Exhibit 99.1
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Contact: | | LeAnne Zumwalt |
| | Investor Relations |
| | DaVita Inc. |
| | (650) 696-8910 |
DAVITA 2nd QUARTER 2006 RESULTS
El Segundo, California, August 2, 2006 – DaVita Inc. (NYSE: DVA), today announced results for the quarter ended June 30, 2006. Income from continuing operations for the three and six months ended June 30, 2006, was $64.3 million and $122.1 million, or $0.61 and $1.16 per share, respectively, as compared with $48.1 million and $100.1 million or $0.46 and $0.97 per share, respectively, for the same periods of 2005.
Income from continuing operations for the three and six months ended June 30, 2006 included incremental after-tax stock-based compensation expense of $2.8 million and $5.6 million or $0.02 and $0.05 per share, respectively, related to SFAS No. 123(R). Net income including discontinued operations for the three and six months ended June 30, 2006 was $63.2 million and $120.7 million or $0.60 and $1.14 per share, respectively.
Financial and operating highlights include:
| • | | Cash Flow: Operating cash flow for the three months ended June 30, 2006 was $256 million and free cash flow was $227 million. For the rolling 12-months ended June 30, 2006 operating cash flow was $572 million and free cash flow was $482 million, in each case excluding the tax benefit from stock option exercises and an $85 million income tax payment associated with the divestiture of centers in conjunction with the Gambro Healthcare acquisition. Including these items, operating cash flow for the rolling 12-months was $500 million and free cash flow was $411 million. |
| • | | Operating Income: Operating income for the three months and six months ended June 30, 2006, was $172 million and $334 million, respectively. |
| • | | Volume: Total treatments for the second quarter were 3,602,567 or 46,187 treatments per day, as compared to 3,501,032 or 45,468 treatments per day for the first quarter of 2006. Non-acquired treatment growth in the quarter was 4.1% over the prior year’s quarter. |
| • | | Center Activity: As of June 30, 2006, we operated or provided administrative services at 1,255 outpatient centers serving approximately 100,000 patients. During the second quarter of 2006 we acquired 8 centers, including one center where we previously provided management services, opened 10 new centers and closed 3 centers. |
Outlook
We are revising our 2006 operating income guidance; operating income is now expected to be in the $670-700 million range. Our previous guidance was for operating income to be in the $600-680 million range. These projections and the underlying assumptions involve significant risks and uncertainties, including those described below and actual results may vary significantly from these current projections.
DaVita will be holding a conference call to discuss its results for the second quarter ended June 30, 2006 on August 2, 2006 at 12PM noon Eastern Time. The dial in number is (800)-399-4406. A replay of the conference call will be available on DaVita’s official web page, www.davita.com, for the following 30 days.
This release contains forward–looking statements, including statements related to our 2006 operating results. Factors which could impact future results include the uncertainties associated with governmental regulations, general economic and other market conditions, acquisitions and the risk factors set forth in the Company’s SEC filings, including its Form 10-Q for the quarter ended March 31, 2006. The forward-looking statements should be considered in light of these risks and uncertainties.
These risks and uncertainties include those relating to:
| • | | the concentration of profits generated from preferred provider organizations and private indemnity patients, |
| • | | possible reductions in private and government payment rates, |
| • | | changes in pharmaceutical practice patterns, payment policies, or pharmaceutical pricing, |
| • | | our ability to maintain contracts with physician medical directors, |
| • | | legal compliance risks, including our continued compliance with complex government regulations and the ongoing review by the U.S. Attorney’s Office for the Eastern District of Pennsylvania and the OIG, the subpoena from the U.S. Attorney’s Office for the Eastern District of New York, the subpoenas from the U.S. Attorney’s Office for the Eastern District of Missouri and DVA Renal Healthcare’s (formerly known as Gambro Healthcare, Inc.) compliance with its corporate integrity agreement, |
| • | | our ability to complete and integrate acquisitions of businesses, and |
| • | | the successful integration of DVA Renal Healthcare, including its billing and collection operations. |
We undertake no obligation to update or revise any forward-looking statements, whether as a result of changes in underlying factors, new information, future events or otherwise.
