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About Davita Inc.

DaVita performs dialysis treatments for patients suffering from end-stage renal disease (ESRD, or chronic kidney failure). The firm is one of the US' largest providers of dialysis -- its administrative services reach more than 200,000 patients through 2,600 outpatient centers across the US. The company also offers home-based dialysis services, as well as inpatient dialysis in some 900 hospitals. It operates two clinical laboratories that specialize in routine testing of dialysis patients and serve the company's network of clinics.

Operations

DaVita's Kidney Care (dialysis and related lab and support services) division became its sole operating segment following the divestiture of its DaVita Medical Group unit in 2019.

Dialysis and lab services account for more than 90% of the company's revenues. DaVita and its main competitor, Fresenius Medical Care, each serve nearly 40% of all US outpatient dialysis patients. Fresenius is one of DaVita's largest dialysis product and equipment suppliers.

A portion of DaVita's dialysis and lab-related revenues comes from administering specialty pharmaceuticals to patients receiving dialysis. Those pharmaceuticals include vitamin D, iron supplements, and EPO –- which is used during dialysis to treat anemia (a common complication). Amgen is the only company that manufactures EPO; to buffer against price fluctuations or shortages, DaVita has a multi-year agreement with Amgen to secure its supply of EPO at discounted pricing.

The company sold its DaVita Medical Group (DMG) unit (formerly known as HealthCare Partners or HCP) to UnitedHealth Group's Optum unit for $4.3 billion in 2019; DMG's Nevada operations were sold to Intermountain Healthcare as part of the transaction. DMG provides integrated health care services and manages medical care offices in California, Colorado, Florida, Nevada, New Mexico, and Washington.

Geographic Reach

California, Texas, and Florida are home to about 30% of all DaVita dialysis centers, though the firm has locations in more than 45 US states and Washington, DC. The company divested its DaVita Medical Group (DMG) unit in 2019, which operated and managed medical groups and physician practice networks in California, Colorado, Florida, Nevada, New Mexico, and Washington.

The company has a long-term strategy to expand into overseas markets through acquisitions and partnerships. The company has established a presence in nine countries in Europe, Latin America, the Middle East, and the Asia-Pacific region through roughly 250 outpatient dialysis centers. Germany, Poland, Malaysia, Brazil, and Saudi Arabia together account for about 85% of DaVita's outpatient dialysis centers outside of the US.

Sales and Marketing

Almost 90% of DaVita's dialysis patients are covered by government-based health plans, including Medicare and Medicaid, making DaVita particularly vulnerable to changes in government reimbursement rates (which are regularly under threat of being lowered by state and federal governments facing budget pressures).

Financial Performance

Davita's revenue has risen steadily since 2014; increased sales volume and payment rates at its existing and acquired dialysis centers have driven an overall expansion of more than 20%. Net income has shifted erratically in the last five years, dropping more than 60% in 2015 (due mostly to higher medical claim and hospital expenses from senior Medicaid members), bouncing back to a peak the following year on strong revenue performance, and declining the next two years.

The company's revenue added 5% to $11.4 billion in 2018 thanks to greater calcimimetics administration, Medicare bad debt revenue, and treatment volume.

Davita's net income slid 76% to $159 million that year as it failed to contain patient care and other costs -- particularly those for calcimimetics, greater headcount, and a new 401(k) matching program.

The company used $103.5 million of its cash in 2018 to end the year with $415.4 million. Operating activities generated $1.8 billion. The company used $1 billion on investments (mainly property and equipment) and $625.3 million on financing activities (mostly treasury stock purchases).

Strategy

DaVita sold its DaVita Medical Group (DMG) segment to UnitedHealth in 2019 for $4.3 billion. The move allowed it to focus on its core kidney care business; however, the company is still exploring other business avenues in healthcare. That same year it launched its CKD EHR by Epic product. Epic is the most widely used electronic health records (EHR) platform; DaVita's CKD EHR uses Epic's network to share nephrology data between healthcare providers irrespective of the EHR program they use, enabling enhanced population health management and risk stratification models.

