2012 Q4 Form 10-Q Financial Statement

#000119312512443449 Filed on October 31, 2012

View on sec.gov

Income Statement

Concept 2012 Q4 2012 Q3 2011 Q4
Revenue $2.478B $1.946B $1.662B
YoY Change 49.1% 10.7% 0.91%
Cost Of Revenue $1.708B $1.327B $1.167B
YoY Change 46.34% 11.58% 2.98%
Gross Profit $770.4M $618.5M $495.2M
YoY Change 55.57% 8.85% -3.64%
Gross Profit Margin 31.09% 31.78% 29.8%
Selling, General & Admin $274.6M $199.3M $96.80M
YoY Change 183.68% 8.02% -51.79%
% of Gross Profit 35.64% 32.22% 19.55%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization $109.5M $80.60M $73.00M
YoY Change 50.0% 18.88% 21.46%
% of Gross Profit 14.21% 13.03% 14.74%
Operating Expenses $383.9M $279.4M $167.3M
YoY Change 129.47% 10.83% -35.8%
Operating Profit $388.1M $340.9M $329.7M
YoY Change 17.69% 7.06% 29.18%
Interest Expense -$98.80M -$67.40M -$59.60M
YoY Change 65.77% 15.81% 14.84%
% of Operating Profit -25.46% -19.77% -18.08%
Other Income/Expense, Net $1.000M $819.0K $800.0K
YoY Change 25.0% 2.38% -27.27%
Pretax Income $282.2M $271.2M $268.8M
YoY Change 4.98% 4.98% 103.28%
Income Tax $97.90M $98.65M $101.3M
% Of Pretax Income 34.7% 36.37% 37.69%
Net Earnings $155.8M $144.7M $148.1M
YoY Change 5.21% 6.91% 114.61%
Net Earnings / Revenue 6.29% 7.44% 8.91%
Basic Earnings Per Share $0.77 $0.76 $1.59
Diluted Earnings Per Share $0.75 $0.75 $1.56
COMMON SHARES
Basic Shares Outstanding 95.40M shares 190.0M shares
Diluted Shares Outstanding 193.3M shares

Balance Sheet

Concept 2012 Q4 2012 Q3 2011 Q4
SHORT-TERM ASSETS
Cash & Short-Term Investments $541.0M $388.0M $411.0M
YoY Change 31.63% -31.45% -53.45%
Cash & Equivalents $533.7M $382.2M $393.8M
Short-Term Investments $7.000M $6.000M $17.00M
Other Short-Term Assets $201.6M $46.99M $49.35M
YoY Change 308.46% -85.5% 12.17%
Inventory $78.13M $78.32M $75.73M
Prepaid Expenses $75.85M $48.26M
Receivables $1.424B $1.248B $1.195B
Other Receivables $321.0M $241.0M $282.0M
Total Short-Term Assets $2.887B $2.326B $2.293B
YoY Change 25.89% -1.87% -12.57%
LONG-TERM ASSETS
Property, Plant & Equipment $1.872B $1.655B $1.433B
YoY Change 30.69% 23.85% 22.36%
Goodwill $8.953B $5.325B $4.947B
YoY Change 80.97% 20.91%
Intangibles $2.128B $177.5M $159.5M
YoY Change 1234.32% -1.93%
Long-Term Investments $94.00M $42.00M $37.00M
YoY Change 154.05% 7.69% 5.71%
Other Assets $79.85M $30.56M $34.23M
YoY Change 133.28% -4.51% 6.79%
Total Long-Term Assets $13.13B $8.498B $6.611B
YoY Change 98.58% 34.11% 20.38%
TOTAL ASSETS
Total Short-Term Assets $2.887B $2.326B $2.293B
Total Long-Term Assets $13.13B $8.498B $6.611B
Total Assets $16.01B $10.82B $8.904B
YoY Change 79.86% 24.32% 9.73%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable $414.1M $272.6M $289.7M
YoY Change 42.98% 5.26% 60.0%
Accrued Expenses $567.0M $529.0M $616.0M
YoY Change -7.95% 14.5% 89.54%
Deferred Revenue
YoY Change
Short-Term Debt $0.00 $0.00 $0.00
YoY Change
Long-Term Debt Due $228.0M $117.8M $87.35M
YoY Change 161.03% 43.68% 16.63%
Total Short-Term Liabilities $2.016B $1.337B $1.165B
YoY Change 73.12% 10.85% 26.01%
LONG-TERM LIABILITIES
Long-Term Debt $8.327B $5.621B $4.418B
YoY Change 88.49% 27.25% 4.34%
Other Long-Term Liabilities $443.7M $145.2M $132.0M
YoY Change 236.15% -6.89% 47.84%
Total Long-Term Liabilities $443.7M $5.766B $4.550B
YoY Change -90.25% 26.09% 5.24%
TOTAL LIABILITIES
Total Short-Term Liabilities $2.016B $1.337B $1.165B
Total Long-Term Liabilities $443.7M $5.766B $4.550B
Total Liabilities $11.52B $7.604B $6.157B
YoY Change 87.04% 13.37% 8.14%
SHAREHOLDERS EQUITY
Retained Earnings $3.732B $3.576B $3.196B
YoY Change 16.77% 17.59%
Common Stock $270.0K $135.0K $135.0K
YoY Change 100.0% 0.0%
Preferred Stock
YoY Change
Treasury Stock (at cost) $1.162B $1.564B $1.632B
YoY Change -28.77% 19.93%
Treasury Stock Shares 58.73M shares 39.52M shares 41.22M shares
Shareholders Equity $3.763B $2.537B $2.141B
YoY Change
Total Liabilities & Shareholders Equity $16.01B $10.82B $8.904B
YoY Change 79.86% 24.32% 9.73%

Cashflow Statement

Concept 2012 Q4 2012 Q3 2011 Q4
OPERATING ACTIVITIES
Net Income $155.8M $144.7M $148.1M
YoY Change 5.21% 6.91% 114.61%
Depreciation, Depletion And Amortization $109.5M $80.60M $73.00M
YoY Change 50.0% 18.88% 21.46%
