Edgar Filing: DAVITA INC

Form 10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

For the Quarter Ended

June 30, 2006

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE

SECURITIES EXCHANGE ACT OF 1934

Commission File Number: 1-14106

DAVITA INC.

601 Hawaii Street

El Segundo, California 90245

Telephone number (310) 536-2400


Delaware		51-0354549
(State of incorporation)		(I.R.S. Employer Identification No.)

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 x No ¨

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer. See definition of “accelerated filer and large accelerated filer” in Rule 12b-2 of the Exchange Act.

Large accelerated filer x Accelerated filer ¨ Non-accelerated filer ¨

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ¨ No x

As of June 30, 2006, the number of shares of the Registrant’s common stock outstanding was approximately 103.6 million shares and the aggregate market value of the common stock outstanding held by non-affiliates based upon the closing price of these shares on the New York Stock Exchange was approximately $5.1 billion.

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, 2006 and June 30, 2005	1

	Consolidated Balance Sheets as of June 30, 2006 and December 31, 2005	2

	Consolidated Statements of Cash Flows for the six months ended June 30, 2006 and June 30, 2005	3

	Consolidated Statement of Shareholders’ Equity and Comprehensive Income for the six months ended June 30, 2006 and for the year ended December 31, 2005	4

	Notes to Condensed Consolidated Financial Statements	5

Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	22

Item 3.	Quantitative and Qualitative Disclosures About Market Risk	28

Item 4.	Controls and Procedures	28

	PART II. OTHER INFORMATION

Item 1.	Legal Proceedings	30

Item 1A.	Risk Factors	30

Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	39

Item 4.	Submission of Matters to a Vote of Security Holders	39

Item 6.	Exhibits	41

Signature		42

Note: Items 3 and 5 of Part II are omitted because they are not applicable.

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

See notes to condensed consolidated financial statements.

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, 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

See notes to condensed consolidated financial statements.

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, other than from 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

See notes to condensed consolidated financial statements.

DAVITA INC.

CONSOLIDATED STATEMENT OF SHAREHOLDERS’ EQUITY

AND

COMPREHENSIVE INCOME

(unaudited)

(dollars and shares in thousands)


	Common stock			Additional paid-in capital			Retained earnings		Treasury stock					Accumulated comprehensive income valuations			Total
	Shares	Amount		Additional paid-in capital			Retained earnings		Shares		Amount						Total
Balance at December 31, 2004	134,862	$	135	$	542,714		$	611,287	(36,295	)	$	(632,732	)	$	1,730		$	523,134

Comprehensive income:
Net income								228,643										228,643
Unrealized gain on interest rate swaps, net of tax															16,821			16,821
Less reclassification of net swap valuation gains into net income, net of tax															(3,745	)		(3,745	)

Total comprehensive income																		241,719

Stock purchase shares issued					657				64			1,118						1,775
Stock unit shares issued					(492	)			28			492
Stock options exercised					(14,965	)			3,276			57,109						42,144
Stock-based compensation expense					3,353													3,353
Tax benefits from stock awards exercised					38,484													38,484

Balance at December 31, 2005	134,862		135		569,751			839,930	(32,927	)		(574,013	)		14,806			850,609

Comprehensive income:
Net income								120,706										120,706
Net unrealized gain on interest rate swaps, net of tax															9,628			9,628

Total comprehensive income																		130,334

Stock purchase shares issued					1,861				80			1,402						3,263
Stock unit shares issued					(870	)			103			1,800						930
Stock options exercised					(2,873	)			1,463			25,498						22,625
Stock-based compensation expense					11,455													11,455
Tax benefits from stock awards exercised					23,628													23,628

Balance at June 30, 2006	134,862	$	135	$	602,952		$	960,636	(31,281	)	$	(545,313	)	$	24,434		$	1,042,844

See notes to condensed consolidated financial statements.

DAVITA INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(unaudited)

(dollars 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.

Condensed consolidated interim financial statements

The condensed consolidated interim financial statements included in this report are prepared by the Company without audit. In the opinion of management, all adjustments consisting only of normal recurring items necessary for a fair presentation of the results of operations are reflected in these 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 assets, liabilities, revenues and expenses. The most significant estimates and assumptions underlying these financial statements and accompanying notes generally involve revenue recognition and provisions for uncollectible accounts, impairments and valuation adjustments, accounting for income taxes, variable compensation accruals, purchase accounting valuation estimates and stock-based compensation. The results of operations for the three and six months ended June 30, 2006 are not necessarily indicative of the operating results for the full year. The 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, 2005. The operating results for prior periods have been adjusted to retroactively reflect the operating results of the historical DaVita divested centers and a terminated management services agreement as discontinued operations. Prior year balances and amounts have been classified to conform to the current year presentation.

Earnings per share

Basic net income per share is calculated by dividing net income by the weighted average number of common shares plus vested stock units outstanding. Diluted net income per share includes the dilutive effect of stock options and unvested stock units (under the treasury stock method).

DAVITA INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)

(unaudited)

(dollars in thousands, except per share data)

The reconciliations of the numerators and denominators used to calculate basic and diluted net income per share are as follows:


	Three months ended June 30,					Six months ended June 30,
	2006			2005		2006			2005
	(shares in thousands)
Basic:
Income from continuing operations	$	64,329		$	48,127	$	122,109		$	100,097
Income from 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

Weighted average shares outstanding during the period		103,428			100,428		102,995			99,890
Vested stock units		51			49		51			49

Weighted average shares for basic earnings per share calculations		103,479			100,477		103,046			99,939

Basic earnings per share from continuing operations	$	0.62		$	0.48	$	1.18		$	1.00
Income from discontinued operations		—			0.05		—			0.09
Loss on disposal of discontinued operations		(0.01	)		—		(0.01	)		—

Basic earnings per share	$	0.61		$	0.53	$	1.17		$	1.09

Diluted:
Income from continuing operations	$	64,329		$	48,127	$	122,109		$	100,097
Income from discontinued operations, net of tax		—			4,816		—			9,180
Loss on disposal of discontinued operations, net of tax		(1,092	)		—		(1,403	)		—

Net income for diluted earnings per share calculation	$	63,237		$	52,943	$	120,706		$	109,277

Weighted average shares outstanding during the period		103,428			100,428		102,995			99,890
Vested stock units		51			49		51			49
Assumed incremental shares from stock plans		2,166			3,368		2,440			3,573

Weighted average shares for diluted earnings per share calculation		105,645			103,845		105,486			103,512

Diluted earnings per share from continuing operations	$	0.61		$	0.46	$	1.16		$	0.97
Income from discontinued operations		—			0.05		—			0.09
Loss on disposal of discontinued operations		(0.01	)		—		(0.02	)		—

Diluted earnings per share	$	0.60		$	0.51	$	1.14		$	1.06

Shares associated with stock options that have exercise prices greater than the average market price of shares outstanding during the period were not included in the computation of diluted earnings per share because they were anti-dilutive. These excluded shares were as follows:


	Three months ended June 30,				Six months ended June 30,
	2006		2005		2006		2005
Stock option shares not included in computation (shares in 000’s)		199		0		156		23
Exercise price range of shares not included in computation:
Low	$	52.54	$	—	$	54.71	$	42.68
High	$	60.21	$	—	$	60.21	$	43.50

DAVITA INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)

(unaudited)

(dollars in thousands, except per share data)

Stock-based compensation

Effective January 1, 2006, the Company implemented Statement of Financial Accounting Standards No. 123(R) Share-Based Payment, which requires the measurement and recognition of compensation for all stock-based awards made to employees and directors, including stock options, stock units, stock appreciation rights and employee stock purchases. Under this standard, the Company’s stock-based compensation awards are measured at estimated grant-date fair value and recognized as compensation expense over their requisite service periods. FAS 123(R) supersedes the Company’s previous accounting under Accounting Principles Board Opinion No. 25 Accounting for Stock Issued to Employees, under which the Company did not recognize compensation expense for most stock options. In March 2005, the Securities and Exchange Commission issued Staff Accounting Bulletin No. 107 relating to the application of FAS 123(R), and the Company has applied the provisions of SAB 107 in its adoption of FAS 123(R).

The Company implemented FAS 123(R) using the modified prospective transition method. In accordance with this method, our condensed consolidated financial statements for periods prior to the first quarter of 2006 have not been restated to reflect this change. The standard also requires that tax benefits realized from stock award exercise gains in excess of stock-based compensation expense recognized for financial statement purposes be reported as cash flows from financing activities rather than as operating cash flows. We also elected to use the method available under FASB Staff Position FSP No. 123(R)-3 Transition Election Related to Accounting for the Tax Effects of Share-Based Payment Awards, which provides an alternative method for calculating historical excess tax benefits from the method described in FAS 123(R) for stock-based compensation awards.

Under FAS 123(R), stock-based compensation recognized during a period is based on the estimated grant-date fair value of the portion of the stock-based award vesting during that period, adjusted for expected forfeitures. Stock-based compensation recognized in the Company’s condensed consolidated financial statements for the six months ended June 30, 2006 includes compensation cost for stock-based awards granted prior to, but not fully vested as of, December 31, 2005 and stock-based awards granted in the first six months of 2006. The Company previously recognized the effect of stock unit forfeitures as they occurred, and the effect of transitioning to recognition of expense based on expected forfeitures was insignificant. Shares issued upon exercise of stock awards are generally issued from shares in treasury.

Stock-based compensation plans and arrangements

The Company’s stock-based compensation plans and arrangements are described below.

2002 Plan. The DaVita Inc. 2002 Equity Compensation Plan provides for grants of stock-based awards to employees, directors and other individuals providing services to the Company, except that incentive stock options may only be awarded to employees. The plan mandates a maximum award term of five years, and stipulates that stock options and stock appreciation rights be granted with prices not less than the market price on the date of grant. The plan further requires that full share awards such as stock units reduce shares available under the plan at a rate of 2.75:1. The Company’s nonqualified stock options and nonqualified stock units awarded under this plan generally vest over 48 to 60 months from the date of grant. At June 30, 2006, there were 5,249,700 stock options and 279,123 stock units outstanding and 11,295,334 shares available for future grants under this plan. On July 1, 2006, the Company granted 2,214,500 stock-settled stock appreciation rights to employees under this plan, which generally vest over 24 to 52 months from the date of grant.

DAVITA INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)

(unaudited)

(dollars in thousands, except per share data)

1999 Plan. The 1999 Non-Executive Officer and Non-Director Equity Compensation Plan provides for grants of stock options to employees and other individuals providing services, other than executive officers and members of the Board of Directors. The Company awards nonqualified stock options under this plan which are generally issued with exercise prices equal to the market price of the stock on the date of grant, vest over 48 to 52 months from the date of grant and bear maximum award terms of five years. At June 30, 2006, there were 1,659,518 stock options outstanding and 218,061 shares available for future grants under this plan.

Predecessor plans. Upon shareholder approval of the 2002 Plan on April 11, 2002, the following predecessor plans were terminated, except with respect to options then outstanding: the 1994 Equity Compensation Plan, the 1995 Equity Compensation Plan, the 1997 Equity Compensation Plan, and the 1999 Equity Compensation Plan. Shares available for future grants under these predecessor plans were transferred to the 2002 Plan upon its approval, and cancelled predecessor plan awards become available for new awards under the 2002 Plan. Stock options granted under these plans were generally issued with exercise prices equal to the market price of the stock on the date of grant, vested over four years from the date of grant, and bore maximum award terms of five to 10 years. The RTC Plan, a special purpose option plan related to the merger between the Company and Renal Treatment Centers, Inc. in 1998, was terminated in 1999. At June 30, 2006, there were 1,011,201 stock options outstanding under these terminated plans.

Deferred stock unit arrangements. During 2001 through 2003, the Company made nonqualified stock unit awards to members of the Board of Directors and certain key executive officers under stand-alone deferred stock unit arrangements. These awards vest over one to four years and are settled in stock when they vest or at a later date at the election of the recipient. At June 30, 2006, there were 96,278 stock units outstanding under these arrangements.