This release contains non-GAAP financial measures. For reconciliations of these non-GAAP financial measures to their most comparable measure calculated and presented in accordance with GAAP, see the attached reconciliation schedules.
DAVITA INC.
CONSOLIDATED STATEMENTS OF INCOME
(unaudited)
(dollars in thousands, except per share data)
| | | | | | | | | | | | | | | | |
| | Three months ended June 30, | | | Six months ended June 30, | |
| | 2006 | | | 2005 | | | 2006 | | | 2005 | |
Net operating revenues | | $ | 1,207,816 | | | $ | 617,085 | | | $ | 2,371,004 | | | $ | 1,195,711 | |
Operating expenses and charges: | | | | | | | | | | | | | | | | |
Patient care costs | | | 842,973 | | | | 413,225 | | | | 1,660,746 | | | | 800,740 | |
General and administrative | | | 111,444 | | | | 59,856 | | | | 215,612 | | | | 114,119 | |
Depreciation and amortization | | | 41,717 | | | | 24,933 | | | | 83,608 | | | | 48,778 | |
Provision for uncollectible accounts | | | 31,230 | | | | 10,964 | | | | 61,310 | | | | 21,289 | |
Minority interests and equity income, net | | | 8,700 | | | | 5,676 | | | | 15,901 | | | | 9,494 | |
| | | | | | | | | | | | | | | | |
Total operating expenses and charges | | | 1,036,064 | | | | 514,654 | | | | 2,037,177 | | | | 994,420 | |
| | | | | | | | | | | | | | | | |
Operating income | | | 171,752 | | | | 102,431 | | | | 333,827 | | | | 201,291 | |
Debt expense | | | (68,436 | ) | | | (24,885 | ) | | | (138,895 | ) | | | (42,416 | ) |
Swap valuation (loss) gain | | | | | | | (2,131 | ) | | | | | | | 6,261 | |
Refinancing charges | | | | | | | | | | | | | | | (6,872 | ) |
Other income | | | 2,973 | | | | 2,065 | | | | 6,847 | | | | 3,682 | |
| | | | | | | | | | | | | | | | |
Income from continuing operations before income taxes | | | 106,289 | | | | 77,480 | | | | 201,779 | | | | 161,946 | |
Income tax expense | | | 41,960 | | | | 29,353 | | | | 79,670 | | | | 61,849 | |
| | | | | | | | | | | | | | | | |
Income from continuing operations | | | 64,329 | | | | 48,127 | | | | 122,109 | | | | 100,097 | |
Discontinued operations | | | | | | | | | | | | | | | | |
Income from operations of discontinued operations, net of tax | | | | | | | 4,816 | | | | | | | | 9,180 | |
Loss on disposal of discontinued operations, net of tax | | | (1,092 | ) | | | | | | | (1,403 | ) | | | | |
| | | | | | | | | | | | | | | | |
Net income | | $ | 63,237 | | | $ | 52,943 | | | $ | 120,706 | | | $ | 109,277 | |
| | | | | | | | | | | | | | | | |
Earnings per share: | | | | | | | | | | | | | | | | |
Basic earnings per share from continuing operations | | $ | 0.62 | | | $ | 0.48 | | | $ | 1.18 | | | $ | 1.00 | |
| | | | | | | | | | | | | | | | |
Basic earnings per share | | $ | 0.61 | | | $ | 0.53 | | | $ | 1.17 | | | $ | 1.09 | |
| | | | | | | | | | | | | | | | |
Diluted earnings per share from continuing operations | | $ | 0.61 | | | $ | 0.46 | | | $ | 1.16 | | | $ | 0.97 | |
| | | | | | | | | | | | | | | | |
Diluted earnings per share | | $ | 0.60 | | | $ | 0.51 | | | $ | 1.14 | | | $ | 1.06 | |
| | | | | | | | | | | | | | | | |
Weighted average shares for earnings per share: | | | | | | | | | | | | | | | | |
Basic | | | 103,479,062 | | | | 100,476,587 | | | | 103,046,461 | | | | 99,939,222 | |
| | | | | | | | | | | | | | | | |
Diluted | | | 105,645,208 | | | | 103,845,030 | | | | 105,486,027 | | | | 103,512,444 | |