Cash From Operating Activities $200.2M $366.6M $150.6M
YoY Change 32.93% -25.97% 24.88%
INVESTING ACTIVITIES
Capital Expenditures -$171.2M -$128.4M -$148.3M
YoY Change 15.44% 32.37% 42.32%
Acquisitions
YoY Change
Other Investing Activities -$3.875B -$71.10M -$118.0M
YoY Change 3183.47% -90.23% 150.53%
Cash From Investing Activities -$4.046B -$199.6M -$266.2M
YoY Change 1419.8% -75.79% 75.94%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net
YoY Change
Debt Paid & Issued, Net
YoY Change
Cash From Financing Activities 3.998B -58.50M -31.90M
YoY Change -12632.6% -141.61% -108.95%
NET CHANGE
Cash From Operating Activities 200.2M 366.6M 150.6M
Cash From Investing Activities -4.046B -199.6M -266.2M
Cash From Financing Activities 3.998B -58.50M -31.90M
Net Change In Cash 152.4M 108.5M -147.5M
YoY Change -203.32% -157.53% -145.3%
FREE CASH FLOW
Cash From Operating Activities $200.2M $366.6M $150.6M
Capital Expenditures -$171.2M -$128.4M -$148.3M
Free Cash Flow $371.4M $495.0M $298.9M
YoY Change 24.26% -16.41% 32.96%

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<div> <p style="MARGIN-TOP: 0px; MARGIN-BOTTOM: 0px"><font style="FONT-FAMILY: Times New Roman" size="2"><b>7. Contingencies</b></font></p> <p style="MARGIN-TOP: 6px; TEXT-INDENT: 4%; MARGIN-BOTTOM: 0px"> <font style="FONT-FAMILY: Times New Roman" size="2">The majority of the Company&#x2019;s revenues are from government programs and may be subject to adjustment as a result of: (1) examination by government agencies or contractors, for which the resolution of any matters raised may take extended periods of time to finalize; (2) differing interpretations of government regulations by different Medicare contractors or regulatory authorities; (3) differing opinions regarding a patient&#x2019;s medical diagnosis or the medical necessity of services provided; and (4) retroactive applications or interpretations of governmental requirements. In addition, the Company&#x2019;s revenues from commercial payors may be subject to adjustment as a result of potential claims for refunds, as a result of government actions or as a result of other claims by commercial payors.</font></p> <p style="MARGIN-TOP: 18px; MARGIN-BOTTOM: 0px; MARGIN-LEFT: 2%"> <font style="FONT-FAMILY: Times New Roman" size="2"><font style="FONT-FAMILY: Times New Roman" size="2"><i>Inquiries by the Federal Government and Certain Related Civil Proceedings</i></font></font></p> <p style="PADDING-BOTTOM: 0px; MARGIN-TOP: 6px; TEXT-INDENT: 4%; MARGIN-BOTTOM: 0px"> <font style="FONT-FAMILY: Times New Roman" size="2"><font style="FONT-FAMILY: Times New Roman" size="2"><u>2005 U.S. Attorney Investigation:</u> In March 2005, the Company received a subpoena from the U.S. Attorney&#x2019;s Office for the Eastern District of Missouri in St. Louis. The subpoena required production of a wide range of documents relating to the Company&#x2019;s operations, including documents related to, among other things, pharmaceutical and other services provided to patients, relationships with pharmaceutical companies, and financial relationships with physicians and joint ventures. The subpoena covers the period from December 1, 1996 through March 2005. In October 2005, the Company received a follow-up request for additional documents related to specific medical director and joint venture arrangements. In February 2006, the Company received an additional subpoena for documents, including certain patient records relating to the administration and billing of Epogen<font style="FONT-FAMILY: Times New Roman" size="1"><sup style="POSITION: relative; BOTTOM: 0.8ex; VERTICAL-ALIGN: baseline">&#xAE;</sup></font> (EPO). In May 2007, the Company received a request for documents related to durable medical equipment and supply companies owned and operated by the Company. The Company cooperated with the inquiry and has produced the requested documents. The subpoenas were issued in connection with a joint civil and criminal investigation. It was possible that criminal proceedings could be initiated against the Company in connection with this investigation. Until recently, the Company had not received a communication from the St. Louis U.S. Attorney&#x2019;s Office on this matter for nearly three years. In early October 2012, the Company announced that the government closed its investigation without filing any charges, without demanding any payments and without seeking any changes in Company policies.