A combined summary of the status of awards under these stock-based compensation plans and arrangements is as follows:


	Six months ended June 30, 2006
	Stock options						Stock units
	Awards			Weighted average exercise price		Weighted average remaining contractual life	Awards			Weighted average remaining contractual life
Outstanding at beginning of year		9,269,781		$	26.73			474,956
Granted		437,500		$	53.16			47,141
Exercised		(1,462,620	)	$	15.47			(103,106	)
Forfeited		(324,242	)	$	33.03			(43,590	)

Outstanding at end of period		7,920,419		$	30.01	3.1		375,401		3.1

Awards exercisable at end of period		3,358,212		$	17.35	2.3		50,548		2.2

Weighted-average fair value of awards granted during the period	$	12.43					$	49.11

DAVITA INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)

(unaudited)

(dollars in thousands, except per share data)


Range of exercise prices	Awards outstanding	Weighted average exercise price		Awards exercisable	Weighted average exercise price
$ 0.00–$ 0.00	375,401	$	—	50,548	$	—
$ 0.01–$10.00	840,319		4.41	840,319		4.41
$10.01–$20.00	2,045,867		14.31	1,519,173		14.36
$20.01–$30.00	761,484		27.88	221,419		27.60
$30.01–$40.00	1,233,349		31.03	559,305		30.67
$40.01–$50.00	2,103,250		45.80	217,996		43.38
$50.01–$60.00	919,150		52.06	—		—
$60.01–$70.00	17,000		60.21	—		—

Total	8,295,820	$	28.65	3,408,760	$	17.09

For the six months ended June 30, 2006, the aggregate intrinsic value of stock awards exercised was $65,900. At June 30, 2006, the aggregate intrinsic value of stock awards outstanding was $177,000 and the aggregate intrinsic value exercisable was $111,200. For the six months ended June 30, 2005, the aggregate intrinsic value of stock awards exercised was $70,700.

Estimated fair value of stock-based compensation awards

The Company has estimated the grant-date fair value of stock option awards using the Black-Scholes-Merton valuation model and stock unit awards at intrinsic value on the date of grant. The following assumptions were used in estimating the grant-date fair values of stock options and determining the total stock-based compensation attributable to the current period:

Expected term of the awards: The expected term of awards granted represents the period of time that they are expected to remain outstanding from the date of grant. The Company determines the expected term of its stock awards based on historical experience with similar awards, considering the contractual terms and vesting schedules of the awards.

Expected volatility: The Company estimates the volatility of the price of its common stock over the expected term of each award based on the historical price volatility of our common stock over the most recent period commensurate with the expected term of the award.

Expected dividend yield: The Company has not paid dividends on its common stock and has no current plans to pay dividends in the future.

Risk-free interest rate: The Company bases the expected risk-free interest rate on the implied yield currently available on stripped interest coupons of U.S. Treasury issues with a remaining term equivalent to the expected term of the award.

DAVITA INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)

(unaudited)

(dollars in thousands, except per share data)

A summary of the valuation inputs described above used for estimating the grant-date fair value of stock options granted in the periods indicated is as follows:


	Six months ended June 30,
	2006	2005
		pro-forma
Expected term	2.9 years	3.5 years
Expected volatility	25.0%	28.4%
Expected dividend yield	0.0%	0.0%
Risk-free interest rate	4.8%	3.7%

The Company estimates expected forfeitures based upon historical experience with separate groups of employees that have exhibited similar forfeiture behavior. Stock-based compensation expense is recorded for the awards that are expected to vest.

For the six months ended June 30, 2006, the Company recognized $11,455 in stock-based compensation expense for stock options, stock units and employee stock purchases, which is included in general and administrative expenses in continuing operations. The estimated tax benefit recorded for this stock-based compensation was $4,456. As of June 30, 2006, there was $42,400 of total estimated unrecognized compensation cost related to nonvested stock-based compensation arrangements under the Company’s equity compensation and stock purchase plans. The Company expects to recognize this cost over a weighted average remaining period of 1.5 years.

During the six months ended June 30, 2006, the Company received $22,625 in cash proceeds from stock option exercises and $23,628 in total actual tax benefits upon the exercise of stock awards.

Pro forma year to date comparison under FAS 123(R) and APB 25

The following table presents the impact of the adoption of FAS 123(R) on selected items from the Company’s condensed consolidated financial statements for the six months ended June 30, 2006:


	Six months ended June 30, 2006
	As reported under FAS 123(R)			If reported under APB 25
Condensed consolidated statement of income:
Operating income	$	333,827		$	343,067
Income from continuing operations before taxes	$	201,779		$	211,019
Income from continuing operations	$	122,109		$	127,727
Net income	$	120,706		$	126,324
Basic earnings per share from continuing operations	$	1.18		$	1.24
Basic earnings per share	$	1.17		$	1.23
Diluted earnings per share from continuing operations	$	1.16		$	1.21
Diluted earnings per share	$	1.14		$	1.19
Condensed consolidated statement of cash flows:
Net cash provided by operating activities	$	232,526		$	254,580
Net cash used in financing activities	$	(165,527	)	$	(187,581	)

DAVITA INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)

(unaudited)

(dollars in thousands, except per share data)

Pro forma prior year-to-date results under FAS 123

The weighted average grant-date fair value of stock awards granted in the three and six months ended June 30, 2005 was $12.11 and $12.28, respectively. If the Company had adopted the fair value-based compensation expense provisions of Statement of Financial Accounting Standards No. 123 upon the issuance of that standard, net earnings and net earnings per share for the six months ended June 30, 2005 would have been adjusted to the pro forma amounts indicated below (shares in 000’s):


	Three months ended June 30, 2005			Six months ended June 30, 2005
Net income:
As reported	$	52,943		$	109,277
Add: Stock-based employee compensation expense included in reported net income, net of tax		633			1,154
Deduct: Total stock-based employee compensation expense under the fair value-based method, net of tax		(3,264	)		(6,197	)

Pro forma net income	$	50,312		$	104,234

Pro forma basic earnings per share:
Pro forma net income for basic earnings per share calculation	$	50,312		$	104,234

Weighted average shares outstanding		100,428			99,890
Vested stock units		49			49

Weighted average shares for basic earnings per share calculation		100,477			99,939

Basic net income per share—Pro forma	$	0.50		$	1.04

Basic net income per share—As reported	$	0.53		$	1.09

Pro forma diluted earnings per share:
Pro forma net income for diluted earnings per share calculation	$	50,312		$	104,234

Weighted average shares outstanding		100,428			99,890
Vested stock units		49			49
Assumed incremental shares from stock plans		3,256			3,445

Weighted average shares for diluted earnings per share calculation		103,733			103,384

Diluted net income per share—Pro forma	$	0.49		$	1.01

Diluted net income per share—As reported	$	0.51		$	1.06

Employee stock purchase plan. The Employee Stock Purchase Plan entitles qualifying employees to purchase up to $25 of the Company’s common stock during each calendar year. The amounts used to purchase stock are accumulated through payroll withholdings or through optional lump sum payments made in advance of the first day of the purchase right period. This compensatory plan allows employees to purchase stock for the lesser of 100% of the fair market value on the first day of the purchase right period or 85% of the fair market value on the last day of the purchase right period. Purchase right periods begin on January 1 and July 1, and end on December 31. Payroll withholdings and lump-sum payments related to the plan, included in accrued compensation and benefits, were $2,669 and $3,263 at June 30, 2006 and December 31, 2005, respectively. During the six months ended June 30, 2006, 80,442 shares were issued to satisfy obligations under the plan for

DAVITA INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)

(unaudited)

(dollars in thousands, except per share data)

purchase right periods in 2005. The fair value of employees’ purchase rights was estimated as of the beginning dates of the purchase right periods beginning January 1, 2006 and 2005 using the Black-Scholes-Merton valuation model with the following assumptions, respectively: expected volatility of 21% and 30%, risk-free interest rate of 4.8% and 3.3%, and no dividends. Using these assumptions, the estimated fair value of these purchase rights was $12.65 and $11.04 for January 1, 2006 and 2005, respectively.

Long-term debt

Long-term debt was comprised of the following:


	June 30, 2006			December 31, 2005
Term loan A	$	279,250		$	341,250
Term loan B		2,300,875			2,443,875
Senior and senior subordinated notes		1,350,000			1,350,000
Capital lease obligations		6,933			7,320
Acquisition obligations and other notes payable		6,997			14,757

		3,944,055			4,157,202
Less current portion		(5,008	)		(71,767	)

	$	3,939,047		$	4,085,435

Scheduled maturities of long-term debt at June 30, 2006 were as follows:


2006	$	3,358
2007		16,892
2008		54,464
2009		62,733
2010		88,077
2011		639,731
Thereafter		3,078,800

During the first six months of 2006, the Company made principal prepayments of $53,000 on the term loan A and $137,000 on the term loan B. On August 1, 2006, the Company made an additional $120,000 principal prepayment on the term loan B. Because of these principal prepayments, the Company’s next mandatory principal payments are $12,375 in 2007 for the term loan A and $453,625 in 2011 for the term loan B.

On March 1, 2006, the Company’s interest rate margins on its term loan A and term loan B (collectively the Credit Facility), were reduced by 0.25% as a result of achieving certain financial ratios as defined in the Credit Facility. The term loan A currently bears interest at LIBOR plus 1.75% and the term loan B currently bears interest at LIBOR plus 2.00%. The margins are subject to adjustment depending upon changes in certain financial ratios of the Company and can range from 1.50% to 2.25% for the revolving credit facility and term loan A, and 2.00% to 2.25% for the term loan B.

The Company’s senior and senior subordinated notes consist of $500,000 of 6⁵/8% senior notes due 2013 and $850,000 of 7¹/4% senior subordinated notes due 2015. The notes are guaranteed by substantially all of the Company’s direct and indirect wholly-owned subsidiaries and require semi-annual interest payments. The

DAVITA INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)

(unaudited)

(dollars in thousands, except per share data)

Company may redeem some or all of the senior notes at any time on or after March 15, 2009 and some or all of the senior subordinated notes at any time on or after March 15, 2010.

As of June 30, 2006, the Company maintained a total of nine interest rate swap agreements, with notional amounts totaling $1,518,500. These agreements had the economic effect of modifying the LIBOR-based variable interest rate on the Company’s debt to fixed rates ranging from 3.08% to 4.27%, resulting in an overall weighted average effective interest rate of 5.88% on the hedged portion of the Credit Facility, including the term loan B margin of 2.00%. The swap agreements require quarterly interest payments, bear amortizing notional amounts, and expire in 2008 through 2010. During the first six months of 2006, the Company accrued net cash benefits of $5,943 from these swaps which is included in debt expense. As of June 30, 2006, the total fair value of these swaps was an asset of $48,811 and is principally included in other long-term assets.

Total comprehensive income for the three and six months ended June 30, 2006 was $66,667 and $130,334, respectively, including other comprehensive income valuation gains on swaps of $3,430 and $9,628, respectively, net of tax.

Total comprehensive income for the three and six months ended June 30, 2005 was $43,902 and $106,216, respectively, including other comprehensive income valuation losses on swaps of $9,041 and $3,061, respectively, net of tax.

As of June 30, 2006, the interest rates were economically fixed on approximately 59% of the Company’s variable rate debt and approximately 73% of its total debt.

As a result of the swap agreements, the overall effective weighted average interest rate on the Credit Facility was 6.51%, based upon the current margins in effect ranging from 1.75% to 2.00%, as of June 30, 2006.

The Company’s overall average effective interest rate excluding amortization of deferred financing costs during the second quarter of 2006 was 6.60% and as of June 30, 2006 was 6.69%.

The Company has undrawn revolving credit facilities totaling $250,000 of which approximately $50,000 was committed for outstanding letters of credit.

Contingencies

The majority of the Company’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 fiscal intermediaries or regulatory authorities; (3) differing opinions regarding a patient’s medical diagnosis or the medical necessity of services provided; (4) retroactive applications or interpretations of governmental requirements, and (5) potential claims for refunds from private payors as a result of government actions.

United States Attorney inquiries

On March 4, 2005, the Company received a subpoena from the United States Attorney’s Office, or U.S. Attorney’s Office, for the Eastern District of Missouri in St. Louis. The subpoena requires production of a wide range of documents relating to the Company’s operations, including documents related to, among other things, pharmaceutical and other services provided to patients, relationships with pharmaceutical companies, and

DAVITA INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)

(unaudited)

(dollars in thousands, except per share data)

financial relationships with physicians and joint ventures. The subpoena covers the period from December 1, 1996 through the present. The subpoena significantly overlaps with the subject matter of the investigation being conducted by the United States Attorney’s Office for the Eastern District of Pennsylvania discussed below. 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 (EPO). The Company is producing documents and providing information to the government. The Company is also cooperating, and intends to continue to cooperate, with the government’s investigation, including by participating in discussions and meetings with the government. The subpoenas have been issued in connection with a joint civil and criminal investigation. It is possible that criminal proceedings may be initiated against the Company in connection with this inquiry. Any negative findings could result in substantial financial penalties against the Company, exclusion from future participation in the Medicare and Medicaid programs and criminal penalties. To the Company’s knowledge, no proceedings have been initiated against it at this time. Although the Company cannot predict whether or when proceedings might be initiated or when these matters may be resolved, it is not unusual for investigations such as this to continue for a considerable period of time. Responding to the subpoenas will continue to require management’s attention and significant legal expense.

