Tenet Reports Results for the Second Quarter Ended June 30, 2018
| |
• | Tenet reported net income from continuing operations available to Tenet common shareholders of $24 million or $0.23 per diluted share in the second quarter of 2018 compared to a net loss of $56 million or $0.56 per diluted share in the second quarter of 2017. After adjusting for certain items, which totaled $27 million or $0.26 per share in the second quarter of 2018, Tenet reported Adjusted diluted earnings per share from continuing operations of $0.49 in the second quarter of 2018 compared to an Adjusted diluted loss per share of $0.17 in the second quarter of 2017. |
| |
• | Adjusted EBITDA was $634 million in the second quarter of 2018 compared to $570 million in the second quarter of 2017. Adjusted EBITDA in the second quarter of 2018 consisted of $345 million in the Hospital segment, $198 million in the Ambulatory segment and $91 million in the Conifer segment. |
| |
• | Net cash provided by operating activities was $461 million in the first half of 2018, an increase of $60 million when compared to $401 million in the first half of 2017. Free Cash Flow was $193 million, an increase of $140 million when compared to $53 million in the first half of 2017. Adjusted Free Cash Flow was $259 million, a $142 million increase when compared to $117 million in the first half of 2017. |
| |
• | Hospital segment same-hospital net patient revenue grew 3.2 percent. Admissions decreased 2.3 percent, adjusted admissions decreased 0.2 percent, and revenue per adjusted admission increased 3.5 percent. |
| |
• | Ambulatory Care segment same-facility system-wide revenue grew 6.9 percent, with cases up 4.3 percent and revenue per case up 2.4 percent. Surgical revenue grew 6.6 percent, with cases up 3.4 percent and revenue per surgical case up 3.1 percent. |
| |
• | Conifer segment revenues decreased 3.5 percent primarily due to divestitures by Tenet and other customers. |
| |
• | 2018 Outlook includes an increase in net income from continuing operations available to Tenet common shareholders to $115 million to $186 million, Adjusted EBITDA is unchanged at $2.550 billion to $2.650 billion, an increase in diluted earnings per share from continuing operations to $1.11 to $1.79 and an increase in Adjusted diluted earnings per share from continuing operations to $1.54 to $1.88. |
DALLAS – August 6, 2018 – Tenet Healthcare Corporation (NYSE: THC) reported net income from continuing operations available to Tenet common shareholders of $24 million in the second
quarter of 2018 compared to a $56 million net loss from continuing operations in the second quarter of 2017. Adjusted EBITDA was $634 million in the second quarter of 2018 compared to $570 million in the second quarter of 2017.
“We are becoming a more agile and decisive organization and are pleased with our strong financial results for the third quarter in a row,” said Ronald A. Rittenmeyer, Executive Chairman and CEO. “We have demonstrated our ability to appropriately minimize costs, which will be an ongoing fundamental part of how we do business. Our top priorities remain strengthening our portfolio, delivering more consistent organic growth and taking additional steps to enhance our margins and free cash flow.”
Hospital Operations and Other Segment
Net operating revenues in the Hospital Operations and other segment were $3.733 billion, down 8.6 percent from the second quarter of 2017, primarily due to hospital divestitures and the wind-down of our health plan business.
On a same-hospital basis, net patient revenues after implicit price concessions were $3.432 billion, up 3.2 percent from the second quarter of 2017. Adjusted admissions were down 0.2 percent in the second quarter of 2018 and would have been up approximately 1.1 percent on a same-hospital basis excluding service line closures and declines in Detroit and Chicago. The Company’s decision to discontinue certain services at selected hospitals lowered same-hospital adjusted admissions by approximately 40 basis points in the second quarter of 2018. In addition, volume declines in Chicago (which the Company is divesting) and Detroit lowered same-hospital adjusted admissions by approximately 90 basis points. Revenue per adjusted admission increased 3.5 percent on a same-hospital basis. Same-hospital revenue included $63 million from the California Provider Fee Program in the second quarter of 2018 compared to no revenue in the second quarter of 2017 since the 2017 program was not approved until December 2017; excluding timing differences related to the California Provider Fee, same-hospital revenue per adjusted admission increased 1.6 percent.
Adjusted EBITDA in Tenet’s hospital segment was $345 million, a decrease of $1 million or 0.3 percent as compared to $346 million in the second quarter of 2017. Key items impacting the year-over-year comparison in Adjusted EBITDA include: (i) a $63 million increase in California Provider Fee revenue, (ii) a $41 million decline in EBITDA due to divestitures; (iii) a $23 million gain in the second quarter of 2017, primarily from the sale of the Company’s home health and hospice assets, which was recorded as a reduction to the Company’s other operating expenses, and (iv) a $6 million decline in electronic health record incentives. After normalizing for these items, Adjusted EBITDA in the hospital segment increased by $6 million, or approximately 2 percent.
Tenet’s health plan business recognized no revenue and $1 million of Adjusted EBITDA in the second quarter of 2018 versus $25 million of revenue and negative $19 million of Adjusted EBITDA
in the second quarter of 2017. The revenue and expenses associated with the Company’s health plan operations are included in Tenet’s consolidated statements of operations; however, the results are excluded from Adjusted EBITDA in both periods.
Selected operating expenses in the hospital segment, defined as the sum of salaries, wages and benefits, supplies and other operating expenses, increased 2.2 percent on a per adjusted admission basis in the second quarter of 2018 or just 1.5 percent after normalizing for the aforementioned $23 million gain in the 2017 period.
Exchanges
Tenet’s same-hospital exchange outpatient visits increased 0.6 percent to 51,845 in the second quarter of 2018. Same-hospital exchange admissions were 4,725 in the second quarter of 2018, down 5.6 percent from the second quarter of 2017.
Ambulatory Care Segment
During the second quarter of 2018, the Ambulatory segment produced net operating revenues of $531 million, representing an increase of 12.5 percent as compared to $472 million in the second quarter of 2017. In addition, the Ambulatory segment generated Adjusted EBITDA of $198 million, up 20.7 percent from $164 million in the second quarter of 2017 and Adjusted EBITDA less facility-level noncontrolling interest was $128 million, up 20.8 percent from $106 million in the second quarter of 2017.
The results of many of the facilities in which the Ambulatory segment has an investment are not consolidated by Tenet. To help analyze the segment’s results of operations, management uses system-wide measures, which include revenues and cases of both consolidated and unconsolidated facilities. On a same-facility system-wide basis, revenue in the Ambulatory segment increased 6.9 percent, with cases increasing 4.3 percent and revenue per case increasing 2.4 percent. In the surgical business, which represents the majority of the revenue in the Ambulatory segment, same-facility system-wide revenue grew 6.6 percent, with cases up 3.4 percent and revenue per case up 3.1 percent, reflecting growth in higher-acuity surgical procedures. In the non-surgical business, same-facility system-wide revenue grew 13.6 percent, with visits up 5.8 percent and revenue per visit up 7.4 percent.
Conifer Segment
During the second quarter of 2018, as a result of divestiture activity at Tenet and other customers, Conifer’s revenue decreased 3.5 percent to $386 million, down from $400 million in the second quarter of 2017. Revenue from third party customers was down 1.2 percent to $242 million. Conifer’s revenue in the second quarter of 2018 included $7 million of contract termination fees
from two health systems that acquired hospitals from Tenet and another Conifer customer and subsequently decided to insource revenue cycle management.
Conifer generated $91 million of Adjusted EBITDA in the second quarter of 2018, up 51.7 percent from $60 million in the second quarter of 2017. After normalizing for the aforementioned $7 million of contract termination fee revenue and $3 million of incentive revenue from customers in the second quarter of 2018, Adjusted EBITDA grew by 35 percent, primarily driven by improvements in Conifer’s cost structure.
Net Income and Earnings Per Share
Tenet reported net income from continuing operations available to Tenet common shareholders of $24 million, or $0.23 per diluted share, in the second quarter of 2018 compared to a net loss of $56 million, or $0.56 per diluted share, in the second quarter of 2017.
As shown on Table #2 at the end of this release, net income from continuing operations available to Tenet common shareholders of $24 million included: (i) $30 million of pre-tax impairment and restructuring charges, including $9 million of employee severance, $4 million of impairment charges to write-down assets held for sale in the United Kingdom to their estimated fair value, $4 million of contract and lease termination fees, and $13 million of other items; (ii) $13 million of pre-tax litigation and investigation costs; (iii) $8 million of pre-tax net gains on sales, consolidation and deconsolidation of facilities, primarily related to a $12 million pre-tax gain on the sale of Des Peres Hospital offset by $4 million of other items, and, (iv) other offsetting items. These items collectively lowered pre-tax income by $35 million, after-tax income by $27 million and diluted earnings per share by $0.26.
After adjusting for the items listed above and on Table #2, Tenet produced Adjusted net income from continuing operations available to Tenet common shareholders of $51 million, or $0.49 per diluted share, during the second quarter of 2018, as compared to an Adjusted net loss from continuing operations attributable to Tenet common shareholders of $17 million, or $0.17 per diluted share, in the second quarter of 2017.
A reconciliation of GAAP net income available (loss attributable) to Tenet common shareholders to Adjusted net income available (loss attributable) from continuing operations and Adjusted diluted earnings (loss) per share from continuing operations is contained in Table #2 at the end of this release.
Cash Flow and Liquidity
Cash and cash equivalents were $403 million at June 30, 2018 compared to $974 million at March 31, 2017. The Company had no outstanding borrowings on its $1 billion credit line as of June 30,
2018. Accounts receivable days outstanding from continuing operations were 55.1 at June 30, 2018 compared to 54.3 at March 31, 2018 and 55.8 at December 31, 2017.
Net cash provided by operating activities was $461 in the first half of 2018, representing a $60 million increase compared to $401 million in the first half of 2017. After subtracting $268 million and $348 million of capital expenditures in the first half of 2018 and 2017, respectively, Free Cash Flow was $193 million in the first half of 2018, an increase of $140 million compared to $53 million in the first half of 2017. Adjusted Free Cash Flow was $259 million in the first half of 2018, representing a $142 million increase from $117 million in the first half of 2017.
Net cash provided by investing activities was $225 million in the first half of 2018 compared to $308 million of net cash used in investing activities in the first half of 2017. The 2018 period included $624 million of proceeds from the sales of facilities, long-term investments and other assets, primarily from the sale of the Company’s two hospitals in the Philadelphia area, MacNeal Hospital, Des Peres Hospital, and the Company’s minority interests in four Dallas-area hospitals. The 2018 period also included $126 million of purchases of businesses, joint ventures and equity investments, primarily related to USPI’s acquisition program.
Net cash used in financing activities was $894 million in the first half of 2018 compared to $334 million of net cash used in financing activities in the first half of 2017. The 2018 period included $642 million in purchases of noncontrolling interests, including approximately $630 million in the second quarter of 2018 to increase Tenet’s ownership in USPI to 95 percent, and $78 million of debt retirement through open market purchases.
Reconciliations of net cash provided by operating activities to both Free Cash Flow and Adjusted Free Cash Flow are contained in Table #3 at the end of this release.
Outlook
The Company’s Outlook for 2018 includes:
| |
• | Revenue of $17.9 billion to $18.3 billion, |
| |
• | Net income from continuing operations available to Tenet common shareholders of $115 million to $186 million, |
| |
• | Adjusted EBITDA of $2.550 billion to $2.650 billion, |
| |
• | Net cash provided by operating activities of $1.220 billion to $1.525 billion, |
| |
• | Adjusted Free Cash Flow of $725 million to $925 million, |
| |
• | Diluted earnings per share from continuing operations of $1.11 to $1.79, and |
| |
• | Adjusted diluted earnings per share from continuing operations of $1.54 to $1.88. |
The Outlook for 2018 assumes equity in earnings of unconsolidated affiliates of $160 million to $170 million, net income available to noncontrolling interests of $390 million to $410 million and an average diluted share count of 104 million.
The Company’s Outlook for the third quarter of 2018 includes:
| |
• | Revenue of $4.300 billion to $4.500 billion, |
| |
• | Net income available (loss attributable) from continuing operations to Tenet common shareholders ranging from a loss of $10 million to income of $5 million, |
| |
• | Adjusted EBITDA of $575 million to $625 million, |
| |
• | Diluted earnings per share from continuing operations ranging from a loss of $0.10 to earnings of $0.05, and |
| |
• | Adjusted diluted earnings per share from continuing operations ranging from $0.10 to $0.24. |
The Outlook for the third quarter assumes equity in earnings of unconsolidated affiliates of $40 million to $45 million, net income available to noncontrolling interests of $90 million to $100 million, and an average diluted share count of 104 million.
Additional details on Tenet’s Outlook for both the third quarter and calendar year 2018 are available in Tables #4, #5 and #6 at the end of this press release and in an accompanying slide presentation that is accessible through the Company’s website at www.tenethealth.com/investors.
Management’s Webcast Discussion of Second Quarter Results
Tenet management will discuss the Company’s second quarter 2018 results on a webcast scheduled for 10:00 a.m. Eastern Time (9:00 a.m. Central Time) on August 7, 2018. Investors can access the webcast through the Company’s website at www.tenethealth.com/investors. A set of slides, which will be referred to on the conference call, is available on the Quarterly Results section of the Company’s website.
Additional information regarding Tenet’s quarterly results of operations is contained in its Form 10-Q report for the period ended June 30, 2018, which will be filed with the Securities and Exchange Commission and posted on the Company’s website.
This press release includes certain non-GAAP measures, such as Adjusted EBITDA, Adjusted net income available (loss attributable) from continuing operations to Tenet common shareholders, Adjusted diluted earnings (loss) per share from continuing operations, Free Cash Flow and Adjusted Free Cash Flow. Reconciliations of these measures to the most comparable GAAP measures are contained in the tables at the end of this release.
Tenet Healthcare Corporation is a diversified healthcare services company with approximately 115,000 employees united around a common mission: to help people live happier, healthier lives. Through its subsidiaries, partnerships and joint ventures, including United Surgical Partners International, the Company operates general acute care and specialty hospitals, ambulatory surgery centers, urgent care centers and other outpatient facilities in the United States and the United Kingdom. Tenet’s Conifer Health Solutions subsidiary provides technology-enabled performance improvement and health management solutions to hospitals, health systems, integrated delivery networks, physician groups, self-insured organizations and health plans. For more information, please visit www.tenethealth.com.
