha ridotto i risultati. L'utile netto attribuibile a DaVita 猫 calato del 10,5% a 199 milioni di dollari; tuttavia, un programma aggressivo di riacquisto azioni ha ridotto le azioni diluite del 13%, facendo salire l'EPS diluito del 3,2% a 2,58 dollari.
Vista semestrale: I ricavi sono aumentati del 5,5% a 6,60 miliardi di dollari; l'utile netto attribuibile 猫 sceso del 21,7% a 362 milioni; l'EPS diluito 猫 diminuito dell'11,3% a 4,57 dollari. La liquidit脿 generata dalle operazioni 猫 calata del 24% a 504 milioni, mentre gli investimenti in capitale hanno assorbito 264 milioni, lasciando un flusso di cassa libero di circa 240 milioni.
Capitale e liquidit脿: DaVita ha emesso 1,0 miliardo di dollari in obbligazioni senior al 6,75% (scadenza 2033) e ha chiuso il trimestre con un debito di 10,33 miliardi (rispetto a 9,51 miliardi a fine 2024). Il tasso di interesse medio ponderato 猫 del 5,73%; i contratti di copertura sui tassi fissano il 63% dell'esposizione. I riacquisti di azioni ammontano a 996 milioni da inizio anno pi霉 393 milioni dopo il trimestre, portando il patrimonio netto a un valore negativo di 370 milioni. La liquidit脿 comprende 708 milioni in contanti e una linea di credito da 1,5 miliardi completamente disponibile.
Altri elementi: Il reddito complessivo ha beneficiato di guadagni valutari per 185 milioni. L'avviamento 猫 pari a 7,47 miliardi. Diverse indagini da parte del DOJ, FTC e autorit脿 statali sono ancora in corso; non sono stati registrati accantonamenti per perdite materiali.
Aspectos destacados del 10-Q de DaVita (DVA) Q2-25: Los ingresos aumentaron un 6,0% interanual hasta 3,38 mil millones de d贸lares debido a mayores vol煤menes en servicios auxiliares y comerciales. El ingreso operativo creci贸 un 6,2% hasta 538 millones, pero un aumento del 49% en gastos por deuda, que alcanzaron 146 millones, redujo los resultados. La utilidad neta atribuible a DaVita cay贸 un 10,5% hasta 199 millones; sin embargo, las recompras agresivas redujeron las acciones diluidas en un 13%, elevando la utilidad por acci贸n diluida un 3,2% hasta 2,58 d贸lares.
Perspectiva semestral: Los ingresos aumentaron un 5,5% hasta 6,60 mil millones; la utilidad neta atribuible disminuy贸 un 21,7% hasta 362 millones; la utilidad por acci贸n diluida baj贸 un 11,3% hasta 4,57. El efectivo generado por operaciones cay贸 un 24% hasta 504 millones, mientras que la inversi贸n en capital consumi贸 264 millones, dejando aproximadamente 240 millones de flujo de caja libre.
Capital y liquidez: DaVita emiti贸 1,0 mil millones de d贸lares en bonos senior al 6,75% (vencimiento 2033) y cerr贸 el trimestre con una deuda de 10,33 mil millones (frente a 9,51 mil millones a fin de 2024). La tasa de inter茅s promedio ponderada es del 5,73%; los l铆mites de tasa de inter茅s cubren el 63% de la exposici贸n. Las recompras de acciones totalizan 996 millones en lo que va del a帽o m谩s 393 millones despu茅s del trimestre, llevando el patrimonio neto a un valor negativo de 370 millones. La liquidez consiste en 708 millones en efectivo y una l铆nea de cr茅dito revolvente de 1,5 mil millones completamente disponible.
Otros puntos: El ingreso integral se benefici贸 de ganancias por tipo de cambio de 185 millones. El fondo de comercio es de 7,47 mil millones. Varias investigaciones del DOJ, FTC y estados siguen sin resolverse; no se registraron provisiones por p茅rdidas materiales.
DaVita (DVA) 2025雲� 2攵勱赴 10-Q 欤检殧 雮挫毄: 攵�臧� 靹滊箘鞀� 氚� 靸侅梾 攵�氍� 瓯半灅霟� 歃濌皜搿� 毵れ稖鞚� 鞝勲厔 雽�牍� 6.0% 靸侅姽頃� 33鞏� 8觳滊 雼煬毳� 旮半頄堨姷雼堧嫟. 鞓侅梾鞚挫澋鞚� 6.2% 歃濌皜頃� 5鞏� 3,800毵� 雼煬鞓�鞙茧倶, 攵�毂� 牍勳毄鞚� 49% 旮夓頃橃棳 1鞏� 4,600毵� 雼煬鞐� 雼暣 鞁れ爜鞐� 攵�雼挫潉 欤检棃鞀惦媹雼�. DaVita 攴�靻� 靾滌澊鞚奠潃 10.5% 臧愳唽頃� 1鞏� 9,900毵� 雼煬鞓�鞙茧倶, 瓿店博鞝侅澑 鞛愳偓欤� 毵れ瀰鞙茧 頋劃 欤检嫕 靾橁皜 13% 欷勳柎 頋劃 欤茧嫻靾滌澊鞚�(EPS)鞚� 3.2% 靸侅姽頃� 2.58雼煬毳� 旮半頄堨姷雼堧嫟.
6臧滌洈 鞁れ爜 鞖旍暯: 毵れ稖鞚� 5.5% 歃濌皜頃� 66鞏� 雼煬, DaVita 攴�靻� 靾滌澊鞚奠潃 21.7% 臧愳唽頃� 3鞏� 6,200毵� 雼煬, 頋劃 EPS電� 11.3% 臧愳唽頃� 4.57雼煬鞓�鞀惦媹雼�. 鞓侅梾頇滊彊 順勱笀頋愲鞚� 24% 臧愳唽頃� 5鞏� 400毵� 雼煬, 鞛愲掣鞝� 歆�於滌潃 2鞏� 6,400毵� 雼煬毳� 靷毄頃� 鞎� 2鞏� 4,000毵� 雼煬鞚� 鞛夓棳順勱笀頋愲(FCF)鞚� 雮布鞀惦媹雼�.
鞛愲掣 氚� 鞙犽彊靹�: DaVita電� 6.75% 旮堧Μ鞚� 10鞏� 雼煬 靹犾垳鞙� 毂勱秾(毵岅赴 2033雲�)鞚� 氚滍枆頄堨溂氅�, 攵勱赴 毵� 攵�毂� 齑濎暋鞚� 103鞏� 3觳滊 雼煬搿� 2024雲� 毵� 95鞏� 1觳滊 雼煬鞐愳劀 歃濌皜頄堨姷雼堧嫟. 臧�欷戫弶攴� 旮堧Μ電� 5.73%鞚措┌, 旮堧Μ 靸來暅 瓿勳暯鞙茧 雲胳稖鞚� 63%毳� 瓿犾爼頄堨姷雼堧嫟. 鞓暣 雸勳爜 鞛愳偓欤� 毵れ瀰鞎§潃 9鞏� 9,600毵� 雼煬, 攵勱赴 鞚错泟 於旉皜 毵れ瀰鞚� 3鞏� 9,300毵� 雼煬搿� 欤检＜歆�攵勳潃 毵堨澊雱堨姢 3鞏� 7觳滊 雼煬臧� 霅橃棃鞀惦媹雼�. 鞙犽彊靹膘潃 7鞏� 800毵� 雼煬 順勱笀瓿� 鞕勳爠 靷毄 臧�電ロ暅 15鞏� 雼煬 須岇爠 鞁犾毄 頃滊弰搿� 甑劚霅╇媹雼�.
旮绊儉 靷暛: 韽磩靻愳澋鞐愲姅 1鞏� 8,500毵� 雼煬鞚� 頇橃湪 彀澋鞚� 氚橃榿霅橃棃鞀惦媹雼�. 鞓侅梾甓岇潃 74鞏� 7觳滊 雼煬鞛呺媹雼�. DOJ, FTC 氚� 欤检爼攵�鞚� 鞐煬 臁办偓臧� 歆勴枆 欷戩澊氅�, 欷戩殧頃� 靻愳嫟 於╇嫻旮堨潃 靹れ爼霅橃 鞎婌晿鞀惦媹雼�.
Points cl茅s du 10-Q de DaVita (DVA) T2-25 : Le chiffre d'affaires a augment茅 de 6,0 % en glissement annuel pour atteindre 3,38 milliards de dollars gr芒ce 脿 une hausse des volumes annexes et commerciaux. Le r茅sultat d'exploitation a progress茅 de 6,2 % 脿 538 millions, mais une hausse de 49 % des charges d'int茅r锚ts, 脿 146 millions, a r茅duit les r茅sultats. Le b茅n茅fice net attribuable 脿 DaVita a diminu茅 de 10,5 % 脿 199 millions ; cependant, des rachats d'actions agressifs ont r茅duit les actions dilu茅es de 13 %, ce qui a fait augmenter le BPA dilu茅 de 3,2 % 脿 2,58 dollars.
Vue semestrielle : Le chiffre d'affaires a augment茅 de 5,5 % 脿 6,60 milliards ; le b茅n茅fice net attribuable a chut茅 de 21,7 % 脿 362 millions ; le BPA dilu茅 a recul茅 de 11,3 % 脿 4,57. La tr茅sorerie g茅n茅r茅e par les op茅rations a diminu茅 de 24 % 脿 504 millions, tandis que les investissements ont absorb茅 264 millions, laissant environ 240 millions de flux de tr茅sorerie disponible.
Capital et liquidit茅s : DaVita a 茅mis 1,0 milliard de dollars d'obligations senior 脿 6,75 % (茅ch茅ance 2033) et a termin茅 le trimestre avec une dette de 10,33 milliards (contre 9,51 milliards 脿 fin 2024). Le taux d'int茅r锚t moyen pond茅r茅 est de 5,73 % ; les plafonds de taux d'int茅r锚t couvrent 63 % de l'exposition. Les rachats d'actions totalisent 996 millions depuis le d茅but de l'ann茅e, plus 393 millions apr猫s le trimestre, ce qui porte les capitaux propres 脿 un niveau 苍茅驳补迟颈蹿 de 370 millions. La liquidit茅 comprend 708 millions en tr茅sorerie et une ligne de cr茅dit renouvelable enti猫rement disponible de 1,5 milliard.
Autres 茅l茅ments : Le r茅sultat global a b茅n茅fici茅 de gains de change de 185 millions. Le goodwill s'茅l猫ve 脿 7,47 milliards. Plusieurs enqu锚tes du DOJ, de la FTC et des 脡tats restent en cours ; aucune provision pour perte significative n'a 茅t茅 comptabilis茅e.
DaVita (DVA) Q2-25 10-Q Highlights: Der Umsatz stieg im Jahresvergleich um 6,0 % auf 3,38 Mrd. USD aufgrund h枚herer Nebendienstleistungs- und Handelsvolumina. Das Betriebsergebnis erh枚hte sich um 6,2 % auf 538 Mio. USD, jedoch schm盲lerten gestiegene Zinsaufwendungen um 49 % auf 146 Mio. USD das Ergebnis. Der auf DaVita entfallende Nettogewinn sank um 10,5 % auf 199 Mio. USD; aggressive Aktienr眉ckk盲ufe reduzierten jedoch die verw盲sserten Aktien um 13 %, wodurch das verw盲sserte Ergebnis je Aktie um 3,2 % auf 2,58 USD stieg.
厂别肠丑蝉尘辞苍补迟蝉眉产别谤蝉颈肠丑迟: Der Umsatz stieg um 5,5 % auf 6,60 Mrd. USD; der auf DaVita entfallende Nettogewinn sank um 21,7 % auf 362 Mio. USD; das verw盲sserte Ergebnis je Aktie fiel um 11,3 % auf 4,57 USD. Der operative Cashflow ging um 24 % auf 504 Mio. USD zur眉ck, w盲hrend die Investitionen 264 Mio. USD betrugen, was einen freien Cashflow von etwa 240 Mio. USD hinterlie脽.
Kapital & Liquidit盲t: DaVita gab 1,0 Mrd. USD Senior Notes mit 6,75 % Zinsen (F盲lligkeit 2033) aus und beendete das Quartal mit einer Verschuldung von 10,33 Mrd. USD (gegen眉ber 9,51 Mrd. USD zum Jahresende 2024). Der gewichtete durchschnittliche Zinssatz betr盲gt 5,73 %; Zinsobergrenzen decken 63 % der Zinsrisiken ab. Aktienr眉ckk盲ufe beliefen sich bisher im Jahr auf 996 Mio. USD plus 393 Mio. USD nach Quartalsende, wodurch das Eigenkapital auf minus 370 Mio. USD sank. Die Liquidit盲t umfasst 708 Mio. USD Barreserven und eine vollst盲ndig verf眉gbare revolvierende Kreditlinie von 1,5 Mrd. USD.
Sonstiges: Das Gesamtergebnis profitierte von W盲hrungsgewinnen in H枚he von 185 Mio. USD. Der Firmenwert betr盲gt 7,47 Mrd. USD. Mehrere Untersuchungen des DOJ, der FTC und der Bundesstaaten sind noch nicht abgeschlossen; es wurden keine wesentlichen Verlustr眉ckstellungen gebildet.
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
| QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 | |||||
For the Quarterly Period Ended June 30, 2025
or
| TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 | |||||
For the transition period from ___________ to ___________
Commission File Number: 1-14106
| (State of incorporation) | (I.R.S. Employer Identification No.) | |||||||
Telephone number (720 ) 631-2100
Securities registered pursuant to Section 12(b) of the Act:
| Title of each class: | Trading symbol(s): | Name of each exchange on which registered: | ||||||||||||
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of "large accelerated filer", "accelerated filer", "smaller reporting company" and "emerging growth company" in Rule 12b-2 of the Exchange Act.
| ☒ | Accelerated filer | ☐ | |||||||||
| Non-accelerated filer | ☐ | Smaller reporting company | |||||||||
| 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. ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act) Yes ☐ No ☒
As of August 1, 2025, the number of shares of the registrant’s common stock outstanding was approximately 71.5 million shares.
DAVITA INC.
INDEX
| Page No. | ||||||||||||||
| PART I. FINANCIAL INFORMATION | ||||||||||||||
| Item 1. | Condensed Consolidated Financial Statements: | |||||||||||||
Consolidated Statements of Income for the three and six months ended June 30, 2025 and June 30, 2024 | 1 | |||||||||||||
Consolidated Statements of Comprehensive Income for the three and six months ended June 30, 2025 and June 30, 2024 | 2 | |||||||||||||
Consolidated Balance Sheets as of June 30, 2025 and December 31, 2024 | 3 | |||||||||||||
Consolidated Statements of Cash Flow for the six months ended June 30, 2025 and June 30, 2024 | 4 | |||||||||||||
Consolidated Statements of Equity for the three and six months ended June 30, 2025 and June 30, 2024 | 5 | |||||||||||||
Notes to Condensed Consolidated Financial Statements | 7 | |||||||||||||
| Item 2. | Management’s Discussion and Analysis of Financial Condition and Results of Operations | 22 | ||||||||||||
| Item 3. | Quantitative and Qualitative Disclosures about Market Risk | 39 | ||||||||||||
| Item 4. | Controls and Procedures | 39 | ||||||||||||
| PART II. OTHER INFORMATION | ||||||||||||||
| Item 1. | Legal Proceedings | 39 | ||||||||||||
| Item 1A. | Risk Factors | 39 | ||||||||||||
| Item 2. | Unregistered Sales of Equity Securities and Use of Proceeds | 40 | ||||||||||||
| Item 3. | Defaults Upon Senior Securities | 40 | ||||||||||||
| Item 4. | Mine Safety Disclosures | 40 | ||||||||||||
| Item 5. | Other Information | 40 | ||||||||||||
| Item 6. | Exhibits | 41 | ||||||||||||
Signature | 42 | |||||||||||||
i
DAVITA INC.
CONSOLIDATED STATEMENTS OF INCOME
(unaudited)
(dollars and shares in thousands, except per share data)
| Three months ended June 30, | Six months ended June 30, | ||||||||||||||||||||||
| 2025 | 2024 | 2025 | 2024 | ||||||||||||||||||||
| Dialysis patient service revenues | $ | $ | $ | $ | |||||||||||||||||||
| Other revenues | |||||||||||||||||||||||
| Total revenues | |||||||||||||||||||||||
| Operating expenses: | |||||||||||||||||||||||
| Patient care costs | |||||||||||||||||||||||
| General and administrative | |||||||||||||||||||||||
| Depreciation and amortization | |||||||||||||||||||||||
| Equity investment income, net | ( | ( | ( | ( | |||||||||||||||||||
| Gain on changes in ownership interests | ( | ||||||||||||||||||||||
| Total operating expenses | |||||||||||||||||||||||
| Operating income | |||||||||||||||||||||||
| Debt expense | ( | ( | ( | ( | |||||||||||||||||||
| Debt prepayment, extinguishment and modification costs | ( | ( | |||||||||||||||||||||
| Other loss, net | ( | ( | ( | ( | |||||||||||||||||||
| Income before income taxes | |||||||||||||||||||||||
| Income tax expense | |||||||||||||||||||||||
| Net income | |||||||||||||||||||||||
| Less: Net income attributable to noncontrolling interests | ( | ( | ( | ( | |||||||||||||||||||
| Net income attributable to DaVita Inc. | $ | $ | $ | $ | |||||||||||||||||||
| Earnings per share attributable to DaVita Inc.: | |||||||||||||||||||||||
| Basic net income | $ | $ | $ | $ | |||||||||||||||||||
| Diluted net income | $ | $ | $ | $ | |||||||||||||||||||
| Weighted average shares for earnings per share: | |||||||||||||||||||||||
| Basic shares | |||||||||||||||||||||||
| Diluted shares | |||||||||||||||||||||||
See notes to condensed consolidated financial statements.