On October 25, 2004, the Company received a subpoena from the U.S. Attorney’s Office for the Eastern District of New York in Brooklyn. The subpoena covers the period from 1996 to present and requires the production of a wide range of documents relating to the Company’s operations, including DaVita Laboratory Services. The subpoena also includes specific requests for documents relating to testing for parathyroid hormone levels (PTH), and to products relating to vitamin D therapies. The subpoena has been issued in connection with a joint civil and criminal investigation. It is possible that criminal proceedings may be initiated against the Company in connection with this inquiry. Any negative findings could result in substantial financial penalties against the Company and DVA Renal Healthcare, exclusion from future participation in the Medicare and Medicaid programs and criminal penalties. Other participants in the dialysis industry received a similar subpoena, including Fresenius Medical Group, Renal Care Group and DVA Renal Healthcare, which was acquired by the Company in October of 2005. To the Company’s knowledge, no proceedings have been initiated against the Company or DVA Renal Healthcare at this time. Although the Company cannot predict whether or when proceedings might be initiated or when these matters may be resolved, it is not unusual for investigations such as these to continue for a considerable period of time. Responding to the subpoena will continue to require management’s attention and significant legal expense.

In February 2001, the Civil Division of the U.S. Attorney’s Office for the Eastern District of Pennsylvania in Philadelphia contacted the Company and requested its cooperation in a review of some of its historical practices, including billing and other operating procedures and the Company’s financial relationships with physicians. The Company cooperated in this review and provided the requested records to the U.S. Attorney’s Office. In May 2002, the Company received a subpoena from the U.S. Attorney’s Office and the Philadelphia Office of the Office of Inspector General of the Department of Health and Human Services (OIG). The subpoena requires an update to the information the Company provided in its response to the February 2001 request, and also seeks a wide range of documents relating to pharmaceutical and other ancillary services provided to patients, including laboratory and other diagnostic testing services, as well as documents relating to the Company’s financial relationships with physicians and pharmaceutical companies. The subpoena covers the period from May 1996 to May 2002. The Company has provided the documents requested and continues to cooperate with the United States Attorney’s Office and the OIG in its investigation. If this review proceeds, the government could expand its areas of concern. To the Company’s knowledge, no proceedings have been initiated against it at this time. Although the Company cannot predict whether or when proceedings might be initiated or when these

DAVITA INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)

(unaudited)

(dollars in thousands, except per share data)

matters may be resolved, it is not unusual for investigations such as this to continue for a considerable period of time. Any negative findings could result in substantial financial penalties against the Company and exclusion from future participation in the Medicare and Medicaid programs.

Other

The Company has received several informal inquiries from representatives of the New York Attorney General’s Medicaid Fraud Control Unit (MFCU) regarding certain aspects of the EPO practices taking place at facilities managed by the Company in New York. The Company is cooperating with the MFCU’s informal inquiries and has provided documents and information to the MFCU. To the best of the Company’s knowledge, no proceedings have been initiated against the Company and the MFCU has not indicated an intention to do so, although the Company cannot predict whether it will receive further inquiries or whether or when proceedings might be initiated.

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 Company is evaluating the claims and intends to vigorously defend itself in the matter. It also intends to vigorously oppose the certification of this matter as a class action. At this time, the Company cannot estimate the range of damages, if any.

On August 8, 2005, Blue Cross/Blue Shield of Louisiana filed a complaint in the United States District Court for the Western District of Louisiana against Gambro AB, DVA Renal Healthcare and related entities. The plaintiff sought to bring its claims as a class action on behalf of itself and all entities that paid any of the defendants for health care goods and services from on or about January 1991 through at least December 2004. The complaint alleged, among other things, damages resulting from facts and circumstances underlying DVA Renal Healthcare’s December 2004 settlement agreement with the Department of Justice and certain agencies of the United States Government. In March 2006, the case was dismissed and the plaintiff was compelled to seek arbitration to resolve the matter. In August 2006, the plaintiff proceeded with a demand to compel arbitration. At this time, the Company cannot estimate the potential range of damages, if any. The Company is investigating these claims and continues to vigorously defend itself in the matter.

In addition to the foregoing, the Company is subject to claims and suits in the ordinary course of business, including from time to time, contractual disputes and professional and general liability claims. The Company may also be subject to additional claims by commercial payors and other third parties relating to billing practices and, other matters covered by the DVA Renal Healthcare settlement agreement with the Department of Justice. 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 the Company’s financial condition, results of operations or cash flows.

Other commitments

The Company has obligations to purchase the third-party interests in several of its joint ventures. These obligations are in the form of put provisions in joint venture agreements, and are exercisable at the third-party owners’ discretion. If these put provisions are exercised, the Company would be required to purchase the third-party owners’ interests at either the appraised fair market value or a predetermined multiple of cash flow or earnings, which approximates fair value. As of June 30, 2006, the Company’s potential obligations under these

DAVITA INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)

(unaudited)

(dollars in thousands, except per share data)

put provisions totaled approximately $177,000 of which approximately $92,000 was exercisable within one year. Additionally, the Company has certain other potential commitments to provide operating capital to several minority-owned centers and to third-party centers that the Company operates under administrative service agreements of approximately $15,000.

The Company is obligated under mandatorily redeemable instruments in connection with certain consolidated joint ventures. Future distributions may be required for the minority partner’s interests in limited-life entities which dissolve after terms of ten to fifty years. As of June 30, 2006, such distributions would be valued below the related minority interests balances in the consolidated balance sheet.

Acquisitions

During the first six months of 2006, the Company acquired dialysis businesses consisting of 14 centers, for a total of $68,131 in cash and deferred purchase price obligations. The assets and liabilities for all acquisitions were recorded at their estimated fair market values at the dates of the acquisitions and are included in the Company’s financial statements and operating results from the designated effective date of the acquisitions. The operating results of these acquisitions for the six months ended June 30, 2006 were not material.

The initial purchase cost allocations for acquired businesses are recorded at fair values based upon the best information available to management and are finalized when identified pre-acquisition contingencies have been resolved and other information arranged to be obtained has been received.

The total purchase cost allocations were as follows:


	June 30, 2006
Tangible assets	$	4,098
Amortizable intangible assets		5,907
Goodwill		58,126

Total purchase costs	$	68,131

The amortizable intangible assets acquired are amortized using the straight-line method over a weighted-average amortization period of ten years. The goodwill associated with these acquisitions is expected to be deductible for tax purposes over a period of 15 years.

In October 2005, the Company completed its acquisition of DVA Renal Healthcare (formerly known as Gambro Healthcare, Inc.). The initial allocations of purchase cost have been recorded at fair value based upon the best information available to management at the time. The fair values of certain property and equipment and intangible assets and liabilities have been valued by an independent third party. However, specific assets and liabilities, including certain properties and leasehold improvements and settlement liabilities, as well as unresolved contingencies (Note 5), remain outstanding. The Company is currently in the process of obtaining the additional information required to properly assess and finalize the potential impact of changes in these valuations, if any, to the consolidated financial statements. The Company does not expect the impact of such additional adjustments to be material. Any valuation adjustments that would be recorded would be offset with a corresponding adjustment to goodwill in the periods resolved.

DAVITA INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)

(unaudited)

(dollars in thousands, except per share data)

On May 29, 2006, the Company notified Gambro Renal Products Inc (Gambro Renal Products) that the Company was terminating the Alliance and Product Supply Agreement (the Supply Agreement) with Gambro AB and Gambro Renal Products. The Supply Agreement was entered into on October 5, 2005, in conjunction with the Company’s acquisition of DVA Renal Healthcare and committed the Company to purchase a significant majority of its hemodialysis products supplies and equipment at fixed prices. The Company’s termination notice claims a material breach by Gambro Renal Products for failure to perform its obligations under the Supply Agreement. Termination of the Supply Agreement will be effective 90 days after notice of the breach unless Gambro Renal Products has cured such breach within the 90-day period, or if a cure is not possible, within the 90-day period, Gambro Renal Products has commenced or is diligently working on steps that the Company and Gambro Renal Products mutually agree would result in a cure or prevent a similar subsequent breach. The Company and Gambro Renal Products are working to resolve these issues, but the Company cannot predict when or how these matters will be resolved.

Pro forma information

The following summary, prepared on a pro forma basis, combines the results of operations for the acquisition of DVA Renal Healthcare and the related divestitures (See Note 8) for the first six months of 2005, as if these transactions were consummated as of the beginning of 2005.


	Six months ended June 30, 2005
Pro forma net revenues	$	2,117,330
Pro forma income from continuing operations		104,834
Pro forma basic income per share from continuing operations		1.05
Pro forma diluted income per share from continuing operations		1.01

Discontinued operations

Effective January 1, 2006, the Company completed the sale of three centers to Renal Advantage, Inc. that were pending state regulatory approval. These centers were part of the total number of outpatient dialysis centers that were divested in conjunction with the consent order issued by the Federal Trade Commission in order for the Company to complete the acquisition of DVA Renal Healthcare but were deferred until the Company obtained the required state regulatory approval. The Company received net cash of $17,518 for these three divested centers and recorded a loss of $311, net of tax, during the first quarter of 2006. The loss on disposal of these centers includes an income tax expense totaling $1,272, of which $900 is related to the write off of book goodwill not deductible for tax purposes.

Net assets as of January 1, 2006 of the three divested centers sold were as follows:


Current assets	$	157
Property and equipment, net		1,050
Goodwill		15,382
Liabilities		(32	)

Net assets from discontinued operations	$	16,557

DAVITA INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)

(unaudited)

(dollars in thousands, except per share data)

The results of operations of the total historical DaVita outpatient centers that were either divested or held for sale in 2005 are reflected as discontinued operations as follows:


	Three months ended June 30, 2005		Six months ended June 30, 2005
Net operating revenues	$	31,962	$	63,294
Income before income taxes		7,883		15,028
Income tax		3,067		5,848

Income from discontinued operations	$	4,816	$	9,180

During the second quarter of 2006, the Company recorded a loss of $1,092, net of tax, as an adjustment to the previously reported gain on disposal of discontinued operations.

Significant new accounting standard

In June 2006, the Financial Accounting Standards Board issued Interpretation 48 (FIN 48) Accounting for Income Tax Uncertainties, which clarifies the accounting for uncertainty in income taxes recognized in the financial statements in accordance with SFAS Statement No. 109 Accounting for Income Taxes. The Interpretation prescribes a recognition threshold of more-likely-than-not and a measurement attribute on all tax positions taken or expected to be taken in a tax return in order to be recognized in the financial statements. In making this assessment, a Company must determine whether it is more-likely-than-not that a tax position will be sustained upon examination, including resolution of any related appeals or litigation processes, based solely on the technical merits of the position and that the tax position will be examined by appropriate taxing authority that would have full knowledge of all relevant information. Once the recognition threshold is met, the tax position is then measured to determine the actual amount of benefit to recognize in the financial statements. In addition, the recognition threshold of more-likely-than-not must continue to be met in each reporting period to support continued recognition of the tax benefit. Tax positions that previously failed to meet the more-likely-than-not recognition threshold should be recognized in the first financial reporting period in which that threshold is met. Previously recognized tax positions that no longer meet the more-likely-than-not recognition threshold should be derecognized in the financial reporting period in which that threshold is no longer met. The Interpretation is effective for fiscal years beginning after December 15, 2006. The Company is assessing the expected impact of this Interpretation on its consolidated financial statements.

10.

Condensed consolidating financial statements

The following information is presented in accordance with Rule 3-10 of Regulation S-X. The operating and investing activities of the separate legal entities included in the consolidated financial statements are fully interdependent and integrated. Revenues and operating expenses of the separate legal entities include intercompany charges for management and other services. The senior notes and the senior subordinated notes were issued by the Company and are guaranteed by substantially all of the Company’s direct and indirect wholly-owned subsidiaries. Each of the guarantor subsidiaries has guaranteed the notes on a joint and several, full and unconditional basis. Non-wholly-owned subsidiaries, joint venture partnerships and other third parties are not guarantors of these obligations.