DaVita primarily grows through acquisitions. In 2017 the company purchased Pacific Northwest independent physician association Northwest Physicians Network (NPN). That buy gave DaVita 1,000 primary and specialty care physicians. The next year NPN partnered with medical and community service groups in Pierce County, Washington to test a program whereby patients who call frequently call 911 are referred to NPN, which then refers the patient to case management services.

The company also seeks partnerships to improve its client experience. In 2018 DaVita began its Transplant Waitlist Support Program in collaboration with the University of Chicago. The program reduces the chance a kidney transplant patient will be passed up due to outdated contact information by electronically sharing patient data between DaVita and transplant centers.

Mergers and Acquisitions

In 2017 DaVita bought Colorado-based Renal Ventures for $415 million. Renal Ventures operates 36 dialysis clinics in six states; it also has units that operate infusion and vascular centers. That year it also purchased Pacific Northwest independent physician association Northwest Physicians Network (NPN). That buy gave DaVita 1,000 primary and specialty care physicians.

Davita Inc.

2000 16TH ST
Denver, CO 80202-5117
Phone: 1 (303) 405-2100

Stats

Employer Type: Publicly Owned
Stock Symbol: DVA
Stock Exchange: , NYSE
CFO: Joel Ackerman
Director of Home Operations: Kelley Berton
Chairman and CEO: Kent J. Thiry
Employees (This Location): 100
Employees (All Locations): 77,700