| | | | | | | | | | | | | | | | |
3
DAVITA INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(unaudited)
(dollars in thousands)
| | | | | | | | |
| | Six months ended June 30, | |
| | 2006 | | | 2005 | |
Cash flows from operating activities: | | | | | | | | |
Net income | | $ | 120,706 | | | $ | 109,277 | |
Adjustments to reconcile net income to cash provided by operating activities: | | | | | | | | |
Depreciation and amortization | | | 83,608 | | | | 50,708 | |
Stock-based compensation expense | | | 11,455 | | | | 1,862 | |
Tax benefits from stock option exercises | | | 1,574 | | | | 25,846 | |
Deferred income taxes | | | (20,980 | ) | | | (11,433 | ) |
Minority interests in income of consolidated subsidiaries | | | 17,360 | | | | 10,652 | |
Distributions to minority interests | | | (13,357 | ) | | | (7,970 | ) |
Equity investment income | | | (1,459 | ) | | | (511 | ) |
Gain on other dispositions | | | (360 | ) | | | (400 | ) |
Loss on disposal of discontinued operations | | | 787 | | | | — | |
Non-cash debt and other expenses | | | 8,880 | | | | 1,505 | |
Refinancing charges | | | — | | | | 6,872 | |
Swap valuation gain | | | — | | | | (6,261 | ) |
Excess tax benefits from stock-based compensation | | | (22,054 | ) | | | — | |
Changes in operating assets and liabilities, net of effect of acquisitions and divestitures: | | | | | | | | |
Accounts receivable | | | (2,555 | ) | | | (15,546 | ) |
Inventories | | | (23,282 | ) | | | (2,528 | ) |
Other receivables and other current assets | | | (15,522 | ) | | | (12,185 | ) |
Other long term assets | | | (1,040 | ) | | | (94 | ) |
Accounts payable | | | (20,997 | ) | | | 5,054 | |
Accrued compensation and benefits | | | 60,829 | | | | 18,314 | |
Other current liabilities | | | 70,714 | | | | 41,028 | |
Income taxes | | | (24,701 | ) | | | 1,221 | |
Other long-term liabilities | | | 2,920 | | | | 2,190 | |
| | | | | | | | |
Net cash provided by operating activities | | | 232,526 | | | | 217,601 | |
| | | | | | | | |
Cash flows from investing activities: | | | | | | | | |
Additions of property and equipment, net | | | (115,362 | ) | | | (65,905 | ) |
Acquisitions and purchases of other ownership interests | | | (69,578 | ) | | | (88,683 | ) |
Proceeds from divestitures and asset sales | | | 21,098 | | | | — | |
Investments in and advances to affiliates, net | | | 9,981 | | | | 8,721 | |
Intangible assets | | | (5,630 | ) | | | (780 | ) |
| | | | | | | | |
Net cash used in investing activities | | | (159,491 | ) | | | (146,647 | ) |
| | | | | | | | |
Cash flows from financing activities: | | | | | | | | |
Borrowings | | | 2,925,838 | | | | 1,742,232 | |
Payments on long-term debt | | | (3,139,358 | ) | | | (1,752,197 | ) |
Deferred financing costs | | | (2 | ) | | | (29,979 | ) |
Excess tax benefits from stock-based compensation | | | 22,054 | | | | — | |
Stock option exercises and other share issuances, net | | | 25,941 | | | | 29,772 | |
| | | | | | | | |
Net cash used in financing activities | | | (165,527 | ) | | | (10,172 | ) |
| | | | | | | | |
Net (decrease) increase in cash and cash equivalents | | | (92,492 | ) | | | 60,782 | |
Cash and cash equivalents at beginning of period | | | 431,811 | | | | 251,979 | |
| | | | | | | | |
Cash and cash equivalents at end of period | | $ | 339,319 | | | $ | 312,761 | |
| | | | | | | | |
4
DAVITA INC.