DAVITA INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)

(unaudited)

(dollars in thousands, except per share data)

Condensed Consolidating Statements of Income


For the three months ended June 30, 2006	DaVita Inc.			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Consolidating Adjustments			Consolidated Total
Net operating revenues	$	84,091		$	1,059,116		$	153,816		$	(89,207	)	$	1,207,816
Operating expenses		46,933			944,288			125,350			(89,207	)		1,027,364
Minority interests		—			—			—			8,700			8,700

Operating income		37,158			114,828			28,466			(8,700	)		171,752
Debt (expense) income		8,642			(76,787	)		(291	)		—			(68, 436	)
Other income, net		2,973			—			—			—			2,973
Income tax expense		19,022			22,938			—			—			41,960
Discontinued operations, net of tax		—			(1,092	)		—			—			(1,092	)
Equity earnings in subsidiaries		33,486			19,475			—			(52,961	)		—

Net income	$	63,237		$	33,486		$	28,175		$	(61,661	)	$	63,237


For the three months ended June 30, 2005
Net operating revenues	$	49,046		$	520,503		$	101,216		$	(53,680	)	$	617,085
Operating expenses		31,205			450,174			81,279			(53,680	)		508,978
Minority interests		—			—			—			5,676			5,676

Operating income		17,841			70,329			19,937			(5,676	)		102,431
Debt (expense) income and swap losses		(4,851	)		(21,547	)		(618	)		—			(27,016	)
Other income		2,065			—			—			—			2,065
Income tax expense		5,871			23,286			196			—			29,353
Discontinued operations		—			2,548			2,268			—			4,816
Equity earnings in subsidiaries		43,759			15,715			—			(59,474	)		—

Net income	$	52,943		$	43,759		$	21,391		$	(65,150	)	$	52,943


For the six months ended June 30, 2006	DaVita Inc.			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Consolidating Adjustments			Consolidated Total
Net operating revenues	$	164,371		$	2,080,845		$	301,054		$	(175,266	)	$	2,371,004
Operating expenses		92,473			1,858,676			245,393			(175,266	)		2,021,276
Minority interests		—			—			—			15,901			15,901

Operating income		71,898			222,169			55,661			(15,901	)		333,827
Debt (expense) income		18,023			(156,018	)		(900	)		—			(138,895	)
Other income, net		6,847			—			—			—			6,847
Income tax expense		37,740			41,884			46			—			79,670
Discontinued operations, net of tax		—			(1,403	)		—			—			(1,403	)
Equity earnings in subsidiaries		61,678			38,814			—			(100,492	)		—

Net income	$	120,706		$	61,678		$	54,715		$	(116,393	)	$	120,706


For the six months ended June 30, 2005
Net operating revenues	$	96,580		$	1,019,548		$	185,265		$	(105,682	)	$	1,195,711
Operating expenses		60,567			878,859			151,182			(105,682	)		984,926
Minority interests		—			—			—			9,494			9,494

Operating income		36,013			140,689			34,083			(9,494	)		201,291
Debt (expense) income, refinancing charges and swap gains		(569	)		(41,280	)		(1,178	)		—			(43,027	)
Other income, net		3,682			—			—			—			3,682
Income tax expense		15,259			46,224			366			—			61,849
Discontinued operations, net of tax		—			5,223			3,957			—			9,180
Equity earnings in subsidiaries		85,410			27,002			—			(112,412	)		—

Net income	$	109,277		$	85,410		$	36,496		$	(121,906	)	$	109,277

DAVITA INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)

(unaudited)

(dollars in thousands, except per share data)

Condensed Consolidating Balance Sheets


As of June 30, 2006	DaVita Inc.		Guarantor Subsidiaries		Non-Guarantor Subsidiaries		Consolidating Adjustments			Consolidated Total
Cash and cash equivalents	$	339,319		—		—		—		$	339,319
Accounts receivable, net		—	$	761,633	$	97,532		—			859,165
Other current assets		10,687		408,443		12,009		—			431,139

Total current assets		350,006		1,170,076		109,541		—			1,629,623
Property and equipment, net		40,847		638,194		108,337		—			787,378
Amortizable intangibles, net		67,920		154,762		2,087		—			224,769
Investments in subsidiaries		3,744,522		379,535		—	$	(4,124,057	)		—
Receivables from subsidiaries		916,561		—		74,558		(991,119	)		—
Other long-term assets and investments		45,203		2,905		11,390		—			59,498
Goodwill		—		3,419,159		220,984		—			3,640,143

Total assets	$	5,165,059	$	5,764,631	$	526,897	$	(5,115,176	)	$	6,341,411

Current liabilities	$	168,308	$	782,267	$	30,472		—		$	981,047
Payables to parent and subsidiaries		—		991,119		—	$	(991,119	)		—
Long-term debt and other long-term liabilities		3,953,907		246,723		8,898		—			4,209,528
Minority interests		—		—		—		107,992			107,992
Shareholders’ equity		1,042,844		3,744,522		487,527		(4,232,049	)		1,042,844

Total liabilities and shareholders’ equity	$	5,165,059	$	5,764,631	$	526,897	$	(5,115,176	)	$	6,341,411


As of December 31, 2005
Cash and cash equivalents	$	431,811		—		—		—		$	431,811
Accounts receivable, net		—	$	749,288	$	104,272		—			853,560
Other current assets		5,877		350,035		13,125		—			369,037

Total current assets		437,688		1,099,323		117,397		—			1,654,408
Property and equipment, net		34,319		611,828		103,931		—			750,078
Amortizable intangibles, net		73,407		158,980		3,557		—			235,944
Investments in subsidiaries		3,616,683		333,106		—	$	(3,949,789	)		—
Receivables from subsidiaries		1,038,182		—		8,486		(1,046,668	)		—
Other long-term assets and investments		30,273		4,933		9,743		—			44,949
Goodwill		—		3,399,112		195,271		—			3,594,383

Total assets	$	5,230,552	$	5,607,282	$	438,385	$	(4,996,457	)	$	6,279,762

Current liabilities	$	285,956	$	691,172	$	12,605		—		$	989,733
Payables to parent and subsidiaries		—		1,046,668		—	$	(1,046,668	)		—
Long-term debt and other long-term liabilities		4,093,987		252,759		4,035		—			4,350,781
Minority interests		—		—		—		88,639			88,639
Shareholders’ equity		850,609		3,616,683		421,745		(4,038,428	)		850,609

Total liabilities and shareholders’ equity	$	5,230,552	$	5,607,282	$	438,385	$	(4,996,457	)	$	6,279,762

DAVITA INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(continued)

(unaudited)

(dollars in thousands, except per share data)

Condensed Consolidating Statements of Cash Flows


For the six months ended June 30, 2006	DaVita Inc.			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Consolidating Adjustments			Consolidated Total
Cash flows from operating activities Net income	$	120,706		$	61,678		$	54,715		$	(116,393	)	$	120,706
Changes in operating and intercompany assets and liabilities and non cash items included in net income		(51,542	)		132,809			(85,840	)		116,393			111,820

Net cash provided by (used in) operating activities		69,164			194,487			(31,125	)		—			232,526

Cash flows from investing activities Additions of property and equipment, net		(9,886	)		(90,269	)		(15,207	)		—			(115,362	)
Acquisitions and purchases of other ownership interests		—			(69,578	)		—			—			(69,578	)
Proceeds from divestitures and asset sales		12,742			8,356			—			—			21,098
Other items		—			(42,151	)		46,502			—			4,351

Net cash provided by (used in) investing activities		2,856			(193,642	)		31,295			—			(159,491	)

Cash flows from financing activities Long-term debt		(212,505	)		(845	)		(170	)		—			(213,520	)
Other items		47,993			—			—			—			47,993

Net cash used in financing activities		(164,512	)		(845	)		(170	)		—			(165,527	)

Net decrease in cash and cash equivalents		(92,492	)		—			—			—			(92,492	)
Cash and cash equivalents at beginning of period		431,811			—						—			431,811

Cash and cash equivalents at end of period	$	339,319		$	—		$	—		$	—		$	339,319


For the six months ended June 30, 2005
Cash flows from operating activities Net income	$	109,277		$	85,410		$	36,496		$	(121,906	)	$	109,277
Changes in operating and intercompany assets and liabilities and non cash items included in net income		(38,065	)		86,239			(61,756	)		121,906			108,324

Net cash provided by (used in) operating activities		71,212			171,649			(25,260	)		—			217,601

Cash flows from investing activities Additions of property and equipment, net		(1,607	)		(44,293	)		(20,005	)		—			(65,905	)
Acquisitions and purchases of other ownership interests		—			(88,683	)		—			—			(88,683	)
Other items		—			(35,195	)		43,136			—			7,941

Net cash (used in) provided by investing activities		(1,607	)		(168,171	)		23,131						(146,647	)

Cash flows from financing activities Long-term debt		(8,616	)		(3,478	)		2,129			—			(9,965	)
Other items		(207	)		—			—			—			(207	)

Net cash (used in) provided by financing activities		(8,823	)		(3,478	)		2,129			—			(10,172	)

Net increase in cash and cash equivalents		60,782			—			—			—			60,782
Cash and cash equivalents at beginning of period		251,979			—			—			—			251,979

Cash and cash equivalents at end of period	$	312,761		$	—		$	—		$	—		$	312,761

Item 2.

Management’s Discussion and Analysis of Financial Condition and Results of Operations.

Forward looking statements

This Quarterly Report on Form 10-Q contains statements that are forward-looking statements within the meaning of the federal securities laws. All statements that do not concern historical facts are forward-looking statements and include, among other things, statements about our expectations, beliefs, intentions and/or strategies for the future. These forward-looking statements include statements regarding our future operations, financial condition and prospects, expectations for treatment growth rates, revenue per treatment, expense growth, levels of the provision for uncollectible accounts receivable, operating income, cash flow, operating cash flow, the impact of SFAS No. 123(R), capital expenditures, the development of new centers and center acquisitions, the impact of the DVA Renal Healthcare acquisition, and our level of indebtedness on our financial performance, including EPS, and anticipated integration costs. These statements involve substantial known and unknown risks and uncertainties that could cause our actual results to differ materially from those described in the forward-looking statements, including, but not limited to, risks resulting from the regulatory environment in which we operate, economic and market conditions, competitive activities, other business conditions, accounting estimates, the concentration of profits generated from preferred provider organizations (PPO) 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, and the subpoenas from the U.S. Attorney’s Office for the Eastern District of Missouri, and DVA Renal Healthcare’s compliance with its corporate integrity agreement, our ability to complete and integrate acquisitions of businesses, the successful integration of DVA Renal Healthcare, including its billing and collection operations and the risk factors set forth in this Quarterly Report on Form 10-Q. We base our forward-looking statements on information currently available to us, and we undertake no obligation to update or revise these statements, whether as a result of changes in underlying factors, new information, future events or otherwise.

Results of operations

The operating results of DVA Renal Healthcare (formerly known as Gambro Healthcare, Inc.) are included in our consolidated financial statements from October 1, 2005. The operating results presented for the three and six months ended June 30, 2005 reflect only continuing operations. Our operating results for the second quarter of 2006 compared with the prior sequential quarter and the same quarter of last year, and the six months ended June 30, 2006 compared with the six months ended June 30, 2005, were as follows:


Continuing Operations	Quarter ended												Six months ended
	June 30, 2006				March 31, 2006				June 30, 2005				June 30, 2006				June 30, 2005
	(dollar amounts rounded to nearest million, except per treatment data)
Current period net operating revenue	$	1,208	100	%	$	1,163	100	%	$	614	100	%	$	2,371	100	%	$	1,193	100	%
Prior year’s Medicare lab recoveries		—				—				3				—				3

Total operating revenues	$	1,208			$	1,163			$	617			$	2,371			$	1,196

Operating expenses and charges:
Patient care costs		843	70	%		818	70	%		413	67	%		1,661	70	%		801	67	%
General and administrative		111	9	%		104	9	%		60	10	%		216	9	%		114	10	%
Depreciation and amortization		42	3	%		42	4	%		25	4	%		84	4	%		49	4	%
Provision for uncollectible accounts		31	3	%		30	3	%		11	2	%		61	3	%		21	2	%
Minority interest and equity income, net		9	1	%		7	1	%		6	1	%		16	1	%		9	1	%

Total operating expenses and charges		1,036	86	%		1,001	86	%		515	84	%		2,037	86	%		994	83	%

Operating income	$	172			$	162			$	102			$	334			$	201

Dialysis treatments		3,602,567				3,501,032				1,856,522				7,103,599				3,618,052
Average dialysis treatments per treatment day		46,187				45,468				23,802				45,830				23,342
Average dialysis revenue per dialysis treatment	$	319			$	317			$	313			$	318			$	313

Net Operating Revenues

Total operating revenues. Net operating revenues for the second quarter of 2006 increased by approximately $45 million or approximately 4%, compared with the first quarter of 2006. An increase in the number of dialysis treatments accounted for approximately 3%, with the balance of approximately 1% due to an increase in the average revenue per treatment. The increase in the number of dialysis treatments was due to an additional treatment day during the second quarter of 2006, growth from routine acquisitions, as well as non-acquired growth. The increase in the average revenue per treatment of approximately $2 during the second quarter of 2006 as compared to the first quarter of 2006 resulted primarily from improved revenue capture and cash collection performance by our combined billing and collection organization.

The substantial increase in current period net operating revenues for the second quarter of 2006 and for the six months ended June 30, 2006, compared to the same periods in 2005 was principally the result of the acquisition of DVA Renal Healthcare, which generated approximately $500 million, and $975 million of net operating revenue in the second quarter of 2006, and for the six months ended June 30, 2006, respectively.