1
DAVITA INC.
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
(unaudited)
(dollars in thousands)
| Three months ended June 30, | Six months ended June 30, | ||||||||||||||||||||||
| 2025 | 2024 | 2025 | 2024 | ||||||||||||||||||||
| Net income | $ | $ | $ | $ | |||||||||||||||||||
| Other comprehensive income (loss), net of tax: | |||||||||||||||||||||||
| Unrealized (losses) gains on interest rate cap agreements: | |||||||||||||||||||||||
| Unrealized (losses) gains | ( | ( | |||||||||||||||||||||
| Reclassifications of net realized losses (gains) into net income | ( | ( | |||||||||||||||||||||
| Unrealized gains (losses) on foreign currency translation | ( | ( | |||||||||||||||||||||
| Other comprehensive income (loss) | ( | ( | |||||||||||||||||||||
| Total comprehensive income | |||||||||||||||||||||||
| Less: Comprehensive income attributable to noncontrolling interests | ( | ( | ( | ( | |||||||||||||||||||
| Comprehensive income attributable to DaVita Inc. | $ | $ | $ | $ | |||||||||||||||||||
See notes to condensed consolidated financial statements.
2
DAVITA INC.
CONSOLIDATED BALANCE SHEETS
(unaudited)
(dollars and shares in thousands, except per share data)
| June 30, 2025 | December 31, 2024 | ||||||||||
| ASSETS | |||||||||||
| Cash and cash equivalents | $ | $ | |||||||||
| Restricted cash and equivalents | |||||||||||
| Short-term investments | |||||||||||
| Accounts receivable | |||||||||||
| Inventories | |||||||||||
| Other receivables | |||||||||||
| Prepaid and other current assets | |||||||||||
| Income tax receivable | |||||||||||
| Total current assets | |||||||||||
Property and equipment, net of accumulated depreciation of $ | |||||||||||
| Operating lease right-of-use assets | |||||||||||
Intangible assets, net of accumulated amortization of $ | |||||||||||
| Equity method and other investments | |||||||||||
| Long-term investments | |||||||||||
| Other long-term assets | |||||||||||
| Goodwill | |||||||||||
| $ | $ | ||||||||||
| LIABILITIES AND EQUITY | |||||||||||
| Accounts payable | $ | $ | |||||||||
| Other liabilities | |||||||||||
| Accrued compensation and benefits | |||||||||||
| Current portion of operating lease liabilities | |||||||||||
| Current portion of long-term debt | |||||||||||
| Income tax payable | |||||||||||
| Due to related party | |||||||||||
| Total current liabilities | |||||||||||
| Long-term operating lease liabilities | |||||||||||
| Long-term debt | |||||||||||
| Other long-term liabilities | |||||||||||
| Deferred income taxes | |||||||||||
| Total liabilities | |||||||||||
| Commitments and contingencies | |||||||||||
| Noncontrolling interests subject to put provisions | |||||||||||
| Equity: | |||||||||||
Preferred stock ($ | |||||||||||
Common stock ($ and outstanding at June 30, 2025, respectively, and outstanding at December 31, 2024, respectively) | |||||||||||
| Additional paid-in capital | |||||||||||
| Retained earnings | |||||||||||
Treasury stock ( | ( | ( | |||||||||
| Accumulated other comprehensive loss | ( | ( | |||||||||
| Total DaVita Inc. shareholders' equity (deficit) | ( | ||||||||||
| Noncontrolling interests not subject to put provisions | |||||||||||
| Total equity (deficit) | ( | ||||||||||
| $ | $ | ||||||||||
See notes to condensed consolidated financial statements.
3
DAVITA INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(unaudited)
(dollars in thousands)
| Six months ended June 30, | |||||||||||
| 2025 | 2024 | ||||||||||
| Cash flows from operating activities: | |||||||||||
| Net income | $ | $ | |||||||||
| Adjustments to reconcile net income to net cash provided by operating activities: | |||||||||||
| Depreciation and amortization | |||||||||||
| Loss on extinguishment of debt | |||||||||||
| Stock-based compensation expense | |||||||||||
| Deferred income taxes | ( | ( | |||||||||
| Equity investment loss, net | |||||||||||
| Gain on changes in ownership interests | ( | ||||||||||
| Other non-cash losses | |||||||||||
| Changes in operating assets and liabilities, net of effect of acquisitions and divestitures: | |||||||||||
| Accounts receivable | ( | ( | |||||||||
| Inventories | ( | ||||||||||
| Other current assets | ( | ( | |||||||||
| Other long-term assets | ( | ||||||||||
| Accounts payable | ( | ||||||||||
| Accrued compensation and benefits | ( | ( | |||||||||
| Other current liabilities | ( | ||||||||||
| Income taxes | ( | ||||||||||
| Other long-term liabilities | ( | ( | |||||||||
| Net cash provided by operating activities | |||||||||||
| Cash flows from investing activities: | |||||||||||
| Additions of property and equipment | ( | ( | |||||||||
| Acquisitions | ( | ( | |||||||||
| Proceeds from asset and business sales | |||||||||||
| Purchase of debt investments held-to-maturity | ( | ( | |||||||||
| Purchase of other debt and equity investments | ( | ( | |||||||||
| Proceeds from debt investments held-to-maturity | |||||||||||
| Proceeds from sale of other debt and equity investments | |||||||||||
| Purchase of equity method investments | ( | ( | |||||||||
| Distributions from equity method investments | |||||||||||
| Net cash used in investing activities | ( | ( | |||||||||
| Cash flows from financing activities: | |||||||||||
| Borrowings | |||||||||||
| Payments on long-term debt | ( | ( | |||||||||
| Deferred and debt related financing costs | ( | ( | |||||||||
| Purchase of treasury stock from related party | ( | ||||||||||
| Other purchases of treasury stock | ( | ( | |||||||||
| Distributions to noncontrolling interests | ( | ( | |||||||||
| Net proceeds from issuance of common stock under employee stock plans | |||||||||||
| Payment of tax withholdings on net share settlements of equity awards | ( | ( | |||||||||
| Contributions from noncontrolling interests | |||||||||||
| Proceeds from sales of additional noncontrolling interests | |||||||||||
| Purchases of noncontrolling interests | ( | ( | |||||||||
| Net cash used in financing activities | ( | ( | |||||||||
| Effect of exchange rate changes on cash, cash equivalents and restricted cash | ( | ||||||||||
| Net (decrease) increase in cash, cash equivalents and restricted cash | ( | ||||||||||
| Cash, cash equivalents and restricted cash at beginning of the year | |||||||||||
| Cash, cash equivalents and restricted cash at end of the period | $ | $ | |||||||||
See notes to condensed consolidated financial statements.
4
DAVITA INC.
CONSOLIDATED STATEMENTS OF EQUITY
(unaudited)
(dollars and shares in thousands)
| Three months ended June 30, 2025 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Non- controlling interests subject to put provisions | DaVita Inc. shareholders’ equity (deficit) | Non- controlling interests not subject to put provisions | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Common stock | Additional paid-in capital | Retained earnings | Treasury stock | Accumulated other comprehensive loss | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Shares | Amount | Shares | Amount | Total | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Balance at March 31, 2025 | $ | $ | $ | $ | ( | $ | ( | $ | ( | $ | ( | $ | |||||||||||||||||||||||||||||||||||||||||||||||
| Comprehensive income: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Net income | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other comprehensive income | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Stock award plan | ( | ( | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Stock-settled stock-based compensation expense | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Changes in noncontrolling interest from: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Distributions | ( | ( | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Contributions | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Acquisitions and divestitures | ( | ( | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Fair value remeasurements | ( | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Purchase of treasury stock | ( | ( | ( | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Share purchase obligation | ( | ( | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Balance at June 30, 2025 | $ | $ | $ | $ | ( | $ | ( | $ | ( | $ | ( | $ | |||||||||||||||||||||||||||||||||||||||||||||||
| Six months ended June 30, 2025 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Non- controlling interests subject to put provisions | DaVita Inc. shareholders’ equity | Non- controlling interests not subject to put provisions | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Common stock | Additional paid-in capital | Retained earnings | Treasury stock | Accumulated other comprehensive loss | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Shares | Amount | Shares | Amount | Total | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Balance at December 31, 2024 | $ | $ | $ | $ | ( | $ | ( | $ | ( | $ | $ | ||||||||||||||||||||||||||||||||||||||||||||||||
| Comprehensive income: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Net income | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other comprehensive income | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Stock award plan | ( | ( | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Stock-settled stock-based compensation expense | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Changes in noncontrolling interest from: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Distributions | ( | ( | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Contributions | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Acquisitions and divestitures | ( | ( | ( | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Partial purchases | ( | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Fair value remeasurements | ( | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Purchase of treasury stock | ( | ( | ( | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Share purchase obligation | ( | ( | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Balance at June 30, 2025 | $ | $ | $ | $ | ( | $ | ( | $ | ( | $ | ( | $ | |||||||||||||||||||||||||||||||||||||||||||||||
5
| Three months ended June 30, 2024 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Non- controlling interests subject to put provisions | DaVita Inc. shareholders’ equity | Non- controlling interests not subject to put provisions | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Common stock | Additional paid-in capital | Retained earnings | Treasury stock | Accumulated other comprehensive loss | Total | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Shares | Amount | Shares | Amount | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Balance at March 31, 2024 | $ | $ | $ | $ | ( | $ | ( | $ | ( | $ | $ | ||||||||||||||||||||||||||||||||||||||||||||||||
| Comprehensive income: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Net income | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other comprehensive loss | ( | ( | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Stock award plan | ( | ( | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Stock-settled stock-based compensation expense | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Changes in noncontrolling interest from: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Distributions | ( | ( | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Contributions | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Acquisitions and divestitures | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Partial purchases | ( | ( | ( | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Fair value remeasurements | ( | ( | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Purchase of treasury stock | ( | ( | ( | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Balance at June 30, 2024 | $ | $ | $ | $ | ( | $ | ( | $ | ( | $ | $ | ||||||||||||||||||||||||||||||||||||||||||||||||
| Six months ended June 30, 2024 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Non- controlling interests subject to put provisions | DaVita Inc. shareholders’ equity | Non- controlling interests not subject to put provisions | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Common stock | Additional paid-in capital | Retained earnings | Treasury stock | Accumulated other comprehensive loss | Total | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Shares | Amount | Shares | Amount | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Balance at December 31, 2023 | $ | $ | $ | $ | $ | $ | ( | $ | $ | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Comprehensive income: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Net income | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other comprehensive loss | ( | ( | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Stock award plan | ( | ( | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Stock-settled stock-based compensation expense | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Changes in noncontrolling interest from: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Distributions | ( | ( | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Contributions | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Acquisitions and divestitures | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Partial purchases | ( | ( | ( | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Fair value remeasurements | ( | ( | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Purchase of treasury stock | ( | ( | ( | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Balance at June 30, 2024 | $ | $ | $ | $ | ( | $ | ( | $ | ( | $ | $ | ||||||||||||||||||||||||||||||||||||||||||||||||
See notes to condensed consolidated financial statements.
6
DAVITA INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
(dollars and shares in thousands, except per share data)
Unless otherwise indicated in this Quarterly Report on Form 10-Q, "the Company", "we", "us", "our" and similar terms refer to DaVita Inc. and its consolidated subsidiaries.
1. Condensed consolidated interim financial statements
The unaudited condensed consolidated interim financial statements included in this report are prepared by the Company. In the opinion of management, all adjustments necessary for a fair presentation of the results of operations are reflected in these condensed consolidated interim financial statements. All significant intercompany accounts and transactions have been eliminated. The preparation of these financial statements requires management to make estimates and assumptions that affect the reported amounts of revenues, expenses, assets, liabilities, contingencies, and noncontrolling interests subject to put provisions. The most significant estimates and assumptions underlying these financial statements and accompanying notes generally involve revenue recognition and accounts receivable, certain fair value estimates, accounting for income taxes, and loss contingencies. The results of operations reflected in these interim financial statements may not necessarily be indicative of annual operating results. These condensed consolidated interim financial statements should be read in conjunction with the audited consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2024 (2024 10-K). Prior period classifications conform to the current period presentation.
2. Revenue recognition
The following tables summarize the Company's segment revenues by primary payor source:
| Three months ended June 30, 2025 | Three months ended June 30, 2024 | ||||||||||||||||||||||||||||||||||
| U.S. dialysis | Other — Ancillary services | Consolidated | U.S. dialysis | Other — Ancillary services | Consolidated | ||||||||||||||||||||||||||||||
| Dialysis patient service revenues: | |||||||||||||||||||||||||||||||||||
| Medicare and Medicare Advantage | $ | $ | $ | $ | $ | $ | |||||||||||||||||||||||||||||
| Medicaid and Managed Medicaid | |||||||||||||||||||||||||||||||||||
| Other government | |||||||||||||||||||||||||||||||||||
| Commercial | |||||||||||||||||||||||||||||||||||
| Other revenues: | |||||||||||||||||||||||||||||||||||
| Medicare and Medicare Advantage | |||||||||||||||||||||||||||||||||||
| Medicaid and Managed Medicaid | |||||||||||||||||||||||||||||||||||
| Commercial | |||||||||||||||||||||||||||||||||||
Other(1) | |||||||||||||||||||||||||||||||||||
| Eliminations of intersegment revenues | ( | ( | ( | ( | ( | ( | |||||||||||||||||||||||||||||
| Total | $ | $ | $ | $ | $ | $ | |||||||||||||||||||||||||||||
7
DAVITA INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)
(unaudited)
(dollars and shares in thousands, except per share data)
| Six months ended June 30, 2025 | Six months ended June 30, 2024 | ||||||||||||||||||||||||||||||||||
| U.S. dialysis | Other — Ancillary services | Consolidated | U.S. dialysis | Other — Ancillary services | Consolidated | ||||||||||||||||||||||||||||||
| Dialysis patient service revenues: | |||||||||||||||||||||||||||||||||||
| Medicare and Medicare Advantage | $ | $ | $ | $ | $ | $ | |||||||||||||||||||||||||||||
| Medicaid and Managed Medicaid | |||||||||||||||||||||||||||||||||||
| Other government | |||||||||||||||||||||||||||||||||||
| Commercial | |||||||||||||||||||||||||||||||||||
| Other revenues: | |||||||||||||||||||||||||||||||||||
| Medicare and Medicare Advantage | |||||||||||||||||||||||||||||||||||
| Medicaid and Managed Medicaid | |||||||||||||||||||||||||||||||||||
| Commercial | |||||||||||||||||||||||||||||||||||
Other(1) | |||||||||||||||||||||||||||||||||||
| Eliminations of intersegment revenues | ( | ( | ( | ( | ( | ( | |||||||||||||||||||||||||||||
| Total | $ | $ | $ | $ | $ | $ | |||||||||||||||||||||||||||||
(1) Consists primarily of management service fees in the Company's U.S. dialysis business and research fees, management fees, and other non-patient service revenues in the Other - ancillary services businesses.
There are significant uncertainties associated with estimating revenue, many of which take several years to resolve. These estimates are subject to ongoing insurance coverage changes, geographic coverage differences, differing interpretations of contract coverage and other payor issues, as well as patient issues, including determination of applicable primary and secondary coverage, changes in patient insurance coverage and coordination of benefits. As these estimates are refined over time, both positive and negative adjustments to revenue are recognized in the current period.
Dialysis patient service revenues. Revenues are recognized based on the Company’s estimate of the transaction price the Company expects to collect as a result of satisfying its performance obligations. Dialysis patient service revenues are recognized in the period services are provided based on these estimates. Revenues consist primarily of payments from government and commercial health plans for dialysis services provided to patients.
Other revenues. Other revenues consist of revenues earned by the Company's non-dialysis ancillary services as well as fees for management and administrative services to outpatient dialysis businesses that the Company does not consolidate. Other revenues are estimated and recognized in the period the performance obligation is met, subject to applicable measurement constraints. The Company's integrated kidney care (IKC) revenues include revenues earned under risk-based arrangements, including value-based care (VBC) arrangements. Under its VBC arrangements, the Company assumes full or shared financial risk for the total medical cost of care for patients below or above a benchmark. The benchmarks against which the Company incurs profit or loss on these contracts are typically based on the underlying premiums paid to the insuring entity (the Company's counterparty), with adjustments where applicable, or on trended or adjusted medical cost targets.
For its IKC business, the Company recognized revenues for performance obligations satisfied in previous years of $95,911 and $31,309 during the six months ended June 30, 2025 and 2024, respectively. The delay in recognition of these amounts resulted predominantly from measurement limitations and recognition constraints on the Company's VBC contracts with health plans, many of which are complex. Recognition of revenue from the Company's government Comprehensive Kidney Care Contracting (CKCC) program also has certain constraints for plan years 2024 and 2025.