The terms "THC", "Tenet Healthcare Corporation", "the Company", "we", "us" or "our" refer to Tenet Healthcare Corporation or one or more of its subsidiaries or affiliates as applicable.
# # #
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Investor Contact Brendan Strong 469-893-6992 investorrelations@tenethealth.com | Media Contact Lesley Bogdanow 469-893-2640 mediarelations@tenethealth.com |
This release contains “forward-looking statements” - that is, statements that relate to future, not past, events. In this context, forward-looking statements often address our expected future business and financial performance and financial condition, and often contain words such as “expect,” “assume,” “anticipate,” “estimate,” “intend,” “plan,” “project” “believe,” “seek,” “see,” or “will.” Forward-looking statements by their nature address matters that are, to different degrees, uncertain. Particular uncertainties that could cause our actual results to be materially different than those expressed in our forward-looking statements include, but are not limited to, the factors disclosed under “Forward-Looking Statements” and “Risk Factors” in our Form 10-K for the year ended December 31, 2017, and subsequent Form 10-Q filings and other filings with the Securities and Exchange Commission.
Tenet uses its Company website to provide important information to investors about the Company including the posting of important announcements regarding financial performance and corporate developments.
TENET HEALTHCARE CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
|
| | | | | | | | | | | | | | | | | |
| | | | | | | | | | |
(Dollars in millions except per share amounts) | | Three Months Ended June 30, |
| | 2018 | | % | | 2017 | | % | | Change |
Net operating revenues: | | | | | | | | | | |
Net operating revenues before provision for doubtful accounts | |
|
| | | | $ | 5,173 |
| | | |
|
|
Less: Provision for doubtful accounts | |
|
| | | | 371 |
| | | |
|
|
Net operating revenues | | $ | 4,506 |
| | 100.0 | % | | 4,802 |
| | 100.0 | % | | (6.2 | )% |
Equity in earnings of unconsolidated affiliates | | 39 |
| | 0.9 | % | | 28 |
| | 0.6 | % | | 39.3 | % |
Operating expenses: | | | | | | | | | | |
Salaries, wages and benefits | | 2,135 |
| | 47.4 | % | | 2,346 |
| | 48.9 | % | | (9.0 | )% |
Supplies | | 748 |
| | 16.6 | % | | 780 |
| | 16.2 | % | | (4.1 | )% |
Other operating expenses, net | | 1,027 |
| | 22.8 | % | | 1,159 |
| | 24.1 | % | | (11.4 | )% |
Electronic health record incentives | | — |
| | — | % | | (6 | ) | | (0.1 | )% | | (100.0 | )% |
Depreciation and amortization | | 194 |
| | 4.3 | % | | 222 |
| | 4.6 | % | | |
Impairment and restructuring charges, and acquisition-related costs | | 30 |
| | 0.7 | % | | 41 |
| | 0.9 | % | | |
Litigation and investigation costs | | 13 |
| | 0.3 | % | | 1 |
| | 0.0 | % | | |
Net gains on sales, consolidation and deconsolidation of facilities | | (8 | ) | | (0.2 | )% | | (23 | ) | | (0.5 | )% | | |
Operating income | | 406 |
| | 9.0 | % | | 310 |
| | 6.5 | % | | |
Interest expense | | (254 | ) | | | | (260 | ) | | | | |
Other non-operating expense, net | | (1 | ) | | | | (5 | ) | | | | |
Loss from early extinguishment of debt | | (1 | ) | | | | (26 | ) | | | | |
Income from continuing operations, before income taxes | | 150 |
| | | | 19 |
| | | | |
Income tax benefit (expense) | | (44 | ) | | | | 12 |
| | | | |
Income from continuing operations, before discontinued operations | | 106 |
| | | | 31 |
| | | | |
Discontinued operations: | | | | | | | | | | |
Income from operations | | 2 |
| | | | 2 |
| | | | |
Income tax benefit (expense) | | — |
| | | | (1 | ) | | | | |
Income from discontinued operations | | 2 |
| | | | 1 |
| | | | |
Net income | | 108 |
| | | | 32 |
| | | | |
Less: Net income available to noncontrolling interests | | 82 |
| | | | 87 |
| | | | |
Net income available (loss attributable) to Tenet Healthcare Corporation common shareholders | | $ | 26 |
| | | | $ | (55 | ) | | | | |
Amounts available (attributable) to Tenet Healthcare Corporation common shareholders | | | | | | | | | | |
Income (loss) from continuing operations, net of tax | | $ | 24 |
| | | | $ | (56 | ) | | | | |
Income from discontinued operations, net of tax | | 2 |
| | | | 1 |
| | | | |
Net income available (loss attributable) to Tenet Healthcare Corporation common shareholders | | $ | 26 |
| | | | $ | (55 | ) | | | | |
Earnings (loss) per share available (attributable) to Tenet Healthcare Corporation common shareholders: | | | | | | | | | | |
Basic | | | | | | | | | | |
Continuing operations | | $ | 0.23 |
| | | | $ | (0.56 | ) | | | | |
Discontinued operations | | 0.02 |
| | | | 0.01 |
| | | | |
| | $ | 0.25 |
| | | | $ | (0.55 | ) | | | | |
Diluted | | | | | | | | | | |
Continuing operations | | $ | 0.23 |
| | | | $ | (0.56 | ) | | | | |
Discontinued operations | | 0.02 |
| | | | 0.01 |
| | | | |
| | $ | 0.25 |
| | | | $ | (0.55 | ) | | | | |
Weighted average shares and dilutive securities outstanding (in thousands): | | | | | | | | | | |
Basic | | 102,147 |
| | | | 100,612 |
| | | | |
Diluted* | | 104,177 |
| | | | 100,612 |
| | | | |
*Had we generated income from continuing operations in the three months ended June 30, 2017 the effect of employee stock options, restricted stock units and deferred compensation units on the diluted shares calculation would have been an increase of 682 thousand shares.
TENET HEALTHCARE CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
|
| | | | | | | | | | | | | | | | | |
| | | | | | | | | | |
(Dollars in millions except per share amounts) | | Six Months Ended June 30, |
| | 2018 | | % | | 2017 | | % | | Change |
Net operating revenues: | | | | | | | | | | |
Net operating revenues before provision for doubtful accounts | | | | | | $ | 10,369 |
| | | |
|
|
Less: Provision for doubtful accounts | | | | | | 754 |
| | | |
|
|
Net operating revenues | | $ | 9,205 |
| | 100.0 | % | | 9,615 |
| | 100.0 | % | | (4.3 | )% |
Equity in earnings of unconsolidated affiliates | | 64 |
| | 0.7 | % | | 57 |
| | 0.6 | % | | 12.3 | % |
Operating expenses: | | | | |
| | | | | | |
Salaries, wages and benefits | | 4,362 |
| | 47.5 | % | | 4,726 |
| | 49.2 | % | | (7.7 | )% |
Supplies | | 1,522 |
| | 16.5 | % | | 1,545 |
| | 16.1 | % | | (1.5 | )% |
Other operating expenses, net | | 2,087 |
| | 22.7 | % | | 2,346 |
| | 24.4 | % | | (11.0 | )% |
Electronic health record incentives | | (1 | ) | | — | % | | (7 | ) | | (0.1 | )% | | (85.7 | )% |
Depreciation and amortization | | 398 |
| | 4.3 | % | | 443 |
| | 4.6 | % | | |
Impairment and restructuring charges, and acquisition-related costs | | 77 |
| | 0.8 | % | | 74 |
| | 0.8 | % | | |
Litigation and investigation costs | | 19 |
| | 0.2 | % | | 6 |
| | 0.1 | % | | |
Net gains on sales, consolidation and deconsolidation of facilities | | (118 | ) | | (1.3 | )% | | (38 | ) | | (0.4 | )% | | |
Operating income | | 923 |
| | 10.0 | % | | 577 |
| | 6.0 | % | | |
Interest expense | | (509 | ) | | | | (518 | ) | | | | |
Other non-operating expense, net | | (2 | ) | | | | (10 | ) | | | | |
Loss from early extinguishment of debt | | (2 | ) | | | | (26 | ) | | | | |
Income from continuing operations, before income taxes | | 410 |
| | | | 23 |
| | | | |
Income tax benefit (expense) | | (114 | ) | | | | 45 |
| | | | |
Income from continuing operations, before discontinued operations | | 296 |
| | | | 68 |
| | | | |
Discontinued operations: | | | | | | | | | | |
Income (loss) from operations | | 3 |
| | | | — |
| | | | |
Income tax benefit (expense) | | — |
| | | | — |
| | | | |
Income (loss) from discontinued operations | | 3 |
| | | | — |
| | | | |
Net income | | 299 |
| | | | 68 |
| | | | |
Less: Net income available to noncontrolling interests | | 174 |
| | | | 176 |
| | | | |
Net income available (loss attributable) to Tenet Healthcare Corporation common shareholders | | $ | 125 |
| | | | $ | (108 | ) | | | | |
Amounts available (attributable) to Tenet Healthcare Corporation common shareholders | | | | | | | | | | |
Income (loss) from continuing operations, net of tax | | $ | 122 |
| | | | $ | (108 | ) | | | | |
Income (loss) from discontinued operations, net of tax | | 3 |
| | | | — |
| | | | |
Net income available (loss attributable) to Tenet Healthcare Corporation common shareholders | | $ | 125 |
| | | | $ | (108 | ) | | | | |
Earnings (loss) per share available (attributable) to Tenet Healthcare Corporation common shareholders: | | | | | | | | | | |
Basic | | | | | | | | | | |
Continuing operations | | $ | 1.20 |
| | | | $ | (1.08 | ) | | | | |
Discontinued operations | | 0.03 |
| | | | — |
| | | | |
| | $ | 1.23 |
| | | | $ | (1.08 | ) | | | | |
Diluted | | | | | | | | | | |
Continuing operations | | $ | 1.18 |
| | | | $ | (1.08 | ) | | | | |
Discontinued operations | | 0.03 |
| | | | — |
| | | | |
| | $ | 1.21 |
| | | | $ | (1.08 | ) | | | | |
Weighted average shares and dilutive securities outstanding (in thousands): | | | | | | | | | | |
Basic | | 101,770 |
| | | | 100,306 |
| | | | |
Diluted* | | 103,416 |
| | | | 100,306 |
| | | | |
*Had we generated income from continuing operations in the six months ended June 30, 2017 the effect of employee stock options, restricted stock units and deferred compensation units on the diluted shares calculation would have been an increase of 766 thousand shares.