</font></font></p> <p style="MARGIN-TOP: 12px; TEXT-INDENT: 4%; MARGIN-BOTTOM: 0px"> <font style="FONT-FAMILY: Times New Roman" size="2"><font style="FONT-FAMILY: Times New Roman" size="2"><u>Woodard Private Civil Suit:</u> In February 2007, the Company received a request for information from the Office of Inspector General, U.S. Department of Health and Human Services, or OIG, for documents relating to EPO claims submitted to Medicare. In August 2007, the Company received a subpoena from the OIG seeking similar documents. The requested documents relate to services provided from 2001 to 2004 by a number of the Company&#x2019;s centers. The request and subpoena were sent from the OIG&#x2019;s offices in Houston and Dallas, Texas. The Company cooperated with the inquiry and has produced all previously requested documents to date. The Company was contacted by the U.S. Attorney&#x2019;s Office for the Eastern District of Texas, which stated that this was a civil investigation related to EPO claims. On July 6, 2009, the U.S. District Court for the Eastern District of Texas lifted the seal on the civil <i>qui tam</i> complaint related to these previous requests for information. The Company was subsequently served with a complaint by the relator, Ivey Woodard, purportedly on behalf of the federal government, under the <i>qui tam</i> provisions of the federal False Claims Act. The government did not intervene and is not actively pursuing this matter. The relator has been pursuing the claims independently and the parties have been engaged in active litigation. The complaint contains allegations relating to the Company&#x2019;s EPO practices for the period from 1992 through 2010 and seeks monetary damages and civil penalties as well as costs and expenses. The court has ruled that claims earlier than 1996 are beyond the statute of limitations. The Company believes that there is some overlap between the subject of this complaint and the review of EPO utilization in the 2005 U.S. Attorney investigation described above. The Company publicly disclosed on July 3, 2012 that it had reached an agreement in principle to settle all allegations relating to claims arising out of this matter. In connection with this settlement, the Company accrued a charge of $78,000 in the second quarter of 2012, that consists of $55,000 for the settlement plus attorney fees and related expenses. The Company expects that the settlement will resolve federal program claims regarding EPO raised in the complaint relating to historical EPO practices dating back to 1997. The settlement is subject to certain conditions, such as court approval. Until the conditions and documentation are completed, there can be no assurance that this matter will in fact be resolved pursuant to the terms of the agreement in principle to settle.</font></font></p> <p style="MARGIN-TOP: 12px; TEXT-INDENT: 4%; MARGIN-BOTTOM: 0px"> <font style="FONT-FAMILY: Times New Roman" size="2"><font style="FONT-FAMILY: Times New Roman" size="2"><u>Vainer Private Civil Suit:</u> In December 2008, the Company received a subpoena for documents from the OIG relating to the pharmaceutical products Zemplar, Hectorol, Venofer, Ferrlecit and EPO, as well as other related matters. The subpoena covered the period from January 2003 to December 2008. The Company was in contact with the U.S. Attorney&#x2019;s Office for the Northern District of Georgia and the U.S. Department of Justice in Washington, DC, since November 2008 relating to this matter, and were advised that this was a civil inquiry. On June 17, 2009, the Company learned that the allegations underlying this inquiry were made as part of a civil complaint filed by individuals and brought pursuant to the <i>qui tam</i> provisions of the federal False Claims Act. On April 1, 2011, the U.S. District Court for the Northern District of Georgia ordered the case to be unsealed. At that time, the Department of Justice and U.S. Attorney&#x2019;s Office filed a notice of declination stating that the U.S. would not