CONSOLIDATED BALANCE SHEETS
(unaudited)
(dollars in thousands, except per share data)
| | | | | | | | |
| | June 30, 2006 | | | December 31, 2005 | |
ASSETS | | | | | | | | |
Cash and cash equivalents | | $ | 339,319 | | | $ | 431,811 | |
Accounts receivable, less allowance of $159,745 and $138,598 | | | 859,165 | | | | 853,560 | |
Inventories | | | 93,362 | | | | 69,130 | |
Other receivables | | | 135,731 | | | | 116,620 | |
Other current assets | | | 24,620 | | | | 38,463 | |
Deferred income taxes | | | 177,426 | | | | 144,824 | |
| | | | | | | | |
Total current assets | | | 1,629,623 | | | | 1,654,408 | |
Property and equipment, net | | | 787,378 | | | | 750,078 | |
Amortizable intangibles, net | | | 224,769 | | | | 235,944 | |
Investments in third-party dialysis businesses | | | 1,936 | | | | 3,181 | |
Other long-term assets | | | 57,562 | | | | 41,768 | |
Goodwill | | | 3,640,143 | | | | 3,594,383 | |
| | | | | | | | |
| | $ | 6,341,411 | | | $ | 6,279,762 | |
| | | | | | | | |
LIABILITIES AND SHAREHOLDERS’ EQUITY | | | | | | | | |
Accounts payable | | $ | 190,096 | | | $ | 212,049 | |
Other liabilities | | | 449,599 | | | | 381,964 | |
Accrued compensation and benefits | | | 291,140 | | | | 231,994 | |
Current portion of long-term debt | | | 5,008 | | | | 71,767 | |
Income taxes payable | | | 45,204 | | | | 91,959 | |
| | | | | | | | |
Total current liabilities | | | 981,047 | | | | 989,733 | |
Long-term debt | | | 3,939,047 | | | | 4,085,435 | |
Other long-term liabilities | | | 27,287 | | | | 26,416 | |
Alliance and product supply agreement and other intangibles, net | | | 149,943 | | | | 163,431 | |
Deferred income taxes | | | 93,251 | | | | 75,499 | |
Minority interests | | | 107,992 | | | | 88,639 | |
Commitments and contingencies | | | | | | | | |
Shareholders’ equity: | | | | | | | | |
Preferred stock ($0.001 par value, 5,000,000 shares authorized; none issued) | | | | | | | | |
Common stock ($0.001 par value, 195,000,000 shares authorized; 134,862,283 shares issued) | | | 135 | | | | 135 | |
Additional paid-in capital | | | 602,952 | | | | 569,751 | |
Retained earnings | | | 960,636 | | | | 839,930 | |
Treasury stock, at cost (31,280,720 and 32,927,026 shares) | | | (545,313 | ) | | | (574,013 | ) |
Accumulated comprehensive income valuations | | | 24,434 | | | | 14,806 | |
| | | | | | | | |
Total shareholders’ equity | | | 1,042,844 | | | | 850,609 | |
| | | | | | | | |
| | $ | 6,341,411 | | | $ | 6,279,762 | |
| | | | | | | | |
5
DAVITA INC.