Measurements of revenue for the Company's IKC risk-based arrangements are complex, sensitive to a number of key inputs, and require meaningful estimates for a number of factors, including but not limited to member alignment data, third-party medical claims expense, outcomes on various quality metrics, and ultimate risk adjustment factor (RAF) scores. Information and other measurement limitations on these factors may constrain revenue recognition for a risk-based arrangement until a period after the Company's performance obligations have been met.
8
DAVITA INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)
(unaudited)
(dollars and shares in thousands, except per share data)
3. Earnings per share
Basic earnings per share is calculated by dividing net income attributable to the Company by the weighted average number of common shares outstanding. Weighted average common shares outstanding include restricted stock unit awards that are no longer subject to forfeiture because the recipients have satisfied either the explicit vesting terms or retirement eligibility requirements.
Diluted earnings per share includes the dilutive effect of outstanding stock-settled stock appreciation rights and unvested stock units as computed under the treasury stock method.
The reconciliations of the numerators and denominators used to calculate basic and diluted earnings per share were as follows:
| Three months ended June 30, | Six months ended June 30, | ||||||||||||||||||||||
| 2025 | 2024 | 2025 | 2024 | ||||||||||||||||||||
| Net income attributable to DaVita Inc. | $ | $ | $ | $ | |||||||||||||||||||
| Weighted average shares outstanding: | |||||||||||||||||||||||
| Basic shares | |||||||||||||||||||||||
| Assumed incremental from stock plans | |||||||||||||||||||||||
| Diluted shares | |||||||||||||||||||||||
| Basic net income per share attributable to DaVita Inc. | $ | $ | $ | $ | |||||||||||||||||||
| Diluted net income per share attributable to DaVita Inc. | $ | $ | $ | $ | |||||||||||||||||||
Anti-dilutive stock-settled awards excluded from calculation(1) | |||||||||||||||||||||||
(1)Shares associated with stock plans excluded from the diluted denominator calculation because they were anti-dilutive under the treasury stock method.
4. Short-term and long-term investments
The Company’s short-term and long-term investments, consisting of debt instruments classified as held-to-maturity and equity investments with readily determinable fair values or redemption values, were as follows:
| June 30, 2025 | December 31, 2024 | ||||||||||||||||||||||||||||||||||
| Debt securities | Equity securities | Total | Debt securities | Equity securities | Total | ||||||||||||||||||||||||||||||
| Certificates of deposit and other time deposits | $ | $ | $ | $ | $ | $ | |||||||||||||||||||||||||||||
| Investments in mutual funds and common stocks | |||||||||||||||||||||||||||||||||||
| $ | $ | $ | $ | $ | $ | ||||||||||||||||||||||||||||||
| Short-term investments | $ | $ | $ | $ | $ | $ | |||||||||||||||||||||||||||||
| Long-term investments | |||||||||||||||||||||||||||||||||||
| $ | $ | $ | $ | $ | $ | ||||||||||||||||||||||||||||||
Debt securities. The Company's short-term debt investments are principally bank certificates of deposit and international sovereign bonds, each with contractual maturities longer than three months but shorter than one year. The Company's long-term debt investments are international sovereign bonds with contractual maturities longer than one year. These debt securities are accounted for as held-to-maturity and recorded at amortized cost, which approximated their fair values at June 30, 2025 and December 31, 2024.
Equity securities. Substantially all of the Company's short-term and long-term equity investments are held within a trust to fund existing obligations associated with the Company’s non-qualified deferred compensation plans.
9
DAVITA INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)
(unaudited)
(dollars and shares in thousands, except per share data)
5. Goodwill
Changes in the carrying value of goodwill by reportable segment were as follows:
| U.S. dialysis | Other — Ancillary services | Consolidated | |||||||||||||||
| Balance at December 31, 2023 | $ | $ | $ | ||||||||||||||
| Acquisitions | |||||||||||||||||
| Divestitures | ( | ( | ( | ||||||||||||||
| Foreign currency and other adjustments | ( | ( | |||||||||||||||
| Balance at December 31, 2024 | |||||||||||||||||
| Acquisitions | ( | ||||||||||||||||
| Foreign currency and other adjustments | |||||||||||||||||
| Balance at June 30, 2025 | $ | $ | $ | ||||||||||||||
| Balance at June 30, 2025: | |||||||||||||||||
| Goodwill | $ | $ | $ | ||||||||||||||
| Accumulated impairment charges | ( | ( | |||||||||||||||
| $ | $ | $ | |||||||||||||||
The Company did not recognize any goodwill impairment charges during the six months ended June 30, 2025 and 2024.
6. Long-term debt
Long-term debt comprised the following:
| As of June 30, 2025 | |||||||||||||||||||||||||||||
| June 30, 2025 | December 31, 2024 | Maturity date | Interest rate | Estimated fair value(1) | |||||||||||||||||||||||||
| Senior Secured Credit Facilities: | |||||||||||||||||||||||||||||
Term Loan A-1(2) | $ | $ | $ | ||||||||||||||||||||||||||
| Term Loan B-1 | $ | ||||||||||||||||||||||||||||
Revolving line of credit(2) | Base +1.75% | $ | |||||||||||||||||||||||||||
| Senior Notes: | |||||||||||||||||||||||||||||
| 4.625% Senior Notes | % | $ | |||||||||||||||||||||||||||
| 3.75% Senior Notes | % | $ | |||||||||||||||||||||||||||
| 6.875% Senior Notes | % | $ | |||||||||||||||||||||||||||
| 6.75% Senior Notes | % | $ | |||||||||||||||||||||||||||
Acquisition obligations and other notes payable(3) | % | $ | |||||||||||||||||||||||||||
Financing lease obligations(4) | % | ||||||||||||||||||||||||||||
| CHC temporary funding assistance | $ | ||||||||||||||||||||||||||||
| Total debt principal outstanding | |||||||||||||||||||||||||||||
Discount, premium and deferred financing costs(5) | ( | ( | |||||||||||||||||||||||||||
| Less current portion | ( | ( | |||||||||||||||||||||||||||
| $ | $ | ||||||||||||||||||||||||||||
(1)For the Company's senior secured credit facilities, fair value estimates are based on bid and ask quotes, a level 2 input. For the Company's senior notes, fair value estimates are based on market level 1 inputs. For acquisition obligations and other notes payable, the
10
DAVITA INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)
(unaudited)
(dollars and shares in thousands, except per share data)
carrying values presented here approximate their estimated fair values, based on estimates of their present values typically using level 2 interest rate inputs.
(2)The Company's senior secured credit facilities bear interest at Term SOFR, plus an interest rate margin, with certain portions also subject to a credit spread adjustment (CSA). Term SOFR plus CSA is referred to as "Base" in the table above. The Term Loan A-1 and revolving line of credit bear a CSA of 0.10 %.
(3)The interest rate presented for acquisition obligations and other notes payable is their weighted average interest rate based on the current fixed and variable interest rate components in effect as of June 30, 2025.
(4)Financing lease obligations are measured at their approximate present values at inception. The interest rate presented is the weighted average discount rate embedded in financing leases outstanding.
(5)As of June 30, 2025, the carrying amount of the Company's senior secured credit facilities has been reduced by a discount of $7,435 and deferred financing costs of $24,978 , and the carrying amount of the Company's senior notes has been reduced by deferred financing costs of $46,111 and increased by a debt premium of $9,293 . As of December 31, 2024, the carrying amount of the Company's senior secured credit facilities was reduced by a discount of $8,084 and deferred financing costs of $28,879 , and the carrying amount of the Company's senior notes was reduced by deferred financing costs of $37,612 and increased by a debt premium of $10,239 .
On May 23, 2025, the Company issued $1,000,000 aggregate principal amount of 6.75 % senior notes due 2033 (the 6.75 % Senior Notes) in a private offering pursuant to Rule 144A and Regulation S under the Securities Act of 1933, as amended. The 6.75 % Senior Notes pay interest on January 15 and July 15 of each year beginning January 15, 2026 and mature on July 15, 2033 . The 6.75 % Senior Notes are unsecured senior obligations and rank equally in right of payment with the Company's existing and future unsecured senior indebtedness. The 6.75 % Senior Notes are guaranteed by each of the Company’s domestic subsidiaries that guarantee its senior secured credit facilities. The Company may redeem up to 40% of the aggregate principal amount of the 6.75 % Senior Notes at any time prior to July 15, 2028 at 106.75 % of the aggregate principal amount from the net cash proceeds of one or more equity offerings, plus accrued and unpaid interest. On and after July 15, 2028, the Company may at its option redeem the 6.75 % Senior Notes, in whole or from time to time in part, at certain redemption prices specified in the indenture governing the 6.75% Senior Notes, plus accrued and unpaid interest. If the Company experiences certain change of control events, the Company must offer to repurchase all of the 6.75 % Senior Notes (unless otherwise redeemed) at a price equal to 101 % of the principal amount thereof, plus accrued and unpaid interest. The 6.75 % Senior Notes contain restrictive covenants that limit the ability of the Company and the subsidiary guarantors of the 6.75 % Senior Notes to, among other things and subject to certain exceptions and qualifications, create certain liens, enter into certain sale/leaseback transactions, or merge with or into, or convey, transfer or lease all or substantially all of their assets. The 6.75 % Senior Notes and related subsidiary guarantees do not have any registration or similar rights and are not expected to be registered or listed on any securities exchange. As of June 30, 2025, the Company incurred $11,799 in fees and other professional expenses associated with this transaction that were capitalized and will amortize over the term of the 6.75 % Senior Notes.
During the first six months of 2025, the Company made regularly scheduled principal payments under its senior secured credit facilities totaling $59,455 on Term Loan A-1 and $8,201 on Term Loan B-1.
On March 1, 2024, Change Healthcare (CHC), a subsidiary of UnitedHealth Group, launched a temporary assistance funding program (CHC Funding) to help bridge the gap in short-term cash flow needs for providers impacted by the disruption of CHC's services following a cybersecurity incident. Under the program, CHC provided funding to providers for amounts that would otherwise have been received (with certain limitations), but for the disruption in processing electronic claims as a result of the outage. During the first quarter of 2025, the Company repaid all remaining balances outstanding under the CHC Funding program.
As of June 30, 2025, the effective portion of the Company's interest rate cap agreements, as detailed in the table below, have the economic effect of capping the Company's maximum exposure to SOFR variable interest rate changes on equivalent amounts of the Company's floating rate debt, including all of Term Loan B-1 and a portion of Term Loan A-1. The remaining $327,789 outstanding principal balance of Term Loan A-1 is subject to SOFR-based interest rate volatility. These cap agreements are designated as cash flow hedges and, as a result, changes in their fair values are reported in other comprehensive income. The original premiums paid for the caps are amortized to debt expense on a straight-line basis over the term of each cap agreement starting from its effective date. These cap agreements do not contain credit risk-contingent features.
During 2025 the Company entered into several forward interest rate cap agreements, detailed in the table below, that have the economic effect of capping the Company's exposure to SOFR variable interest rate changes on specific portions of the Company's floating rate debt (2025 cap agreements). These 2025 cap agreements are designated as cash flow hedges and, as a
11
DAVITA INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)
(unaudited)
(dollars and shares in thousands, except per share data)
result, changes in their fair values will be reported in other comprehensive income. These 2025 cap agreements do not contain credit-risk contingent features and become effective and expire as described in the table below.
The following table summarizes the Company’s interest rate cap agreements outstanding as of June 30, 2025:
| Year cap agreements executed | Initial notional amount | SOFR maximum rate | Approximate effective date | Maturity date | Notional amount effective through December 31 | ||||||||||||||||||||||||||||||||||||||||||
| 2025 | 2026 | 2027 | 2028 | ||||||||||||||||||||||||||||||||||||||||||||
| 2023 | $ | $ | |||||||||||||||||||||||||||||||||||||||||||||
| 2023 | $ | $ | |||||||||||||||||||||||||||||||||||||||||||||
| 2023 | $ | $ | 500,000 | $ | |||||||||||||||||||||||||||||||||||||||||||
| 2023 | $ | $ | |||||||||||||||||||||||||||||||||||||||||||||
| 2023 | $ | $ | 750,000 | $ | |||||||||||||||||||||||||||||||||||||||||||
| 2024 | $ | 4.50%(1) | $ | 1,750,000 | $ | ||||||||||||||||||||||||||||||||||||||||||
| 2024 | $ | 4.00%(2) | $ | 750,000 | $ | ||||||||||||||||||||||||||||||||||||||||||
| 2025 | $ | 4.50%(3) | $ | 1,000,000 | $ | ||||||||||||||||||||||||||||||||||||||||||
| 2025 | $ | 4.25%(4) | $ | 1,000,000 | $ | ||||||||||||||||||||||||||||||||||||||||||
| Total notional coverage | $ | $ | $ | $ | |||||||||||||||||||||||||||||||||||||||||||
| Weighted average strike rate | |||||||||||||||||||||||||||||||||||||||||||||||
(1)Effective December 31, 2026, the maximum rate of 4.50 % increases to 4.75 % for these interest rate caps.
(2)Effective December 31, 2026, the maximum rate of 4.00 % increases to 4.25 % for these interest rate caps.
(3)Effective December 31, 2027, the maximum rate of 4.50 % increases to 4.75 % for these interest rate caps.
(4)Effective December 31, 2027, the maximum rate of 4.25 % increases to 4.50 % for these interest rate caps.
The fair value of the Company's interest rate cap agreements, which are classified in other long-term assets on its consolidated balance sheet, was $17,187 and $30,062 as of June 30, 2025 and December 31, 2024, respectively.
See Note 9 for further details on amounts reclassified from accumulated other comprehensive loss and recorded as debt expense (offset) related to the Company’s interest rate cap agreements for the three and six months ended June 30, 2025 and 2024.
As a result of the variable rate cap from the Company's 2023 interest rate cap agreements, the Company’s weighted average effective interest rate on its senior secured credit facilities at the end of the second quarter of 2025 was 6.60 %, based on the current margins in effect for its senior secured credit facilities as of June 30, 2025, as detailed in the table above.
The Company’s weighted average effective interest rate on all debt, including the effect of interest rate caps and amortization of debt discount, premium and deferred financing costs, for the three and six months ended June 30, 2025 was 5.71 % and 5.66 %, respectively, and as of June 30, 2025 was 5.73 %.
As of June 30, 2025, the Company’s interest rates were fixed and economically fixed on approximately 63 % and 97 % of its total debt, respectively.
As of June 30, 2025, the Company had an undrawn revolving line of credit under its senior secured credit facilities of $1,500,000 . Credit available under this revolving line of credit is reduced by the amount of any letters of credit outstanding under the facility, of which there were none as of June 30, 2025. The Company also had letters of credit of approximately $159,115 outstanding under a separate bilateral secured letter of credit facility as of June 30, 2025.
7. Commitments and contingencies
The Company operates in a highly regulated industry and is a party to, or has the potential to be a party to, various lawsuits, demands, claims, qui tam suits, governmental investigations and audits (including, without limitation, investigations
12
DAVITA INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)
(unaudited)
(dollars and shares in thousands, except per share data)
or other actions resulting from its obligation to self-report suspected violations of law) and other legal proceedings, including, without limitation, those described below. The Company records accruals for certain legal proceedings and regulatory matters to the extent that the Company determines an unfavorable outcome is probable and the amount of the loss can be reasonably estimated. As of June 30, 2025 and December 31, 2024, the Company’s total recorded accruals with respect to legal proceedings and regulatory matters, net of anticipated third party recoveries, were immaterial. While these accruals reflect the Company’s best estimate of the probable loss for those matters as of the dates of those accruals, the recorded amounts may differ materially from the actual amount of the losses for those matters, and any anticipated third party recoveries for any such losses may not ultimately be recoverable. Additionally, in some cases, no estimate of the possible loss or range of loss in excess of amounts accrued, if any, can be made because of the inherently unpredictable nature of legal proceedings and regulatory matters, which also may be impacted by various factors, including, without limitation, that they may involve indeterminate claims for monetary damages or may involve fines, penalties or non-monetary remedies; present novel legal theories or legal uncertainties; involve disputed facts; represent a shift in regulatory policy; are in the early stages of the proceedings; or may result in a change of business practices. Further, there may be various levels of judicial review available to the Company in connection with any such proceeding.
The following is a description of certain lawsuits, claims, governmental investigations and audits and other legal proceedings to which the Company is subject.
Certain Governmental Inquiries and Related Proceedings
2020 U.S. Attorney New Jersey Investigation: In March 2020, the U.S. Attorney’s Office, District of New Jersey served the Company with a subpoena and a Civil Investigative Demand (CID) relating to an investigation being conducted by that office and the U.S. Attorney’s Office, Eastern District of Pennsylvania. The subpoena and CID request information on several topics, including certain of the Company’s joint venture arrangements with physicians and physician groups, medical director agreements, and compliance with its five-year Corporate Integrity Agreement, the term of which expired October 22, 2019 . In November 2022, the Company learned that, on April 1, 2022, the U.S. Attorney’s Office for the District of New Jersey notified the U.S. District Court for the District of New Jersey of its decision not to elect to intervene in the matter of U.S. ex rel. Doe v. DaVita Inc. and filed a Stipulation of Dismissal. On April 13, 2022, the U.S. District Court for the District of New Jersey dismissed the case without prejudice. On October 12, 2022, the U.S. Attorney’s Office for the Eastern District of Pennsylvania notified the U.S. District Court, Eastern District of Pennsylvania, of its decision not to elect to intervene at this time in the matter of U.S. ex rel. Bayne v. DaVita Inc., et al. The court then unsealed an amended complaint, which alleges violations of federal and state False Claims Acts, by order dated October 14, 2022. On November 8, 2023, the private party relator filed a fourth amended complaint. On November 29, 2023, the Company filed a motion to dismiss the fourth amended complaint. On April 29, 2025, the Court denied the Company’s motion to dismiss. On July 21, 2025, the Company answered the complaint. The Company disputes the allegations in the complaint and intends to defend this action accordingly.