be intervening and not pursuing the relators&#x2019; allegation in litigation. On July 25, 2011, the relators, Daniel Barbir and Dr. Alon Vainer, filed their amended complaint in the U.S. District Court for the Northern District of Georgia, purportedly on behalf of the federal government. The allegations in the complaint relate to the Company&#x2019;s drug administration practices for Vitamin D and iron agents for a period from 2003 through 2010. The complaint seeks monetary damages and civil penalties as well as costs and expenses. The Company is vigorously defending this matter and intends to continue to do so. The Company can make no assurances as to the time or resources that will be needed to devote to this litigation or its final outcome.</font></font></p> <p style="MARGIN-TOP: 12px; TEXT-INDENT: 4%; MARGIN-BOTTOM: 0px"> <font style="FONT-FAMILY: Times New Roman" size="2"><font style="FONT-FAMILY: Times New Roman" size="2"><u>2010 U.S. Attorney Physician Relationship Investigation:</u> In May 2010, the Company received a subpoena from the OIG&#x2019;s office in Dallas, Texas. The civil subpoena covers the period from January 1, 2005 to May 2010, and seeks production of a wide range of documents relating to the Company&#x2019;s operations, including documents related to, among other things, financial relationships with physicians and joint ventures. Some of the requested documents overlap with documents requested pursuant to the subpoena in the 2011 U.S. Attorney Physician Relationship Investigation described below. The Company is cooperating with the government and is producing the requested documents. The Company can make no assurances as to the time or resources that will be needed to devote to this litigation or its final outcome.</font></font></p> <p style="MARGIN-TOP: 12px; TEXT-INDENT: 4%; MARGIN-BOTTOM: 0px"> <font style="FONT-FAMILY: Times New Roman" size="2"><font style="FONT-FAMILY: Times New Roman" size="2"><u>2011 U.S. Attorney Physician Relationship Investigation:</u> In August 2011, the Company announced it had learned that the U.S. Attorney&#x2019;s Office for the District of Colorado would be looking into certain activities of the Company in connection with information being provided to a grand jury. The Company announced further that it understood that this investigation was at a very preliminary stage, and while its precise scope was unclear, it appeared to overlap, at least in part, with the 2010 U.S. Attorney Physician Relationship Investigation described above. Subsequent to the Company&#x2019;s announcement of this 2011 U.S. Attorney Physician Relationship Investigation, it received a subpoena for documents which substantially overlaps with the subpoena in the 2010 U.S. Attorney Physician Relationship Investigation described above and covers the period from January 2006 to September 2011. The Company is cooperating with the government and is producing the requested documents. Certain current and former members of the Board and executives received subpoenas in November 2011 and thereafter to testify before the grand jury. The Company has received additional subpoenas for documents, and a number of other individuals have received subpoenas to testify before the grand jury. It is possible that criminal proceedings may be initiated against the Company in connection with this investigation. The Company can make no assurances as to the time or resources that will be needed to devote to this litigation or its final outcome.</font></font></p> <p style="MARGIN-TOP: 12px; TEXT-INDENT: 4%; MARGIN-BOTTOM: 0px"> <font style="FONT-FAMILY: Times New Roman" size="2"><font style="FONT-FAMILY: Times New Roman" size="2"><u>2011 U.S. Attorney Medicaid Investigation:</u> In October 2011, the Company announced that it would be receiving a request for documents, which could include an administrative subpoena from the Office of Inspector General for the U.S. Department of Health and Human Services. Subsequent to the Company&#x2019;s announcement of this 2011 U.S. Attorney Medicaid Investigation, the Company received a request for documents in connection with the inquiry by the U.S. Attorney&#x2019;s Office for the Eastern District of New York. The request relates to payments for infusion drugs covered by Medicaid composite payments for dialysis. The Company believes this inquiry is civil in nature. The Company does not know the time period or scope. The Company understands that certain other providers that operate dialysis clinics in New York may be receiving or have received a similar request for documents. The Company is cooperating with the government and is producing the requested documents.