SUPPLEMENTAL FINANCIAL DATA
(unaudited)
(dollars in millions, except for per share and per treatment data)
| | | | | | | | | | | | | | | | |
| | Q2 2006 | | | Q1 2006 | | | Q2 2005 | | | Six months ended June 30, 2006 | |
Financial Results: | | | | | | | | | | | | | | | | |
Income from continuing operations | | $ | 64.3 | | | $ | 57.8 | | | $ | 48.1 | | | $ | 122.1 | |
Net income | | $ | 63.2 | | | $ | 57.5 | | | $ | 52.9 | | | $ | 120.7 | |
Diluted earnings per share from continuing operations | | $ | 0.61 | | | $ | 0.55 | | | $ | 0.46 | | | $ | 1.16 | |
Diluted earnings per share | | $ | 0.60 | | | $ | 0.55 | | | $ | 0.51 | | | $ | 1.14 | |
Operating income | | $ | 171.8 | | | $ | 162.1 | | | $ | 102.4 | | | $ | 333.8 | |
Operating income margin | | | 14.2 | % | | | 13.9 | % | | | 16.6 | % | | | 14.1 | % |
Other comprehensive income | | | | | | | | | | | | | | | | |
Unrealized gain (loss) on securities, net of tax (expense) benefit of ($2.2), ($3.9), $5.7 and ($6.1) | | $ | 3.4 | | | $ | 6.2 | | | $ | (9.0 | ) | | $ | 9.6 | |
Business Metrics: | | | | | | | | | | | | | | | | |
Volume | | | | | | | | | | | | | | | | |
Treatments | | | 3,602,567 | | | | 3,501,032 | | | | 1,856,522 | | | | 7,103,599 | |
Number of treatment days | | | 78.0 | | | | 77.0 | | | | 78.0 | | | | 155.0 | |
Treatments per day | | | 46,187 | | | | 45,468 | | | | 23,802 | | | | 45,830 | |
Per day year over year increase | | | 94.0 | % | | | 98.7 | % | | | 15.5 | % | | | 96.3 | % |
Non-acquired growth year over year | | | 4.1 | % | | | 4.6 | % | | | 5.5 | % | | | 4.3 | % |
Revenue | | | | | | | | | | | | | | | | |
Total operating revenue | | $ | 1,208 | | | $ | 1,163 | | | $ | 617 | | | $ | 2,371 | |
Dialysis revenue per treatment | | $ | 318.80 | | | $ | 316.70 | | | $ | 313.49 | | | $ | 317.77 | |
Per treatment increase from previous quarter | | | 0.66 | % | | | 2.0 | % | | | 0.43 | % | | | — | |
Per treatment increase from previous year | | | 1.7 | % | | | 1.5 | % | | | 0.35 | % | | | 1.6 | % |
Expenses | | | | | | | | | | | | | | | | |
A. Patient care costs | | | | | | | | | | | | | | | | |
Percent of revenue | | | 69.8 | % | | | 70.3 | % | | | 67.3 | % | | | 70.0 | % |
Per treatment | | $ | 233.99 | | | $ | 233.58 | | | $ | 222.58 | | | $ | 233.79 | |
Per treatment increase from previous quarter | | | 0.18 | % | | | 2.2 | % | | | 1.2 | % | | | — | |
Per treatment increase from previous year | | | 5.1 | % | | | 6.2 | % | | | 0.77 | % | | | 5.6 | % |
B. General & administrative expenses | | | | | | | | | | | | | | | | |
Percent of revenue | | | 9.2 | % | | | 9.0 | % | | | 9.7 | % | | | 9.1 | % |
Per treatment | | $ | 30.93 | | | $ | 29.75 | | | $ | 32.24 | | | $ | 30.35 | |
Per treatment increase from previous quarter | | | 4.0 | % | | | 6.7 | % | | | 4.7 | % | | | — | |
Per treatment (decrease) increase from previous year | | | (4.1 | %) | | | (3.4 | %) | | | 13.3 | % | | | (3.8 | %) |
C. Bad debt expense as a percent of current-period revenue | | | 2.6 | % | | | 2.6 | % | | | 1.8 | % | | | 2.6 | % |
D. Consolidated effective tax rate from continuing operations | | | 39.5 | % | | | 39.5 | % | | | 38.0 | % | | | 39.5 | % |
6
DAVITA INC.