2020 California Department of Insurance Investigation: In April 2020, the California Department of Insurance (CDI) sent the Company an Investigative Subpoena relating to an investigation being conducted by that office. CDI issued a superseding subpoena in September 2020 and an additional subpoena in September 2021. Those subpoenas request information on a number of topics, including but not limited to the Company’s communications with patients about insurance plans and financial assistance from the American Kidney Fund (AKF), analyses of the potential impact of patients’ decisions to change insurance providers, and documents relating to donations or contributions to the AKF. The Company is continuing to cooperate with CDI in this investigation.
2023 District of Columbia Office of Attorney General Investigation: In January 2023, the Office of the Attorney General for the District of Columbia issued a CID to the Company in connection with an antitrust investigation into the AKF. The CID covers the period from January 1, 2016 to the present. The CID requests information on a number of topics, including but not limited to the Company’s communications with the AKF, documents relating to donations to the AKF, and communications with patients, providers, and insurers regarding the AKF. The Company is cooperating with the government in this investigation.
2024 Federal Trade Commission Investigation: In April 2024, the Company received from the Federal Trade Commission (FTC) two CIDs in connection with an industry investigation under Section 5 of the Federal Trade Commission Act regarding the acquisition of medical director services and provision of dialysis services. The CIDs cover the period from January 1, 2016 to the present and generally seek information relating to restrictive covenants, such as non-competes, with physicians. The Company is cooperating with the government in this investigation.
13
DAVITA INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)
(unaudited)
(dollars and shares in thousands, except per share data)
* * *
Although the Company cannot predict whether or when proceedings might be initiated or when these matters may be resolved (other than as may be described above), it is not unusual for inquiries such as these to continue for a considerable period of time through the various phases of document and witness requests and ongoing discussions with regulators and to develop over the course of time. In addition to the inquiries and proceedings specifically identified above, the Company frequently is subject to other inquiries by state or federal government agencies. Negative findings or terms and conditions that the Company might agree to accept could result in, among other things, substantial financial penalties or awards against the Company, substantial payments made by the Company, harm to the Company’s reputation, required changes to the Company’s business practices, an impact on the Company's various relationships and/or contracts related to the Company's business, exclusion from future participation in the Medicare, Medicaid and other federal health care programs and, if criminal proceedings were initiated against the Company, members of its board of directors or management, possible criminal penalties, any of which could have a material adverse effect on the Company.
Other Proceedings
2021 Antitrust Indictment and Putative Class Action Suit: On July 14, 2021, an indictment was returned by a grand jury in the U.S. District Court, District of Colorado against the Company and its former chief executive officer in the matter of U.S. v. DaVita Inc., et al. alleging that purported agreements entered into by DaVita's former chief executive officer not to solicit senior-level employees violated Section 1 of the Sherman Act. On April 15, 2022, a jury returned a verdict in the Company’s favor, acquitting both the Company and its former chief executive officer on all counts. On April 20, 2022, the court entered judgments of acquittal and closed the case. On August 9, 2021, DaVita Inc. and its former chief executive officer were added as defendants in a consolidated putative class action complaint in the matter of In re Outpatient Medical Center Employee Antitrust Litigation in the U.S. District Court, Northern District of Illinois. This class action complaint asserts that the defendants violated Section 1 of the Sherman Act and seeks to bring an action on behalf of certain groups of individuals employed by the Company. On October 27, 2024, the plaintiffs filed a Third Amended Complaint, seeking to bring an action on behalf of certain groups of individuals employed by the Company between March 2008 and January 2021, to which the Company responded on December 20, 2024. The Company disputes the allegations in the class action complaint, as well as the asserted violations of the Sherman Act, and intends to defend this action accordingly.
Additionally, from time to time the Company is subject to other lawsuits, demands, claims, governmental investigations and audits and legal proceedings that arise due to the nature of its business, including, without limitation, contractual disputes, such as with payors, suppliers and others, employee-related matters and professional and general liability claims. From time to time, the Company also initiates litigation or other legal proceedings as a plaintiff arising out of contracts or other matters.
* * *
Other than as may be described above, the Company cannot predict the ultimate outcomes of the various legal proceedings and regulatory matters to which the Company is or may be subject from time to time, including those described in this Note 7, or the timing of their resolution or the ultimate losses or impact of developments in those matters, which could have a material adverse effect on the Company’s revenues, earnings and cash flows. Further, any legal proceedings or regulatory matters involving the Company, whether meritorious or not, are time consuming, and often require management’s attention and result in significant legal expense, and may result in the diversion of significant operational resources, may impact the Company's various relationships and/or contracts related to the Company's business or otherwise harm the Company’s business, results of operations, financial condition, cash flows or reputation.
Other Commitments
The Company also has certain potential commitments to provide working capital funding or other financing, if necessary, to certain nonconsolidated businesses that the Company manages and in which the Company owns a noncontrolling equity interest or which are wholly-owned by third parties of approximately $8,100 .
14
DAVITA INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)
(unaudited)
(dollars and shares in thousands, except per share data)
8. Shareholders' equity
Stock-based compensation
During the six months ended June 30, 2025, the Company granted 729 stock-settled restricted and performance stock units with an aggregate grant-date fair value of $105,765 and a weighted average expected life of approximately 3.4 years. Additionally, the Company granted 96 stock-settled stock appreciation rights with an aggregate grant-date fair value of $4,960 and weighted-average expected life of approximately 4.75 years.
As of June 30, 2025, the Company had $178,947 in total estimated but unrecognized stock-based compensation expense under the Company's equity compensation and employee stock purchase plans. The Company expects to recognize this expense over a weighted average remaining period of 1.3 years.
Share repurchases
The following table summarizes the Company's common stock repurchases during the three and six months ended June 30, 2025.
| Three months ended June 30, | Six months ended June 30, | ||||||||||||||||||||||
| 2025 | 2024 | 2025 | 2024 | ||||||||||||||||||||
| Open market repurchases: | |||||||||||||||||||||||
| Shares repurchased | |||||||||||||||||||||||
Amount paid(1) | $ | $ | $ | $ | |||||||||||||||||||
Average price paid per share(2) | $ | $ | $ | $ | |||||||||||||||||||
| Berkshire repurchases: | |||||||||||||||||||||||
| Shares repurchased | |||||||||||||||||||||||
Amount paid(1) | $ | $ | $ | $ | |||||||||||||||||||
Average price paid per share(2) | $ | $ | $ | $ | |||||||||||||||||||
| Total repurchases: | |||||||||||||||||||||||
| Shares repurchased | |||||||||||||||||||||||
Amount paid(1) | $ | $ | $ | $ | |||||||||||||||||||
Average price paid per share(2) | $ | $ | $ | $ | |||||||||||||||||||
(1)Includes commissions and excise tax. The excise tax is recorded as part of the cost basis of treasury shares repurchased and, as such, is included in stockholders’ equity.
(2)Excludes commissions and excise tax.
Subsequent to June 30, 2025 through August 1, 2025, the Company repurchased 2,749 shares of its common stock for $393,461 at an average price paid of $141.68 per share, inclusive of the shares repurchased from Berkshire Hathaway Inc. as discussed below.
As of June 30, 2025, the Company is authorized to make share repurchases pursuant to a September 5, 2024 Board authorization of $2,000,000 . This authorization allows the Company to make purchases from time to time in the open market or in privately negotiated transactions, including without limitation, through accelerated share repurchase transactions, derivative transactions, tender offers, Rule 10b5-1 plans or any combination of the foregoing, depending upon market conditions and other considerations.
As of August 1, 2025, the Company has a total of $557,971 , excluding excise taxes, available under the current authorization for additional share repurchases. Although this share repurchase authorization does not have an expiration date, the Company remains subject to share repurchase limitations, including under the terms of its senior secured credit facilities.
15
DAVITA INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)
(unaudited)
(dollars and shares in thousands, except per share data)
Berkshire share repurchase agreement
Pursuant to the April 30, 2024 share repurchase agreement with Berkshire Hathaway Inc. on behalf of itself and its affiliates (collectively, Berkshire), the Company had a repurchase obligation at June 30, 2025 to purchase shares from Berkshire for $100,336 in the aggregate, recorded as a payable and classified as Due to related party on the Company's consolidated balance sheet. Subsequent to June 30, 2025, as the Company continued open market share repurchases, the obligation to Berkshire increased. On August 1, 2025, the Company settled the Berkshire repurchase obligation in total for 1,636 shares of common stock for $230,025 , at an average price paid of $140.61 per share, both excluding associated excise tax.
See Note 18 to the Company's consolidated financial statements included in the 2024 10-K for further discussion of the Company’s relationship with Berkshire and the share repurchase agreement.
9. Accumulated other comprehensive loss
| Three months ended June 30, 2025 | Six months ended June 30, 2025 | ||||||||||||||||||||||||||||||||||||||||||||||
| Defined benefit pension plan | Interest rate cap agreements | Foreign currency translation adjustments | Accumulated other comprehensive loss | Defined benefit pension plan | Interest rate cap agreements | Foreign currency translation adjustments | Accumulated other comprehensive loss | ||||||||||||||||||||||||||||||||||||||||
| Beginning balance | $ | $ | ( | $ | ( | $ | ( | $ | $ | ( | $ | ( | $ | ( | |||||||||||||||||||||||||||||||||
| Unrealized (losses) gains | ( | ( | |||||||||||||||||||||||||||||||||||||||||||||
| Related income tax | |||||||||||||||||||||||||||||||||||||||||||||||
| ( | ( | ||||||||||||||||||||||||||||||||||||||||||||||
| Reclassification into net income | |||||||||||||||||||||||||||||||||||||||||||||||
| Related income tax | ( | ( | ( | ( | |||||||||||||||||||||||||||||||||||||||||||
| Ending balance | $ | $ | ( | $ | ( | $ | ( | $ | $ | ( | $ | ( | $ | ( | |||||||||||||||||||||||||||||||||
| Three months ended June 30, 2024 | Six months ended June 30, 2024 | ||||||||||||||||||||||||||||||||||
| Interest rate cap agreements | Foreign currency translation adjustments | Accumulated other comprehensive loss | Interest rate cap agreements | Foreign currency translation adjustments | Accumulated other comprehensive loss | ||||||||||||||||||||||||||||||
| Beginning balance | $ | $ | ( | $ | ( | $ | $ | ( | $ | ( | |||||||||||||||||||||||||
| Unrealized gains (losses) | ( | ( | ( | ( | |||||||||||||||||||||||||||||||
| Related income tax | ( | ( | ( | ( | |||||||||||||||||||||||||||||||
| ( | ( | ( | ( | ||||||||||||||||||||||||||||||||
| Reclassification into net income | ( | ( | ( | ( | |||||||||||||||||||||||||||||||
| Related income tax | |||||||||||||||||||||||||||||||||||
| ( | ( | ( | ( | ||||||||||||||||||||||||||||||||
| Ending balance | $ | $ | ( | $ | ( | $ | $ | ( | $ | ( | |||||||||||||||||||||||||
The interest rate cap agreement net realized (losses) gains reclassified into net income are recorded as debt expense in the corresponding consolidated statements of income. See Note 6 for further details.
10. Variable interest entities (VIEs)
At June 30, 2025, these condensed consolidated financial statements include total assets of VIEs of $593,868 and total liabilities and noncontrolling interests of VIEs to third parties of $247,330 . There have been no material changes in the nature of the Company's arrangements with VIEs or its judgments concerning them from those described in Note 22 to the Company's consolidated financial statements included in the 2024 10-K.
11. Fair values of financial instruments
The Company measures the fair value of certain assets, liabilities and noncontrolling interests subject to put provisions (redeemable equity interests classified as temporary equity) based upon certain valuation techniques that include observable or
16
DAVITA INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)
(unaudited)
(dollars and shares in thousands, except per share data)
unobservable inputs and assumptions that market participants would use in pricing these assets, liabilities, temporary equity and commitments. The Company has also classified assets, liabilities and temporary equities that are measured at fair value on a recurring basis into the appropriate fair value hierarchy levels as defined by the Financial Accounting Standards Board (FASB).
The following table summarizes the Company’s assets, liabilities and temporary equities measured at fair value on a recurring basis as of June 30, 2025:
| Total | Quoted prices in active markets for identical assets (Level 1) | Significant other observable inputs (Level 2) | Significant unobservable inputs (Level 3) | ||||||||||||||||||||
| Assets | |||||||||||||||||||||||
| Investments in equity securities | $ | $ | |||||||||||||||||||||
| Interest rate cap agreements | $ | $ | |||||||||||||||||||||
| Liabilities | |||||||||||||||||||||||
| Contingent earn-out obligations for acquisitions | $ | $ | |||||||||||||||||||||
| Temporary equity | |||||||||||||||||||||||
| Noncontrolling interests subject to put provisions | $ | $ | |||||||||||||||||||||
Investments in equity securities represent investments in various open-ended registered investment companies (mutual funds) and common stocks and are recorded at fair value estimated based on reported market prices or redemption prices, as applicable. See Note 4 for further discussion.
Interest rate cap agreements are recorded at fair value estimated from valuation models utilizing the income approach and commonly accepted valuation techniques that use inputs from closing prices for similar assets and liabilities in active markets as well as other relevant observable market inputs at quoted intervals such as current interest rates, forward yield curves, implied volatility and credit default swap pricing. The Company does not believe the ultimate amount that could be realized upon settlement of these interest rate cap agreements would be materially different from the fair value estimates currently reported. See Note 6 for further discussion.
As of June 30, 2025, the Company had contingent earn-out obligations associated with business acquisitions that could result in the Company paying the former owners a total of up to approximately $23,420 if certain performance targets or quality margins are met over the next one year to five years . The estimated fair value measurements of these contingent earn-out obligations are primarily based on unobservable inputs, including key financial metrics such as projected earnings before interest, taxes, depreciation, and amortization (EBITDA), revenue and other key performance indicators. The estimated fair values of these contingent earn-out obligations are remeasured as of each reporting date and could fluctuate based upon any significant changes in key assumptions, such as changes in the Company's credit risk adjusted rate that is used to discount obligations to present value.
The estimated fair value of noncontrolling interests subject to put provisions is based principally on the higher of either estimated liquidation value of net assets or a multiple of earnings for each subject dialysis partnership, based on historical earnings, revenue mix, and other performance indicators that can affect future results. The multiples used for these valuations are derived from observed ownership transactions for dialysis businesses between unrelated parties in the U.S. in recent years, and the specific valuation multiple applied to each dialysis partnership is principally determined by its recent and expected revenue mix and contribution margin. As of June 30, 2025, an increase or decrease in the weighted average multiple used in these valuations of one times EBITDA would change the estimated fair value of these noncontrolling interests by approximately $220,000 . See Notes 16 and 23 to the Company's consolidated financial statements included in the 2024 10-K for further discussion of the Company’s methodology for estimating the fair value of noncontrolling interests subject to put obligations. For a reconciliation of changes in noncontrolling interests subject to put provisions for the six months ended June 30, 2025, see the consolidated statements of equity.
The Company's fair value estimates for its senior secured credit facilities are based upon quoted bid and ask prices for these instruments, a level 2 input. For the Company's senior notes, fair value estimates are based on market level 1 inputs. See Note 6 for further discussion of the Company's debt.
17
DAVITA INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)
(unaudited)
(dollars and shares in thousands, except per share data)
The fair value of the Company's contingent consideration payable to Medtronic, Inc. for its interest in Mozarc Medical Holding LLC approximates $12,500, which is based on level 3 inputs.
Other financial instruments consist primarily of cash and cash equivalents, restricted cash and cash equivalents, accounts receivable, investments in debt securities, accounts payable, other accrued liabilities, lease liabilities and debt. The balances of financial instruments other than debt and lease liabilities are presented in these condensed consolidated financial statements at June 30, 2025 at their approximate fair values due to the short-term nature of their settlements.
12. Segment reporting
The Company’s operating divisions are composed of its U.S. dialysis and related lab services business (its U.S. dialysis business), its U.S. integrated kidney care business, its U.S. other ancillary services and its international operations (collectively, its ancillary services), as well as its corporate administrative support functions.
The Company’s operating segments have been defined based on the separate financial information that is regularly produced and reviewed by the Company’s chief operating decision maker in making decisions about allocating resources to and assessing the financial performance of the Company’s various operating lines of business. The chief operating decision maker for the Company is its Chief Executive Officer. The chief operating decision maker does not review total assets by segment to make decisions regarding resources; therefore, the total assets by segment disclosure has not been included.