On a pro forma basis, including DVA Renal Healthcare and giving effect to related divestitures, net operating revenues for the second quarter of 2005 and for the six months ended June 30, 2005 would have been approximately $1,082 million and $2,117 million, respectively. The increase in net operating revenues of approximately $126 million in the second quarter of 2006, and $254 million for the six months ended June 30, 2006, as compared to the pro forma amounts for the same periods of in 2005, was attributable to an increase in the number of dialysis treatments of approximately 7.3% for the second quarter of 2006, and 7.7% for the six months ended June 30, 2006, an increase in the average revenue per treatment of approximately 3% for both periods and the remaining 1.5% of the increase was due to additional lab, management fees and ancillary revenue.

The average dialysis revenue per treatment was $319 for the second quarter of 2006 and $318 for the six months ended June 30, 2006 as compared to pro forma revenue per treatment of $310 and $309 for the same periods of 2005. The higher average revenue per treatment was primarily due to increases in our standard government payment rates, and improvements in revenue capture and cash collection performance.

Operating Expenses and Charges

Patient care costs. Patient care costs were approximately 69.8% of total operating revenues for the second quarter of 2006, as compared to 70.3% and 67.3% for the first quarter of 2006 and second quarter of 2005, respectively. On a per-treatment basis, patient care costs were relatively flat as compared with the first quarter of 2006 and increased approximately $11 compared with the second quarter of 2005. For the first six months of 2006, patient care costs were approximately 70.0% of total operating revenues, as compared to 67.1% for the same period of 2005. On a per-treatment basis, patient care costs increased approximately $12 in the first six months of 2006 as compared to the first six months of 2005. The increase in 2006 over 2005 was primarily due to higher labor and benefit costs, increases in the intensity of physician prescribed pharmaceuticals and higher medical supply costs.

General and administrative expenses. General and administrative expenses were 9.2% of total operating revenues for the second quarter of 2006, as compared to 9.0% and 9.7% for the first quarter of 2006 and second quarter of 2005, respectively. In absolute dollars, general and administrative expenses for the second quarter of 2006 increased by approximately $7.0 million from the first quarter of 2006. The increase in the second quarter of 2006 compared to the first quarter of 2006 was principally due to integration costs, additional labor and benefit costs, increased legal and support costs for the government investigations and the timing of certain charges and expenditures. For the six months ended June 30, 2006, general and administrative expenses were 9.1% of total operating revenues as compared to 9.6% for the same period in 2005. The increase in absolute dollars in the second quarter of 2006 and for the six months ended June 30, 2006 as compared to the same periods in 2005 was primarily attributable to the DVA Renal Healthcare acquisition, related integration costs, the

implementation of FAS 123(R), the timing of certain charges and expenditures and professional fees for legal and compliance initiatives and government investigations. As a percentage of net operating revenues, general and administrative expenses decreased in the second quarter of 2006 and for the six months ended June 30, 2006, as a result of higher growth in revenue from the DVA Renal Healthcare acquisition.

Depreciation and amortization. The increase in depreciation and amortization in the second quarter of 2006, and for the six months ended June 30, 2006, as compared to the same periods in 2005 was primarily due to the acquisition of DVA Renal Healthcare and growth through other routine acquisitions, new center developments and expansions.

Provision for uncollectible accounts receivable. The provision for uncollectible accounts receivable was 2.6% in the second quarter of 2006 and for the six months ended June 30, 2006. The provision for uncollectible accounts receivable for the same periods in 2005, before the acquisition of DVA Renal Healthcare, was 1.8%. The current provision level of 2.6% is expected to be relatively stable for the foreseeable future.

Debt expense. Debt expense of $68.4 million in the second quarter of 2006 decreased by approximately $2.0 million from the first quarter of 2006. The decrease was primarily due to principal prepayments paid during the second quarter and additional capitalized interest. The overall average effective interest rate excluding amortization of deferred financing costs for the second quarter of 2006 was 6.6% compared to 6.6% for the first quarter of 2006, and 7.1% for the second quarter of 2005.

For the second quarter of 2006 and for the six months ended June 30, 2006, the substantial increase in debt expense as compared to the second quarter of 2005 and the six months ended June 30, 2005, was attributable to additional borrowings under our new Credit Facility that were used to fund the acquisition of DVA Renal Healthcare in October 2005.

Minority interests and equity income, net. Minority interests and equity income, net increased in the second quarter of 2006 and for the six months ended June 30, 2006, by approximately $3.0 million and $6.4 million, respectively, as compared to the same periods in 2005. These increases reflect an ongoing trend toward a higher percentage of our new and existing centers having minority partners, additional joint venture centers as a result of the DVA Renal Healthcare acquisition, as well as continued growth in the profitability of our joint ventures.

Accounts receivable

Our accounts receivable balances at June 30, 2006 and March 31, 2006 were $859 million and $859 million respectively, which represented approximately 67 and 69 days of revenue, respectively, net of bad debt provision. Our DSO calculation is based on the current quarter’s average revenue per day. There were no significant changes during the second quarter of 2006 in the amount of unreserved accounts receivable or the amounts pending approval from third-party payors.

Outlook

Outlook for 2006. 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, and actual results may vary significantly from these current projections. These risks, among others, include those relating to the concentration of profits generated from PPO 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 and the subpoenas from the U.S. Attorney’s Office for the Eastern

District of Missouri, and DVA Renal Healthcare’s 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. You should read “Risk Factors” in this Quarterly Report on Form 10-Q and the forward looking statements and associated risks as discussed in Item 2 on page 22 for more information about these and other potential risks. We undertake no obligation to update or revise these projections, whether as a result of changes in underlying factors, new information, future events or otherwise.

Liquidity and Capital Resources

Liquidity and capital resources. Cash flow from operations during the second quarter of 2006 was $256 million, compared to $106 million during the second quarter of 2005. Non-operating cash outflows for the second quarter of 2006 included capital asset expenditures of $67 million, of which $37 million was for new center developments and relocations, and $47 million for acquisitions. Non-operating cash outflows for the second quarter of 2005 included capital asset expenditures of $41 million, of which $22 million was for new center developments, and approximately $84 million for acquisitions. During the second quarter of 2006 we acquired eight dialysis centers, including one center where we previously provided administrative services, opened 10 new dialysis centers and closed three centers. During the second quarter of 2005, we acquired 30 new dialysis centers and opened 15 new dialysis centers.

Cash flow from operations during the first six months of 2006 amounted to $233 million, compared to $218 million for the first six months of 2005. The first six months of 2006 included an income tax payment of approximately $85 million associated with divestitures of certain centers in conjunction with the DVA Renal Healthcare acquisition and also included cash interest payments of approximately $140 million on our debt. Non-operating cash outflows for the first six months of 2006 included capital asset expenditures of $115 million, of which $64 million was for new center developments and relocations, and $70 million for acquisitions. Non-operating cash outflows for the first six months of 2005 included capital asset expenditures of $66 million, of which $40 million was for new center developments, and approximately $89 million for acquisitions and approximately $29 million for deferred financing costs associated with the issuance of our senior notes. During the first six months of 2006 we acquired 14 dialysis centers, including one center where we previously provided administrative services, opened 16 new dialysis centers, divested and closed nine centers, and provided administrative services to two new centers. During the first six months of 2005, we acquired 31 new dialysis centers and opened 25 new dialysis centers.

We expect to spend $125 to $135 million in 2006 for capital asset expenditures related to routine maintenance items and information technology equipment and approximately $150 to $180 million for new center development, relocations and acquisitions. We continue to expect to open 40 new centers during 2006. We expect to generate approximately $450 million to $500 million of operating cash flow in 2006, which excludes the $85 million divestiture tax payment and the tax benefit from stock option exercises under FAS 123(R).

During the first quarter of 2006, we determined that we would not make an election pursuant to Section 338(h)(10) of the Internal Revenue Code which we had previously reported we were considering making in connection with our acquisition of DVA Renal Healthcare. If we had made such an election, it would have required an additional cash payment to Gambro Inc. estimated to be approximately $170 million. Subsequent to this decision, we made principal prepayments of $53 million on the term loan A and $137 million on the term loan B. On August 1, 2006, we made an additional $120 million principal prepayment on the term loan B. Because of these principal prepayments, our next mandatory principal payments are $12.4 million in 2007 for the term loan A and $454 million in 2011 for the term loan B.

On March 1, 2006, our interest rate margins on our term loan A and term loan B (collectively the Credit Facility), were reduced by 0.25% as a result of achieving certain financial ratios as defined in the Credit Facility. The term loan A currently bears interest at LIBOR plus 1.75% and the term loan B currently bears interest at LIBOR plus 2.00%. The margins are subject to adjustment depending upon changes in our financial ratios and can range from 1.50% to 2.25% for the revolving credit facility and term loan A, and 2.00% to 2.25% for the term loan B.

Our senior and senior subordinated notes consist of $500 million of 6⁵/8% senior notes due 2013 and $850 million of 7¹/4% senior subordinated notes due 2015. The notes are guaranteed by substantially all of our direct and indirect wholly-owned subsidiaries and require semi-annual interest payments. We may redeem some or all of the senior notes at any time on or after March 15, 2009 and some or all of the senior subordinated notes at any time on or after March 15, 2010.

As of June 30, 2006, we maintained a total of nine interest rate swap agreements, with notional amounts totaling $1,519 million. These agreements had the economic effect of modifying the LIBOR-based variable interest rate on our debt to fixed rates ranging from 3.08% to 4.27%, resulting in an overall weighted average effective interest rate of 5.88%, on the hedged portion of our Credit Facility, including the term loan B margin of 2.00%. The swap agreements require quarterly interest payments, bear amortizing notional amounts, and expire in 2008 through 2010. During the first six months of 2006, we accrued net cash benefits of $5.9 million from these swaps which is included in debt expense. As of June 30, 2006, the total fair value of these swaps was an asset of $48.8 million. We recorded $9.6 million, net of tax, of additional comprehensive income for the change in fair value of the effective portions of these swaps during the first six months of 2006.

As of June 30, 2006, the interest rates were economically fixed on approximately 59% of our variable rate debt and approximately 73% of our total debt.

Our overall average effective interest rate excluding amortization of deferred financing costs during the second quarter of 2006 was 6.60% and as of June 30, 2006 was 6.69%.

We have undrawn revolving credit facilities totaling $250 million of which approximately $50 million was committed for outstanding letters of credit.

We believe that we will have sufficient liquidity and operating cash flows to fund our scheduled debt service and other obligations over the next twelve months.

Stock-based compensation

Effective January 1, 2006, we implemented Statement of Financial Accounting Standards No. 123(R) Share-Based Payment, which requires the measurement and recognition of compensation for all stock-based awards made to employees and directors, including stock options, stock units, stock appreciation rights, and employee stock purchases. Under this standard, the Company’s stock-based compensation awards are measured at estimated grant-date fair value and recognized as compensation expense over their requisite service periods. FAS 123(R) supersedes our previous accounting under Accounting Principles Board Opinion No. 25 Accounting for Stock Issued to Employees, under which we did not recognize compensation expense for most stock options. In March 2005, the Securities and Exchange Commission issued Staff Accounting Bulletin No. 107 relating to the application of FAS 123(R), and we have applied the provisions of SAB 107 in its adoption of FAS 123(R).

We implemented FAS 123(R) using the modified prospective transition method. In accordance with this method, our condensed consolidated financial statements for periods prior to the first quarter of 2006 have not been restated to reflect this change. The standard also requires that tax benefits realized from stock award exercise gains in excess of stock-based compensation expense recognized for financial statement purposes be

reported as cash flows from financing activities rather than as operating cash flows. We also elected to use the method available under FASB Staff Position FSP No. 123(R)-3 Transition Election Related to Accounting for the Tax Effects of Share-Based Payment Awards, which provides an alternative method for calculating historical excess tax benefits from the method described in FAS 123(R) for stock-based compensation awards.

Under FAS 123(R), stock-based compensation recognized during a period is based on the estimated grant-date fair value of the portion of the stock-based award vesting during that period, adjusted for expected forfeitures. Stock-based compensation recognized in our condensed consolidated financial statements for the first six months of 2006 includes compensation cost for stock-based awards granted prior to, but not fully vested as of, December 31, 2005 and stock-based awards granted in the first six months of 2006. We previously recognized the effect of stock unit forfeitures as they occurred, and the effect of transitioning to recognition of expense based on expected forfeitures was insignificant. Shares issued upon exercise of stock awards are generally issued from shares in treasury. We have utilized the Black-Scholes-Merton valuation model for estimating the fair value of stock options granted during the six months ended June 30, 2006, as well as for stock option grants during all prior periods.