SUPPLEMENTAL FINANCIAL DATA—continued
(unaudited)
(dollars in millions, except for per share and per treatment data)
| | | | | | | | | | | | | | | |
| | Q2 2006 | | | Q1 2006 | | | Q2 2005 | | | Six months ended June 30, 2006 |
Cash Flow | | | | | | | | | | | | | | | |
Operating cash flow | | $ | 256.1 | | | $ | (23.6 | ) | | $ | 106.2 | | | $ | 232.5 |
Operating cash flow, excluding tax benefit from stock option exercises and the income tax payment on divested centers | | $ | 255.5 | | | $ | 60.8 | | | $ | 95.4 | | | $ | 316.3 |
Free cash flow | | $ | 227.5 | | | $ | (43.3 | ) | | $ | 91.6 | | | $ | 184.2 |
Free cash flow, excluding tax benefit from stock option exercises and the income tax payment on divested centers | | $ | 226.9 | | | $ | 41.1 | | | $ | 80.8 | | | $ | 267.9 |
Capital expenditures: | | | | | | | | | | | | | | | |
Development and relocations | | $ | 37.3 | | | $ | 26.3 | | | $ | 22.2 | | | $ | 63.6 |
Routine maintenance/IT/other | | $ | 30.1 | | | $ | 21.7 | | | $ | 18.6 | | | $ | 51.8 |
Acquisition expenditures | | $ | 46.7 | | | $ | 22.8 | | | $ | 83.9 | | | $ | 69.6 |
Accounts Receivable | | | | | | | | | | | | | | | |
Net receivables | | $ | 859 | | | $ | 859 | | | $ | 478 | | | | |
DSO | | | 67 | | | | 69 | | | | 70 | | | | |
Debt/Capital Structure | | | | | | | | | | | | | | | |
Total debt | | $ | 3,944 | | | $ | 4,045 | | | $ | 1,366 | | | | |
Net debt, net of cash | | $ | 3,605 | | | $ | 3,765 | | | $ | 1,053 | | | | |
Leverage ratio (see Note 1) | | | 4.07x | | | | 4.29x | | | | — | | | | |
Clinical (quarterly averages) | | | | | | | | | | | | | | | |
Dialysis adequacy - % of patients with Kt/V > 1.2 | | | 93 | % | | | 93 | % | | | 94 | % | | | |
Patients with arteriovenous fistula | | | 50 | % | | | 49 | % | | | 45 | % | | | |
7
DAVITA INC.
SUPPLEMENTAL FINANCIAL DATA—continued
(unaudited)
(dollars in thousands)
Note 1: Calculation of the Leverage Ratio
Under the Company’s current credit agreement (Credit Agreement), the leverage ratio is defined as all funded debt plus the face amount of all letters of credit issued, minus cash and cash equivalents, divided by “Consolidated EBITDA”. The leverage ratio determines the interest rate margin payable by the Company under the Credit Agreement by establishing the margin over the base interest rate (LIBOR) that is applicable. The following leverage ratio was calculated using “Consolidated EBITDA” as defined in the Credit Agreement. The calculation below is based on the last twelve-months of Consolidated “EBITDA”, pro forma for the DVA Renal Healthcare acquisition and related divestitures as well as other routine acquisitions. The Company’s management believes that the presentation of “Consolidated EBITDA” is useful to investors to enhance their understanding of the Company’s leverage ratio under its Credit Agreement.
| | | | |
| | Rolling 12-months ended June 30, 2006 | |
Income from continuing operations | | $ | 240,668 | |
Income taxes | | | 155,083 | |
Debt expense | | | 279,739 | |
Depreciation and amortization | | | 169,106 | |
Minority interests and equity income, net | | | 29,433 | |
Swap valuation losses | | | 1,713 | |
Refinancing charges | | | 1,298 | |
Other | | | 7,788 | |
Stock-based compensation expense | | | 13,259 | |
| | | | |
“Consolidated EBITDA” | | $ | 898,087 | |
| | | | |
| |
| | June 30, 2006 | |
Total debt | | $ | 3,944,055 | |
Letters of credit issued | | | 50,345 | |
| | | | |
| | | 3,994,400 | |
Less: cash and cash equivalents | | | (339,319 | ) |
| | | | |
Consolidated net debt | | $ | 3,655,081 | |
| | | | |
Last twelve months “Consolidated EBITDA” | | $ | 898,087 | |
| | | | |
Leverage ratio | | | 4.07x | |
| | | | |
In accordance with the Company’s Credit Agreement, the Company’s leverage ratio can not exceed 6.0 to 1.0 as of June 30, 2006. At that date, the Company’s leverage ratio did not exceed 6.0 to 1.0.