The Company’s separate operating segments include its U.S. dialysis and related lab services business, its U.S. integrated kidney care business, its U.S. other ancillary services, and its operations in each foreign sovereign jurisdiction. The U.S. dialysis and related lab services business qualifies as a separately reportable segment, and all other operating segments have been combined and disclosed in the other segments category. See Note 24 to the Company's consolidated financial statements included in the 2024 10-K for further description of how the Company determines and measures results for its operating segments.
18
DAVITA INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)
(unaudited)
(dollars and shares in thousands, except per share data)
The following is a summary of segment revenues, segment operating margin, and a reconciliation of segment operating margin to consolidated income before income taxes:
| Three months ended June 30, | Six months ended June 30, | ||||||||||||||||||||||
| 2025 | 2024 | 2025 | 2024 | ||||||||||||||||||||
| Segment revenues: | |||||||||||||||||||||||
| U.S. dialysis | |||||||||||||||||||||||
| Patient service revenues: | |||||||||||||||||||||||
| External sources | $ | $ | $ | $ | |||||||||||||||||||
| Intersegment revenues | |||||||||||||||||||||||
| U.S. dialysis patient service revenues | |||||||||||||||||||||||
| Other revenues | |||||||||||||||||||||||
| External sources | |||||||||||||||||||||||
| Total U.S. dialysis revenues | |||||||||||||||||||||||
| Other—Ancillary services | |||||||||||||||||||||||
| Patient service revenues | |||||||||||||||||||||||
| Other external sources | |||||||||||||||||||||||
| Intersegment revenues | |||||||||||||||||||||||
| Total ancillary services | |||||||||||||||||||||||
| Total net segment revenues | |||||||||||||||||||||||
| Elimination of intersegment revenues | ( | ( | ( | ( | |||||||||||||||||||
| Consolidated revenues | $ | $ | $ | $ | |||||||||||||||||||
| Significant segment expenses: | |||||||||||||||||||||||
| U.S. dialysis | |||||||||||||||||||||||
| Patient care costs | $ | $ | $ | $ | |||||||||||||||||||
| General and administrative | |||||||||||||||||||||||
| Depreciation and amortization | |||||||||||||||||||||||
Other segment items(1) | ( | ( | ( | ( | |||||||||||||||||||
| U.S. dialysis segment expenses | |||||||||||||||||||||||
| Other - Ancillary services expenses | |||||||||||||||||||||||
| Segment operating margin: | |||||||||||||||||||||||
| U.S. dialysis | |||||||||||||||||||||||
Other—Ancillary services(2) | ( | ( | |||||||||||||||||||||
| Total segment operating margin | |||||||||||||||||||||||
| Reconciliation of segment operating income to consolidated income before income taxes: | |||||||||||||||||||||||
| Corporate administrative support | ( | ( | ( | ( | |||||||||||||||||||
| Consolidated operating income | |||||||||||||||||||||||
| Debt expense | ( | ( | ( | ( | |||||||||||||||||||
| Debt prepayment, extinguishment and modification costs | ( | ( | |||||||||||||||||||||
| Other loss, net | ( | ( | ( | ( | |||||||||||||||||||
| Income from continuing operations before income taxes | $ | $ | $ | $ | |||||||||||||||||||
(1)Other segment items for our U.S. dialysis segment include equity income from nonconsolidated joint ventures and a gain on changes in ownership interests.
(2)Includes depreciation and amortization of $17,923 and $15,251 for the three months ended June 30, 2025 and 2024, respectively, and $37,474 and $29,482 for the six months ended June 30, 2025 and 2024, respectively.
19
DAVITA INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)
(unaudited)
(dollars and shares in thousands, except per share data)
Expenditures for property and equipment by reportable segment were as follows:
| Six months ended June 30, | |||||||||||
| 2025 | 2024 | ||||||||||
| U.S. dialysis | $ | $ | |||||||||
| Other—Ancillary services | |||||||||||
| $ | $ | ||||||||||
13. New accounting standards
New standards not yet adopted
In December 2023, the Financial Accounting Standards Board issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures, which expands income tax disclosure requirements to include additional information related to the rate reconciliation of effective tax rates to statutory rates, as well as additional disaggregation of taxes paid in both U.S. and foreign jurisdictions. The amendments in the ASU also remove disclosures related to certain unrecognized tax benefits and deferred taxes. ASU 2023-09 is effective for fiscal years beginning after December 15, 2024. The amendments may be applied prospectively or retrospectively, and early adoption is permitted. The Company’s income tax footnote to the consolidated financial statements for the fiscal year ended December 31, 2025 will reflect the expanded disclosure requirements.
In November 2024, the Financial Accounting Standards Board issued ASU 2024-03, Income Statement—Reporting Comprehensive Income—Expense Disaggregation Disclosures, which requires disaggregated disclosure of income statement expenses, including purchases of inventory, employee compensation, depreciation, and amortization. The amendments in this ASU are effective for fiscal years beginning after December 15, 2026, and interim reporting periods beginning after December 15, 2027. The amendments in this ASU may be applied prospectively or retrospectively, and early adoption is permitted. The Company is currently assessing the effect this guidance may have on its consolidated financial statements.
14. Subsequent events
Seventh Amendment to Credit Agreement
On July 17, 2025 (Seventh Amendment Effective Date), the Company entered into the Seventh Amendment (the Seventh Amendment) to the Credit Agreement. The Seventh Amendment modifies the Credit Agreement to, among other things, refinance its Term Loan B-1 with a repriced Term Loan B-2 facility in the aggregate principal amount of $1,877,949 , which includes an incremental borrowing of Tranche B-2 term loans of $250,000 0.50 %, (ii) the prime commercial lending rate of Wells Fargo as established from time to time and (iii) Term SOFR for an interest period of one month plus 1.00 %; provided that if Term SOFR or the Base Rate is less than 0.00 % such rate shall be deemed to be 0.00 % for purposes of the Credit Agreement. The “Applicable Margin” for the Term Loan B-2 is 1.75 % in the case of Term SOFR loans, and 0.75 % in the case of Base Rate loans. The “Applicable Margin” for the Term Loan B-1 before giving effect to the Seventh Amendment was 2.00 % in the case of Term SOFR loans, and 1.00 % in the case of Base Rate loans. The Credit Agreement, as amended, continues to include customary affirmative and negative covenants and events of default for financings of this type.
The Term Loan B-2 requires quarterly principal payments beginning on September 30, 2025 of 0.25 % of the aggregate principal amount of the Term Loan B-2 outstanding on the Seventh Amendment Effective Date, with the balance due on May 9, 2031 . The Company used the incremental proceeds of $250,000
Federal Tax Reform
On July 4, 2025, the One Big Beautiful Bill Act (OBBBA) was signed into law. The OBBBA makes permanent key elements of the Tax Cuts and Jobs Act, including 100% bonus depreciation, domestic research cost expensing, and the business interest expense limitation. The Company is currently evaluating the impact of the OBBBA.
20
DAVITA INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)
(unaudited)
(dollars and shares in thousands, except per share data)
Brazil Acquisition
Effective August 1, 2025, the Company acquired the dialysis operations of Fresenius Medical Care AG and its affiliates in Brazil for initial aggregate consideration paid of approximately $94,000 . The initial purchase price allocation and final aggregate consideration are yet to be determined and subject to certain customary adjustments.
21
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations.
Forward-looking statements
This Quarterly Report on Form 10-Q, including this Management’s Discussion and Analysis of Financial Condition and Results of Operations, contains statements that are forward-looking statements within the meaning of the federal securities laws and as such are intended to be covered by the safe harbor for "forward-looking statements" provided by the Private Securities Litigation Reform Act of 1995. 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 recent cybersecurity incident experienced by the Company, the potential impact of 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 OBBBA, 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 report, 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" 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 report. 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 the COVID-19 pandemic 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 of new or potential entrants in the dialysis and pre-dialysis marketplace and potential impact of innovative technologies, drugs, or other treatments on our patients and industry; elevated teammate turnover or labor costs; the impact of continued increased competition from dialysis providers and others; and our ability to respond to challenging U.S. and global economic and marketplace conditions, including, among other things, our ability to successfully identify cost saving opportunities;
•the concentration of profits generated by higher-paying commercial payor plans for which there is continued downward pressure on average realized payment rates; a reduction in the number or percentage of our patients under commercial plans, including, without limitation, as a result of continuing legislative efforts to restrict or prohibit the use and/or availability of charitable premium assistance, or as a result of payors implementing restrictive plan designs;
•risks arising from potential changes in or new laws, regulations or requirements applicable to us, including, without limitation, 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;
22
•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 recent cybersecurity incident experienced by the Company, 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 recent cybersecurity incident experienced by the Company 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 (2024 10-K), and the risks and uncertainties discussed in any subsequent reports that we file or furnish with the Securities and Exchange Commission (SEC) from time to time.
The following should be read in conjunction with our condensed consolidated financial statements.
23
Company Overview
Our principal business is to provide dialysis and related lab services to patients in the United States, which we refer to as our U.S. dialysis business. We also operate our U.S. integrated kidney care (IKC) business, our U.S. other ancillary services, and our international operations, which we collectively refer to as our ancillary services, as well as our corporate administrative support functions. Our U.S. dialysis business is a leading provider of kidney dialysis services in the U.S. for patients suffering from chronic kidney failure, also known as end stage renal disease (ESRD) or end stage kidney disease (ESKD).
External Conditions
Developments in external conditions, including those related to general economic, marketplace, environmental and global health conditions, have directly and indirectly impacted the Company and in the future could have a material adverse impact on our patients, teammates, physician partners, suppliers, business, operations, reputation, financial condition, results of operations, share price, cash flows and/or liquidity. Many of these external factors and conditions are interrelated, including, among other things, inflation, interest rate volatility and other economic conditions, labor market conditions, wage pressure, the increased mortality rates of our patients and other ESKD or chronic kidney disease (CKD) patients, supply chain challenges and the potential impact and application of innovative technologies, drugs or other treatments. Certain of these impacts could be further intensified by concurrent global events that have continued to drive sociopolitical, geopolitical and economic uncertainty; by severe weather events and other natural disasters; and by the impact of new policies implemented by the U.S. administration. For additional discussion of general economic, marketplace and global health conditions that could impact our business, see Part I Item 1. "Business" and Part I Item 1A. "Risk Factors" in our 2024 10-K.
In the second quarter of 2025, treatment per day volumes increased compared to the first quarter. For the full year to date, we have experienced a negative impact on revenue and treatment volume due to, among other things, the cybersecurity incident described below, an elevated number of missed treatments and a particularly severe flu season. Admission rates, treatment volumes, future revenues and non-acquired growth, among other things, could continue to be negatively impacted over time to the extent that the ESKD and CKD populations experience sustained elevated mortality levels. These mortality levels could be influenced by, among other things, the impact of infectious diseases on our patient population and the availability and use of vaccines, treatments and therapies as described in Part I Item 1A. "Risk Factors" of our 2024 10-K, and the magnitude of these cumulative impacts could have a material adverse impact on our results of operations, financial condition and cash flows.
Global economic conditions and political and regulatory developments, including, among other things, inflationary pressures and new U.S. administration policies have increased, and may continue to increase, our expenses. We expect certain increased staffing and labor costs to continue, due to, among other factors, the continuation of inflationary conditions. The cumulative impact of any increased staffing, labor, and supply costs and other expenses could be material. However, during the quarter we saw improvements in certain labor related costs such as training and productivity, and we expect to continue to see improvements in labor-related costs due to, among other things, reduced turnover. Our industry has also experienced increased union organizing activities. For example, union petitions have been filed in ten of our clinics in California and nine of these petitions are in different stages of the voting process and have been subject to legal challenges. For additional details on the risks related to rising labor costs and union organizing activities, see the discussion in Part I Item 1A. "Risk Factors" of our 2024 10-K under the headings, "Our business is labor intensive..." and "External conditions, including those related to general economic, marketplace and global health conditions..."
We believe that the aforementioned recent developments and general economic, marketplace and global health conditions will continue to impact the Company in the future. Their ultimate impact depends on future developments that are highly uncertain and difficult to predict.
Legislative and Regulatory Developments
On July 4, 2025, the One Big Beautiful Bill Act (OBBBA) was signed into law. The OBBBA includes numerous provisions that may impact our business, including, among other things, changes that affect Medicaid programs and programs under the Patient Protection and Affordable Care Act and the Health Care Reconciliation Act of 2010, as amended (collectively, the ACA). OBBBA provisions include planned phasing down of federal Medicaid expenditures by introducing work requirements for certain "able-bodied" adult beneficiaries, higher cost-sharing for certain patients, and limitations on state funding mechanisms, known as provider taxes and state-directed payments.
OBBBA did not address the enhanced premium tax credits for individuals who purchase health insurance through the ACA exchanges. As a result, these enhanced premium tax credits, which were initially established under the American Rescue Plan and Inflation Reduction Act of 2022 are set to expire at the end of 2025. The expiration of these enhanced premium tax
24
credits and other changes to the ACA exchanges likely would reduce enrollment in health insurance on marketplaces developed under the ACA and may lead to a decrease in the number of patients with higher-paying commercial health insurance. In the event such a decrease occurs, it would have an adverse impact on our business, results of operations, financial condition and cash flows.
We and other health care participants expect additional federal and state guidance to implement the OBBBA provisions in the future, with several of these provisions having effective dates in 2027 and 2028. We are continuing to assess the potential impact of the law as well as other federal and state legislative and regulatory efforts on our business. For additional information regarding OBBBA's potential impact, including as it relates to federal funding of government programs, the expiration of enhanced premium tax credits, and related regulatory developments, see Part I Item 1. "Business—Government Regulation" and Part I Item 1A. "Risk Factors" of our 2024 Form 10-K.
Cybersecurity Incident
As previously disclosed, on April 12, 2025, we became aware of a cybersecurity incident that impacted certain elements of our network. While the incident disrupted our operations, we have continued dialysis care and have restored all major functions.
We are aware of the exfiltration of certain data as part of the cybersecurity incident, including certain Personally Identifiable Information (PII) and/or Protected Health Information (PHI) from our DaVita Laboratory line of business. We started the notice process on August 1, 2025, giving notice to applicable regulators, and potentially involved patients, former patients and the estates of former patients as well as public notice, including providing information on https://davitasystemsoutage.com. The contents of this website are not incorporated by reference into this report.
We have incurred, and expect to continue to incur, expenses in connection with the investigation and remediation activities related to this incident, including in connection with litigation that has been filed or may in the future be filed related to the incident as well as any potential regulatory investigations. In addition, it is possible that future risks and uncertainties resulting from the incident, including risks related to impacted data, litigation, reputational harm, and regulatory actions could adversely affect our business, results of operations, financial condition and cash flows. At this time we are unable to predict the extent of these and other potential liabilities or consequences that may arise from this incident.
The cybersecurity incident had an adverse impact on our billing and revenue collection cycles as well as our patient census. We expect these impacts will in turn have an adverse impact on our revenue per treatment and treatment volumes for the full year. Based on information currently available, we believe that this incident has not had, and is not expected to have, a material adverse impact on our business, results of operations or financial condition. However, we do not yet know the full impact of the cybersecurity incident, including how much of the financial impact will be covered by insurance.
For a discussion of the risks associated with privacy and security incidents and risks associated with our information systems or those of our third party service providers upon which we rely, see the discussions in Part I Item 1A. "Risk Factors" of our 2024 10-K under the headings, "Privacy and information security laws are complex…" and "Failing to effectively maintain, operate or upgrade our information systems or those of third-party service providers upon which we rely...". These risks include, among other things, business or other operational interruptions that may impact, among other things, our billing or clinical systems; the loss, compromise or corruption of data; systems outages; litigation or regulatory actions under privacy and security laws, all of which could have a material adverse effect on our business, results of operations, financial condition and cash flows, or materially harm our reputation.
Financial Results
The discussion below includes analysis of our financial condition and results of operations for the three months ended June 30, 2025 compared to the three months ended March 31, 2025, and the year-to-date periods for the six months ended June 30, 2025 compared to the six months ended June 30, 2024.
25
Consolidated results of operations
The following tables summarize our revenues, operating income (loss) and adjusted operating income (loss) by line of business. See the discussion of our results for each line of business following the tables. When multiple drivers are identified in the following discussion of results, they are listed in order of magnitude:
| Three months ended | Q2 2025 vs. Q1 2025 | ||||||||||||||||||||||
| June 30, 2025 | March 31, 2025 | Amount | Percent | ||||||||||||||||||||
| (dollars in millions) | |||||||||||||||||||||||
| Revenues: | |||||||||||||||||||||||
| U.S. dialysis | $ | 2,913 | $ | 2,823 | $ | 90 | 3.2 | % | |||||||||||||||
| Other — Ancillary services | 486 | 415 | 71 | 17.1 | % | ||||||||||||||||||
| Elimination of intersegment revenues | (20) | (14) | (6) | (42.9) | % | ||||||||||||||||||
| Total consolidated revenues | $ | 3,380 | $ | 3,224 | $ | 156 | 4.8 | % | |||||||||||||||
| Operating income (loss): | |||||||||||||||||||||||
| U.S. dialysis | $ | 523 | $ | 476 | $ | 47 | 9.9 | % | |||||||||||||||
| Other — Ancillary services | 57 | (3) | 60 | 2,000.0 | % | ||||||||||||||||||
| Corporate administrative support | (42) | (34) | (8) | (23.5) | % | ||||||||||||||||||
| Operating income | $ | 538 | $ | 439 | $ | 99 | 22.6 | % | |||||||||||||||
Adjusted operating income (loss)(1): | |||||||||||||||||||||||
| U.S. dialysis | $ | 536 | $ | 476 | $ | 60 | 12.6 | % | |||||||||||||||
| Other — Ancillary services | 57 | (3) | 60 | 2,000.0 | % | ||||||||||||||||||
| Corporate administrative support | (42) | (34) | (8) | (23.5) | % | ||||||||||||||||||
| Adjusted operating income | $ | 551 | $ | 439 | $ | 112 | 25.5 | % | |||||||||||||||
Certain columns, rows or percentages may not sum due to the presentation of rounded numbers.