TENET HEALTHCARE CORPORATION
CONSOLIDATED BALANCE SHEETS
(Unaudited)
|
| | | | | | | | |
| | | | |
| | June 30, | | December 31, |
(Dollars in millions) | | 2018 | | 2017 |
ASSETS | | | | |
Current assets: | | | | |
Cash and cash equivalents | | $ | 403 |
| | $ | 611 |
|
Accounts receivable, less allowance for doubtful accounts | | 2,483 |
| | 2,616 |
|
Inventories of supplies, at cost | | 298 |
| | 289 |
|
Income tax receivable | | 28 |
| | 5 |
|
Assets held for sale | | 452 |
| | 1,017 |
|
Other current assets | | 1,041 |
| | 1,035 |
|
Total current assets | | 4,705 |
| | 5,573 |
|
Investments and other assets | | 1,416 |
| | 1,543 |
|
Deferred income taxes | | 348 |
| | 455 |
|
Property and equipment, at cost, less accumulated depreciation and amortization | | 6,863 |
| | 7,030 |
|
Goodwill | | 7,218 |
| | 7,018 |
|
Other intangible assets, at cost, less accumulated amortization | | 1,793 |
| | 1,766 |
|
Total assets | | $ | 22,343 |
| | $ | 23,385 |
|
| | | | |
LIABILITIES AND EQUITY | | | | |
Current liabilities: | | | | |
Current portion of long-term debt | | $ | 663 |
| | $ | 146 |
|
Accounts payable | | 1,047 |
| | 1,175 |
|
Accrued compensation and benefits | | 711 |
| | 848 |
|
Professional and general liability reserves | | 230 |
| | 200 |
|
Accrued interest payable | | 243 |
| | 256 |
|
Liabilities held for sale | | 393 |
| | 480 |
|
Other current liabilities | | 1,067 |
| | 1,227 |
|
Total current liabilities | | 4,354 |
| | 4,332 |
|
Long-term debt, net of current portion | | 14,204 |
| | 14,791 |
|
Professional and general liability reserves | | 630 |
| | 654 |
|
Defined benefit plan obligations | | 515 |
| | 536 |
|
Deferred income taxes | | 36 |
| | 36 |
|
Other long-term liabilities | | 599 |
| | 631 |
|
Total liabilities | | 20,338 |
| | 20,980 |
|
Commitments and contingencies | | | | |
Redeemable noncontrolling interests in equity of consolidated subsidiaries | | 1,429 |
| | 1,866 |
|
Equity: | | | | |
Shareholders’ equity: | | | | |
Common stock | | 7 |
| | 7 |
|
Additional paid-in capital | | 4,722 |
| | 4,859 |
|
Accumulated other comprehensive loss | | (243) |
| | (204) |
|
Accumulated deficit | | (2,222) |
| | (2,390) |
|
Common stock in treasury, at cost | | (2,418) |
| | (2,419) |
|
Total shareholders’ equity (deficit) | | (154) |
| | (147) |
|
Noncontrolling interests | | 730 |
| | 686 |
|
Total equity | | 576 |
| | 539 |
|
Total liabilities and equity | | $ | 22,343 |
| | $ | 23,385 |
|
TENET HEALTHCARE CORPORATION
CONSOLIDATED STATEMENTS OF CASH FLOW
(Unaudited)
|
| | | | | | | | |
| | | | |
| | Six Months Ended |
(Dollars in millions) | | June 30, |
| | 2018 | | 2017 |
Net income | | $ | 299 |
| | $ | 68 |
|
Adjustments to reconcile net income to net cash provided by operating activities: | | | | |
Depreciation and amortization | | 398 |
| | 443 |
|
Provision for doubtful accounts | | — |
| | 754 |
|
Deferred income tax expense (benefit) | | 108 |
| | (81 | ) |
Stock-based compensation expense | | 20 |
| | 29 |
|
Impairment and restructuring charges, and acquisition-related costs | | 77 |
| | 74 |
|
Litigation and investigation costs | | 19 |
| | 6 |
|
Net gains on sales, consolidation and deconsolidation of facilities | | (118 | ) | | (38 | ) |
Loss from early extinguishment of debt | | 2 |
| | 26 |
|
Equity in earnings of unconsolidated affiliates, net of distributions received | | 10 |
| | 4 |
|
Amortization of debt discount and debt issuance costs | | 22 |
| | 22 |
|
Pre-tax income from discontinued operations | | (3 | ) | | — |
|
Other items, net | | (1 | ) | | (25 | ) |
Changes in cash from operating assets and liabilities: | | | | |
Accounts receivable | | (13 | ) | | (673 | ) |
Inventories and other current assets | | 144 |
| | 160 |
|
Income taxes | | (18 | ) | | (7 | ) |
Accounts payable, accrued expenses and other current liabilities | | (371 | ) | | (345 | ) |
Other long-term liabilities | | (48 | ) | | 48 |
|
Payments for restructuring charges, acquisition-related costs, and litigation costs and settlements | | (63 | ) | | (62 | ) |
Net cash used in operating activities from discontinued operations, excluding income taxes | | (3 | ) | | (2 | ) |
Net cash provided by operating activities | | 461 |
| | 401 |
|
Cash flows from investing activities: | | |
| | |
Purchases of property and equipment — continuing operations | | (268 | ) | | (348 | ) |
Purchases of businesses or joint venture interests, net of cash acquired | | (89 | ) | | (26 | ) |
Proceeds from sales of facilities and other assets | | 481 |
| | 74 |
|
Proceeds from sales of marketable securities, long-term investments and other assets | | 143 |
| | 16 |
|
Purchases of equity investments | | (37 | ) | | (2 | ) |
Other long-term assets | | 3 |
| | (12 | ) |
Other items, net | | (8 | ) | | (10 | ) |
Net cash provided by (used in) investing activities | | 225 |
| | (308 | ) |
Cash flows from financing activities: | | |
| | |
Repayments of borrowings under credit facility | | (360 | ) | | (100 | ) |
Proceeds from borrowings under credit facility | | 360 |
| | 100 |
|
Repayments of other borrowings | | (161 | ) | | (1,029 | ) |
Proceeds from other borrowings | | 14 |
| | 837 |
|
Debt issuance costs | | — |
| | (29 | ) |
Distributions paid to noncontrolling interests | | (140 | ) | | (123 | ) |
Proceeds from sale of noncontrolling interests | | 7 |
| | 14 |
|
Purchases of noncontrolling interests | | (642 | ) | | (5 | ) |
Proceeds from exercise of stock options and employee stock purchase plan | | 14 |
| | 3 |
|
Other items, net | | 14 |
| | (2 | ) |
Net cash used in financing activities | | (894 | ) | | (334 | ) |
Net decrease in cash and cash equivalents | | (208 | ) | | (241 | ) |
Cash and cash equivalents at beginning of period | | 611 |
| | 716 |
|
Cash and cash equivalents at end of period | | $ | 403 |
| | $ | 475 |
|
Supplemental disclosures: | | |
| | |
Interest paid, net of capitalized interest | | $ | (501 | ) | | $ | (468 | ) |
Income tax refunds (payments), net | | $ | (21 | ) | | $ | (44 | ) |
TENET HEALTHCARE CORPORATION
SELECTED STATISTICS – CONTINUING TOTAL HOSPITALS(1)
(Unaudited)
|
| | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | |
(Dollars in millions except per adjusted patient day | | Three Months Ended June 30, | | Six Months Ended June 30, | |
and per adjusted patient admission amounts) | | 2018 | | 2017 | | Change | | 2018 | | 2017 | | Change | |
| | | | | | | | | | | | | |
Admissions, Patient Days and Surgeries | | | | | | | | | | | | | |
Number of hospitals (at end of period) | | 68 |
| | 76 |
| | (8 | ) | * | 68 |
| | 76 |
| | (8 | ) | * |
Total admissions | | 168,453 |
| | 190,394 |
| | (11.5 | )% | | 350,759 |
| | 387,301 |
| | (9.4 | )% | |
Adjusted patient admissions | | 306,063 |
| | 342,439 |
| | (10.6 | )% | | 626,931 |
| | 689,589 |
| | (9.1 | )% | |
Paying admissions (excludes charity and uninsured) | | 158,216 |
| | 179,889 |
| | (12.0 | )% | | 330,706 |
| | 366,537 |
| | (9.8 | )% | |
Charity and uninsured admissions | | 10,237 |
| | 10,505 |
| | (2.6 | )% | | 20,053 |
| | 20,764 |
| | (3.4 | )% | |
Admissions through emergency department | | 115,036 |
| | 121,807 |
| | (5.6 | )% | | 240,112 |
| | 248,280 |
| | (3.3 | )% | |
Paying admissions as a percentage of total admissions | | 93.9 | % | | 94.5 | % | | (0.6 | )% | * | 94.3 | % | | 94.6 | % | | (0.3 | )% | * |
Charity and uninsured admissions as a percentage of total admissions | | 6.1 | % | | 5.5 | % | | 0.6 | % | * | 5.7 | % | | 5.4 | % | | 0.3 | % | * |
Emergency department admissions as a percentage of total admissions | | 68.3 | % | | 64.0 | % | | 4.3 | % | * | 68.5 | % | | 64.1 | % | | 4.4 | % | * |
Surgeries — inpatient | | 46,274 |
| | 52,083 |
| | (11.2 | )% | | 93,497 |
| | 103,883 |
| | (10.0 | )% | |
Surgeries — outpatient | | 63,805 |
| | 71,366 |
| | (10.6 | )% | | 126,813 |
| | 140,970 |
| | (10.0 | )% | |
Total surgeries | | 110,079 |
| | 123,449 |
| | (10.8 | )% | | 220,310 |
| | 244,853 |
| | (10.0 | )% | |
Patient days — total | | 766,519 |
| | 874,930 |
| | (12.4 | )% | | 1,625,167 |
| | 1,798,269 |
| | (9.6 | )% | |
Adjusted patient days | | 1,373,480 |
| | 1,552,302 |
| | (11.5 | )% | | 2,859,619 |
| | 3,156,000 |
| | (9.4 | )% | |
Average length of stay (days) | | 4.55 |
| | 4.60 |
| | (1.1 | )% | | 4.63 |
| | 4.64 |
| | (0.2 | )% | |
Licensed beds (at end of period) | | 18,314 |
| | 20,435 |
| | (10.4 | )% | | 18,314 |
| | 20,435 |
| | (10.4 | )% | |
Average licensed beds | | 18,362 |
| | 20,435 |
| | (10.1 | )% | | 18,523 |
| | 20,437 |
| | (9.4 | )% | |
Utilization of licensed beds | | 45.9 | % | | 47.0 | % | | (1.1 | )% | * | 48.5 | % | | 48.6 | % | | (0.1 | )% | * |
Outpatient Visits | |
| | | | | |
| |
| | | |
Total visits | | 1,749,847 |
| | 1,981,848 |
| | (11.7 | )% | | 3,592,386 |
| | 4,021,790 |
| | (10.7 | )% | |
Paying visits (excludes charity and uninsured) | | 1,633,372 |
| | 1,849,697 |
| | (11.7 | )% | | 3,359,348 |
| | 3,757,909 |
| | (10.6 | )% | |
Charity and uninsured visits | | 116,475 |
| | 132,151 |
| | (11.9 | )% | | 233,038 |
| | 263,881 |
| | (11.7 | )% | |
Emergency department visits | | 643,036 |
| | 724,785 |
| | (11.3 | )% | | 1,340,037 |
| | 1,457,836 |
| | (8.1 | )% | |
Paying visits as a percentage of total visits | | 93.3 | % | | 93.3 | % | | — | % | * | 93.5 | % | | 93.4 | % | | 0.1 | % | * |
Charity and uninsured visits as a percentage of total visits | | 6.7 | % | | 6.7 | % | | — | % | * | 6.5 | % | | 6.6 | % | | (0.1 | )% | * |
Total emergency department admissions and visits | | 758,072 |
| | 846,592 |
| | (10.5 | )% | | 1,580,149 |
| | 1,706,116 |
| | (7.4 | )% | |
Revenues | | | | | | | |
| | | | | |
Net patient revenues(3) | | $ | 3,443 |
| | $ | 3,719 |
| | (7.4 | )% | | $ | 7,086 |
| | $ | 7,447 |
| | (4.8 | )% | |
Revenues on a Per Adjusted Patient Admission and Per Adjusted Patient Day | | | | | | | |
| | | | | |
Net patient revenue(3) per adjusted patient admission | | $ | 11,249 |
| | $ | 10,860 |
| | 3.6 | % | | $ | 11,303 |
| | $ | 10,799 |
| | 4.7 | % | |
Net patient revenue(3) per adjusted patient day | | $ | 2,507 |
| | $ | 2,396 |
| | 4.6 | % | | $ | 2,478 |
| | $ | 2,360 |
| | 5.0 | % | |
Total selected operating expenses (salaries, wages and benefits, supplies and other operating expenses) per adjusted patient admission(2) | | $ | 10,619 |
| | $ | 10,394 |
| | 2.2 | % | | $ | 10,590 |
| | $ | 10,342 |
| | 2.4 | % | |
Net Patient Revenues(3) from: | | | | | | | | | | | | | |
Medicare | | 20.4 | % | | 22.0 | % | | (1.6 | )% | * | 20.9 | % | | 22.6 | % | | (1.7 | )% | * |
Medicaid | | 9.1 | % | | 7.5 | % | | 1.6 | % | * | 9.0 | % | | 7.4 | % | | 1.6 | % | * |
Managed care | | 66.0 | % | | 65.9 | % | | 0.1 | % | * | 65.5 | % | | 65.6 | % | | (0.1 | )% | * |
Self-pay | | 0.2 | % | | 0.5 | % | | (0.3 | )% | * | 0.6 | % | | 0.4 | % | | 0.2 | % | * |
Indemnity and other | | 4.3 | % | | 4.1 | % | | 0.2 | % | * | 4.0 | % | | 4.0 | % | | — | % | * |
| | | | | | | | | | | | | |
(1) Represents the consolidated results of Tenet’s acute care hospitals and related outpatient facilities included in the Hospital Operations and other segment.
(2) Excludes operating expenses from Tenet's health plans.
(3) Less implicit price concessions and provision for doubtful accounts.
* This change is the difference between the 2018 and 2017 amounts shown.
TENET HEALTHCARE CORPORATION
SELECTED STATISTICS – CONTINUING SAME HOSPITALS(1)
(Unaudited)
|
| | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | |
(Dollars in millions except per adjusted patient day | | Three Months Ended June 30, | | Six Months Ended June 30, | |
and per adjusted patient admission amounts) | | 2018 | | 2017 | | Change | | 2018 | | 2017 | | Change | |
| | | | | | | | | | | | | |
Admissions, Patient Days and Surgeries | | | | | | | | | | | | | |
Number of hospitals (at end of period) | | 68 |
| | 68 |
| | — |
| | 68 |
| | 68 |
| | — |
| * |
Total admissions | | 168,135 |
| | 172,048 |
| | (2.3 | )% | | 346,324 |
| | 349,672 |
| | (1.0 | )% | |
Adjusted patient admissions | | 305,541 |
| | 306,278 |
| | (0.2 | )% | | 617,838 |
| | 616,415 |
| | 0.2 | % | |
Paying admissions (excludes charity and uninsured) | | 157,904 |
| | 162,630 |
| | (2.9 | )% | | 326,458 |
| | 331,153 |
| | (1.4 | )% | |
Charity and uninsured admissions | | 10,231 |
| | 9,418 |
| | 8.6 | % | | 19,866 |
| | 18,519 |
| | 7.3 | % | |
Admissions through emergency department | | 114,945 |
| | 110,486 |
| | 4.0 | % | | 237,867 |
| | 225,253 |
| | 5.6 | % | |
Paying admissions as a percentage of total admissions | | 93.9 | % | | 94.5 | % | | (0.6 | )% | | 94.3 | % | | 94.7 | % | | (0.4 | )% | * |
Charity and uninsured admissions as a percentage of total admissions | | 6.1 | % | | 5.5 | % | | 0.6 | % | | 5.7 | % | | 5.3 | % | | 0.4 | % | * |
Emergency department admissions as a percentage of total admissions | | 68.4 | % | | 64.2 | % | | 4.2 | % | | 68.7 | % | | 64.4 | % | | 4.3 | % | * |
Surgeries — inpatient | | 46,057 |
| | 47,288 |
| | (2.6 | )% | | 91,997 |
| | 94,188 |
| | (2.3 | )% | |
Surgeries — outpatient | | 63,615 |
| | 63,642 |
| | — | % | | 124,664 |
| | 125,754 |
| | (0.9 | )% | |
Total surgeries | | 109,672 |
| | 110,930 |
| | (1.1 | )% | | 216,661 |
| | 219,942 |
| | (1.5 | )% | |
Patient days — total | | 765,659 |
| | 792,160 |
| | (3.3 | )% | | 1,606,445 |
| | 1,625,921 |
| | (1.2 | )% | |
Adjusted patient days | | 1,372,048 |
| | 1,390,154 |
| | (1.3 | )% | | 2,820,404 |
| | 2,824,012 |
| | (0.1 | )% | |
Average length of stay (days) | | 4.55 |
| | 4.60 |
| | (1.1 | )% | | 4.64 |
| | 4.65 |
| | (0.2 | )% | |
Licensed beds (at end of period) | | 17,946 |
| | 17,980 |
| | (0.2 | )% | | 17,946 |
| | 17,980 |
| | (0.2 | )% | |
Average licensed beds | | 17,946 |
| | 17,980 |
| | (0.2 | )% | | 17,946 |
| | 17,972 |
| | (0.1 | )% | |
Utilization of licensed beds | | 46.9 | % | | 48.4 | % | | (1.5 | )% | | 49.5 | % | | 50.0 | % | | (0.5 | )% | * |
Outpatient Visits | | | | | | | | | | | | | |
Total visits | | 1,748,312 |
| | 1,766,625 |
| | (1.0 | )% | | 3,542,213 |
| | 3,577,426 |
| | (1.0 | )% | |
Paying visits (excludes charity and uninsured) | | 1,631,963 |
| | 1,652,532 |
| | (1.2 | )% | | 3,312,212 |
| | 3,351,449 |
| | (1.2 | )% | |
Charity and uninsured visits | | 116,349 |
| | 114,093 |
| | 2.0 | % | | 230,001 |
| | 225,977 |
| | 1.8 | % | |
Emergency department visits | | 642,623 |
| | 645,803 |
| | (0.5 | )% | | 1,325,226 |
| | 1,296,580 |
| | 2.2 | % | |
Paying visits as a percentage of total visits | | 93.3 | % | | 93.5 | % | | (0.2 | )% | | 93.5 | % | | 93.7 | % | | (0.2 | )% | * |
Charity and uninsured visits as a percentage of total visits | | 6.7 | % | | 6.5 | % | | 0.2 | % | | 6.5 | % | | 6.3 | % | | 0.2 | % | * |
Total emergency department admissions and visits | | 757,568 |
| | 756,289 |
| | 0.2 | % | | 1,563,093 |
| | 1,521,833 |
| | 2.7 | % | |
Revenues | | | | | | | | | | | | | |
Net patient revenues(2) | | $ | 3,432 |
| | $ | 3,325 |
| | 3.2 | % | | $ | 7,002 |
| | $ | 6,668 |
| | 5.0 | % | |
Revenues on a Per Adjusted Patient Admission and Per Adjusted Patient Day | | | | | | | | | | | | | |
Net patient revenue(2) per adjusted patient admission | | $ | 11,233 |
| | $ | 10,856 |
| | 3.5 | % | | $ | 11,333 |
| | $ | 10,817 |
| | 4.8 | % | |
Net patient revenue(2) per adjusted patient day | | $ | 2,501 |
| | $ | 2,392 |
| | 4.6 | % | | $ | 2,483 |
| | $ | 2,361 |
| | 5.2 | % | |
Net Patient Revenues(2) from: | | | | | | | | | | | | | |
Medicare | | 20.4 | % | | 22.3 | % | | (1.9 | )% | | 20.8 | % | | 22.9 | % | | (2.1 | )% | * |
Medicaid | | 9.1 | % | | 7.1 | % | | 2.0 | % | | 9.0 | % | | 7.1 | % | | 1.9 | % | * |
Managed care | | 66.1 | % | | 65.8 | % | | 0.3 | % | | 65.5 | % | | 65.4 | % | | 0.1 | % | * |
Self-pay | | 0.1 | % | | 0.6 | % | | (0.5 | )% | | 0.7 | % | | 0.5 | % | | 0.2 | % | * |
Indemnity and other | | 4.3 | % | | 4.2 | % | | 0.1 | % | | 4.0 | % | | 4.1 | % | | (0.1 | )% | * |
(1) Information for our Hospital Operations and other segment is presented on a same-hospital basis, which includes the results of our same 68 hospitals operated throughout the six months ended June 30, 2018 and 2017 and associated outpatient facilities, but excludes the results of hospitals Tenet divested since January 1, 2017.