Major Office Locations

Denver, CO

Other Locations

Abbeville, AL
Bessemer, AL
Birmingham, AL
Carrollton, AL
Demopolis, AL
Fayette, AL
Florence, AL
Gulf Shores, AL
Montgomery, AL
Prattville, AL
Russellville, AL
Sheffield, AL
Sylacauga, AL
Talladega, AL
Tuscaloosa, AL
Wetumpka, AL
Batesville, AR
Bentonville, AR
Camden, AR
Conway, AR
Fayetteville, AR
Forrest City, AR
Hope, AR
Hot Springs, AR
Jacksonville, AR
Little Rock, AR
Magnolia, AR
Mountain Home, AR
Newport, AR
North Little Rock, AR
Osceola, AR
Rockport, AR
Siloam Springs, AR
Texarkana, AR
Warren, AR
Chandler, AZ
Fountain Hills, AZ
Gilbert, AZ
Glendale, AZ
Mesa, AZ
Nogales, AZ
Payson, AZ
Phoenix, AZ
Scottsdale, AZ
Sells, AZ
Sierra Vista, AZ
Sun City, AZ
Tempe, AZ
Tucson, AZ
Wickenburg, AZ
Yuma, AZ
Alhambra, CA
Anaheim, CA
Antioch, CA
Apple Valley, CA
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Arvin, CA
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Bakersfield, CA
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Pocatello, ID
Twin Falls, ID
Alton, IL
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Elgin, IL
Fairfield, IL
Freeport, IL
Granite City, IL
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Joliet, IL
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Red Bud, IL
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Shiloh, IL
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Sterling, IL
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Taylorville, IL
Vandalia, IL
Vernon Hills, IL
Batesville, IN
Bloomington, IN
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East Chicago, IN
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Evansville, IN
Fort Wayne, IN
Franklin, IN
Gary, IN
Greensburg, IN
Greenwood, IN
Hammond, IN
Indianapolis, IN
Jeffersonville, IN
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Michigan City, IN
Muncie, IN
Munster, IN
New Albany, IN
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Paoli, IN
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Princeton, IN
Rushville, IN
Saint John, IN
South Bend, IN
Tell City, IN
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Vincennes, IN
Washington, IN
Derby, KS
Emporia, KS
Garden City, KS
Independence, KS
Kansas City, KS
Lawrence, KS
Lenexa, KS
Maize, KS
Newton, KS
Olathe, KS
Ottawa, KS
Parsons, KS
Pittsburg, KS
Pratt, KS
Sabetha, KS
Topeka, KS
Wichita, KS
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Bowling Green, KY
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Cold Spring, KY
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Henderson, KY
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Hopkinsville, KY
La Grange, KY
Leitchfield, KY
Lexington, KY
Louisa, KY
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Madisonville, KY
Maysville, KY
Owensboro, KY
Paris, KY
Pikeville, KY
Shelbyville, KY
Southgate, KY
South Williamson, KY
Versailles, KY
Walton, KY
Baton Rouge, LA
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Deridder, LA
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Houma, LA
Kenner, LA
Lafayette, LA
Lake Charles, LA
La Place, LA
Luling, LA
Metairie, LA
New Orleans, LA
Prairieville, LA
Shreveport, LA
Slidell, LA
Sulphur, LA
Walker, LA
Westwego, LA
Boston, MA
Brookline, MA
Burlington, MA
Cambridge, MA
Chelmsford, MA
Dartmouth, MA
Fitchburg, MA
Medford, MA
Needham, MA
Salem, MA
Woburn, MA
Worcester, MA
Aberdeen, MD
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Allen Park, MI
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Ann Arbor, MI
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Chelsea, MI
Clarkston, MI
Commerce Township, MI
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East Lansing, MI
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Tualatin, OR
West Linn, OR
Bethel Park, PA
Bradford, PA
Broomall, PA
Burgettstown, PA
Chadds Ford, PA
Cheltenham, PA
Chester, PA
Cheswick, PA
Childs, PA
Coraopolis, PA
Denver, PA
Dunmore, PA
Easton, PA
East Stroudsburg, PA
Ebensburg, PA
Elizabeth, PA
Ellwood City, PA
Erie, PA