(1)For a reconciliation of adjusted operating income (loss) by reportable segment, see the "Reconciliations of Non-GAAP measures" section below.
| Six months ended | YTD Q2 2025 vs. YTD Q2 2024 | ||||||||||||||||||||||
| June 30, 2025 | June 30, 2024 | Amount | Percent | ||||||||||||||||||||
| (dollars in millions) | |||||||||||||||||||||||
| Revenues: | |||||||||||||||||||||||
| U.S. dialysis | $ | 5,737 | $ | 5,597 | $ | 140 | 2.5 | % | |||||||||||||||
| Other — Ancillary services | 901 | 704 | 197 | 28.0 | % | ||||||||||||||||||
| Elimination of intersegment revenues | (34) | (44) | 10 | 22.7 | % | ||||||||||||||||||
| Total consolidated revenues | $ | 6,603 | $ | 6,257 | $ | 346 | 5.5 | % | |||||||||||||||
| Operating income (loss): | |||||||||||||||||||||||
| U.S. dialysis | $ | 999 | $ | 1,076 | $ | (77) | (7.2) | % | |||||||||||||||
| Other — Ancillary services | 54 | (30) | 84 | 280.0 | % | ||||||||||||||||||
| Corporate administrative support | (76) | (56) | (20) | (35.7) | % | ||||||||||||||||||
| Operating income | $ | 977 | $ | 990 | $ | (13) | (1.3) | % | |||||||||||||||
Adjusted operating income (loss)(1): | |||||||||||||||||||||||
| U.S. dialysis | $ | 1,012 | $ | 1,041 | $ | (29) | (2.8) | % | |||||||||||||||
| Other — Ancillary services | 54 | (30) | 84 | 280.0 | % | ||||||||||||||||||
| Corporate administrative support | (76) | (56) | (20) | (35.7) | % | ||||||||||||||||||
| Adjusted operating income | $ | 990 | $ | 955 | $ | 35 | 3.7 | % | |||||||||||||||
Certain columns, rows or percentages may not sum due to the presentation of rounded numbers.
(1)For a reconciliation of adjusted operating income (loss) by reportable segment, see the "Reconciliations of Non-GAAP measures" section below.
26
U.S. dialysis results of operations
Treatment volume:
| Three months ended | Q2 2025 vs. Q1 2025 | ||||||||||||||||||||||
| June 30, 2025 | March 31, 2025 | Amount | Percent | ||||||||||||||||||||
| Dialysis treatments | 7,186,217 | 7,040,519 | 145,698 | 2.1 | % | ||||||||||||||||||
| Average treatments per day | 92,131 | 91,793 | 338 | 0.4 | % | ||||||||||||||||||
| Treatment days | 78.0 | 76.7 | 1.3 | 1.7 | % | ||||||||||||||||||
Normalized non-acquired treatment growth(1) | (0.8) | % | (0.6) | % | |||||||||||||||||||
Certain columns, rows or percentages may not sum due to the presentation of rounded numbers.
(1)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.
| Six months ended | YTD Q2 2025 vs. YTD Q2 2024 | ||||||||||||||||||||||
| June 30, 2025 | June 30, 2024 | Amount | Percent | ||||||||||||||||||||
| Dialysis treatments | 14,226,736 | 14,416,956 | (190,220) | (1.3) | % | ||||||||||||||||||
| Average treatments per day | 91,963 | 92,654 | (691) | (0.7) | % | ||||||||||||||||||
| Treatment days | 154.7 | 155.6 | (0.9) | (0.6) | % | ||||||||||||||||||
Certain columns, rows or percentages may not sum due to the presentation of rounded numbers.
Our U.S. dialysis operating revenues and expenses are directly driven by treatment volume. The increase in our U.S. dialysis treatments for the second quarter of 2025 from the first quarter of 2025 was primarily driven by an increase in treatment days. The decrease in our U.S. dialysis treatments for the six months ended June 30, 2025 from the six months ended June 30, 2024 was primarily driven by a decrease in average treatments per day due to higher mortality and missed treatments from a more severe flu season, as well as fewer treatment days.
Revenues:
| Three months ended | Q2 2025 vs. Q1 2025 | ||||||||||||||||||||||
| June 30, 2025 | March 31, 2025 | Amount | Percent | ||||||||||||||||||||
| (dollars in millions, except per treatment data) | |||||||||||||||||||||||
| Total revenues | $ | 2,913 | $ | 2,823 | $ | 90 | 3.2 | % | |||||||||||||||
| Average patient service revenue per treatment | $ | 404.58 | $ | 400.14 | $ | 4.44 | 1.1 | % | |||||||||||||||
Certain columns, rows or percentages may not sum due to the presentation of rounded numbers.
| Six months ended | YTD Q2 2025 vs. YTD Q2 2024 | ||||||||||||||||||||||
| June 30, 2025 | June 30, 2024 | Amount | Percent | ||||||||||||||||||||
| (dollars in millions, except per treatment data) | |||||||||||||||||||||||
| Total revenues | $ | 5,737 | $ | 5,597 | $ | 140 | 2.5 | % | |||||||||||||||
| Average patient service revenue per treatment | $ | 402.38 | $ | 387.40 | $ | 14.98 | 3.9 | % | |||||||||||||||
Certain columns, rows or percentages may not sum due to the presentation of rounded numbers.
U.S. dialysis average patient service revenue per treatment for the second quarter of 2025 compared to the first quarter of 2025 increased primarily due to normal seasonal improvements including patients meeting their co-insurance and deductibles, and other normal fluctuations. These increases were partially offset by a decline in volume of phosphate binders.
U.S. dialysis average patient service revenue per treatment for the six months ended June 30, 2025 increased compared to the six months ended June 30, 2024 primarily driven by the incorporation of phosphate binders into the ESRD Prospective Payment System (ESRD PPS) bundle, as further described below, Medicare base rate and other annual rate increases, revenue cycle improvements, and other normal fluctuations.
27
On January 1, 2025, phosphate binders, a drug class taken orally by many ESKD patients to reduce absorption of dietary phosphate, were incorporated into the ESRD PPS bundled payment. Phosphate binders are not included in the ESRD PPS base rate at this time and are reimbursed through a Transitional Drug Add-on Payment Adjustment (TDAPA). During the TDAPA period, Medicare payments for phosphate binders are based on the average sales price increased by a fixed monthly amount of $36.41 for incremental operational costs. The TDAPA period is expected to continue for a period of at least two years.
In June 2025, Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update the Medicare ESRD PPS payment rate and policies for calendar year 2026. CMS estimates that the overall impact of the proposed rule will increase ESRD freestanding facilities’ average reimbursement by 1.9% in 2026.
Operating expenses and charges:
| Three months ended | Q2 2025 vs. Q1 2025 | ||||||||||||||||||||||
| June 30, 2025 | March 31, 2025 | Amount | Percent | ||||||||||||||||||||
| (dollars in millions, except per treatment data) | |||||||||||||||||||||||
| Patient care costs | $ | 1,928 | $ | 1,913 | $ | 15 | 0.8 | % | |||||||||||||||
| General and administrative | 312 | 283 | 29 | 10.2 | % | ||||||||||||||||||
| Depreciation and amortization | 157 | 157 | — | — | % | ||||||||||||||||||
| Equity investment income | (7) | (6) | (1) | (16.7) | % | ||||||||||||||||||
| Total operating expenses and charges | $ | 2,391 | $ | 2,347 | $ | 44 | 1.9 | % | |||||||||||||||
| Patient care costs per treatment | $ | 268.36 | $ | 271.77 | $ | (3.41) | (1.3) | % | |||||||||||||||
Certain columns, rows or percentages may not sum due to the presentation of rounded numbers.
| Six months ended | YTD Q2 2025 vs. YTD Q2 2024 | ||||||||||||||||||||||
| June 30, 2025 | June 30, 2024 | Amount | Percent | ||||||||||||||||||||
| (dollars in millions, except per treatment data) | |||||||||||||||||||||||
| Patient care costs | $ | 3,842 | $ | 3,679 | $ | 163 | 4.4 | % | |||||||||||||||
| General and administrative | 595 | 556 | 39 | 7.0 | % | ||||||||||||||||||
| Depreciation and amortization | 314 | 333 | (19) | (5.7) | % | ||||||||||||||||||
| Equity investment income | (12) | (12) | — | — | % | ||||||||||||||||||
| Gain on changes in ownership interests | — | (35) | 35 | 100.0 | % | ||||||||||||||||||
| Total operating expenses and charges | $ | 4,738 | $ | 4,521 | $ | 217 | 4.8 | % | |||||||||||||||
| Patient care costs per treatment | $ | 270.05 | $ | 255.19 | $ | 14.86 | 5.8 | % | |||||||||||||||
Certain columns, rows or percentages may not sum due to the presentation of rounded numbers.
Charges impacting operating income - 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 described above. As a result, during the second quarter of 2025 we incurred charges of approximately $13.5 million, which increased our patient care costs by $1.0 million and general and administrative expenses by $12.5 million to remediate the incident and restore systems with the assistance of third-party cybersecurity professionals. These costs do not include the impact related to business interruption on our results.
Patient care costs. U.S. dialysis patient care costs per treatment for the second quarter of 2025 decreased from the first quarter of 2025 primarily due to decreased compensation expense, including increased productivity levels at our dialysis centers and seasonal decreases in payroll taxes, as well as decreases in pharmaceutical costs, principally due to volume of phosphate binders, and travel costs. These decreases were partially offset by increases in health benefit expense and insurance costs.
U.S. dialysis patient care costs per treatment for the six months ended June 30, 2025 increased from the six months ended June 30, 2024 primarily due to increases in pharmaceutical costs, principally due to the administration of phosphate binders, as described above, and compensation expenses, including increased wage rates. Patient care costs per treatment were also affected by increases in other direct operating expenses associated with our dialysis centers, health benefit expense and medical supplies expense.
28
General and administrative expenses. U.S. dialysis general and administrative expenses in the second quarter of 2025 increased from the first quarter of 2025 primarily due to costs related to the cybersecurity incident, as described above, a gain recognized in the first quarter of 2025 and increased compensation expense, including increased wage rates.
U.S. dialysis general and administrative expenses for the six months ended June 30, 2025 increased from the six months ended June 30, 2024 due to increases in compensation expenses, including increased wage rates and headcount, IT-related costs, and costs related to the cybersecurity incident, as described above. These increases were partially offset by decreased center closure costs.
Depreciation and amortization. Depreciation and amortization expense is directly impacted by the number of our dialysis centers and the information technology that we develop and acquire. U.S. dialysis depreciation and amortization expenses in the second quarter of 2025 were flat compared to the first quarter of 2025.
U.S. dialysis depreciation and amortization expenses for the six months ended June 30, 2025 compared to the six months ended June 30, 2024 decreased primarily due to decreases in corporate IT projects, depreciation related to leasehold improvements due to the reduction in number of centers operated, and accelerated depreciation related to center closures. These decreases were partially offset by an increase in dialysis equipment expenses.
Equity investment income. U.S. dialysis equity investment income for the second quarter of 2025 compared to the first quarter of 2025 increased due to increased profitability at certain nonconsolidated dialysis partnerships. Equity investment income for the six months ended June 30, 2025 was flat compared to the six months ended June 30, 2024.
Gain on changes in ownership interests. During the first quarter of 2024, we acquired a controlling interest in a previously nonconsolidated dialysis partnership for which we recognized a non-cash gain of $35.1 million on our prior investment upon consolidation.
Operating income and adjusted operating income:
| Three months ended | Q2 2025 vs. Q1 2025 | ||||||||||||||||||||||
| June 30, 2025 | March 31, 2025 | Amount | Percent | ||||||||||||||||||||
| (dollars in millions) | |||||||||||||||||||||||
| Operating income | $ | 523 | $ | 476 | $ | 47 | 9.9 | % | |||||||||||||||
Adjusted operating income(1) | $ | 536 | $ | 476 | $ | 60 | 12.6 | % | |||||||||||||||
| Six months ended | YTD Q2 2025 vs. YTD Q2 2024 | ||||||||||||||||||||||
| June 30, 2025 | June 30, 2024 | Amount | Percent | ||||||||||||||||||||
| (dollars in millions) | |||||||||||||||||||||||
| Operating income | $ | 999 | $ | 1,076 | $ | (77) | (7.2) | % | |||||||||||||||
Adjusted operating income(1) | $ | 1,012 | $ | 1,041 | $ | (29) | (2.8) | % | |||||||||||||||
(1)For a reconciliation of adjusted operating income by reportable segment, see the "Reconciliations of Non-GAAP measures" section below.
U.S. dialysis operating income for the second quarter of 2025 compared to the first quarter of 2025 was negatively impacted by the cybersecurity incident-related charges described above. U.S. dialysis operating income and adjusted operating income for the second quarter of 2025 increased compared to the first quarter of 2025 as a result of all factors discussed above.
U.S. dialysis operating income for the six months ended June 30, 2025 compared to the six months ended June 30, 2024 was negatively impacted by the cybersecurity incident-related charges in the second quarter of 2025 and gain on changes in ownership interests in the first quarter of 2024, each described above. U.S. dialysis operating income and adjusted operating income for the six months ended June 30, 2025 decreased compared to the six months ended June 30, 2024 as a result of the factors discussed above.
29
Other—Ancillary services
Our other operations include ancillary services that are primarily aligned with our core business of providing dialysis services to our network of patients. As of June 30, 2025, these consisted principally of our U.S. IKC business, certain U.S. other ancillary businesses (including our clinical research programs, transplant software business, and venture investment group), and our international operations. In the first quarter of 2025, we reallocated the revenues and costs associated with an internal software product from the U.S. IKC business to the U.S. other ancillary business. Prior periods have been recast to reflect this change.
As of June 30, 2025, DaVita IKC provided integrated care and disease management services to approximately 64,400 patients in risk-based integrated care arrangements and to an additional 9,300 patients in other integrated care arrangements. We also expect to add additional service offerings to our business and pursue additional strategic initiatives in the future as circumstances warrant, which could include, among other things, healthcare services not related to kidney disease.
For a discussion of the risks related to IKC and our ancillary services, see the discussion in the risk factors in Part I Item 1A. "Risk Factors" of our 2024 10-K under the headings, "The U.S. integrated kidney care, U.S. other ancillary services and international operations that we operate or invest in now or in the future..." and "If we are not able to successfully implement our strategy with respect to our integrated kidney care and value-based care initiatives..."
As of June 30, 2025, our international dialysis operations provided dialysis and administrative services through a total of 513 outpatient dialysis centers located in 13 countries outside of the United States.
Ancillary services results of operations
| Three months ended | Q2 2025 vs. Q1 2025 | ||||||||||||||||||||||
| June 30, 2025 | March 31, 2025 | Amount | Percent | ||||||||||||||||||||
| (dollars in millions) | |||||||||||||||||||||||
| Revenues: | |||||||||||||||||||||||
| U.S. IKC | $ | 152 | $ | 105 | $ | 47 | 44.8 | % | |||||||||||||||
| U.S. other ancillary | 8 | 7 | 1 | 14.3 | % | ||||||||||||||||||
| International | 325 | 302 | 23 | 7.6 | % | ||||||||||||||||||
| Total ancillary services revenues | $ | 486 | $ | 415 | $ | 71 | 17.1 | % | |||||||||||||||
| Operating income (loss) | |||||||||||||||||||||||
| U.S. IKC | $ | 26 | $ | (29) | $ | 55 | 189.7 | % | |||||||||||||||
| U.S. other ancillary | (5) | (4) | (1) | (25.0) | % | ||||||||||||||||||
| International | 36 | 30 | 6 | 20.0 | % | ||||||||||||||||||
| Total ancillary services operating income (loss) | $ | 57 | $ | (3) | $ | 60 | 2,000.0 | % | |||||||||||||||
Certain columns, rows or percentages may not sum due to the presentation of rounded numbers.
30
| Six months ended | YTD Q2 2025 vs. YTD Q2 2024 | ||||||||||||||||||||||
| June 30, 2025 | June 30, 2024 | Amount | Percent | ||||||||||||||||||||
| (dollars in millions) | |||||||||||||||||||||||
| Revenues: | |||||||||||||||||||||||
| U.S. IKC | $ | 258 | $ | 228 | $ | 30 | 13.2 | % | |||||||||||||||
| U.S. other ancillary | 16 | 15 | 1 | 6.7 | % | ||||||||||||||||||
| International | 627 | 461 | 166 | 36.0 | % | ||||||||||||||||||
| Total ancillary services revenues | $ | 901 | $ | 704 | $ | 197 | 28.0 | % | |||||||||||||||
| Operating income (loss) | |||||||||||||||||||||||
| U.S. IKC | $ | (3) | $ | (51) | $ | 48 | 94.1 | % | |||||||||||||||
| U.S. other ancillary | (10) | (12) | 2 | 16.7 | % | ||||||||||||||||||
International(1) | 67 | 33 | 34 | 103.0 | % | ||||||||||||||||||
| Total ancillary services operating income (loss) | $ | 54 | $ | (30) | $ | 84 | 280.0 | % | |||||||||||||||
Certain columns, rows or percentages may not sum due to the presentation of rounded numbers.