(2) Less implicit price concessions and provision for doubtful accounts.
* This change is the difference between the 2018 and 2017 amounts shown.
TENET HEALTHCARE CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
|
| | | | | | | | | | | | |
| | | | | | |
(Dollars in millions except per share amounts) | | Three Months Ended | | Six Months Ended |
| | 3/31/2018 | | 6/30/2018 | | 6/30/2018 |
Net operating revenues | | $ | 4,699 |
| | $ | 4,506 |
| | $ | 9,205 |
|
Equity in earnings of unconsolidated affiliates | | 25 |
| | 39 |
| | 64 |
|
Operating expenses: | | | | | | |
Salaries, wages and benefits | | 2,227 |
| | 2,135 |
| | 4,362 |
|
Supplies | | 774 |
| | 748 |
| | 1,522 |
|
Other operating expenses, net | | 1,060 |
| | 1,027 |
| | 2,087 |
|
Electronic health record incentives | | (1 | ) | | — |
| | (1 | ) |
Depreciation and amortization | | 204 |
| | 194 |
| | 398 |
|
Impairment and restructuring charges, and acquisition-related costs | | 47 |
| | 30 |
| | 77 |
|
Litigation and investigation costs | | 6 |
| | 13 |
| | 19 |
|
Net gains on sales, consolidation and deconsolidation of facilities | | (110 | ) | | (8 | ) | | (118 | ) |
Operating income | | 517 |
| | 406 |
| | 923 |
|
Interest expense | | (255 | ) | | (254 | ) | | (509 | ) |
Other non-operating expense, net | | (1 | ) | | (1 | ) | | (2 | ) |
Loss from early extinguishment of debt | | (1 | ) | | (1 | ) | | (2 | ) |
Income from continuing operations, before income taxes | | 260 |
| | 150 |
| | 410 |
|
Income tax expense | | (70 | ) | | (44 | ) | | (114 | ) |
Income from continuing operations, before discontinued operations | | 190 |
| | 106 |
| | 296 |
|
Discontinued operations: | | | | | | |
Income from operations | | 1 |
| | 2 |
| | 3 |
|
Income tax benefit (expense) | | — |
| | — |
| | — |
|
Income from discontinued operations | | 1 |
| | 2 |
| | 3 |
|
Net income | | 191 |
| | 108 |
| | 299 |
|
Less: Net income available to noncontrolling interests | | 92 |
| | 82 |
| | 174 |
|
Net income available to Tenet Healthcare Corporation common shareholders | | $ | 99 |
| | $ | 26 |
| | $ | 125 |
|
Amounts available to Tenet Healthcare Corporation common shareholders | | | | | | |
Income from continuing operations, net of tax | | $ | 98 |
| | $ | 24 |
| | $ | 122 |
|
Income from discontinued operations, net of tax | | 1 |
| | 2 |
| | 3 |
|
Net income available to Tenet Healthcare Corporation common shareholders | | $ | 99 |
| | $ | 26 |
| | $ | 125 |
|
Earnings per share available to Tenet Healthcare Corporation common shareholders: | | | | | | |
Basic | | | | | | |
Continuing operations | | $ | 0.97 |
| | $ | 0.23 |
| | $ | 1.20 |
|
Discontinued operations | | 0.01 |
| | 0.02 |
| | 0.03 |
|
| | $ | 0.98 |
| | $ | 0.25 |
| | $ | 1.23 |
|
Diluted | | | | | | |
Continuing operations | | $ | 0.95 |
| | $ | 0.23 |
| | 1.18 |
|
Discontinued operations | | 0.01 |
| | 0.02 |
| | $ | 0.03 |
|
| | $ | 0.96 |
| | $ | 0.25 |
| | $ | 1.21 |
|
Weighted average shares and dilutive securities outstanding (in thousands): | | | | | | |
Basic | | 101,392 |
| | 102,147 |
| | 101,770 |
|
Diluted | | 102,656 |
| | 104,177 |
| | 103,416 |
|
TENET HEALTHCARE CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
|
| | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | |
(Dollars in millions except per share amounts) | | Three Months Ended | | Year Ended |
| | 3/31/2017 | | 6/30/2017 | | 9/30/2017 | | 12/31/2017 | | 12/31/2017 |
Net operating revenues: | | | | | | | | | | |
Net operating revenues before provision for doubtful accounts | | $ | 5,196 |
| | $ | 5,173 |
| | $ | 4,941 |
| | $ | 5,303 |
| | $ | 20,613 |
|
Less: Provision for doubtful accounts | | 383 |
| | 371 |
| | 355 |
| | 325 |
| | 1,434 |
|
Net operating revenues | | 4,813 |
| | 4,802 |
| | 4,586 |
| | 4,978 |
| | 19,179 |
|
Equity in earnings of unconsolidated affiliates | | 29 |
| | 28 |
| | 38 |
| | 49 |
| | 144 |
|
Operating expenses: | | | | | | | | | | |
Salaries, wages and benefits | | 2,380 |
| | 2,346 |
| | 2,264 |
| | 2,284 |
| | 9,274 |
|
Supplies | | 765 |
| | 780 |
| | 740 |
| | 800 |
| | 3,085 |
|
Other operating expenses, net | | 1,187 |
| | 1,159 |
| | 1,120 |
| | 1,104 |
| | 4,570 |
|
Electronic health record incentives | | (1 | ) | | (6 | ) | | (1 | ) | | (1 | ) | | (9 | ) |
Depreciation and amortization | | 221 |
| | 222 |
| | 219 |
| | 208 |
| | 870 |
|
Impairment and restructuring charges, and acquisition-related costs | | 33 |
| | 41 |
| | 329 |
| | 138 |
| | 541 |
|
Litigation and investigation costs | | 5 |
| | 1 |
| | 6 |
| | 11 |
| | 23 |
|
Net gains on sales, consolidation and deconsolidation of facilities | | (15 | ) | | (23 | ) | | (104 | ) | | (2 | ) | | (144 | ) |
Operating income | | 267 |
| | 310 |
| | 51 |
| | 485 |
| | 1,113 |
|
Interest expense | | (258 | ) | | (260 | ) | | (257 | ) | | (253 | ) | | (1,028 | ) |
Other non-operating expense, net | | (5 | ) | | (5 | ) | | (4 | ) | | (8 | ) | | (22 | ) |
Loss from early extinguishment of debt | | — |
| | (26 | ) | | (138 | ) | | — |
| | (164 | ) |
Income (loss) from continuing operations, before income taxes | | 4 |
| | 19 |
| | (348 | ) | | 224 |
| | (101 | ) |
Income tax benefit (expense) | | 33 |
| | 12 |
| | 60 |
| | (324 | ) | | (219 | ) |
Income (loss) from continuing operations, before discontinued operations | | 37 |
| | 31 |
| | (288 | ) | | (100 | ) | | (320 | ) |
Discontinued operations: | | | | | | | | | | |
Income (loss) from operations | | (2 | ) | | 2 |
| | (1 | ) | | 1 |
| | — |
|
Income tax benefit (expense) | | 1 |
| | (1 | ) | | — |
| | — |
| | — |
|
Income (loss) from discontinued operations | | (1 | ) | | 1 |
| | (1 | ) | | 1 |
| | — |
|
Net income (loss) | | 36 |
| | 32 |
| | (289 | ) | | (99 | ) | | (320 | ) |
Less: Net income available to noncontrolling interests | | 89 |
| | 87 |
| | 78 |
| | 130 |
| | 384 |
|
Net income available (loss attributable) to Tenet Healthcare Corporation common shareholders | | $ | (53 | ) | | $ | (55 | ) | | $ | (367 | ) | | $ | (229 | ) | | $ | (704 | ) |
Amounts available (attributable) to Tenet Healthcare Corporation common shareholders | | | | | | | | | | |
Loss from continuing operations, net of tax | | $ | (52 | ) | | $ | (56 | ) | | $ | (366 | ) | | $ | (230 | ) | | $ | (704 | ) |
Income (loss) from discontinued operations, net of tax | | (1 | ) | | 1 |
| | (1 | ) | | 1 |
| | — |
|
Net loss attributable to Tenet Healthcare Corporation common shareholders | | $ | (53 | ) | | $ | (55 | ) | | $ | (367 | ) | | $ | (229 | ) | | $ | (704 | ) |
Earnings available (loss attributable) per share to Tenet Healthcare Corporation common shareholders: | | | | | | | | | | |
Basic | | | | | | | | | | |
Continuing operations | | $ | (0.52 | ) | | $ | (0.56 | ) | | $ | (3.63 | ) | | $ | (2.28 | ) | | $ | (7.00 | ) |
Discontinued operations | | (0.01 | ) | | 0.01 |
| | (0.01 | ) | | 0.01 |
| | — |
|
| | $ | (0.53 | ) | | $ | (0.55 | ) | | $ | (3.64 | ) | | $ | (2.27 | ) | | $ | (7.00 | ) |
Diluted | | | | | | | | | | |
Continuing operations | | $ | (0.52 | ) | | $ | (0.56 | ) | | $ | (3.63 | ) | | $ | (2.28 | ) | | $ | (7.00 | ) |
Discontinued operations | | (0.01 | ) | | 0.01 |
| | (0.01 | ) | | 0.01 |
| | — |
|
| | $ | (0.53 | ) | | $ | (0.55 | ) | | $ | (3.64 | ) | | $ | (2.27 | ) | | $ | (7.00 | ) |
Weighted average shares and dilutive securities outstanding (in thousands): | | | | | | | | | | |
Basic | | 100,000 |
| | 100,612 |
| | 100,812 |
| | 100,945 |
| | 100,592 |
|
Diluted | | 100,000 |
| | 100,612 |
| | 100,812 |
| | 100,945 |
| | 100,592 |
|
TENET HEALTHCARE CORPORATION
SELECTED STATISTICS – CONTINUING TOTAL HOSPITALS(1)
(Unaudited)
|
| | | | | | | | | | | | |
(Dollars in millions except per adjusted patient day and per adjusted patient admission amounts) | | | | | | |
| Three Months Ended | | Six Months Ended |
| 3/31/2018 | | 6/30/2018 | | 06/30/2018 |
| | | | | | |
Admissions, Patient Days and Surgeries | | | | | | |
Number of hospitals (at end of period) | | 69 |
| | 68 |
| | 68 |
|
Total admissions | | 182,306 |
| | 168,453 |
| | 350,759 |
|
Adjusted patient admissions | | 320,868 |
| | 306,063 |
| | 626,931 |
|
Paying admissions (excludes charity and uninsured) | | 172,490 |
| | 158,216 |
| | 330,706 |
|
Charity and uninsured admissions | | 9,816 |
| | 10,237 |
| | 20,053 |
|
Admissions through emergency department | | 125,076 |
| | 115,036 |
| | 240,112 |
|
Paying admissions as a percentage of total admissions | | 94.6 | % | | 93.9 | % | | 94.3 | % |
Charity and uninsured admissions as a percentage of total admissions | | 5.4 | % | | 6.1 | % | | 5.7 | % |
Emergency department admissions as a percentage of total admissions | | 68.6 | % | | 68.3 | % | | 68.5 | % |
Surgeries — inpatient | | 47,223 |
| | 46,274 |
| | 93,497 |
|
Surgeries — outpatient | | 63,008 |
| | 63,805 |
| | 126,813 |
|
Total surgeries | | 110,231 |
| | 110,079 |
| | 220,310 |
|
Patient days — total | | 858,648 |
| | 766,519 |
| | 1,625,167 |
|
Adjusted patient days | | 1,486,139 |
| | 1,373,480 |
| | 2,859,619 |
|
Average length of stay (days) | | 4.71 |
| | 4.55 |
| | 4.63 |
|
Licensed beds (at end of period) | | 18,457 |
| | 18,314 |
| | 18,314 |
|
Average licensed beds | | 18,685 |
| | 18,362 |
| | 18,523 |
|
Utilization of licensed beds | | 51.1 | % | | 45.9 | % | | 48.5 | % |
Outpatient Visits | | | | | | |
Total visits | | 1,842,539 |
| | 1,749,847 |
| | 3,592,386 |
|
Paying visits (excludes charity and uninsured) | | 1,725,976 |
| | 1,633,372 |
| | 3,359,348 |
|
Charity and uninsured visits | | 116,563 |
| | 116,475 |
| | 233,038 |
|
Emergency department visits | | 697,001 |
| | 643,036 |
| | 1,340,037 |
|
Paying visits as a percentage of total visits | | 93.7 | % | | 93.3 | % | | 93.5 | % |
Charity and uninsured visits as a percentage of total visits | | 6.3 | % | | 6.7 | % | | 6.5 | % |
Total emergency department admissions and visits | | 822,077 |
| | 758,072 |
| | 1,580,149 |
|
Revenues | | | | | | |
Net patient revenues(3) | | $ | 3,643 |
| | $ | 3,443 |
| | $ | 7,086 |
|
Revenues on a Per Adjusted Patient Admission and Per Adjusted Patient Day | | | | | | |
Net patient revenue(3) per adjusted patient admission | | $ | 11,354 |
| | $ | 11,249 |
| | $ | 11,303 |
|
Net patient revenue(3) per adjusted patient day | | $ | 2,451 |
| | $ | 2,507 |
| | $ | 2,478 |
|
Total selected operating expenses (salaries, wages and benefits, supplies and other operating expenses) per adjusted patient admission(2) | | $ | 10,561 |
| | $ | 10,619 |
| | $ | 10,590 |
|
Net Patient Revenues(3) from: | | | | | | |
Medicare | | 21.5 | % | | 20.4 | % | | 20.9 | % |
Medicaid | | 8.8 | % | | 9.1 | % | | 9.0 | % |
Managed care | | 65.0 | % | | 66.0 | % | | 65.5 | % |
Self-pay | | 1.0 | % | | 0.2 | % | | 0.6 | % |
Indemnity and other | | 3.7 | % | | 4.3 | % | | 4.0 | % |
| |
(1) | Represents the consolidated results of Tenet’s acute care hospitals and related outpatient facilities included in the Hospital Operations and other segment. |
| |
(2) | Excludes operating expenses from Tenet's health plans. |
(3) Less implicit price concessions and provision for doubtful accounts.
