DaVita Inc. 1st Quarter 2025 Results

Core Insights - DaVita Inc. reported strong financial performance for Q1 2025, emphasizing the stability of its operating model and commitment to shareholder value [1][2]. Financial Performance - Net income for Q1 2025 was $163 million, down from $240 million in Q1 2024, with diluted earnings per share at $2.00 compared to $2.65 in the previous year [1][19]. - Operating income decreased to $439 million, with an operating margin of 13.6%, down from 17.2% in Q4 2024 and 15.8% in Q1 2024 [2][23]. - Total consolidated revenues reached $3.224 billion, an increase from $3.071 billion in Q1 2024 [19][23]. Cost and Expense Analysis - Patient care costs per treatment rose to $271.77, up from $255.13 in Q1 2024, while general and administrative expenses were $374 million, compared to $362 million in the same period last year [4][25]. - The increase in costs was primarily driven by higher pharmaceutical expenses, particularly for phosphate binders, and compensation expenses [5][6]. Dialysis Metrics - Total U.S. dialysis treatments for Q1 2025 were 7,040,519, averaging 91,793 treatments per day, reflecting a slight increase of 0.01% from Q4 2024 [3][24]. - Normalized non-acquired treatment growth was reported at (0.6)% compared to Q1 2024 [3][24]. Share Repurchase Activity - The company repurchased 3.7 million shares for $550 million at an average price of $148.94 per share during Q1 2025 [8][26]. - Subsequent to Q1, an additional 1.7 million shares were repurchased for $259 million [8]. Integrated Kidney Care Metrics - As of March 31, 2025, DaVita had approximately 62,100 patients in risk-based integrated care arrangements, representing an annualized medical spend of about $5.2 billion [12][24]. Cash Flow and Capital Structure - Operating cash flow for Q1 2025 was $180 million, a significant improvement from a cash outflow of $135 million in Q1 2024 [9][26]. - Free cash flow was reported at $(45) million, compared to $(327) million in the same period last year [9][26]. Outlook - The company provided guidance for 2025, projecting adjusted operating income between $2.010 billion and $2.160 billion, and adjusted diluted net income per share between $10.20 and $11.30 [14].