(1)The reported operating income for the six months ended June 30, 2024 includes foreign currency gains embedded in equity method income recognized from our Asia Pacific (APAC) joint venture, which was consolidated in the fourth quarter of 2024, of approximately $1.9 million.
Operating income (loss) and adjusted operating income (loss)
IKC operating income for the second quarter of 2025 compared to IKC operating loss for the first quarter of 2025 was primarily driven by a net increase in shared savings and decreased medical claims expense related to our special needs plans. IKC operating loss for the six months ended June 30, 2025 compared to the six months ended June 30, 2024 decreased, primarily due to a net increase in shared savings and increased revenues related to our special needs plans, partially offset by decreased revenues related to the divestiture of our physician services business in 2024. IKC operating loss was also impacted by decreased medical claims expense related to our special needs plans and operating expenses related to the divestiture of our physician services business in 2024, partially offset by increased professional fees.
U.S. other ancillary services operating loss for the second quarter of 2025 compared to the first quarter of 2025 and for the six months ended June 30, 2025 compared to the six months ended June 30, 2024 was impacted by a reduction of the earn-out obligations related to our transplant software business in the first quarter of 2025.
International operating income for the second quarter of 2025 compared to the first quarter of 2025 was impacted by favorable changes in the fair value of contingent consideration associated with a prior acquisition and non-acquired treatment growth. International operating income for the six months ended June 30, 2025 increased compared to the six months ended June 30, 2024 primarily driven by acquired and non-acquired treatment growth and favorable changes related to the fair value of contingent consideration associated with a prior acquisition, partially offset by decreased equity income resulting from fluctuations in foreign currency at our APAC joint venture, which was consolidated in the fourth quarter of 2024.
Corporate administrative support
| Three months ended | Q2 2025 vs. Q1 2025 | ||||||||||||||||||||||
| June 30, 2025 | March 31, 2025 | Amount | Percent | ||||||||||||||||||||
| (dollars in millions) | |||||||||||||||||||||||
| Corporate administrative support | $ | (42) | $ | (34) | $ | (8) | (23.5) | % | |||||||||||||||
| Six months ended | YTD Q2 2025 vs. YTD Q2 2024 | ||||||||||||||||||||||
| June 30, 2025 | June 30, 2024 | Amount | Percent | ||||||||||||||||||||
| (dollars in millions) | |||||||||||||||||||||||
| Corporate administrative support | $ | (76) | $ | (56) | $ | (20) | (35.7) | % | |||||||||||||||
31
Corporate administrative support expenses for the second quarter of 2025 compared to the first quarter of 2025 and for the six months ended June 30, 2025 compared to the six months ended June 30, 2024 increased primarily due to increased long-term incentive compensation and professional fees.
Corporate-level charges
| Three months ended | Q2 2025 vs. Q1 2025 | ||||||||||||||||||||||
| June 30, 2025 | March 31, 2025 | Amount | Percent | ||||||||||||||||||||
| (dollars in millions) | |||||||||||||||||||||||
| Debt expense | $ | 146 | $ | 135 | $ | 11 | 8.1 | % | |||||||||||||||
Weighted average effective interest rate(1) | 5.71 | % | 5.60 | % | 0.11 | % | |||||||||||||||||
| Other loss, net | $ | 23 | $ | 18 | $ | 5 | 27.8 | % | |||||||||||||||
| Effective income tax rate | 25.4 | % | 18.9 | % | 6.5 | % | |||||||||||||||||
Effective income tax rate attributable to DaVita Inc.(2) | 31.9 | % | 24.9 | % | 7.0 | % | |||||||||||||||||
| Net income attributable to noncontrolling interests | $ | 76 | $ | 69 | $ | 7 | 10.1 | % | |||||||||||||||
(1)Represents our overall weighted average effective interest rate on all debt, including the effect of interest rate caps and amortization of debt discount, premium and deferred financing charges.
(2)For a reconciliation of our effective income tax rate attributable to DaVita Inc., see the "Reconciliations of Non-GAAP measures" section below.
| Six months ended | YTD Q2 2025 vs. YTD Q2 2024 | ||||||||||||||||||||||
| June 30, 2025 | June 30, 2024 | Amount | Percent | ||||||||||||||||||||
| (dollars in millions) | |||||||||||||||||||||||
| Debt expense | $ | 281 | $ | 197 | $ | 84 | 42.6 | % | |||||||||||||||
| Debt extinguishment and modification costs | $ | — | $ | 10 | $ | (10) | (100.0) | % | |||||||||||||||
Weighted average effective interest rate(1) | 5.66 | % | 4.39 | % | 1.27 | % | |||||||||||||||||
| Other loss, net | $ | 40 | $ | 40 | $ | — | — | % | |||||||||||||||
| Effective income tax rate | 22.6 | % | 18.5 | % | 4.1 | % | |||||||||||||||||
Effective income tax rate attributable to DaVita Inc.(2) | 28.9 | % | 22.9 | % | 6.0 | % | |||||||||||||||||
| Net income attributable to noncontrolling interests | $ | 145 | $ | 143 | $ | 2 | 1.4 | % | |||||||||||||||
(1)Represents our overall weighted average effective interest rate on all debt, including the effect of interest rate caps and amortization of debt discount, premium and deferred financing charges.
(2)For a reconciliation of our effective income tax rate attributable to DaVita Inc., see the "Reconciliations of Non-GAAP measures" section below.
Debt expense
Debt expense for the second quarter of 2025 compared to the first quarter of 2025 increased due to an increase in our long-term debt balance primarily related to the second quarter 2025 issuance of the 6.75% senior notes due 2033 (the 6.75% Senior Notes) and an increase in our weighted average effective interest rate. Debt expense for the six months ended June 30, 2025 compared to the six months ended June 30, 2024 increased primarily due to an increase in our weighted average effective interest rate principally related to the expiration of our 2019 interest rate cap agreements on June 30, 2024, which had lower rates than our currently effective interest rate caps. This change was also driven by an increase in our long-term debt balance primarily related to the second quarter 2025 issuance of the 6.75% Senior Notes and third quarter 2024 issuance of 6.875% senior notes due 2032.
Other loss, net
Other loss for the second quarter of 2025 increased compared to the first quarter of 2025 primarily due to increased equity investment losses at Mozarc Medical Holding LLC (Mozarc) and decreased interest income, partially offset by decreased net losses on other investments. Other loss for the six months ended June 30, 2025 remained relatively flat compared to the six months ended June 30, 2024, primarily driven by increased net losses on investments, offset by decreased equity investment losses at Mozarc and increased interest income.
32
Effective income tax rate
The effective income tax rate and the effective income tax rate attributable to DaVita Inc. increased for the second quarter of 2025 compared to the first quarter of 2025 primarily due to a write down of a 2014 tax refund claim and benefits recognized in the first quarter of 2025 from stock-based compensation, partially offset by tax benefits related to renewable energy credits purchased in the second quarter.
The effective income tax rate and the effective income tax rate attributable to DaVita Inc. for the six months ended June 30, 2025 increased compared to the six months ended June 30, 2024 primarily due to a write down of a 2014 tax refund claim and a decrease in tax benefits recognized in 2025 related to stock-based compensation and a benefit recognized in 2024 related to a non-taxable non-cash consolidation gain.
Net income attributable to noncontrolling interests
The increase in net income attributable to noncontrolling interests for the second quarter of 2025 from the first quarter of 2025 and for the six months ended June 30, 2025 from the six months ended June 30, 2024 was due to increased profitability at certain U.S. dialysis partnerships.
U.S. dialysis accounts receivable
Our U.S. dialysis accounts receivable balances at June 30, 2025 and December 31, 2024 were $1.838 billion and $1.615 billion, respectively, representing approximately 58 days and 52 days of revenue outstanding (DSO), respectively. The increase in DSO is primarily due to timing of collections, which was driven in part by the disruption to billing and collection systems during the second quarter as a result of the cybersecurity incident. Our DSO calculation is based on the current quarter’s average revenues per day. There were no significant changes from the first quarter of 2025 to the second quarter of 2025 in the carrying amount of accounts receivable outstanding over one year old.
33
Liquidity and capital resources
The following table summarizes our major sources and uses of cash, cash equivalents and restricted cash:
| Six months ended June 30, | YTD Q2 2025 vs. YTD Q2 2024 | ||||||||||||||||||||||
| 2025 | 2024 | Amount | Percent | ||||||||||||||||||||
| (dollars in millions and shares in thousands) | |||||||||||||||||||||||
| Net cash provided by operating activities: | |||||||||||||||||||||||
| Net income | $ | 507 | $ | 606 | $ | (99) | (16.3) | % | |||||||||||||||
| Non-cash items in net income | 459 | 422 | 37 | 8.8 | % | ||||||||||||||||||
| Other working capital changes | (453) | (353) | (100) | (28.3) | % | ||||||||||||||||||
| Other | (9) | (10) | 1 | 10.0 | % | ||||||||||||||||||
| $ | 504 | $ | 664 | $ | (160) | (24.1) | % | ||||||||||||||||
| Net cash used in investing activities: | |||||||||||||||||||||||
Maintenance capital expenditures(1) | $ | (185) | $ | (171) | $ | (14) | (8.2) | % | |||||||||||||||
Development capital expenditures(2) | (80) | (74) | (6) | (8.1) | % | ||||||||||||||||||
| Acquisition expenditures | (11) | (158) | 147 | 93.0 | % | ||||||||||||||||||
| Proceeds from sale of self-developed properties | 21 | 9 | 12 | 133.3 | % | ||||||||||||||||||
| Other | 25 | 18 | 7 | 38.9 | % | ||||||||||||||||||
| $ | (229) | $ | (377) | $ | 148 | 39.3 | % | ||||||||||||||||
| Net cash used in financing activities: | |||||||||||||||||||||||
| Debt issuances, net | $ | 815 | $ | 600 | $ | 215 | 35.8 | % | |||||||||||||||
| Deferred and debt-related financing costs | (25) | (20) | (5) | (25.0) | % | ||||||||||||||||||
| Distributions to noncontrolling interests | (151) | (107) | (44) | (41.1) | % | ||||||||||||||||||
| Contributions from noncontrolling interests | 3 | 8 | (5) | (62.5) | % | ||||||||||||||||||
| Stock award exercises and other share issuances | (22) | (86) | 64 | 74.4 | % | ||||||||||||||||||
| Share repurchases | (994) | (613) | (381) | (62.2) | % | ||||||||||||||||||
| Other | (4) | (26) | 22 | 84.6 | % | ||||||||||||||||||
| $ | (378) | $ | (244) | $ | (134) | (54.9) | % | ||||||||||||||||
| Total number of shares repurchased | 6,727 | 4,774 | 1,953 | 40.9 | % | ||||||||||||||||||
Free cash flow(3) | $ | 112 | $ | 327 | $ | (215) | (65.7) | % | |||||||||||||||
Certain columns or rows may not sum due to the presentation of rounded numbers.
(1)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.
(2)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.
(3)For a reconciliation of our free cash flow, see the "Reconciliations of Non-GAAP measures" section below.
Consolidated cash flows
Consolidated cash flows from operating activities during the six months ended June 30, 2025 decreased compared to the six months ended June 30, 2024. The decrease was principally due to a decrease in operating results driven by an increase in interest expense combined with an increase in accounts receivable due to delays in collections related to the cybersecurity incident, as described above, and timing in other working capital items.
Free cash flow during the six months ended June 30, 2025 decreased as compared to the six months ended June 30, 2024 primarily due to a decrease in net cash provided by operating activities, as described above, increased distributions to noncontrolling interests and increases in capital expenditures.
34
Significant sources of cash during the period included the issuance of the 6.75% Senior Notes in the amount of $1,000 million. Significant uses of cash during the six months ended June 30, 2025 included the repayment of $93 million in interest-free funding made available by UnitedHealth Group and its affiliates following the cybersecurity breach that affected Change Healthcare (CHC), a subsidiary of UnitedHealth Group, during the first quarter of 2024, regularly scheduled principal payments under our senior secured credit facilities totaling approximately $59 million on our Term Loan A-1 and $8 million on Term Loan B-1, and additional required payments under other debt arrangements. Additionally, we recognized financing cash outflows of $12 million in deferred financing costs related to the 6.75% Senior Notes transaction, as well as $13 million in cap premium fees for our 2025 forward interest rate cap agreements. In addition, during the six months ended June 30, 2025 we used cash to repurchase 6.7 million shares of our common stock.
By comparison, the same period in 2024 included the extension of the maturity date from August 2026 to May 2031 for a portion of our Term Loan B-1 (the Extended Term Loan B-1 transaction) in the aggregate principal amount of approximately $1,640 million, $393 million, net, of interest-free funding made available by UnitedHealth Group and its affiliates following the cybersecurity breach that affected CHC during the first quarter of 2024 and a net draw of $260 million on our revolving line of credit in the six months ended June 30, 2024. Significant uses of cash during that same period included debt prepayments on Term Loan B-1 of $1,640 million as part of the Extended Term Loan B-1 transaction, and regularly scheduled principal payments under our senior secured credit facilities totaling approximately $16 million on our Term Loan A-1 and $14 million on Term Loan B-1, as well as additional required payments under other debt arrangements. Additionally, we recognized financing cash outflows of $13 million in deferred financing costs and discount related to the Fourth Amendment to the Senior Secured Credit Agreement Extended Term Loan B-1 transaction and $7 million in cap premium fees for our 2024 forward interest cap agreements.
Dialysis center footprint
The table below shows the footprint of our dialysis operations by number of dialysis centers owned or operated:
| U.S. | International | ||||||||||||||||||||||||||||||||||||||||||||||
| Three months ended June 30, | Six months ended June 30, | Three months ended June 30, | Six months ended June 30, | ||||||||||||||||||||||||||||||||||||||||||||
| 2025 | 2024 | 2025 | 2024 | 2025 | 2024 | 2025 | 2024 | ||||||||||||||||||||||||||||||||||||||||
| Number of centers operated at beginning of period | 2,661 | 2,665 | 2,657 | 2,675 | 512 | 427 | 509 | 367 | |||||||||||||||||||||||||||||||||||||||
| Acquired centers | 1 | 3 | 2 | 12 | — | 23 | 1 | 90 | |||||||||||||||||||||||||||||||||||||||
| Developed centers | 3 | 7 | 9 | 9 | 6 | 1 | 6 | 1 | |||||||||||||||||||||||||||||||||||||||
Net change in non-owned managed or administered centers(1) | (1) | — | — | (8) | — | 3 | 4 | — | |||||||||||||||||||||||||||||||||||||||
Sold and closed centers(2) | — | (1) | (3) | (9) | (2) | (2) | (4) | (2) | |||||||||||||||||||||||||||||||||||||||
Closed centers(3) | (2) | (2) | (3) | (7) | (3) | — | (3) | (4) | |||||||||||||||||||||||||||||||||||||||
| Number of centers operated at end of period | 2,662 | 2,672 | 2,662 | 2,672 | 513 | 452 | 513 | 452 | |||||||||||||||||||||||||||||||||||||||
(1)Represents the change in the number of dialysis centers which we manage or provide administrative services to but in which we own a noncontrolling equity interest or which are wholly-owned by third parties, including our APAC joint venture centers which were consolidated in the fourth quarter of 2024.
(2)Represents dialysis centers that were sold and/or closed for which the majority of patients were not retained.
(3)Represents dialysis centers that were closed for which the majority of patients were retained and transferred to one of our other existing outpatient dialysis centers.
35
Share repurchases
The following table summarizes our common stock repurchases during the three and six months ended June 30, 2025 and 2024:
| Three months ended June 30, | Six months ended June 30, | ||||||||||||||||||||||
| 2025 | 2024 | 2025 | 2024 | ||||||||||||||||||||
Total repurchases(1): | (dollars in millions and shares in thousands, except for per share data) | ||||||||||||||||||||||
| Shares | 3,067 | 2,655 | 6,727 | 4,774 | |||||||||||||||||||
Amount paid(2) | $ | 446 | $ | 376 | $ | 996 | $ | 616 | |||||||||||||||
Average paid per share(3) | $ | 144.00 | $ | 140.14 | $ | 146.69 | $ | 127.98 | |||||||||||||||
(1)Includes share repurchases from Berkshire Hathaway Inc. pursuant to our previously disclosed share repurchase agreement. See further information regarding these share repurchases in Note 8 to the condensed consolidated financial statements.
(2)Includes commissions and excise tax. The excise tax is recorded as part of the cost basis of treasury shares repurchased and, as such, is included in stockholders’ equity.
(3)Excludes commissions and excise tax.
Available liquidity
As of June 30, 2025, we had undrawn capacity on the revolving line of credit under our senior secured credit facilities of $1.5 billion. Credit available under this revolving line of credit is reduced by the amount of any letters of credit outstanding thereunder, of which there were none as of June 30, 2025. We separately had approximately $159 million in letters of credit outstanding under a separate bilateral secured letter of credit facility.