Exton, PA
Frackville, PA
Hanover, PA
Harrisburg, PA
Honesdale, PA
Irwin, PA
Johnstown, PA
Lancaster, PA
Langhorne, PA
Lebanon, PA
Lemoyne, PA
Lewistown, PA
Malvern, PA
Mc Kees Rocks, PA
Media, PA
Milford, PA
Monroeville, PA
Moon Township, PA
Mount Carmel, PA
Natrona Heights, PA
New Kensington, PA
Newtown, PA
Old Forge, PA
Palmerton, PA
Paoli, PA
Penn Hills, PA
Philadelphia, PA
Pittsburgh, PA
Radnor, PA
Roaring Spring, PA
Scranton, PA
Selinsgrove, PA
Somerset, PA
State College, PA
Thorndale, PA
Tobyhanna, PA
Tunkhannock, PA
Uniontown, PA
Warminster, PA
Warren, PA
Washington, PA
Waynesburg, PA
West Chester, PA
West Grove, PA
White Oak, PA
Willow Grove, PA
Woodlyn, PA
York, PA
Abbeville, SC
Clinton, SC
Columbia, SC
Florence, SC
Fort Mill, SC
Fountain Inn, SC
Gaston, SC
Goose Creek, SC
Greenville, SC
Greenwood, SC
Greer, SC
Hartsville, SC
Hilton Head Island, SC
Longs, SC
Marion, SC
Myrtle Beach, SC
North Charleston, SC
Pageland, SC
Ridgeland, SC
Summerville, SC
Sumter, SC
Aberdeen, SD
Mitchell, SD
Rosebud, SD
Sioux Falls, SD
Arlington, TN
Bolivar, TN
Brentwood, TN
Brownsville, TN
Camden, TN
Clarksville, TN
Collierville, TN
Columbia, TN
Cookeville, TN
Etowah, TN
Franklin, TN
Gallatin, TN
Hermitage, TN
Humboldt, TN
Jackson, TN
Johnson City, TN
Knoxville, TN
Lawrenceburg, TN
Lexington, TN
Livingston, TN
Maryville, TN
Medina, TN
Memphis, TN
Millington, TN
Morristown, TN
Murfreesboro, TN
Nashville, TN
New Tazewell, TN
Savannah, TN
Selmer, TN
Smyrna, TN
Somerville, TN
Sparta, TN
Sweetwater, TN
Alvin, TX
Amarillo, TX
Arlington, TX
Atlanta, TX
Austin, TX
Baytown, TX
Bedford, TX
Benbrook, TX
Boerne, TX
Bonham, TX
Brenham, TX
Bryan, TX
Carrollton, TX
Channelview, TX
College Station, TX
Colorado City, TX
Conroe, TX
Corpus Christi, TX
Cuero, TX
Dallas, TX
Denton, TX
El Paso, TX
Floresville, TX
Fort Worth, TX
Galveston, TX
Gilmer, TX
Grapevine, TX
Henderson, TX
Houston, TX
Humble, TX
Huntsville, TX
Irving, TX
Katy, TX
Kilgore, TX
Killeen, TX
Lancaster, TX
La Porte, TX
League City, TX
Live Oak, TX
Livingston, TX
Longview, TX
Lufkin, TX
Marshall, TX
Midland, TX
Mission, TX
Muleshoe, TX
North Richland Hills, TX
Orange, TX
Pearland, TX
Pearsall, TX
Plano, TX
Raymondville, TX
Rosenberg, TX
San Antonio, TX
Seguin, TX
Spring, TX
Sugar Land, TX
Texarkana, TX
Victoria, TX
Wylie, TX
Ogden, UT
Provo, UT
Salem, UT
West Bountiful, UT
Alexandria, VA
Chantilly, VA
Charlottesville, VA
Chesapeake, VA
Emporia, VA
Fairfax, VA
Fredericksburg, VA
Front Royal, VA
Gainesville, VA
Grundy, VA
Hampton, VA
Herndon, VA
Hopewell, VA
Leesburg, VA
Lorton, VA
Lynchburg, VA
Manassas, VA
Mechanicsville, VA
Midlothian, VA
Newport News, VA
Norfolk, VA
North Chesterfield, VA
Portsmouth, VA
Radford, VA
Richmond, VA
Stafford, VA
Sterling, VA
Suffolk, VA
Vienna, VA
Virginia Beach, VA
West Point, VA
Williamsburg, VA
Winchester, VA
Woodbridge, VA
Battle Ground, WA
Belfair, WA
Bellevue, WA
Bellingham, WA
Burlington, WA
Centralia, WA
Colville, WA
East Wenatchee, WA
Ellensburg, WA
Everett, WA
Federal Way, WA
Graham, WA
Kennewick, WA
Kent, WA
Lake Stevens, WA
Lakewood, WA
Long Beach, WA
Marysville, WA
Mill Creek, WA
Mukilteo, WA
Oak Harbor, WA
Olympia, WA
Pasco, WA
Renton, WA
Richland, WA
Seattle, WA
Snohomish, WA
Spokane, WA
Spokane Valley, WA
Stanwood, WA
Sunnyside, WA
Tacoma, WA
Tumwater, WA
Union Gap, WA
Vancouver, WA
Yakima, WA
Zillah, WA
Brookfield, WI
Cedarburg, WI
Chilton, WI
Chippewa Falls, WI
Delafield, WI
Fort Atkinson, WI
Glendale, WI
Green Bay, WI
Greenfield, WI
Janesville, WI
Lake Geneva, WI
Marinette, WI
Marshfield, WI
Menomonee Falls, WI
Merrill, WI
Milwaukee, WI
Mukwonago, WI
Oak Creek, WI
Oconomowoc, WI
Oshkosh, WI
Plover, WI
Racine, WI
Rhinelander, WI
Saint Croix Falls, WI
Shawano, WI
Sheboygan, WI
Stanley, WI
Sturgeon Bay, WI
Watertown, WI
Waukesha, WI
Waupaca, WI
Wausau, WI
Wautoma, WI
Wauwatosa, WI
Wisconsin Dells, WI
Wisconsin Rapids, WI
Woodruff, WI
Beckley, WV
Danville, WV
Keyser, WV
Logan, WV
New Martinsville, WV
Parkersburg, WV
Point Pleasant, WV
South Charleston, WV
Vienna, WV
Wayne, WV
Wheeling, WV