</font></font></p> <p style="MARGIN-TOP: 12px; TEXT-INDENT: 4%; MARGIN-BOTTOM: 0px"> <font style="FONT-FAMILY: Times New Roman" size="2"><font style="FONT-FAMILY: Times New Roman" size="2"><u>Clark Shareholder Derivative Civil Suit</u>: As the Company previously disclosed, on August 7, 2012, a shareholder derivative lawsuit was filed in the U.S. District Court for the District of Colorado against certain current and former directors and executives of the Company and against the Company, as nominal defendant. The complaint alleges, among other things, that certain of the Company&#x2019;s current and past officers and directors breached fiduciary duties to the Company relating to the previously disclosed inquiries by the federal government and <i>qui tam</i> proceedings described above. On October 12, 2012, the parties filed a joint motion to stay the case for an indefinite period as in the best interests of the Company and to conserve judicial resources. On October 19, 2012, the Court denied the stay motion but ordered that the case be administratively closed, subject to being reopened upon a showing of good cause by any party.</font></font></p> <p style="MARGIN-TOP: 12px; TEXT-INDENT: 4%; MARGIN-BOTTOM: 0px"> <font style="FONT-FAMILY: Times New Roman" size="2"><font style="FONT-FAMILY: Times New Roman" size="2">Except for the private civil complaints filed by the relators as described above, to the Company&#x2019;s knowledge, no proceedings have been initiated against the Company at this time in connection with any of the inquiries by the federal government. Although the Company cannot predict whether or when proceedings might be initiated or when these matters may be resolved, 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 on-going discussions with regulators. Responding to the subpoenas or inquiries and defending the Company in the relator proceedings will continue to require management&#x2019;s attention and significant legal expense. Any negative findings in the inquiries or relator proceedings could result in substantial financial penalties or awards against the Company, exclusion from future participation in the Medicare and Medicaid programs and, to the extent criminal proceedings may be initiated against the Company, possible criminal penalties. At this time, the Company cannot predict the ultimate outcome of these inquiries, or the potential outcome of the relators&#x2019; claims (except as described above), or the potential range of damages, if any.</font></font></p> <p style="MARGIN-TOP: 18px; MARGIN-BOTTOM: 0px; MARGIN-LEFT: 2%"> <font style="FONT-FAMILY: Times New Roman" size="2"><font style="FONT-FAMILY: Times New Roman" size="2"><i>Other</i></font></font></p> <p style="MARGIN-TOP: 6px; TEXT-INDENT: 4%; MARGIN-BOTTOM: 0px"> <font style="FONT-FAMILY: Times New Roman" size="2"><font style="FONT-FAMILY: Times New Roman" size="2">The Company has received several notices of claims from commercial payors and other third parties related to historical billing practices and claims against DVA Renal Healthcare (formerly known as Gambro Healthcare), a subsidiary of the Company, related to historical Gambro Healthcare billing practices and other matters covered by its 2004 settlement agreement with the Department of Justice and certain agencies of the U.S. government. The Company has received no further indication that any of these claims are active, and some of them may be barred by applicable statutes of limitations. To the extent any of these claims might proceed, the Company intends to defend against them vigorously; however, the Company may not be successful and these claims may lead to litigation and any such litigation may be resolved unfavorably. At this time, the Company cannot predict the ultimate outcome of this matter or the potential range of damages, if any.