See Note 6 to the condensed consolidated financial statements for components of our long-term debt and their interest rates.
We believe that our cash flow from operations and other sources of liquidity, including from amounts available under our senior secured credit facilities and our access to the capital markets, will be sufficient to fund our scheduled debt service under the terms of our debt agreements and other obligations for the foreseeable future, including the next 12 months. From time to time, depending on market conditions, our capital requirements and the availability of financing, among other things, we may seek to refinance our existing debt and may incur additional indebtedness. Our primary recurrent sources of liquidity are cash from operations and cash from borrowings, which are subject to general, economic, financial, competitive, regulatory and other factors that are beyond our control, as described in Part I Item 1A. "Risk Factors" of our 2024 10-K.
Reconciliations of Non-GAAP measures
The following tables provide reconciliations of adjusted operating income (loss) to operating income (loss) as presented on a U.S. generally accepted accounting principles (GAAP) basis for our U.S. dialysis reportable segment as well as for our U.S. IKC business, our U.S. other ancillary services, our international business, and for our total ancillary services which combines them and is disclosed as our other segments category, in addition to our corporate administrative support.
These non-GAAP or "adjusted" measures are presented because management believes these measures are useful adjuncts to, but not alternatives for, our GAAP results. Specifically, management uses adjusted operating income (loss) 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 this non-GAAP measure is also 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. We also believe this presentation enhances a user's understanding of our normal operating income by excluding certain items which we do not believe are indicative of our ordinary results of operations.
In addition, our effective income tax rate on income attributable to DaVita Inc. excludes noncontrolling owners' income, which primarily relates to non-tax paying entities. We believe this adjusted effective income tax rate is 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, our 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
36
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 under GAAP and should not be considered in isolation from, nor as substitutes for, their most comparable GAAP measures.
| Three months ended June 30, 2025 | |||||||||||||||||||||||||||||||||||||||||
| U.S. dialysis | Ancillary services | Corporate administration | Consolidated | ||||||||||||||||||||||||||||||||||||||
| U.S. IKC | U.S. Other | International | Total | ||||||||||||||||||||||||||||||||||||||
| (dollars in millions) | |||||||||||||||||||||||||||||||||||||||||
| 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 | |||||||||||||||||||||||||||
| Three months ended March 31, 2025 | |||||||||||||||||||||||||||||||||||||||||
| U.S. dialysis | Ancillary services | Corporate administration | Consolidated | ||||||||||||||||||||||||||||||||||||||
| U.S. IKC | U.S. Other | International | Total | ||||||||||||||||||||||||||||||||||||||
| (dollars in millions) | |||||||||||||||||||||||||||||||||||||||||
| Operating income (loss) | $ | 476 | $ | (29) | $ | (4) | $ | 30 | $ | (3) | $ | (34) | $ | 439 | |||||||||||||||||||||||||||
| Adjusted operating income (loss) | $ | 476 | $ | (29) | $ | (4) | $ | 30 | $ | (3) | $ | (34) | $ | 439 | |||||||||||||||||||||||||||
| Six months ended June 30, 2025 | |||||||||||||||||||||||||||||||||||||||||
| U.S. dialysis | Ancillary services | Corporate administration | Consolidated | ||||||||||||||||||||||||||||||||||||||
| U.S. IKC | U.S. Other | International | Total | ||||||||||||||||||||||||||||||||||||||
| (dollars in millions) | |||||||||||||||||||||||||||||||||||||||||
| Operating income (loss) | $ | 999 | $ | (3) | $ | (10) | $ | 67 | $ | 54 | $ | (76) | $ | 977 | |||||||||||||||||||||||||||
Cybersecurity incident-related charges(1) | 13 | — | — | — | — | — | 13 | ||||||||||||||||||||||||||||||||||
| Adjusted operating income (loss) | $ | 1,012 | $ | (3) | $ | (10) | $ | 67 | $ | 54 | $ | (76) | $ | 990 | |||||||||||||||||||||||||||
| Six months ended June 30, 2024 | |||||||||||||||||||||||||||||||||||||||||
| U.S. dialysis | Ancillary services | Corporate administration | Consolidated | ||||||||||||||||||||||||||||||||||||||
| U.S. IKC | U.S. Other | International | Total | ||||||||||||||||||||||||||||||||||||||
| (dollars in millions) | |||||||||||||||||||||||||||||||||||||||||
| Operating income (loss) | $ | 1,076 | $ | (51) | $ | (12) | $ | 33 | $ | (30) | $ | (56) | $ | 990 | |||||||||||||||||||||||||||
Gain on changes in ownership interest(2) | (35) | — | — | — | — | — | (35) | ||||||||||||||||||||||||||||||||||
| Adjusted operating income (loss) | $ | 1,041 | $ | (51) | $ | (12) | $ | 33 | $ | (30) | $ | (56) | $ | 955 | |||||||||||||||||||||||||||
Certain columns or rows in the above tables may not sum due to the presentation of rounded numbers.
(1)Represents charges recognized to remediate a cybersecurity incident and restore systems during 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. See additional discussion above under the heading "Cybersecurity incident-related charges" within "U.S. dialysis results of operations".
(2)Represents a non-cash gain recognized on the acquisition of a controlling financial interest in a previously nonconsolidated dialysis partnership. See additional discussion above under the heading "Gain on changes in ownership interests" within "U.S. dialysis results of operations". This gain to mark the 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.
37
| Three months ended | Six months ended | ||||||||||||||||||||||
| June 30, 2025 | March 31, 2025 | June 30, 2025 | June 30, 2024 | ||||||||||||||||||||
| (dollars in millions) | |||||||||||||||||||||||
| Income before income taxes | $ | 369 | $ | 286 | $ | 655 | $ | 743 | |||||||||||||||
| Less: Noncontrolling owners' income primarily attributable to non-tax paying entities | (76) | (69) | (146) | (144) | |||||||||||||||||||
| Income before income taxes attributable to DaVita Inc. | $ | 293 | $ | 217 | $ | 510 | $ | 599 | |||||||||||||||
| Income tax expense | $ | 94 | $ | 54 | $ | 148 | $ | 137 | |||||||||||||||
| Less: Income tax attributable to noncontrolling interests | — | — | — | (1) | |||||||||||||||||||
| Income tax expense attributable to DaVita Inc. | $ | 93 | $ | 54 | $ | 147 | $ | 137 | |||||||||||||||
| Effective income tax rate on income attributable to DaVita Inc. | 31.9 | % | 24.9 | % | 28.9 | % | 22.9 | % | |||||||||||||||
Certain columns or rows may not sum or recalculate due to the presentation of rounded numbers.
| Six months ended | |||||||||||
| June 30, 2025 | June 30, 2024 | ||||||||||
| (dollars in millions) | |||||||||||
| Net cash provided by operating activities | $ | 504 | $ | 664 | |||||||
| Adjustments to reconcile net cash provided by operating activities to free cash flow: | |||||||||||
| Distributions to noncontrolling interests | (151) | (107) | |||||||||
| Contributions from noncontrolling interests | 3 | 8 | |||||||||
| Maintenance capital expenditures | (185) | (171) | |||||||||
| Development capital expenditures | (80) | (74) | |||||||||
| Proceeds from sale of self-developed properties | 21 | 9 | |||||||||
| Free cash flow | $ | 112 | $ | 327 | |||||||
Certain columns or rows may not sum due to the presentation of rounded numbers.
Off-balance sheet arrangements and aggregate contractual obligations
In addition to the debt obligations and operating lease liabilities reflected on our balance sheet, we have commitments associated with letters of credit, as well as certain working capital funding obligations associated with our equity investments in nonconsolidated dialysis ventures that we manage and some that we manage which are wholly-owned by third parties. For additional information see Note 7 to the condensed consolidated financial statements.
We also have potential obligations to purchase the noncontrolling interests held by third parties in many of our majority-owned dialysis partnerships and other nonconsolidated entities. These obligations are in the form of put provisions that are exercisable at the third-party owners’ discretion within specified periods as outlined in each specific put provision. For additional information on these obligations and how we measure and report them, see Note 11 to the condensed consolidated financial statements included in this report and Notes 16 and 23 to the consolidated financial statements included in our 2024 10-K.
For information on the maturities and other terms of our long-term debt, see Note 6 to the condensed consolidated financial statements.
As of June 30, 2025, we have outstanding letters of credit in the aggregate amount of approximately $159 million under a bilateral secured letter of credit facility separate from our senior secured credit facilities.
As of June 30, 2025, we have outstanding purchase agreements with various suppliers to purchase set amounts of dialysis equipment, parts, pharmaceuticals and supplies. If we fail to meet the minimum purchase commitments under these contracts during any year, we are required to pay the difference to the supplier, as described further in Note 16 to the Company's consolidated financial statements included in our 2024 10-K.
On March 5, 2024, we entered into four separate purchase agreements with Fresenius Medical Care AG and its affiliates to acquire their dialysis service operations in Chile, Ecuador, Colombia and Brazil. The Chile, Ecuador and Colombia transactions closed during 2024. The Brazil transaction closed effective August 1, 2025, as described further in Note 14 to the condensed consolidated financial statements.
38
New Accounting Standards
See discussion of new accounting standards in Note 13 to the condensed consolidated financial statements.
Item 3. Quantitative and Qualitative Disclosures about Market Risk
Interest rate and foreign currency sensitivity
There has been no material change in the nature of the Company's interest rate risks or foreign currency exchange risks from those described in Part II Item 7A, "Quantitative and Qualitative Disclosures about Market Risk" of our Annual Report on Form 10-K for the year ended December 31, 2024.
Item 4. Controls and Procedures
Disclosure Controls and Procedures
As required by Exchange Act Rule 13a-15(b), our management, including our Chief Executive Officer (CEO) and Chief Financial Officer (CFO), conducted an evaluation of the effectiveness of our disclosure controls and procedures, as defined in Exchange Act Rule 13a-15(e), as of the end of the period covered by this Quarterly Report on Form 10-Q. Based on that evaluation, our CEO and CFO concluded that our disclosure controls and procedures were effective as of June 30, 2025.
Changes in Internal Control over Financial Reporting
In connection with the evaluation required by Exchange Act Rule 13a-15(d), our management, including our CEO and CFO, concluded that no changes in our internal control over financial reporting occurred during the period covered by this report that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting. On April 12, 2025, we became aware of a cybersecurity incident that encrypted certain elements of our network. See Item 2. Management's Discussion and Analysis - Company Overview - Cybersecurity Incident included in this Quarterly Report on Form 10-Q for additional information. As a result of this cybersecurity incident, we performed certain alternative controls and procedures, and additional compensating controls and tests of controls, in the preparation of our financial and other information included in this report.
PART II.
OTHER INFORMATION
Item 1. Legal Proceedings
The information required by this Part II, Item 1 is incorporated herein by reference to the information set forth under the caption "Commitments and contingencies" in Note 7 to the condensed consolidated financial statements included in this report.
Item 1A. Risk Factors
There have been no material changes to the risk factors previously disclosed in Part I, Item 1A of our Annual Report on Form 10-K (2024 10-K) for the year ended December 31, 2024 filed with Securities and Exchange Commission. You should carefully consider the risks included in our 2024 10-K, together with all the other information in this Quarterly Report on Form 10-Q, including the forward-looking statements in Part I, Item 2 of this Quarterly Report on Form 10-Q under the heading "Management's Discussion and Analysis of Financial Condition and Results of Operations."
39
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
Share repurchases
The following table summarizes our repurchases of our common stock during the second quarter of 2025:
| Period | Total number of shares purchased | Average price paid per share(1) | Total number of shares purchased as part of publicly announced plans or programs | Approximate dollar value of shares that may yet be purchased under the plans or programs | ||||||||||||||||||||||
| (dollars and shares in thousands, except per share data) | ||||||||||||||||||||||||||
| April 1-30, 2025 | 584 | $ | 150.76 | 584 | $ | 1,301,143 | ||||||||||||||||||||
| May 1-31, 2025 | 1,146 | 147.11 | 1,146 | $ | 1,132,566 | |||||||||||||||||||||
| June 1-30, 2025 | 1,337 | 138.39 | 1,337 | $ | 947,536 | |||||||||||||||||||||
| 3,067 | $ | 144.00 | 3,067 | |||||||||||||||||||||||
(1)Excludes commissions and excise tax.
As of June 30, 2025, the Company is authorized to make share repurchases pursuant to a September 5, 2024 Board authorization of $2.0 billion. This authorization allows us to make purchases from time to time in the open market or in privately negotiated transactions, including without limitation, through accelerated share repurchase transactions, derivative transactions, tender offers, Rule 10b5-1 plans or any combination of the foregoing, depending upon market conditions and other considerations.
As of August 1, 2025, we had approximately $558 million, excluding excise taxes, available under the current repurchase authorization for additional share repurchases. Although this share repurchase authorization does not have an expiration date, we remain subject to share repurchase limitations including under our current senior secured credit facilities.
Item 3. Defaults Upon Senior Securities
None.
Item 4. Mine Safety Disclosures
Not applicable.
Item 5. Other Information
Director and Officer Trading Arrangements
40
Item 6. Exhibits
| Exhibit | ||||||||
| Number | ||||||||
4.1 | Indenture, dated as of May 23, 2025, by and among DaVita Inc., the subsidiary guarantors party thereto and Wilmington Trust, National Association, as trustee. (1) | |||||||
4.2 | Form of 6.750% Senior Notes due 2033 (included as Exhibit A to the Indenture filed as Exhibit 4.1). (1) | |||||||
10.1 | Seventh Amendment, dated as of July 17, 2025, to that certain Credit Agreement, dated as of August 12, 2019, by and among DaVita Inc., certain subsidiary guarantors party thereto, the lenders party thereto, and Wells Fargo Bank, National Association, as administrative agent, collateral agent and swingline lender (including a conformed copy of the Credit Agreement, reflecting all amendments through the Seventh Amendment, attached as Annex A thereto). (2) | |||||||
31.1 | Certification of the Chief Executive Officer, dated August 5, 2025, pursuant to Rule 13a-14(a) or 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. ü | |||||||
31.2 | Certification of the Chief Financial Officer, dated August 5, 2025, pursuant to Rule 13a-14(a) or 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. ü | |||||||
32.1 | Certification of the Chief Executive Officer, dated August 5, 2025, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. ü | |||||||
32.2 | Certification of the Chief Financial Officer, dated August 5, 2025, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. ü | |||||||
| 101.INS | XBRL Instance Document - the Instance Document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document. ü | |||||||
| 101.SCH | Inline XBRL Taxonomy Extension Schema Document. ü | |||||||
| 101.CAL | Inline XBRL Taxonomy Extension Calculation Linkbase Document. ü | |||||||
| 101.DEF | Inline XBRL Taxonomy Extension Definition Linkbase Document. ü | |||||||
| 101.LAB | Inline XBRL Taxonomy Extension Label Linkbase Document. ü | |||||||
| 101.PRE | Inline XBRL Taxonomy Extension Presentation, Linkbase Document. ü | |||||||
| 104 | Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101). ü | |||||||
| ü | Included in this filing. | ||||
| (1) | Filed on May 23, 2025 as an exhibit to the Company's Current Report on Form 8-K. | ||||
| (2) | Filed on July 17, 2025 as an exhibit to the Company's Current Report on Form 8-K. | ||||
41
SIGNATURE
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 thereunto duly authorized.
| DAVITA INC. | |||||||||||
| BY: | /s/ CHRISTOPHER M. BERRY | ||||||||||
| Christopher M. Berry | |||||||||||
| Chief Accounting Officer* | |||||||||||
Date: August 5, 2025
| * | Mr. Berry has signed both on behalf of the Registrant as a duly authorized officer and as the Registrant’s principal accounting officer. | ||||
42
Source:
FAQ
How did DaVita's Q2-25 revenue compare to last year?
Total revenue rose to $3.38 billion, a 6.0% increase from $3.19 billion in Q2-24.
Why did diluted EPS rise while net income declined?
DaVita repurchased 13% of diluted shares, boosting EPS to $2.58 despite a 10.5% drop in net income.
What is DaVita鈥檚 current debt load and interest rate?
Debt stands at $10.33 billion with a weighted-average effective rate of 5.73%; 63% is economically fixed via rate caps.
How much stock did DaVita repurchase in 2025 so far?
Through June 30, DaVita bought back $996 million of shares; another $393 million was repurchased after quarter-end.
Are there significant legal or regulatory risks mentioned?
Yes. The 10-Q details ongoing DOJ, FTC and state investigations; no material accruals recorded to date.
Davita Inc
NYSE:DVA
DVA Rankings
DVA Latest News
Aug 5, 2025
DaVita Inc. 2nd Quarter 2025 Results
DVA Latest SEC Filings
Aug 5, 2025
[8-K] DaVita Inc. Reports Material Event
Aug 4, 2025
[Form 4] DaVita Inc. Insider Trading Activity
Jul 24, 2025
[Form 4] DaVita Inc. Insider Trading Activity
Jul 23, 2025
[144] DaVita Inc. SEC Filing
Jul 17, 2025
[8-K] DaVita Inc. Reports Material Event
DVA Stock Data
10.62B
38.12M
49.51%
48.26%
7.77%
Medical Care Facilities
Services-misc Health & Allied Services, Nec
United States
DENVER