TENET HEALTHCARE CORPORATION
SELECTED STATISTICS – CONTINUING TOTAL HOSPITALS(1)
(Unaudited)
|
| | | | | | | | | | | | | | | | | | | | |
(Dollars in millions except per adjusted patient day and per adjusted patient admission amounts) | | | | | | | | | | |
| Three Months Ended | | Year Ended |
| 3/31/2017 | | 6/30/2017 | | 9/30/2017 | | 12/31/2017 | | 12/31/2017 |
| | | | | | | | | | |
Admissions, Patient Days and Surgeries | | | | | | | | | | |
Number of hospitals (at end of period) | | 76 |
| | 76 |
| | 73 |
| | 72 |
| | 72 |
|
Total admissions | | 196,907 |
| | 190,394 |
| | 185,389 |
| | 186,185 |
| | 758,875 |
|
Adjusted patient admissions | | 347,150 |
| | 342,439 |
| | 332,035 |
| | 332,642 |
| | 1,354,266 |
|
Paying admissions (excludes charity and uninsured) | | 186,648 |
| | 179,889 |
| | 174,803 |
| | 176,158 |
| | 717,498 |
|
Charity and uninsured admissions | | 10,259 |
| | 10,505 |
| | 10,586 |
| | 10,027 |
| | 41,377 |
|
Admissions through emergency department | | 126,473 |
| | 121,807 |
| | 120,493 |
| | 123,887 |
| | 492,660 |
|
Paying admissions as a percentage of total admissions | | 94.8 | % | | 94.5 | % | | 94.3 | % | | 94.6 | % | | 94.5 | % |
Charity and uninsured admissions as a percentage of total admissions | | 5.2 | % | | 5.5 | % | | 5.7 | % | | 5.4 | % | | 5.5 | % |
Emergency department admissions as a percentage of total admissions | | 64.2 | % | | 64.0 | % | | 65.0 | % | | 66.5 | % | | 64.9 | % |
Surgeries — inpatient | | 51,800 |
| | 52,083 |
| | 50,939 |
| | 50,292 |
| | 205,114 |
|
Surgeries — outpatient | | 69,604 |
| | 71,366 |
| | 67,321 |
| | 68,604 |
| | 276,895 |
|
Total surgeries | | 121,404 |
| | 123,449 |
| | 118,260 |
| | 118,896 |
| | 482,009 |
|
Patient days — total | | 923,339 |
| | 874,930 |
| | 853,059 |
| | 857,728 |
| | 3,509,056 |
|
Adjusted patient days | | 1,603,698 |
| | 1,552,302 |
| | 1,502,831 |
| | 1,505,130 |
| | 6,163,961 |
|
Average length of stay (days) | | 4.69 |
| | 4.60 |
| | 4.60 |
| | 4.61 |
| | 4.62 |
|
Licensed beds (at end of period) | | 20,439 |
| | 20,435 |
| | 19,433 |
| | 19,141 |
| | 19,141 |
|
Average licensed beds | | 20,440 |
| | 20,435 |
| | 19,783 |
| | 19,320 |
| | 19,995 |
|
Utilization of licensed beds | | 50.2 | % | | 47.0 | % | | 46.9 | % | | 48.3 | % | | 48.1 | % |
Outpatient Visits | | | | | | | | | | |
Total visits | | 2,039,942 |
| | 1,981,848 |
| | 1,867,471 |
| | 1,901,864 |
| | 7,791,125 |
|
Paying visits (excludes charity and uninsured) | | 1,908,212 |
| | 1,849,697 |
| | 1,741,815 |
| | 1,777,790 |
| | 7,277,514 |
|
Charity and uninsured visits | | 131,730 |
| | 132,151 |
| | 125,656 |
| | 124,074 |
| | 513,611 |
|
Emergency department visits | | 733,051 |
| | 724,785 |
| | 685,096 |
| | 711,268 |
| | 2,854,200 |
|
Paying visits as a percentage of total visits | | 93.5 | % | | 93.3 | % | | 93.3 | % | | 93.5 | % | | 93.4 | % |
Charity and uninsured visits as a percentage of total visits | | 6.5 | % | | 6.7 | % | | 6.7 | % | | 6.5 | % | | 6.6 | % |
Total emergency department admissions and visits | | 859,524 |
| | 846,592 |
| | 805,589 |
| | 835,155 |
| | 3,346,860 |
|
Revenues | | | | | | | | | | |
Net patient revenues(3) | | $ | 3,728 |
| | $ | 3,719 |
| | $ | 3,522 |
| | $ | 3,860 |
| | $ | 14,829 |
|
Revenues on a Per Adjusted Patient Admission and Per Adjusted Patient Day | | | | | | | | | | |
Net patient revenue(3) per adjusted patient admission | | $ | 10,739 |
| | $ | 10,860 |
| | $ | 10,607 |
| | $ | 11,604 |
| | $ | 10,950 |
|
Net patient revenue(3) per adjusted patient day | | $ | 2,325 |
| | $ | 2,396 |
| | $ | 2,344 |
| | $ | 2,565 |
| | $ | 2,406 |
|
Total selected operating expenses (salaries, wages and benefits, supplies and other operating expenses) per adjusted patient admission(2) | | $ | 10,288 |
| | $ | 10,394 |
| | $ | 10,367 |
| | $ | 10,492 |
| | $ | 10,384 |
|
Net Patient Revenues(3) from: | | | | | | | | | | |
Medicare | | 23.1 | % | | 22.0 | % | | 22.0 | % | | 20.4 | % | | 21.9 | % |
Medicaid | | 7.4 | % | | 7.5 | % | | 7.1 | % | | 12.9 | % | | 8.8 | % |
Managed care | | 65.2 | % | | 65.9 | % | | 66.1 | % | | 61.5 | % | | 64.6 | % |
Self-pay | | 0.3 | % | | 0.5 | % | | 0.3 | % | | 1.3 | % | | 0.6 | % |
Indemnity and other | | 4.0 | % | | 4.1 | % | | 4.5 | % | | 3.9 | % | | 4.1 | % |
| |
(1) | Represents the consolidated results of Tenet’s acute care hospitals and related outpatient facilities included in the Hospital Operations and other segment. |
| |
(2) | Excludes operating expenses from Tenet's health plans. |
(3) Less implicit price concessions and provision for doubtful accounts.
TENET HEALTHCARE CORPORATION
SELECTED STATISTICS – CONTINUING SAME HOSPITALS(1)
(Unaudited)
|
| | | | | | | | | | | | |
(Dollars in millions except per adjusted patient day and per adjusted patient admission amounts) | | | | | | |
| Three Months Ended | | Six Months Ended |
| 3/31/2018 | | 6/30/2018 | | 6/30/2018 |
| | | | | | |
Admissions, Patient Days and Surgeries | | | | | | |
Number of hospitals (at end of period) | | 68 |
| | 68 |
| | 68 |
|
Total admissions | | 178,189 |
| | 168,135 |
| | 346,324 |
|
Adjusted patient admissions | | 312,297 |
| | 305,541 |
| | 617,838 |
|
Paying admissions (excludes charity and uninsured) | | 168,554 |
| | 157,904 |
| | 326,458 |
|
Charity and uninsured admissions | | 9,635 |
| | 10,231 |
| | 19,866 |
|
Admissions through emergency department | | 122,922 |
| | 114,945 |
| | 237,867 |
|
Paying admissions as a percentage of total admissions | | 94.6 | % | | 93.9 | % | | 94.3 | % |
Charity and uninsured admissions as a percentage of total admissions | | 5.4 | % | | 6.1 | % | | 5.7 | % |
Emergency department admissions as a percentage of total admissions | | 69.0 | % | | 68.4 | % | | 68.7 | % |
Surgeries — inpatient | | 45,940 |
| | 46,057 |
| | 91,997 |
|
Surgeries — outpatient | | 61,049 |
| | 63,615 |
| | 124,664 |
|
Total surgeries | | 106,989 |
| | 109,672 |
| | 216,661 |
|
Patient days — total | | 840,786 |
| | 765,659 |
| | 1,606,445 |
|
Adjusted patient days | | 1,448,356 |
| | 1,372,048 |
| | 2,820,404 |
|
Average length of stay (days) | | 4.72 |
| | 4.55 |
| | 4.64 |
|
Licensed beds (at end of period) | | 17,946 |
| | 17,946 |
| | 17,946 |
|
Average licensed beds | | 17,946 |
| | 17,946 |
| | 17,946 |
|
Utilization of licensed beds | | 52.1 | % | | 46.9 | % | | 49.5 | % |
Outpatient Visits | | | | | | |
Total visits | | 1,793,901 |
| | 1,748,312 |
| | 3,542,213 |
|
Paying visits (excludes charity and uninsured) | | 1,680,249 |
| | 1,631,963 |
| | 3,312,212 |
|
Charity and uninsured visits | | 113,652 |
| | 116,349 |
| | 230,001 |
|
Emergency department visits | | 682,603 |
| | 642,623 |
| | 1,325,226 |
|
Paying visits as a percentage of total visits | | 93.7 | % | | 93.3 | % | | 93.5 | % |
Charity and uninsured visits as a percentage of total visits | | 6.3 | % | | 6.7 | % | | 6.5 | % |
Total emergency department admissions and visits | | 805,525 |
| | 757,568 |
| | 1,563,093 |
|
Revenues | | | | | | |
Net patient revenues(2) | | $ | 3,570 |
| | $ | 3,432 |
| | $ | 7,002 |
|
Revenues on a Per Adjusted Patient Admission and Per Adjusted Patient Day | | | | | | |
Net patient revenue(2) per adjusted patient admission | | $ | 11,431 |
| | $ | 11,233 |
| | $ | 11,333 |
|
Net patient revenue(2) per adjusted patient day | | $ | 2,465 |
| | $ | 2,501 |
| | $ | 2,483 |
|
Net Patient Revenues(2) from: | | | | | | |
Medicare | | 21.3 | % | | 20.4 | % | | 20.8 | % |
Medicaid | | 8.8 | % | | 9.1 | % | | 9.0 | % |
Managed care | | 64.9 | % | | 66.1 | % | | 65.5 | % |
Self-pay | | 1.3 | % | | 0.1 | % | | 0.7 | % |
Indemnity and other | | 3.7 | % | | 4.3 | % | | 4.0 | % |
(1) Information for our Hospital Operations and other segment is presented on a same-hospital basis, which includes the results of our same 68 hospitals operated throughout the six months ended June 30, 2018 and 2017 and associated outpatient facilities, but excludes the results of hospitals Tenet divested since January 1, 2017.
(2) Less implicit price concessions and provision for doubtful accounts.