For the six months ended June 30, 2006, we recognized $11.5 million in stock-based compensation expense for stock options, stock units and employee stock purchases which is included in general and administrative expenses in continuing operations. The estimated tax benefit recorded for this stock-based compensation was $4.5 million. As of June 30, 2006, there was $42.4 million of total estimated unrecognized compensation cost related to nonvested stock-based compensation arrangements under our equity compensation and stock purchase plans. We expect to recognize this cost over a weighted average remaining period of 1.5 years.

During the six months ended June 30, 2006, we received $22.6 million in cash proceeds from stock option exercises and $23.6 million in actual tax benefits upon the exercise of stock awards.

Alliance and Product Supply Agreement

On May 29, 2006, we notified Gambro Renal Products that we were terminating the Alliance and Product Supply Agreement (the “Supply Agreement”) with Gambro AB and Gambro Renal Products. The Supply Agreement was entered into on October 5, 2005, in conjunction with our acquisition of DVA Renal Healthcare and committed us to purchase a significant majority of our hemodialysis products supplies and equipment at fixed prices. Our termination notice claims a material breach by Gambro Renal Products for failure to perform its obligations under the Supply Agreement. Termination of the Supply Agreement will be effective 90 days after notice of the breach unless Gambro Renal Products has cured such breach within the 90-day period, or if a cure is not possible, within the 90-day period, Gambro Renal Products has commenced or is diligently working on steps that we and Gambro Renal Products mutually agree would result in a cure or prevent a similar subsequent breach. We and Gambro Renal Products are working to resolve these issues but we cannot predict when or how these matters will be resolved.

Significant New Accounting Standard

then measured to determine the actual amount of benefit to recognize in the financial statements. In addition, the recognition threshold of more-likely-than-not must continue to be met in each reporting period to support continued recognition of the tax benefit. Tax positions that previously failed to meet the more-likely-than-not recognition threshold should be recognized in the first financial reporting period in which that threshold is met. Previously recognized tax positions that no longer meet the more-likely-than-not recognition threshold should be derecognized in the financial reporting period in which that threshold is no longer met. The Interpretation is effective for fiscal years beginning after December 15, 2006. We are assessing the expected impact of this Interpretation on our consolidated financial statements.

Item 3.

Quantitative and Qualitative Disclosures About Market Risk

Interest rate sensitivity

The table below provides information, as of June 30, 2006, about our financial instruments that are sensitive to changes in interest rates.


	Expected maturity date												Thereafter		Total		Average interest rate		Fair Value
	2006		2007		2008		2009		2010		2011		Thereafter		Total		Average interest rate		Fair Value
	(dollars in millions)
Long Term Debt
Fixed Rate	$	2	$	4	$	1	$	1	$	—	$	—	$	1,352	$	1,360	7.02	%	$	1,301
Variable rate	$	1	$	13	$	53	$	62	$	88	$	640	$	1,727	$	2,584	6.51	%	$	2,584


	Notional amount		Contract maturity date										Pay fixed	Receive variable	Fair value
	Notional amount		2006		2007		2008		2009		2010		Pay fixed	Receive variable	Fair value
	(dollars in millions)
Swaps:
Pay-fixed swaps	$	1,519	$	179	$	372	$	378	$	401	$	189	3.08% to 4.27%	LIBOR	$	48.8

As of June 30, 2006, we maintained a total of nine interest rate swap agreements, with notional amounts totaling $1,519 million. These agreements had the economic effect of modifying the LIBOR-based variable interest rate on our debt to fixed rates ranging from 3.08% to 4.27%, resulting in an overall weighted average effective interest rate of 5.88% on the hedged portion of the Credit Facility, including the term loan B margin of 2.00%. The swap agreements require quarterly interest payments, bear amortizing notional amounts, and expire in 2008 through 2010. During the first six months of 2006, we accrued net cash benefits of $5.9 million from these swaps which is included in debt expense. As of June 30, 2006, the total fair value of these swaps was an asset of $48.8 million. We recorded $9.6 million, net of tax, of additional comprehensive income for the change in fair value of the effective portions of these swaps during the first six months of 2006.

As of June 30, 2006, the interest rates were economically fixed on approximately 59% of our variable rate debt and approximately 73% of our total debt.

Our overall average effective interest rate excluding amortization of deferred financing costs during the second quarter of 2006 was 6.60% and as of June 30, 2006 was 6.69%.

Item 4.

Controls and Procedures

Management has established and maintains disclosure controls and procedures designed to ensure that information required to be disclosed in the reports that it files or submits pursuant to the Securities Exchange Act

of 1934, as amended, or Exchange Act, is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission’s rules and forms, and that such information is accumulated and communicated to the Company’s management, including its Chief Executive Officer and acting Chief Financial Officer, as appropriate to allow for timely decisions regarding required disclosures.

At the end of the period covered by this report, we carried out an evaluation, under the supervision and with the participation of the Company’s Chief Executive Officer and acting Chief Financial Officer, of the effectiveness of the design and operation of our disclosure controls and procedures in accordance with the Exchange Act requirements. Based upon that evaluation, the Chief Executive Officer and acting Chief Financial Officer concluded that the Company’s disclosure controls and procedures are effective for timely identification and review of material information required to be included in the Company’s Exchange Act reports, including this report on Form 10-Q. Management recognizes that these controls and procedures can provide only reasonable assurance of desired outcomes, and that estimates and judgments are still inherent in the process of maintaining effective controls and procedures.

There has not been any change in the Company’s internal control over financial reporting that was identified during the evaluation that occurred during the fiscal quarter covered by this report on Form 10-Q that has materially affected, or is reasonably likely to materially affect, the Company’s internal control over financial reporting.

PART II

OTHER INFORMATION

Item 1.

Legal Proceedings

The information in Note 5 of the Notes to Condensed Consolidated Financial Statements in Part I, Item 1 of this report is incorporated by this reference in response to this item.

Item 1A.

Risk Factors

This Quarterly Report on Form 10-Q contains statements that are forward-looking statements within the meaning of the federal securities laws. These statements involve known and unknown risks and uncertainties, including the risks discussed below. The risks discussed below are not the only ones facing our business. Please read the cautionary notice regarding forward-looking statements under the heading “Management’s Discussion and Analysis of Financial Condition and Results of Operations”.

If the average rates that commercial payors pay us decline, then our revenues, earnings and cash flows would be substantially reduced.

Approximately 35% of our current dialysis revenues are generated from patients who have commercial payors as the primary payor. The majority of these patients have insurance policies that pay us on terms and at rates materially higher than Medicare rates. We expect that some of our commercial reimbursement rates will be materially lower in the future as a result of general conditions in the market, recent and future consolidations among commercial payors, downward trends in health insurance premiums, increased focus on dialysis services, our acquisition of DVA Renal Healthcare, including the reconciliation of existing contracts with differing rates, and other factors. Consolidations have significantly increased the negotiating leverage of commercial payors. In addition, we believe that payors and employers continue to encourage members to obtain care with in-network providers and network rates are typically lower than out of network rates. If the average rates that commercial payors pay us decline significantly, it would have a material adverse effect on our revenues, earnings and cash flows.

If the number of patients with higher-paying commercial insurance declines, then our revenues, earnings and cash flows would be substantially reduced.

Our revenue levels are sensitive to the percentage of our patients with higher-paying commercial insurance coverage. A patient’s insurance coverage may change for a number of reasons, including as a result of changes in the patient’s or a family member’s employment status. For a patient covered by an employer group health plan, Medicare generally becomes the primary payor after 33 months, or earlier if the patient’s employer group health plan coverage terminates. When Medicare becomes the primary payor, the payment rate we receive for that patient shifts from the employer group health plan rate to the Medicare payment rate. If there is a significant reduction in the number of patients under higher-paying commercial plans relative to government-based programs that pay at lower rates it would have a material adverse effect on our revenues, earnings and cash flows.

Future declines, or the lack of further increases, in Medicare payment rates would reduce our revenues, earnings and cash flows.

Approximately one-half of our current dialysis revenues are generated from patients who have Medicare as their primary payor. The Medicare End Stage Renal Disease (ESRD) program pays us for dialysis treatment services at fixed rates. Unlike most other services covered by Medicare, the Medicare ESRD program has not provided for regular inflation increases in payment rates. Increases in operating costs that are subject to inflation, such as labor and supply costs, have occurred and are expected to continue to occur regardless of whether there is a compensating increase in payment rates. We cannot predict with certainty the nature or extent of future rate changes, if any. To the extent these rates decline or are not adjusted to keep pace with inflation, our revenues, earnings and cash flows would be adversely affected.

Changes in the structure of, and payment rates under, the Medicare ESRD program could substantially reduce our revenues, earnings and cash flows.

The Medicare composite rate is the payment rate for a dialysis treatment, including the supplies used in those treatments, specified laboratory tests and certain pharmaceuticals. Other services and pharmaceuticals, including EPO (a pharmaceutical used to treat anemia, a common complication associated with ESRD), vitamin D analogs and iron supplements, are separately billed. Changes to the structure of the composite rate and separately billable payment rates went into effect January 1, 2006 as Medicare moved payment rates for pharmaceuticals from average acquisition cost to average sale price plus 6%. Future changes in the structure of, and payment rates under, the Medicare ESRD program could substantially reduce our revenues, earnings and cash flows.

Pharmaceuticals are approximately 35% of our current total Medicare revenues. ESRD pharmaceutical payment rates and utilization continue to receive attention from the government, which may lead to reimbursement changes in the future. If Medicare begins to include in its composite payment rate the pharmaceuticals, laboratory services or other ancillary services that it currently pays separately, or if there are further changes to or decreases in the payment rate for these items without a corresponding increase in the composite rate, it could have a material adverse effect on our revenues, earnings and cash flows.

Changes in state Medicaid programs or payment rates could reduce our revenues, earnings and cash flows.

Approximately 5% of our current dialysis revenues are generated from patients who have Medicaid as their primary coverage. As state governments face increasing budgetary pressure, they may propose reductions in payment rates, limitations on eligibility or other changes to Medicaid programs. For example, changes to Medicaid eligibility requirements went into effect July 1, 2006 which mandate that citizen enrollees in Medicaid programs provide documented proof of citizenship. Our revenues, earnings and cash flows could be substantially reduced to the extent that we are not reimbursed for services provided to patients that are unable to satisfy the revised eligibility requirements, including undocumented patients living in the U.S. If state governments reduce the rates paid by those programs for dialysis and related services, limit eligibility for Medicaid coverage or adopt changes similar to those adopted by Medicare, then our revenues, earnings and cash flows could be adversely affected.

Changes in clinical practices and payment rates or rules for EPO and other pharmaceuticals could substantially reduce our revenues, earnings and cash flows.

The administration of EPO and other pharmaceuticals accounts for approximately 35% of our current total dialysis revenues. Changes in physician practice patterns and accepted clinical practices, changes in private and governmental payment criteria, the introduction of new pharmaceuticals and the conversion to alternate types of administration could have a material adverse effect on our revenues, earnings and cash flows.

For example, CMS has issued a new payment coverage policy for EPO that went into effect on April 1, 2006. This new policy restricts doses and payments based on EPO doses for certain patients and may affect physician prescription patterns as they adopt the new policy, which could have a negative impact on our revenues, earnings and cash flows. Additionally, there is a risk that certain of our fiscal intermediaries may choose to interpret the guideline in a manner that further limits payments and thus negatively impacts our revenues, earnings and cash flows.

Changes in EPO pricing and the use and marketing of alternatives to EPO could materially reduce our earnings and cash flows and affect our ability to care for our patients.

Amgen Inc. is the sole supplier of EPO and may unilaterally decide to increase its price for EPO, subject to certain contractual limitations. For example, effective July 1, 2006, Amgen increased its price for EPO by 1%. Further increases in the cost of EPO could have a material adverse effect on our earnings and cash flows. Although our agreement with Amgen for EPO continues for a fixed time period and includes potential pricing discounts depending upon the achievement of certain clinical and other criteria, we cannot predict whether we will continue to receive the discount structure for EPO that we currently receive, or whether we will continue to achieve the same levels of discounts within that structure as we have historically achieved. In addition, our contract with Amgen provides for specific rebates and incentives that are based on patient outcomes, process improvement, data submission, purchase volume growth and some combination of these factors. Factors that could impact our ability to qualify for the discounts, rebates and incentives provided for in our agreement with Amgen include our ability to achieve certain clinical outcomes, changes by CMS to the EPO payment coverage policy that went into effect on April 1, 2006, changes in pharmaceutical intensities and our growth. We have and may from time to time accelerate our EPO purchase volume in a given period to take advantage of certain incentives provided for in the agreement, which could result in an increase in our inventory levels. Failure to qualify for discounts or meet or exceed the targets and earn the specified rebates and incentives could have a material adverse effect on our earnings and cash flows.