</font></font></p> <p style="MARGIN-TOP: 12px; TEXT-INDENT: 4%; MARGIN-BOTTOM: 0px"> <font style="FONT-FAMILY: Times New Roman" size="2"><font style="FONT-FAMILY: Times New Roman" size="2">A wage and hour claim, which has been styled as a class action, is pending against the Company in the Superior Court of California. The Company was served with the complaint in this lawsuit in April 2008, and it has been amended since that time. The lawsuit, as amended, alleges that the Company failed to provide meal periods, failed to pay compensation in lieu of providing rest or meal periods, failed to pay overtime, and failed to comply with certain other California Labor Code requirements. In September 2011, the court denied the plaintiffs&#x2019; motion for class certification. Plaintiffs have appealed that decision. The Company intends to continue to vigorously defend against these claims. Any potential settlement of these claims is not anticipated to be material to the Company&#x2019;s consolidated financial statements.</font></font></p> <p style="MARGIN-TOP: 12px; TEXT-INDENT: 4%; MARGIN-BOTTOM: 0px"> <font style="FONT-FAMILY: Times New Roman" size="2"><font style="FONT-FAMILY: Times New Roman" size="2">In October 2007, the Company was contacted by the Attorney General&#x2019;s Office for the State of Nevada. The Attorney General&#x2019;s Office informed the Company that it was conducting a civil and criminal investigation of the Company&#x2019;s operations in Nevada and that the investigation related to the billing of pharmaceuticals, including EPO. In February 2008, the Attorney General&#x2019;s Office informed the Company that the civil and criminal investigation had been discontinued. The Attorney General&#x2019;s Office further advised the Company that Nevada Medicaid intended to conduct audits of end stage renal disease (ESRD) dialysis providers in Nevada and such audits would relate to the issues that were the subjects of the investigation. To the Company&#x2019;s knowledge, no court proceedings have been initiated against the Company at this time. Any negative audit findings could result in a substantial repayment by the Company. At this time, the Company cannot predict the ultimate outcome of this matter or the potential range of damages, if any.</font></font></p> <p style="MARGIN-TOP: 12px; TEXT-INDENT: 4%; MARGIN-BOTTOM: 0px"> <font style="FONT-FAMILY: Times New Roman" size="2"><font style="FONT-FAMILY: Times New Roman" size="2">In June 2004, DVA Renal Healthcare was served with a complaint filed in the Superior Court of California by one of its former employees who worked for its California acute services program. The complaint, which is styled as a class action, alleges, among other things, that DVA Renal Healthcare failed to provide overtime wages, defined rest periods and meal periods, or compensation in lieu of such provisions and failed to comply with certain other California Labor Code requirements. The parties reached an agreement last year to fully resolve this matter for an amount that did not materially impact the Company&#x2019;s financial results. That settlement has now received final approval from the court. Settlement payments have been made to the class members. On September 18, 2012, the court found that the conditions in its order approving the settlement had been met, and that the matter is concluded.</font></font></p> <p style="MARGIN-TOP: 12px; TEXT-INDENT: 4%; MARGIN-BOTTOM: 0px"> <font style="FONT-FAMILY: Times New Roman" size="2"><font style="FONT-FAMILY: Times New Roman" size="2">In addition to the foregoing, the Company is subject to claims and suits, including from time to time, contractual disputes and professional and general liability claims, as well as audits and investigations by various government entities, in the ordinary course of business. The Company believes that the ultimate resolution of any such pending proceedings, whether the underlying claims are covered by insurance or not, will not have a material adverse effect on its financial condition, results of operations or cash flows.</font></font></p> </div>
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