TENET HEALTHCARE CORPORATION
SELECTED STATISTICS – CONTINUING SAME HOSPITALS(1)
(Unaudited)
|
| | | | | | | | | | | | | | | | | | | | |
(Dollars in millions except per adjusted patient day and per adjusted patient admission amounts) | | | | | | | | | | |
| Three Months Ended | | Year Ended |
| 3/31/2017 | | 6/30/2017 | | 9/30/2017 | | 12/31/2017 | | 12/31/2017 |
| | | | | | | | | | |
Admissions, Patient Days and Surgeries | | | | | | | | | | |
Number of hospitals (at end of period) | | 68 |
| | 68 |
| | 68 |
| | 68 |
| | 68 |
|
Total admissions | | 177,624 |
| | 172,048 |
| | 171,766 |
| | 175,152 |
| | 696,590 |
|
Adjusted patient admissions | | 310,137 |
| | 306,278 |
| | 305,300 |
| | 310,485 |
| | 1,232,200 |
|
Paying admissions (excludes charity and uninsured) | | 168,523 |
| | 162,630 |
| | 161,743 |
| | 165,400 |
| | 658,296 |
|
Charity and uninsured admissions | | 9,101 |
| | 9,418 |
| | 10,023 |
| | 9,752 |
| | 38,294 |
|
Admissions through emergency department | | 114,767 |
| | 110,486 |
| | 112,210 |
| | 116,901 |
| | 454,364 |
|
Paying admissions as a percentage of total admissions | | 94.9 | % | | 94.5 | % | | 94.2 | % | | 94.4 | % | | 94.5 | % |
Charity and uninsured admissions as a percentage of total admissions | | 5.1 | % | | 5.5 | % | | 5.8 | % | | 5.6 | % | | 5.5 | % |
Emergency department admissions as a percentage of total admissions | | 64.6 | % | | 64.2 | % | | 65.3 | % | | 66.7 | % | | 65.2 | % |
Surgeries — inpatient | | 46,900 |
| | 47,288 |
| | 47,315 |
| | 47,350 |
| | 188,853 |
|
Surgeries — outpatient | | 62,112 |
| | 63,642 |
| | 61,562 |
| | 63,410 |
| | 250,726 |
|
Total surgeries | | 109,012 |
| | 110,930 |
| | 108,877 |
| | 110,760 |
| | 439,579 |
|
Patient days — total | | 833,761 |
| | 792,160 |
| | 789,040 |
| | 805,567 |
| | 3,220,528 |
|
Adjusted patient days | | 1,433,858 |
| | 1,390,154 |
| | 1,379,096 |
| | 1,402,038 |
| | 5,605,146 |
|
Average length of stay (days) | | 4.69 |
| | 4.60 |
| | 4.59 |
| | 4.60 |
| | 4.62 |
|
Licensed beds (at end of period) | | 17,964 |
| | 17,980 |
| | 18,006 |
| | 17,946 |
| | 17,946 |
|
Average licensed beds | | 17,964 |
| | 17,980 |
| | 18,007 |
| | 17,970 |
| | 17,980 |
|
Utilization of licensed beds | | 51.6 | % | | 48.4 | % | | 47.6 | % | | 48.7 | % | | 49.1 | % |
Outpatient Visits | | | | | | | | | | |
Total visits | | 1,810,801 |
| | 1,766,625 |
| | 1,715,650 |
| | 1,771,336 |
| | 7,064,412 |
|
Paying visits (excludes charity and uninsured) | | 1,698,917 |
| | 1,652,532 |
| | 1,600,195 |
| | 1,653,581 |
| | 6,605,225 |
|
Charity and uninsured visits | | 111,884 |
| | 114,093 |
| | 115,455 |
| | 117,755 |
| | 459,187 |
|
Emergency department visits | | 650,777 |
| | 645,803 |
| | 627,415 |
| | 659,617 |
| | 2,583,612 |
|
Paying visits as a percentage of total visits | | 93.8 | % | | 93.5 | % | | 93.3 | % | | 93.4 | % | | 93.5 | % |
Charity and uninsured visits as a percentage of total visits | | 6.2 | % | | 6.5 | % | | 6.7 | % | | 6.6 | % | | 6.5 | % |
Total emergency department admissions and visits | | 765,544 |
| | 756,289 |
| | 739,625 |
| | 776,518 |
| | 3,037,976 |
|
Revenues | | | | | | | | | | |
Net patient revenues(2) | | $ | 3,343 |
| | $ | 3,325 |
| | $ | 3,237 |
| | $ | 3,609 |
| | $ | 13,514 |
|
Revenues on a Per Adjusted Patient Admission and Per Adjusted Patient Day | | | | | | | | | | |
Net patient revenue(2) per adjusted patient admission | | $ | 10,780 |
| | $ | 10,856 |
| | $ | 10,603 |
| | $ | 11,624 |
| | $ | 10,967 |
|
Net patient revenue(2) per adjusted patient day | | $ | 2,331 |
| | $ | 2,392 |
| | $ | 2,347 |
| | $ | 2,574 |
| | $ | 2,411 |
|
Net Patient Revenues(2) from: | | | | | | | | | | |
Medicare | | 23.5 | % | | 22.3 | % | | 21.9 | % | | 20.3 | % | | 21.9 | % |
Medicaid | | 7.0 | % | | 7.1 | % | | 6.8 | % | | 13.2 | % | | 8.7 | % |
Managed care | | 65.0 | % | | 65.8 | % | | 66.1 | % | | 61.0 | % | | 64.4 | % |
Self-pay | | 0.3 | % | | 0.6 | % | | 0.3 | % | | 1.5 | % | | 0.7 | % |
Indemnity and other | | 4.2 | % | | 4.2 | % | | 4.9 | % | | 4.0 | % | | 4.3 | % |
(1) Information for our Hospital Operations and other segment is presented on a same-hospital basis, which includes the results of our same 68 hospitals operated throughout the six months ended June 30, 2018 and 2017 and associated outpatient facilities, but excludes the results of hospitals Tenet divested since January 1, 2017.
(2) Less implicit price concessions and provision for doubtful accounts.
TENET HEALTHCARE CORPORATION
SEGMENT REPORTING
(Unaudited)
|
| | | | | | | | | | | | | | | | |
(Dollars in millions) | | | | | | June 30, | | December 31, |
| | | | | | 2018 | | 2017 |
Assets | | | | | | | | |
Hospital Operations and other | | | | | | $ | 15,396 |
| | $ | 16,466 |
|
Ambulatory Care | | | | | | 5,865 |
| | 5,822 |
|
Conifer | | | | | | 1,082 |
| | 1,097 |
|
Total | | | | | | $ | 22,343 |
| | $ | 23,385 |
|
| | | | | | | | |
| | Three Months Ended | | Six Months Ended |
| | June 30, | | June 30, |
| | 2018 | | 2017 | | 2018 | | 2017 |
Capital expenditures: | | | | | | | | |
Hospital Operations and other | | $ | 108 |
| | $ | 136 |
| | $ | 228 |
| | $ | 319 |
|
Ambulatory Care | | 13 |
| | 10 |
| | 28 |
| | 21 |
|
Conifer | | 4 |
| | 4 |
| | 12 |
| | 8 |
|
Total | | $ | 125 |
| | $ | 150 |
| | $ | 268 |
| | $ | 348 |
|
| | | | | | | | |
Net operating revenues: | | | | | | | | |
Hospital Operations and other total prior to inter-segment eliminations(1) | | $ | 3,733 |
| | $ | 4,085 |
| | $ | 7,680 |
| | $ | 8,200 |
|
Ambulatory Care | | 531 |
| | 472 |
| | 1,029 |
| | 927 |
|
Conifer | | | | | | | | |
Tenet | | 144 |
| | 155 |
| | 294 |
| | 314 |
|
Other customers | | 242 |
| | 245 |
| | 496 |
| | 488 |
|
Total Conifer revenues | | 386 |
| | 400 |
| | 790 |
| | 802 |
|
Inter-segment eliminations | | (144 | ) | | (155 | ) | | (294 | ) | | (314 | ) |
Total | | $ | 4,506 |
| | $ | 4,802 |
| | $ | 9,205 |
| | $ | 9,615 |
|
| | | | | | | | |
Equity in earnings of unconsolidated affiliates: | | | | | | | | |
Hospital Operations and other | | $ | 6 |
| | $ | (2 | ) | | $ | 4 |
| | $ | — |
|
Ambulatory Care | | 33 |
| | 30 |
| | 60 |
| | 57 |
|
Total | | $ | 39 |
| | $ | 28 |
| | $ | 64 |
| | $ | 57 |
|
| | | | | | | | |
Adjusted EBITDA: | | | | | | | | |
Hospital Operations and other(2) | | $ | 345 |
| | $ | 346 |
| | $ | 747 |
| | $ | 655 |
|
Ambulatory Care | | 198 |
| | 164 |
| | 363 |
| | 317 |
|
Conifer | | 91 |
| | 60 |
| | 189 |
| | 125 |
|
Total | | $ | 634 |
| | $ | 570 |
| | $ | 1,299 |
| | $ | 1,097 |
|
| | | | | | | | |
Depreciation and amortization: | | | | | | | | |
Hospital Operations and other | | $ | 164 |
| | $ | 188 |
| | $ | 339 |
| | $ | 375 |
|
Ambulatory Care | | 17 |
| | 22 |
| | 34 |
| | 44 |
|
Conifer | | 13 |
| | 12 |
| | 25 |
| | 24 |
|
Total | | $ | 194 |
| | $ | 222 |
| | $ | 398 |
| | $ | 443 |
|
| |
(1) | Hospital Operations and other revenues includes health plan revenues of less than $1 million and $6 million for the three and six months ended June 30, 2018, respectively and $25 million and $90 million for the three and six months ended June 30, 2017, respectively. |
| |
(2) | Hospital Operations and other Adjusted EBITDA excludes health plan EBITDA of $1 million and less than $1 million for the three and six months ended June 30, 2018, respectively, and $(19) million and $(35) million for the three and six months ended June 30, 2017, respectively. |
TENET HEALTHCARE CORPORATION
STATEMENT OF OPERATIONS – AMBULATORY CARE SEGMENT
(Unaudited)
|
| | | | | | | | | | | | | | | | |
| | | | | | | | |
(Dollars in millions) | | Three Months Ended June 30, |
| | 2018 | | 2017 |
| | | | | | | | |
| | Ambulatory Care as Reported Under GAAP | | Unconsolidated Affiliates | | Ambulatory Care as Reported Under GAAP | | Unconsolidated Affiliates |
Net operating revenues: | | | | | | | | |
Net operating revenues before provision for doubtful accounts | | | | | | $ | 483 |
| | $ | 499 |
|
Less: Provision for doubtful accounts | | | | | | (11 | ) | | (10 | ) |
Net operating revenues(1) | | $ | 531 |
| | $ | 547 |
| | 472 |
| | 489 |
|
Equity in earnings of unconsolidated affiliates(2) | | 33 |
| | — |
| | 30 |
| | — |
|
Operating expenses: | | | | | | | | |
Salaries, wages and benefits | | 165 |
| | 134 |
| | 153 |
| | 116 |
|
Supplies | | 106 |
| | 144 |
| | 96 |
| | 129 |
|
Other operating expenses, net | | 95 |
| | 114 |
| | 89 |
| | 100 |
|
Depreciation and amortization | | 17 |
| | 17 |
| | 22 |
| | 16 |
|
Impairment and restructuring charges, and acquisition-related costs | | 6 |
| | — |
| | 3 |
| | 1 |
|
Net gains on sales, consolidation and deconsolidation of facilities | | — |
| | — |
| | — |
| | — |
|
Operating income | | 175 |
| | 138 |
| | 139 |
| | 127 |
|
Interest expense | | (37 | ) | | (5 | ) | | (39 | ) | | (5 | ) |
Other | | 1 |
| | 1 |
| | 2 |
| | — |
|
Net income from continuing operations, before income taxes | | 139 |
| | 134 |
| | 102 |
| | 122 |
|
Income tax expense | | (18 | ) | | (2 | ) | | (20 | ) | | (2 | ) |
Net income | | 121 |
| | $ | 132 |
| | 82 |
| | $ | 120 |
|
Less: Net income available to noncontrolling interests | | 75 |
| | | | 67 |
| | |
Net income available to Tenet Healthcare Corporation common shareholders | | $ | 46 |
| | | | $ | 15 |
| | |
Equity in earnings of unconsolidated affiliates | | | | $ | 33 |
| | | | $ | 30 |
|
| |
(1) | On a same-facility system-wide basis, net revenue in Tenet’s Ambulatory Care segment increased 6.9% during the three months ended June 30, 2018, with cases increasing 4.3% and revenue per case increasing 2.4%. |
| |
(2) | At June 30, 2018, 110 of the 342 facilities in the Company’s Ambulatory segment were not consolidated based on the nature of the segment’s joint venture relationships with physicians and prominent healthcare systems. Although revenues of the segment’s unconsolidated facilities are not recorded as revenues by the Company, equity in earnings of unconsolidated affiliates is nonetheless a significant portion of the Company’s overall earnings. To help analyze results of operations, management also uses system-wide operating measures such as system-wide revenue growth, which includes revenues of both consolidated and unconsolidated facilities. We control our remaining 232 facilities and account for these investments as consolidated subsidiaries. |
TENET HEALTHCARE CORPORATION
STATEMENT OF OPERATIONS – AMBULATORY CARE SEGMENT
(Unaudited)
|
| | | | | | | | | | | | | | | | |
| | | | | | | | |
(Dollars in millions) | | Six Months Ended June 30, |
| | 2018 | | 2017 |
| | | | | | | | |
| | Ambulatory Care as Reported Under GAAP | | Unconsolidated Affiliates | | Ambulatory Care as Reported Under GAAP | | Unconsolidated Affiliates |
Net operating revenues: | | | | | | | | |
Net operating revenues before provision for doubtful accounts | | | | | | $ | 945 |
| | $ | 974 |
|
Less: Provision for doubtful accounts | | | | | | (18 | ) | | (20 | ) |
Net operating revenues(1) | | $ | 1,029 |
| | $ | 1,040 |
| | 927 |
| | 954 |
|
Equity in earnings of unconsolidated affiliates(2) | | 60 |
| | — |
| | 57 |
| | — |
|
Operating expenses: | | | | | | | | |
Salaries, wages and benefits | | 327 |
| | 254 |
| | 303 |
| | 230 |
|
Supplies | | 212 |
| | 274 |
| | 190 |
| | 250 |
|
Other operating expenses, net | | 187 |
| | 219 |
| | 174 |
| | 197 |
|
Depreciation and amortization | | 34 |
| | 33 |
| | 44 |
| | 32 |
|
Impairment and restructuring charges, and acquisition-related costs | | 7 |
| | — |
| | 8 |
| | 1 |
|
Net gains on sales, consolidation and deconsolidation of facilities | | (1 | ) | | — |
| | (7 | ) | | — |
|
Operating income | | 323 |
| | 260 |
| | 272 |
| | 244 |
|
Interest expense | | (73 | ) | | (10 | ) | | (74 | ) | | (11 | ) |
Other | | 3 |
| | 1 |
| | 3 |
| | — |
|
Net income from continuing operations, before income taxes | | 253 |
| | 251 |
| | 201 |
| | 233 |
|
Income tax expense | | (33 | ) | | (4 | ) | | (38 | ) | | (4 | ) |
Net income | | 220 |
| | $ | 247 |
| | 163 |
| | $ | 229 |
|
Less: Net income available to noncontrolling interests | | 139 |
| | — |
| | 133 |
| | |
Net income available to Tenet Healthcare Corporation common shareholders | | $ | 81 |
| | — |
| | $ | 30 |
| | |
Equity in earnings of unconsolidated affiliates | | | | $ | 60 |
| | | | $ | 57 |
|
| |
(1) | On a same-facility system-wide basis, net revenue in Tenet’s Ambulatory Care segment increased 4.8% during the six months ended June 30, 2018, with cases increasing 3.8% and revenue per case increasing 1.0%. |
| |
(2) | At June 30, 2018, 110 of the 342 facilities in the Company’s Ambulatory segment were not consolidated based on the nature of the segment’s joint venture relationships with physicians and prominent healthcare systems. Although revenues of the segment’s unconsolidated facilities are not recorded as revenues by the Company, equity in earnings of unconsolidated affiliates is nonetheless a significant portion of the Company’s overall earnings. To help analyze results of operations, management also uses system-wide operating measures such as system-wide revenue growth, which includes revenues of both consolidated and unconsolidated facilities. We control our remaining 232 facilities and account for these investments as consolidated subsidiaries. |
Non-GAAP Financial Measures
Adjusted EBITDA, a non-GAAP measure, is defined by the Company as net income available (loss attributable) to Tenet Healthcare Corporation common shareholders before (1) the cumulative effect of changes in accounting principle, (2) net loss attributable (income available) to noncontrolling interests, (3) income (loss) from discontinued operations, (4) income tax benefit (expense), (5) gain (loss) from early extinguishment of debt, (6) other non-operating income (expense), net, (7) interest expense, (8) litigation and investigation (costs) benefit, net of insurance recoveries, (9) net gains (losses) on sales, consolidation and deconsolidation of facilities, (10) impairment and restructuring charges and acquisition-related costs, (11) depreciation and amortization and (12) income (loss) from divested operations and closed businesses (i.e., the Company’s health plan businesses). Litigation and investigation costs do not include ordinary course of business malpractice and other litigation and related expense.