Amgen has developed and obtained FDA approval for Aranesp^®, a pharmaceutical used to treat anemia that may replace EPO or reduce its use with dialysis patients. In addition, Roche has developed and is seeking approval for CERA, a pharmaceutical also used to treat anemia. Unlike EPO, which is generally administered in conjunction with each dialysis treatment, these pharmaceuticals are administered less frequently. In the event that these similar alternatives to EPO are marketed for the treatment of dialysis patients, we may realize lower margins on the administration of such pharmaceuticals than are currently realized with EPO. In addition, to the extent such pharmaceuticals begin to be administered to patients through channels other than DaVita, we would no longer realize revenue or profit from such administration. A significant increase in the development and use of similar alternatives to EPO, or a change in administrative practices, could have a material adverse effect on our revenues, earnings and cash flows.

The investigation related to the subpoena we received on March 4, 2005 from the U.S. Attorney’s Office for the Eastern District of Missouri could result in substantial penalties against us.

We are voluntarily cooperating with the U.S. Attorney’s Office for the Eastern District of Missouri with respect to the subpoena we received on March 4, 2005, which requested a wide range of documents relating to our operations, including documents related to, among other things, pharmaceutical and other services provided to patients, relationships with pharmaceutical companies, financial relationships with physicians and joint ventures and the related request for additional documents related to specific medical director and joint venture arrangements we received in October 2005, and the additional subpoena we received in February 2006 requesting documents related to certain patient records relating to the administration and billing of EPO. It is possible that criminal proceedings may be initiated against us in connection with this inquiry. Any negative findings could result in substantial financial penalties against us, exclusion from future participation in the Medicare and Medicaid programs and criminal penalties. To our knowledge, no proceedings have been initiated against us at this time. Although we cannot predict whether or when proceedings might be initiated or when these matters may be resolved, it is not unusual for investigations such as this to continue for a considerable period of time. Responding to the subpoenas will continue to require management’s attention and significant legal expense.

The investigation related to the subpoena we received on October 25, 2004 from the U.S. Attorney’s Office for the Eastern District of New York could result in substantial penalties against us.

We are voluntarily cooperating with the U.S. Attorney’s Office for the Eastern District of New York and the OIG with respect to the subpoena we received on October 25, 2004, which requires production of a wide range of documents relating to our operations, including DaVita Laboratory Services. DVA Renal Healthcare received a similar subpoena in November 2004. It is possible that criminal proceedings may be initiated against us and DVA Renal Healthcare in connection with this inquiry. Any negative findings could result in substantial financial penalties against us and DVA Renal Healthcare, exclusion from future participation in the Medicare and Medicaid programs and criminal penalties. To our knowledge, no proceedings have been initiated against us or DVA Renal Healthcare at this time. Although we cannot predict whether or when proceedings might be initiated or when these matters may be resolved, it is not unusual for investigations such as this to continue for a considerable period of time. Responding to the subpoenas will continue to require management’s attention and significant legal expense.

The pending federal review related to the subpoena we received in May 2002 from the U.S. Attorney’s Office for the Eastern District of Pennsylvania could result in substantial penalties against us.

We are voluntarily cooperating with the Civil Division of the U.S. Attorney’s Office for the Eastern District of Pennsylvania and the OIG in a review of some of our historical practices, including billing and other operating procedures, our financial relationships with physicians and pharmaceutical companies, and the provision of pharmaceutical and other ancillary services to patients, including laboratory and other diagnostic testing services. We are unable to determine when these matters will be resolved, whether any additional areas of inquiry will be opened or any outcome of these matters, financial or otherwise. Any negative findings could result in substantial financial penalties against us and exclusion from future participation in the Medicare and Medicaid program.

If we fail to adhere to all of the complex government regulations that apply to our business, we could suffer severe consequences that would substantially reduce our revenues, earnings and cash flows.

Our dialysis operations are subject to extensive federal, state and local government regulations, including Medicare and Medicaid payment rules and regulations, federal and state anti-kickback laws, the Stark II physician self-referral prohibition and analogous state referral statutes, and federal and state laws regarding the collection, use and disclosure of patient health information. The Medicare and Medicaid reimbursement rules related to claims submission, cost reporting, and payment processes impose complex and extensive requirements upon dialysis providers, and a violation or departure from such requirements may result in government audits, reimbursement recoupment, and the potential loss of certification.

The regulatory scrutiny of healthcare providers, including dialysis providers, has increased significantly in recent years. Medicare has increased the frequency and intensity of its certification inspections of dialysis centers in recent years. For example, we are required to provide substantial documentation related to the administration of pharmaceuticals, including EPO, and, to the extent that any such documentation is found insufficient, we may be required to refund any amounts received from such administration by government or private payors, and be subject to substantial penalties under applicable laws or regulations. In addition, fiscal intermediaries have increased their prepayment and post-payment reviews.

We endeavor to comply with all of the requirements for receiving Medicare and Medicaid payments and to structure all of our relationships with referring physicians to comply with the anti-kickback laws and the Stark II physician self-referral law. However, the laws and regulations in this area are complex and subject to varying interpretations. For example, none of our medical director agreements establishes compensation using the Stark II safe harbor method; rather, compensation under our medical director agreements is the result of individual negotiation and, we believe, exceeds amounts determined under the safe harbor method. If an enforcement agency were to challenge the level of compensation that we pay our medical directors, we could be required to change our practices, face criminal or civil penalties, pay substantial fines or otherwise experience a material adverse effect as a result of a challenge to these arrangements.

Because of regulatory considerations unique to each of these states, all of our dialysis operations in New York and some of our dialysis operations in New Jersey are conducted by privately-owned companies to which we provide a broad range of administrative services. These operations accounted for approximately 6% of our

dialysis revenue for the first six months ended June 30, 2006. We believe that we have structured these operations to comply with the laws and regulations of these states, but we can give no assurances that they will not be challenged.

If any of our operations are found to violate these or other government regulations, we could suffer severe consequences that would have a material adverse effect on our revenues, earnings and cash flows including:

•

Suspension or termination of our participation in government payment programs;

•

Refunds of amounts received in violation of law or applicable payment program requirements;

•

Loss of required government certifications or exclusion from government payment programs;

•

Loss of licenses required to operate healthcare facilities in some of the states in which we operate, including the loss of revenues from operations in New York and New Jersey conducted by privately-owned companies as described above;

•

Reductions in payment rates or coverage for dialysis and ancillary services and related pharmaceuticals;

•

Fines, damages or monetary penalties for anti-kickback law violations, Stark II violations, submission of false claims, civil or criminal liability based on violations of law, or other failures to meet regulatory requirements;

•

Claims for monetary damages from patients who believe their protected health information has been used or disclosed in violation of federal or state patient privacy laws;

•

Mandated practice changes that significantly increase operating expenses; and

•

Termination of relationships with medical directors.

If our joint ventures were found to violate the law, we could suffer severe consequences that would have a material adverse effect on our revenues, earnings and cash flows.

As of June 30, 2006 we owned a controlling interest in approximately 75 dialysis related joint ventures, representing approximately 15% of our dialysis revenue. Many of our joint ventures with physicians or physician groups also have the physician owners providing medical director services to those centers or other centers we own and operate. Because our relationships with physicians are governed by the “anti-kickback” statute contained in the Social Security Act, we have sought to structure our joint venture arrangements to satisfy as many safe harbor requirements as we believe are reasonably possible. However, our joint venture arrangements do not satisfy all elements of any safe harbor under the federal anti-kickback statute. Based on the exceptions applicable to ESRD services, we believe that our joint venture arrangements and operations materially comply with the Stark II law. The subpoena we received from the United States Attorney’s Office for the Eastern District of Missouri on March 4, 2005, includes a request for documents related to our joint ventures. If our joint ventures are found to be in violation of the anti-kickback statute or the Stark provisions, we could be required to restructure the joint ventures or refuse to accept referrals for designated health services from the physicians with whom the joint venture centers have a financial relationship. We also could be required to repay amounts received from Medicare and certain other payors by the joint ventures pursuant to prohibited referrals, and we could be subject to monetary penalties and exclusion from government healthcare programs. If our joint venture centers are subject to any of these penalties, we could suffer severe consequences that would have a material adverse effect on our revenues, earnings and cash flows.

There are significant estimating risks associated with the amount of dialysis revenue that we recognize and if we are unable to accurately estimate our revenue, it could impact the timing of our revenue recognition or have a significant impact on our operating results.

There are significant estimating risks associated with the amount of dialysis revenue that we recognize for a reporting period. Ongoing insurance coverage changes, geographic coverage differences, differing interpretations

of contract coverage, and other payor issues complicate the billing and collection process. Determining applicable primary and secondary coverage for our more than 100,000 patients at any point in time, together with the changes in patient coverages that occur each month, requires complex, resource-intensive processes and errors in determining the correct coordination of benefits may result in refunds to payors. Revenues associated with Medicare and Medicaid programs are also subject to estimating risk related to the amounts not paid by the primary government payor that will ultimately be collectible from other government programs paying secondary coverage, the patient’s commercial health plan secondary coverage or the patient. Collections, refunds and payor retractions typically continue to occur for up to three years and longer after services are provided. If our estimates of dialysis revenue are materially inaccurate, it could impact the timing of our revenue recognition or have a significant impact on our operating results.

We may be subject to liability claims for damages and other expenses not covered by insurance that could reduce our earnings and cash flows.

The administration of dialysis and related services to patients may subject us to litigation and liability for damages. Our business, profitability and growth prospects could suffer if we face negative publicity or we pay damages or defense costs in connection with a claim that is outside the scope of any applicable insurance coverage, including claims related to contractual disputes, professional and general liability claims and claims from commercial payors and other third parties relating to DVA Renal Healthcare’s settlement with the Department of Justice. We currently maintain programs of general and professional liability insurance. However, a successful professional liability, malpractice or negligence claim in excess of our insurance coverage could have a material adverse effect on our earnings and cash flows.

In addition, if our costs of insurance and claims increase, then our earnings could decline. Market rates for insurance premiums and deductibles have been steadily increasing. Our earnings and cash flows could be materially and adversely affected by any of the following:

•

further increases in premiums and deductibles;

•

increases in the number of liability claims against us or the cost of settling or trying cases related to those claims; and

•

an inability to obtain one or more types of insurance on acceptable terms.

If businesses we acquire have liabilities that we are not aware of, we could suffer severe consequences that would substantially reduce our revenues, earnings and cash flows.

Our business strategy includes the acquisition of dialysis centers and businesses that own and operate dialysis centers, as well as other ancillary businesses. Businesses we acquire may have unknown or contingent liabilities or liabilities that are in excess of the amounts that we estimated. Although we generally seek indemnification from the sellers of businesses we acquire for matters that are not properly disclosed to us, we are not always successful. In addition, even in cases where we are able to obtain indemnification, we may discover liabilities greater than the contractual limits or the financial resources of the indemnifying party. In the event that we are responsible for liabilities substantially in excess of any amounts recovered through rights to indemnification, we could suffer severe consequences that would substantially reduce our revenues, earnings and cash flows.

If a significant number of physicians were to cease referring patients to our dialysis centers, whether due to regulatory or other reasons, then our revenues, earnings and cash flows would be substantially reduced.

Many physicians prefer to have their patients treated at dialysis centers where they or other members of their practice supervise the overall care provided as medical directors of the centers. As a result, the primary referral source for most of our centers is often the physician or physician group providing medical director services to the center. Additionally, both current and former medical directors have no obligation to refer their

patients to our centers. If a medical director agreement terminates, whether before or at the end of its term, and a new medical director is appointed, it may negatively impact the former medical director’s decision to treat his or her patients at our center. Also, if the quality of service levels at our centers deteriorates, it may negatively impact patient referrals and treatment volumes.

Our medical director contracts are for fixed periods, generally three to ten years. Medical directors have no obligation to extend their agreements with us. We may take actions to restructure existing relationships or take positions in negotiating extensions of relationships to assure compliance with the safe harbor provisions of the anti-kickback statute, Stark II law and other similar laws. These actions could negatively impact the decision of physicians to extend their medical director agreements with us or to refer their patients to us. If the terms of any existing agreement are found to violate applicable laws, we may not be successful in restructuring the relationship which could lead to the early termination of the agreement, or force the physician to stop referring patients to the centers.

The level of our current and future debt could have an adverse impact on our business.

We have substantial debt outstanding, including debt we incurred to finance the DVA Renal Healthcare acquisition. In addition, we may incur additional indebtedness in the future. The high level of our indebtedness, among other things, could:

•

make it difficult for us to make payments on our debt securities;

•

increase our vulnerability to general adverse economic and industry conditions;

•

require us to dedicate a substantial portion of our cash flow from operations to payments on our indebtedness, thereby reducing the availability of our cash flow to fund working capital, capital expenditures, acquisitions and investments and other general corporate purposes;

•

expose us to interest rate fluctuations to the extent we have variable rate debt;

•

limit our flexibility in planning for, or reacting to, changes in our business and the markets in which we operate;

•

place us at a competitive disadvantage compared to our competitors that have less debt; and

•

limit our ability to borrow additional funds.