8
DAVITA INC.
RECONCILIATIONS FOR NON-GAAP MEASURES
(unaudited)
(dollars in thousands)
1. Operating cash flow, excluding tax benefit from stock option exercises and income tax payment on divested centers:
We believe that operating cash flow excluding tax benefit from stock option exercises and income tax payment on divested centers enhances a user’s understanding of our normal operating cash flows for these periods by providing a measure that is more meaningful because it is comparable to prior periods and indicative of consistent operating cash flow items, and because it excludes certain non-recurring transactions that can cause unusual fluctuations in our operating cash flows. This measure is not a measure of financial performance under United States generally accepted accounting principles and should not be considered as an alternative to cash flows from operating, investing or financing activities, as an indicator of cash flows or as a measure of liquidity.
| | | | | | | | | | | | | | | | | | | | |
| | Q2 2006 | | | Q1 2006 | | | Six months ended June 30, 2006 | | | Q2 2005 | | | Rolling 12- Month Period ended Q2 2006 | |
Cash (used in) provided by operating activities | | $ | 256,090 | | | $ | (23,564 | ) | | $ | 232,526 | | | $ | 106,195 | | | $ | 500,479 | |
Less: Tax benefit from stock option exercises | | | (591 | ) | | | (983 | ) | | | (1,574 | ) | | | (10,753 | ) | | | (14,212 | ) |
Income tax payment on divested centers | | | — | | | | 85,328 | | | | 85,328 | | | | — | | | | 85,328 | |
| | | | | | | | | | | | | | | | | | | | |
| | $ | 255,499 | | | $ | 60,781 | | | $ | 316,280 | | | $ | 95,442 | | | $ | 571,595 | |
| | | | | | | | | | | | | | | | | | | | |
2. Free cash flow and free cash flow, excluding tax benefit from stock option exercises and income tax payment on divested centers:
Free cash flow represents net cash provided by operating activities less expenditures for routine maintenance and information technology. We believe free cash flow is a useful adjunct to cash flow from operating activities and other measurements under United States generally accepted accounting principles, since it is a meaningful measure of our ability to fund acquisition and development activities and meet our debt service requirements. Free cash flow is not a measure of financial performance under United States generally accepted accounting principles and should not be considered as an alternative to cash flows from operating, investing or financing activities, as an indicator of cash flows or as a measure of liquidity.
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| | Q2 2006 | | | Q1 2006 | | | Six months ended June 30, 2006 | | | Q2 2005 | | | Rolling 12- Month Period ended Q2 2006 | |
Cash (used in) provided by operating activities | | $ | 256,090 | | | $ | (23,564 | ) | | $ | 232,526 | | | $ | 106,195 | | | $ | 500,479 | |
Less: Expenditures for routine maintenance and information technology | | | (28,640 | ) | | | (19,726 | ) | | | (48,366 | ) | | | (14,614 | ) | | | (89,757 | ) |
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Free cash flow | | $ | 227,450 | | | $ | (43,290 | ) | | $ | 184,160 | | | $ | 91,581 | | | $ | 410,722 | |
Less: Tax benefit from stock option exercises | | | (591 | ) | | | (983 | ) | | | (1,574 | ) | | | (10,753 | ) | | | (14,212 | ) |
Income tax payments on divested centers | | | — | | | | 85,328 | | | | 85,328 | | | | — | | | | 85,328 | |
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| | $ | 226,859 | | | $ | 41,055 | | | $ | 267,914 | | | $ | 80,828 | | | $ | 481,838 | |
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