Adjusted net income available (loss attributable) from continuing operations to Tenet Healthcare Corporation common shareholders, a non-GAAP measure, is defined by the Company as net income available (loss attributable) to Tenet Healthcare Corporation common shareholders before (1) net income (loss) from discontinued operations, (2) impairment and restructuring charges, and acquisition-related costs, (3) litigation and investigation costs, (4) net gains (losses) on sales, consolidation and deconsolidation of facilities, (5) gain (loss) from early extinguishment of debt, (6) income (loss) from divested operations and closed businesses, and (7) the associated impact of these items on taxes and noncontrolling interests. Adjusted diluted earnings (loss) per share from continuing operations, a non-GAAP term, is defined by the Company as Adjusted net income available (loss attributable) from continuing operations to Tenet Healthcare Corporation common shareholders divided by the weighted average primary or diluted shares outstanding in the reporting period.
Free Cash Flow, a non-GAAP measure, is defined by the Company as (1) net cash provided by (used in) operating activities, less (2) purchases of property and equipment from continuing operations.
Adjusted Free Cash Flow, a non-GAAP measure, is defined by the Company as (1) Adjusted net cash provided by (used in) operating activities from continuing operations, less (2) purchases of property and equipment from continuing operations. Adjusted net cash provided by (used in) operating activities, a non-GAAP measure, is defined by the Company as cash provided by (used in) operating activities prior to (1) payments for restructuring charges, acquisition-related costs and litigation costs and settlements, and (2) net cash provided by (used in) operating activities from discontinued operations.
The Company believes the foregoing non-GAAP measures are useful to investors and analysts because they present additional information on the Company’s financial performance. Investors, analysts, Company management and the Company’s Board of Directors utilize these non-GAAP measures, in addition to GAAP measures, to track the Company’s financial and operating performance and compare the Company’s performance to its peer companies, which utilize similar non-GAAP measures in their presentations. The Human Resources Committee of the Company’s Board of Directors also uses certain of these measures to evaluate management’s performance for the purpose of determining incentive compensation. Additional information regarding the purpose and utility of specific non-GAAP measures used in this release is set forth below.
The Company believes that Adjusted EBITDA is a useful measure, in part, because certain investors and analysts use both historical and projected Adjusted EBITDA, in addition to other GAAP and non-GAAP measures, as factors in determining the estimated fair value of shares of the Company’s common stock. Company management also regularly reviews the Adjusted EBITDA performance for each operating segment. The Company does not use Adjusted EBITDA to measure liquidity, but instead to measure operating performance.
We use, and we believe investors and analysts use, Free Cash Flow and Adjusted Free Cash Flow as supplemental measures to analyze cash flows generated from our operations because we believe it is useful to investors in evaluating our ability to fund distributions paid to noncontrolling interests, acquisitions, purchasing equity interests in joint ventures or repaying debt.
These non-GAAP measures may not be comparable to similarly titled measures reported by other companies. Because these measures exclude many items that are included in our financial statements, they do not provide a complete measure of our operating performance. For example, the Company’s definitions of Free Cash Flow and Adjusted Free Cash Flow do not include other important uses of cash including (1) cash used to purchase businesses or joint venture interests, or (2) any items that are classified as Cash Flows From Financing Activities on the Company’s Consolidated Statement of Cash Flows, including items such as (i) cash used to repay borrowings, (ii) distributions paid to noncontrolling interests, or (iii) payments under the Put/Call Agreement for USPI redeemable noncontrolling interest, which are recorded on the Statement of Cash Flows as the purchase of noncontrolling interest. Accordingly, investors are encouraged to use GAAP measures when evaluating the Company’s financial performance.
A reconciliation of net income available (loss attributable) to Tenet Healthcare Corporation common shareholders, the most comparable GAAP measure, to Adjusted EBITDA is set forth in Table #1 below for each quarter in 2017 and 2018. A reconciliation of net income available (loss attributable) to Tenet Healthcare Corporation common shareholders, the most comparable GAAP measure, to Adjusted net income available (loss attributable) from continuing operations to Tenet Healthcare Corporation common shareholders is set forth in Table #2 below for each quarter in 2017 and 2018. A reconciliation of net cash provided by operating activities, the most comparable GAAP measure, to Free Cash Flow and Adjusted Free Cash Flow is set forth in Table #3 below for each quarter in 2017 and 2018.
TENET HEALTHCARE CORPORATION
Additional Supplemental Non-GAAP disclosures
Table #1 – Reconciliation of Net Income Available (Loss Attributable) to Tenet Healthcare Corporation Common Shareholders to Adjusted EBITDA for 2018
(Unaudited)
|
| | | | | | | | | | | | |
(Dollars in millions) | | 2018 |
| | 1st Qtr | | 2nd Qtr | | YTD |
Net income available to Tenet Healthcare Corporation common shareholders | | $ | 99 |
| | $ | 26 |
| | $ | 125 |
|
Less: Net income available to noncontrolling interests | | (92 | ) | | (82 | ) | | (174 | ) |
Income from discontinued operations, net of tax | | 1 |
| | 2 |
| | 3 |
|
Income from continuing operations | | 190 |
| | 106 |
| | 296 |
|
Income tax expense | | (70 | ) | | (44 | ) | | (114 | ) |
Loss from early extinguishment of debt | | (1 | ) | | (1 | ) | | (2 | ) |
Other non-operating expense, net | | (1 | ) | | (1 | ) | | (2 | ) |
Interest expense | | (255 | ) | | (254 | ) | | (509 | ) |
Operating income | | 517 |
| | 406 |
| | 923 |
|
Litigation and investigation costs | | (6 | ) | | (13 | ) | | (19 | ) |
Net gains on sales, consolidation and deconsolidation of facilities | | 110 |
| | 8 |
| | 118 |
|
Impairment and restructuring charges, and acquisition-related costs | | (47 | ) | | (30 | ) | | (77 | ) |
Depreciation and amortization | | (204 | ) | | (194 | ) | | (398 | ) |
Gain (loss) from divested and closed businesses | | (1 | ) | | 1 |
| | — |
|
Adjusted EBITDA | | $ | 665 |
| | $ | 634 |
| | $ | 1,299 |
|
| | | | | | |
Net operating revenues | | $ | 4,699 |
| | $ | 4,506 |
| | $ | 9,205 |
|
Less: Net operating revenues from health plans | | 6 |
| | — |
| | 6 |
|
Adjusted net operating revenues | | $ | 4,693 |
| | $ | 4,506 |
| | $ | 9,199 |
|
| | | | | | |
Net income available to Tenet Healthcare Corporation common shareholders as a % of net operating revenues | | 2.1 | % | | 0.6 | % | | 1.4 | % |
Adjusted EBITDA as a % of adjusted net operating revenues (Adjusted EBITDA margin) | | 14.2 | % | | 14.1 | % | | 14.1 | % |
TENET HEALTHCARE CORPORATION
Additional Supplemental Non-GAAP disclosures
Table #1 – Reconciliation of Net Income Available (Loss Attributable) to Tenet Healthcare Corporation Common Shareholders to Adjusted EBITDA for 2017
(Unaudited)
|
| | | | | | | | | | | | | | | | | | | | |
(Dollars in millions) | | 2017 |
| | 1st Qtr | | 2nd Qtr | | 3rd Qtr | | 4th Qtr | | Total |
Net loss attributable to Tenet Healthcare Corporation common shareholders | | $ | (53 | ) | | $ | (55 | ) | | $ | (367 | ) | | $ | (229 | ) | | $ | (704 | ) |
Less: Net income available to noncontrolling interests | | (89 | ) | | (87 | ) | | (78 | ) | | (130 | ) | | (384 | ) |
Income (loss) from discontinued operations, net of tax | | (1 | ) | | 1 |
| | (1 | ) | | 1 |
| | — |
|
Income (loss) from continuing operations | | 37 |
| | 31 |
| | (288 | ) | | (100 | ) | | (320 | ) |
Income tax benefit (expense) | | 33 |
| | 12 |
| | 60 |
| | (324 | ) | | (219 | ) |
Loss from early extinguishment of debt | | — |
| | (26 | ) | | (138 | ) | | — |
| | (164 | ) |
Other non-operating expense, net | | (5 | ) | | (5 | ) | | (4 | ) | | (8 | ) | | (22 | ) |
Interest expense | | (258 | ) | | (260 | ) | | (257 | ) | | (253 | ) | | (1,028 | ) |
Operating income | | 267 |
| | 310 |
| | 51 |
| | 485 |
| | 1,113 |
|
Litigation and investigation costs | | (5 | ) | | (1 | ) | | (6 | ) | | (11 | ) | | (23 | ) |
Net gains on sales, consolidation and deconsolidation of facilities | | 15 |
| | 23 |
| | 104 |
| | 2 |
| | 144 |
|
Impairment and restructuring charges, and acquisition-related costs | | (33 | ) | | (41 | ) | | (329 | ) | | (138 | ) | | (541 | ) |
Depreciation and amortization | | (221 | ) | | (222 | ) | | (219 | ) | | (208 | ) | | (870 | ) |
Loss from divested and closed businesses | | (16 | ) | | (19 | ) | | (6 | ) | | — |
| | (41 | ) |
Adjusted EBITDA | | $ | 527 |
| | $ | 570 |
| | $ | 507 |
| | $ | 840 |
| | $ | 2,444 |
|
| | | | | | | | | | |
Net operating revenues | | $ | 4,813 |
| | $ | 4,802 |
| | $ | 4,586 |
| | $ | 4,978 |
| | $ | 19,179 |
|
Less: Net operating revenues from health plans | | 65 |
| | 25 |
| | 10 |
| | 10 |
| | 110 |
|
Adjusted net operating revenues | | $ | 4,748 |
| | $ | 4,777 |
| | $ | 4,576 |
| | $ | 4,968 |
| | $ | 19,069 |
|
| | | | | | | | | | |
Net loss attributable to Tenet Healthcare Corporation common shareholders as a % of net operating revenues | | (1.1 | )% | | (1.1 | )% | | (8.0 | )% | | (4.6 | )% | | (3.7 | )% |
Adjusted EBITDA as a % of adjusted net operating revenues (Adjusted EBITDA margin) | | 11.1 | % | | 11.9 | % | | 11.1 | % | | 16.9 | % | | 12.8 | % |
TENET HEALTHCARE CORPORATION
Additional Supplemental Non-GAAP disclosures
Table #2 – Reconciliation of Net Income Available (Loss Attributable) to
Tenet Healthcare Corporation Common Shareholders to Adjusted Net Income Available from Continuing Operations to Common Shareholders for 2018
(Unaudited)
|
| | | | | | | | | | | | |
(Dollars in millions except per share amounts) | | 2018 |
| | 1st Qtr | | 2nd Qtr | | YTD |
Net income available to Tenet Healthcare Corporation common shareholders | | $ | 99 |
| | $ | 26 |
| | $ | 125 |
|
Net income from discontinued operations | | 1 |
| | $ | 2 |
| | 3 |
|
Net income from continuing operations | | 98 |
| | 24 |
| | 122 |
|
Less: Impairment and restructuring charges, and acquisition-related costs | | (47 | ) | | (30 | ) | | (77 | ) |
Litigation and investigation costs | | (6 | ) | | (13 | ) | | (19 | ) |
Net gains on sales, consolidation and deconsolidation of facilities | | 110 |
| | 8 |
| | 118 |
|
Loss from early extinguishment of debt | | (1 | ) | | (1 | ) | | (2 | ) |
Income (loss) from divested and closed businesses | | (1 | ) | | 1 |
| | — |
|
Tax impact of above items | | (16 | ) | | 8 |
| | (8 | ) |
Adjusted net income available from continuing operations to common shareholders | | $ | 59 |
| | $ | 51 |
| | $ | 110 |
|
| | | | | | |
Diluted earnings per share from continuing operations | | $ | 0.95 |
| | $ | 0.23 |
| | $ | 1.18 |
|
Less: Impairment and restructuring charges, and acquisition-related costs | | (0.46 | ) | | (0.29 | ) | | (0.75 | ) |
Litigation and investigation costs | | (0.06 | ) | | (0.12 | ) | | (0.18 | ) |
Net gains on sales, consolidation and deconsolidation of facilities | | 1.08 |
| | 0.07 |
| | 1.15 |
|
Loss from early extinguishment of debt | | (0.01 | ) | | (0.01 | ) | | (0.02 | ) |
Loss from divested and closed businesses | | (0.01 | ) | | 0.01 |