If additional debt financing is not available when required or is not available on acceptable terms, we may be unable to grow our business, take advantage of business opportunities, respond to competitive pressures or refinance maturing debt, any of which could have a material adverse effect on our operating results and financial condition.

We will require a significant amount of cash to service our indebtedness. Our ability to generate cash depends on many factors beyond our control.

Our ability to make payments on our indebtedness and to fund planned capital expenditures and expansion efforts, including any strategic acquisitions we may make in the future, will depend on our ability to generate cash. This, to a certain extent, is subject to general economic, financial, competitive, regulatory and other factors that are beyond our control.

We cannot assure that our business will generate sufficient cash flow from operations in the future, that our currently anticipated growth in revenue and cash flow will be realized on schedule or that future borrowings will be available to us in an amount sufficient to enable us to service our indebtedness, including the senior and senior subordinated notes, or to fund other liquidity needs. We may need to refinance all or a portion of our indebtedness on or before maturity. Our senior secured credit facilities are secured by substantially all of our and our subsidiaries’ assets. As such, our ability to refinance our debt or seek additional financing could be limited by

such security interest. We cannot assure that we will be able to refinance our indebtedness on commercially reasonable terms or at all.

If the current shortage of skilled clinical personnel continues or if we experience a higher than normal turnover rate for DVA Renal Healthcare employees during integration, we may experience disruptions in our business operations and increases in operating expenses.

We are experiencing increased labor costs and difficulties in hiring nurses due to a nationwide shortage of skilled clinical personnel. We compete for nurses with hospitals and other health care providers. This nursing shortage may limit our ability to expand our operations. If we are unable to hire skilled clinical personnel when needed, our operations and treatment growth will be negatively impacted, which would result in reduced revenues, earnings and cash flows.

In order to successfully integrate the DVA Renal Healthcare operations into our own, we require the services of DVA Renal Healthcare’s clinical, operating and administrative employees. If we experience a higher than normal turnover rate for DVA Renal Healthcare employees, we may not be able to effectively integrate DVA Renal Healthcare’s systems and operations.

The acquisition of DVA Renal Healthcare was significantly larger than any other acquisition we have made to date. The integration of DVA Renal Healthcare centers into our operations is significant and we may not realize anticipated benefits.

The DVA Renal Healthcare acquisition is the largest acquisition we have made to date. There is a risk that, due to the size of the acquisition, we will be unable to integrate DVA Renal Healthcare into our operations as effectively as we have prior acquisitions, which would result in fewer benefits to us from the acquisition than anticipated as well as increased costs. The integration of the DVA Renal Healthcare operations requires implementation of appropriate operations, management and financial reporting systems and controls as well as integration of the clinical protocols, policies and procedures of both companies. We may experience difficulties in our ability to successfully bill and collect for services rendered as a result of our upgrade and integration of the billing and collection systems. We may experience difficulties in effectively implementing these and other systems and integrating DVA Renal Healthcare’s systems and operations. The failure to successfully integrate these and other systems could have a material adverse impact on our revenues, cash flows and operating results.

In addition, the integration of DVA Renal Healthcare continues to require the focused attention of our management team, including a significant commitment of their time and resources, which could distract them from non-integration matters. The need for management to focus on integration matters could have a material and adverse impact on our revenues and operating results. If the integration is not successful or if our DVA Renal Healthcare operations are less profitable than we anticipated, our results of operations and financial condition may be materially and adversely affected.

If DVA Renal Healthcare does not comply with its corporate integrity agreement, or DVA Renal Healthcare otherwise has failed or fails to comply with applicable government regulations to its operations, we could be subject to additional penalties and otherwise may be materially harmed.

DVA Renal Healthcare entered into a settlement agreement with the Department of Justice and certain agencies of the United States government relating to the Department of Justice’s investigation of DVA Renal Healthcare’s Medicare and Medicaid billing practices and its relationships with physicians and pharmaceutical manufacturers. If DVA Renal Healthcare does not comply with the terms of the corporate integrity agreement or otherwise has failed or fails to comply with the extensive federal, state and local government regulations applicable to its operations, we could be subject to additional penalties, including monetary penalties or exclusion from participation in government programs, and otherwise may be materially harmed. The costs associated with compliance with the corporate integrity agreement and cooperation with the government are

substantial and may be greater than we currently experience. In addition, as a result of the settlement agreement, commercial payors and other third parties may initiate legal proceedings against DVA Renal Healthcare related to the billing practices and other matters covered by the settlement agreement.

We have assumed substantially all of DVA Renal Healthcare’s liabilities, including contingent liabilities. If these liabilities are greater than expected, or if there are unknown DVA Renal Healthcare obligations, our business could be materially and adversely affected.

As a result of the DVA Renal Healthcare acquisition, we assumed substantially all of DVA Renal Healthcare’s liabilities, including contingent liabilities. We may learn additional information about DVA Renal Healthcare’s business that adversely affects us, such as unknown liabilities, or issues that could affect our ability to comply with laws and regulations governing dialysis operations. As a result, we cannot assure that the DVA Renal Healthcare acquisition will not ultimately harm our business. Among other things, if DVA Renal Healthcare’s liabilities are greater than expected, or if there are obligations of DVA Renal Healthcare of which we are not currently aware, our business could be materially and adversely affected.

We have limited indemnification rights in connection with the settlement agreement and other regulatory compliance and litigation matters affecting DVA Renal Healthcare, as well as with known contingent liabilities of DVA Renal Healthcare that we assumed in connection with the acquisition. DVA Renal Healthcare may also have other unknown liabilities of which we are not currently aware that we assumed in connection with the acquisition. If we are responsible for liabilities not covered by indemnification rights or substantially in excess of amounts covered through any indemnification rights, we could suffer severe consequences that would substantially reduce our revenues, earnings and cash flows.

The integration of DVA Renal Healthcare and the realization of cost savings will require us to make significant expenditures.

In order to obtain the cost savings and operating income that we believe the integration of DVA Renal Healthcare should provide, we are required to make significant expenditures. We are in the process of integrating DVA Renal Healthcare but the extent and amount of these expenditures remains uncertain. In addition, we may not achieve the cost savings we expect through the integration of the DVA Renal Healthcare operations regardless of our expenditures, which failure would materially and adversely affect our financial results.

If we lose the services of a significant number of DVA Renal Healthcare’s medical directors, our results of operations could be harmed.

Certain of DVA Renal Healthcare’s contracts with its medical directors provide that the contract is terminable upon a change of control of DVA Renal Healthcare. These termination provisions were triggered by our acquisition of DVA Renal Healthcare. If we lose the services of a significant number of DVA Renal Healthcare’s medical directors and if they set up competing centers and our patients decide to receive treatments at their centers, our results of operations may be harmed.

Our alliance and product supply agreement with Gambro Renal Products Inc. will limit our ability to achieve cost savings with respect to products and equipment we are required to purchase under this agreement.

We entered into a ten-year alliance and product supply agreement with Gambro Renal Products Inc., a subsidiary of Gambro AB, pursuant to which we are required to purchase from Gambro Renal Products specified percentages representing a significant majority of our requirements for hemodialysis products, supplies and equipment at fixed prices. This will limit our ability to realize future cost savings in regard to these products and equipment. For the year ended December 31, 2005, our total spending on hemodialysis products, supplies and

equipment was approximately 8% of our total operating costs. On May 29, 2006, we notified Gambro Renal Products that we are terminating the agreement claiming a material breach by Gambro Renal Products for failure to perform its obligations under the agreement. If Gambro Renal Products continues to be unable to fulfill its obligations under the agreement, we may have difficulty finding alternative sources of supplies on favorable financial terms, further reducing our ability to achieve cost savings. For example, Gambro Renal Products is currently having difficulty meeting our requirements for hemodialysis machines and while we are in the process of arranging for alternative supply sources, we may have difficulty finding alternative supply sources for these machines in the future. In addition, as we replace existing equipment from other third-party manufacturers with Gambro Renal Products’ equipment, we may incur additional expenses as we transition to this new equipment.

Our ability to effectively provide the services we offer could be negatively impacted if certain of our suppliers are unable to meet our needs, which could substantially reduce our revenues, earnings and cash flows.

We have significant suppliers that are either the sole or primary source of products critical to the services we provide or to which we have committed obligations to make purchases, including Amgen, Gambro Renal Products, Baxter Healthcare Corporation, as well as others. If any of these suppliers are unable to meet our needs for the products they supply and we are not able to find adequate alternative sources, our revenues, earnings and cash flows could be substantially reduced.

Item 2.

Unregistered Sales of Equity Securities and Use of Proceeds

(c) Stock Repurchases

On September 11, 2003, we announced that the Board of Directors authorized the repurchase of up to $200 million of our common stock, with no expiration date. On November 2, 2004, we announced that the Board of Directors approved an increase in our authorization to repurchase shares of our common stock by an additional $200 million. We are authorized to make purchases from time to time in the open market or in privately negotiated transactions, depending upon market conditions and other considerations. However, under the terms of the Credit Facility and the indentures governing our senior and senior subordinated notes, we have share repurchase limitations.

There were no repurchases of our common stock during the three-month period ended June 30, 2006. We have approximately $249 million available from Board authorizations to repurchase shares of our common stock as of June 30, 2006.

Item 4.

Submission of Matters to a Vote of Security Holders.

Our Annual Meeting of Stockholders was held on May 15, 2006.

Proposal 1 submitted to our stockholders at the meeting was the election of directors. The following directors were elected at the meeting with the number of votes cast for each director or withheld from each director set forth after the director’s respective name:


Name	Votes For	Authority Withheld
Nancy-Ann DeParle	91,944,261	2,391,712
Richard B. Fontaine	91,672,356	2,663,617
Peter T. Grauer	90,061,628	4,274,345
C. Raymond Larkin, Jr.	94,206,178	129,795
John M. Nehra	91,669,468	2,666,505
William L. Roper, M.D.	94,205,458	130,515
Kent J. Thiry	92,588,681	1,747,292
Richard C. Vaughan	94,204,669	131,304

Proposal 2 submitted to our stockholders at the meeting was to ratify the appointment of KPMG LLP as our independent registered public accounting firm for fiscal year 2006. Results of the voting were as follows:


	Votes For	Votes Against	Abstentions
Ratify the appointment of KPMG LLP as our independent registered public accounting firm for fiscal year 2006	88,822,238	5,490,552	23,216

Items 3 and 5 are not applicable

Item 6.

Exhibits.

(a) Exhibits


Exhibit Number

10.1		Employment Agreement, effective September 22, 2005, by and between DaVita Inc. and James Hilger. ü*

10.2		Form of Stock Appreciation Rights Agreement -Employee (DaVita Inc. 2002 Equity Compensation Plan) (1)*

10.3		Form of Non-Qualified Stock Option Agreement -Employee (DaVita Inc. 2002 Equity Compensation Plan). (1)*

10.4		Form of Restricted Stock Units Agreement -Employee (DaVita Inc. 2002 Equity Compensation Plan). (1)*

10.5		Employment Agreement, effective September 1, 2006, by and between DaVita Inc. and Mark G. Harrison. (1)*

12.1		Ratio of earnings to fixed charges. ü

31.1		Certification of the Chief Executive Officer, dated August 2, 2006, 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 2, 2006, 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 2, 2006, 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 2, 2006, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. ü

Filed herewith.

Management contract or executive compensation plan or agreement.

(1)

Filed on July 6, 2006 as an exhibit to the Company’s Current Report on Form 8-K.

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/ JAMES K. HILGER
		James K. Hilger Vice President and Controller*

Date: August 2, 2006

Mr. Hilger has signed both on behalf of the registrant as a duly authorized officer and as the Registrant’s principal accounting officer.

INDEX TO EXHIBITS


Exhibit Number

10.1		Employment Agreement, effective September 22, 2005, by and between DaVita Inc. and James Hilger. ü*

10.2		Form of Stock Appreciation Rights Agreement –Employee (DaVita Inc. 2002 Equity Compensation Plan). (1)*

10.3		Form of Non-Qualified Stock Option Agreement –Employee (DaVita Inc. 2002 Equity Compensation Plan). (1)*

10.4		Form of Restricted Stock Units Agreement –Employee (DaVita Inc. 2002 Equity Compensation Plan). (1)*

10.5		Employment Agreement, effective September 1, 2006, by and between DaVita Inc. and Mark G. Harrison. (1)*

12.1		Ratio of earnings to fixed charges. ü

31.1		Certification of the Chief Executive Officer, dated August 2, 2006, 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 2, 2006, 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 2, 2006, 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 2, 2006, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. ü

Filed herewith.

Management contract or executive compensation plan or agreement.

(1)

Filed on July 6, 2006 as an exhibit to the Company’s Current Report on Form 8-K.