| | — |
|
Tax impact of above items | | (0.16 | ) | | 0.08 |
| | (0.08 | ) |
Adjusted diluted earnings per share from continuing operations | | $ | 0.57 |
| | $ | 0.49 |
| | $ | 1.06 |
|
| | | | | | |
Weighted average basic shares outstanding (in thousands) | | 101,392 |
| | 102,147 |
| | 101,770 |
|
Weighted average dilutive shares outstanding (in thousands) | | 102,656 |
| | 104,177 |
| | 103,416 |
|
TENET HEALTHCARE CORPORATION
Additional Supplemental Non-GAAP disclosures
Table #2 – Reconciliation of Net Loss Attributable to
Tenet Healthcare Corporation Common Shareholders to Adjusted Net Income Available (Loss Attributable) from Continuing Operations to Common Shareholders for 2017
(Unaudited)
|
| | | | | | | | | | | | | | | | | | | | |
(Dollars in millions except per share amounts) | | 2017 |
| | 1st Qtr | | 2nd Qtr | | 3rd Qtr | | 4th Qtr | | Total |
Net loss attributable to Tenet Healthcare Corporation common shareholders | | $ | (53 | ) | | $ | (55 | ) | | $ | (367 | ) | | $ | (229 | ) | | $ | (704 | ) |
Net income (loss) from discontinued operations | | (1 | ) | | $ | 1 |
| | (1 | ) | | 1 |
| | — |
|
Net loss from continuing operations | | (52 | ) | | (56 | ) | | (366 | ) | | (230 | ) | | (704 | ) |
Less: Impairment and restructuring charges, and acquisition-related costs | | (33 | ) | | (41 | ) | | (329 | ) | | (138 | ) | | (541 | ) |
Litigation and investigation costs | | (5 | ) | | (1 | ) | | (6 | ) | | (11 | ) | | (23 | ) |
Net gains on sales, consolidation and deconsolidation of facilities | | 15 |
| | 23 |
| | 104 |
| | 2 |
| | 144 |
|
Loss from early extinguishment of debt | | — |
| | (26 | ) | | (138 | ) | | — |
| | (164 | ) |
Loss from divested and closed businesses | | (16 | ) | | (19 | ) | | (6 | ) | | — |
| | (41 | ) |
Tax impact of above items | | 14 |
| | 25 |
| | 26 |
| | 49 |
| | 114 |
|
Tax reform adjustment | | — |
| | — |
| | — |
| | (252 | ) | | (252 | ) |
Noncontrolling interests impact of above items | | — |
| | — |
| | — |
| | (23 | ) | | (23 | ) |
Adjusted net income available (loss attributable) from continuing operations to common shareholders | | $ | (27 | ) | | $ | (17 | ) | | $ | (17 | ) | | $ | 143 |
| | $ | 82 |
|
| | | | | | | | | | |
Diluted loss per share from continuing operation | | $ | (0.52 | ) | | $ | (0.56 | ) | | $ | (3.63 | ) | | $ | (2.28 | ) | | $ | (7.00 | ) |
Less: Impairment and restructuring charges, and acquisition-related costs | | (0.33 | ) | | (0.41 | ) | | (3.26 | ) | | (1.35 | ) | | (5.34 | ) |
Litigation and investigation costs | | (0.05 | ) | | (0.01 | ) | | (0.06 | ) | | (0.11 | ) | | (0.23 | ) |
Net gains on sales, consolidation and deconsolidation of facilities | | 0.15 |
| | 0.23 |
| | 1.03 |
| | 0.02 |
| | 1.42 |
|
Loss from early extinguishment of debt | | — |
| | (0.26 | ) | | (1.37 | ) | | — |
| | (1.62 | ) |
Loss from divested and closed businesses | | (0.16 | ) | | (0.19 | ) | | (0.06 | ) | | — |
| | (0.40 | ) |
Tax impact of above items | | 0.14 |
| | 0.25 |
| | 0.26 |
| | 0.48 |
| | 1.12 |
|
Tax reform adjustment | | — |
| | — |
| | — |
| | (2.47 | ) | | (2.49 | ) |
Noncontrolling interests impact of above items | | — |
| | — |
| | — |
| | (0.23 | ) | | (0.23 | ) |
Adjusted diluted earnings (loss) per share from continuing operations | | $ | (0.27 | ) | | $ | (0.17 | ) | | $ | (0.17 | ) | | $ | 1.40 |
| | $ | 0.81 |
|
| | | | | | | | | | |
Weighted average basic shares outstanding (in thousands) | | 100,000 |
| | 100,612 |
| | 100,812 |
| | 100,945 |
| | 100,592 |
|
Weighted average dilutive shares outstanding (in thousands) | | 100,848 |
| | 101,294 |
| | 101,523 |
| | 101,853 |
| | 101,380 |
|
TENET HEALTHCARE CORPORATION
Additional Supplemental Non-GAAP disclosures
Table #3 – Reconciliations of Net Cash Provided By Operating Activities to Free Cash Flow and Adjusted Free Cash Flow from Continuing Operations
(Unaudited)
|
| | | | | | | | | | | | |
(Dollars in millions) | | 2018 |
| | 1st Qtr | | 2nd Qtr | | YTD |
Net cash provided by operating activities | | $ | 113 |
| | $ | 348 |
| | $ | 461 |
|
Purchases of property and equipment | | (143 | ) | | (125 | ) | | (268 | ) |
Free cash flow | | $ | (30 | ) | | $ | 223 |
| | $ | 193 |
|
| | | | | |
|
Net cash provided by (used in) investing activities | | $ | 373 |
| | $ | (148 | ) | | $ | 225 |
|
Net cash used in financing activities | | $ | (123 | ) | | $ | (771 | ) | | $ | (894 | ) |
| | | | | |
|
Net cash provided by operating activities | | $ | 113 |
| | $ | 348 |
| | $ | 461 |
|
Less: Payments for restructuring charges, acquisition-related costs, and litigation costs and settlements | | (33 | ) | | (30 | ) | | (63 | ) |
Net cash provided by (used in) operating activities from discontinued operations | | (1 | ) | | (2 | ) | | (3 | ) |
Adjusted net cash provided by operating activities from continuing operations | | 147 |
| | 380 |
| | 527 |
|
Purchases of property and equipment | | (143 | ) | | (125 | ) | | (268 | ) |
Adjusted free cash flow – continuing operations | | $ | 4 |
| | $ | 255 |
| | $ | 259 |
|
|
| | | | | | | | | | | | | | | | | | | | |
(Dollars in millions) | | 2017 |
| | 1st Qtr | | 2nd Qtr | | 3rd Qtr | | 4th Qtr | | Total |
Net cash provided by operating activities | | $ | 186 |
| | $ | 215 |
| | $ | 308 |
| | $ | 491 |
| | $ | 1,200 |
|
Purchases of property and equipment | | (198 | ) | | (150 | ) | | (144 | ) | | (215 | ) | | (707 | ) |
Free cash flow | | $ | (12 | ) | | $ | 65 |
| | $ | 164 |
| | $ | 276 |
| | $ | 493 |
|
| | | | | | | | | | |
Net cash provided by (used in) investing activities | | $ | (189 | ) | | $ | (119 | ) | | $ | 535 |
| | $ | (206 | ) | | $ | 21 |
|
Net cash used in financing activities | | $ | (141 | ) | | $ | (193 | ) | | $ | (889 | ) | | $ | (103 | ) | | $ | (1,326 | ) |
| | | | | | | | | | |
Net cash provided by operating activities | | $ | 186 |
| | $ | 215 |
| | $ | 308 |
| | $ | 491 |
| | $ | 1,200 |
|
Less: Payments for restructuring charges, acquisition-related costs, and litigation costs and settlements | | (24 | ) | | (38 | ) | | (26 | ) | | (37 | ) | | (125 | ) |
Net cash provided by (used in) operating activities from discontinued operations | | 2 |
| | (4 | ) | | (1 | ) | | (2 | ) | | (5 | ) |
Adjusted net cash provided by operating activities from continuing operations | | 208 |
| | 257 |
| | 335 |
| | 530 |
| | 1,330 |
|
Purchases of property and equipment | | (198 | ) | | (150 | ) | | (144 | ) | | (215 | ) | | (707 | ) |
Adjusted free cash flow – continuing operations | | $ | 10 |
| | $ | 107 |
| | $ | 191 |
| | $ | 315 |
| | $ | 623 |
|
TENET HEALTHCARE CORPORATION
Additional Supplemental Non-GAAP disclosures
Table #4 – Reconciliation of Outlook Net Income Available (Loss Attributable) to Tenet Healthcare Corporation Common Shareholders to Outlook Adjusted EBITDA
(Unaudited)
|
| | | | | | | | | | | | | | | | |
(Dollars in millions) | | Q3 2018 | | 2018 |
| | Low | | High | | Low | | High |
Net income available (loss attributable) to Tenet Healthcare Corporation common shareholders | | $ | (15 | ) | | $ | 5 |
| | $ | 110 |
| | $ | 186 |
|
Less: Net income available to noncontrolling interests | | (90 | ) | | (100 | ) | | (390 | ) | | (410 | ) |
Net loss from discontinued operations, net of tax | | (5 | ) | | — |
| | (5 | ) | | — |
|
Income tax expense | | (30 | ) | | (35 | ) | | (196 | ) | | (215 | ) |
Interest expense | | (245 | ) | | (255 | ) | | (1,010 | ) | | (1,020 | ) |
Loss from early extinguishment of debt(1) | | — |
| | — |
| | (2 | ) | | (2 | ) |
Other non-operating expense, net | | — |
| | (5 | ) | | (5 | ) | | (10 | ) |
Net gains on sales, consolidation and deconsolidation of facilities(1) | | — |
| | — |
| | 118 |
| | 118 |
|
Impairment and restructuring charges, acquisition-related costs, and litigation costs and settlements(2) | | (25 | ) | | (15 | ) | | (150 | ) | | (100 | ) |
Depreciation and amortization | | (195 | ) | | (205 | ) | | (790 | ) | | (810 | ) |
Loss from divested and closed businesses | | — |
| | (5 | ) | | (10 | ) | | (15 | ) |
Adjusted EBITDA | | $ | 575 |
| | $ | 625 |
| | $ | 2,550 |
| | $ | 2,650 |
|
| | | | | | | | |
Income (loss) from continuing operations | | $ | (10 | ) | | $ | 5 |
| | $ | 115 |
| | $ | 186 |
|
Net operating revenues | | $ | 4,300 |
| | $ | 4,500 |
| | $ | 17,900 |
| | $ | 18,300 |
|
Income (loss) from continuing operations as a % of operating revenues | | (0.2 | )% | | 0.1 | % | | 0.6 | % | | 1.0 | % |
Adjusted EBITDA as a % of net operating revenues (Adjusted EBITDA margin) | | 13.4 | % | | 13.9 | % | | 14.2 | % | | 14.5 | % |
| |
(1) | The Company does not generally forecast losses from the early extinguishment of debt or net gains (losses) on sales, consolidation and deconsolidation of facilities because the Company does not believe that it can forecast these items with sufficient accuracy since some of these items are indeterminable at the time the Company provides its financial Outlook. The figures shown represent the Company's actual year-to-date results for these items. |
| |
(2) | The Company has provided an estimate of restructuring charges and related payments that it anticipates in 2018. The figures shown represent the Company's estimate for restructuring charges plus the actual year-to-date results for impairment charges, acquisition-related costs, and litigation costs and settlements. The Company does not generally forecast impairment charges, acquisition-related costs, litigation costs and settlements because the Company does not believe that it can forecast these items with sufficient accuracy since some of these items are indeterminable at the time the Company provides its financial Outlook. |
TENET HEALTHCARE CORPORATION
Additional Supplemental Non-GAAP disclosures
Table #5 – Reconciliation of Outlook Net Income Available (Loss Attributable) to Tenet Healthcare Corporation Common Shareholders to Outlook Adjusted Net Income Available from Continuing Operations to Common Shareholders
(Unaudited)
|
| | | | | | | | | | | | | | | | |
(Dollars in millions except per share amounts) | | Q3 2018 | | 2018 |
| | Low | | High | | Low | | High |
Net income available (loss attributable) to Tenet Healthcare Corporation common shareholders | | $ | (15 | ) | | $ | 5 |
| | $ | 110 |
| | $ | 186 |
|
Net loss from discontinued operations, net of tax | | (5 | ) | | $ | — |
| | (5 | ) | | — |
|
Net income (loss) from continuing operations | | (10 | ) | | 5 |
| | 115 |
| | 186 |
|
Less: Impairment and restructuring charges, acquisition-related costs, and litigation costs and settlements | | (25 | ) | | (15 | ) | | (150 | ) | | (100 | ) |
Net gains on sales, consolidation and deconsolidation of facilities | | — |
| | — |
| | 118 |
| | 118 |
|
Loss from early extinguishment of debt | | — |
| | — |
| | (2 | ) | | (2 | ) |
Loss from divested and closed businesses | | — |
| | (5 | ) | | (10 | ) | | (15 | ) |
Tax impact of above items | | 5 |
| | — |
| | (1 | ) | | (10 | ) |
Adjusted net income available from continuing operations to common shareholders | | $ | 10 |
| | $ | 25 |
| | $ | 160 |
| | $ | 195 |
|
| | | | | | | | |
Diluted earnings (loss) per share from continuing operations | | $ | (0.10 | ) | | $ | 0.05 |
| | $ | 1.11 |
| | $ | 1.79 |
|
Less: Impairment and restructuring charges, acquisition-related costs, and litigation costs and settlements | | (0.25 | ) | | (0.14 | ) | | (1.44 | ) | | (0.96 | ) |
Net gains on sales, consolidation and deconsolidation of facilities | | — |
| | — |
| | 1.13 |
| | 1.13 |
|
Loss from early extinguishment of debt | | — |
| | — |
| | (0.02 | ) | | (0.02 | ) |
Loss from divested and closed businesses | | — |
| | (0.05 | ) | | (0.09 | ) | | (0.14 | ) |
Tax impact of above items | | 0.05 |
| | — |
| | (0.01 | ) | | (0.10 | ) |
Adjusted diluted earnings per share from continuing operations | | $ | 0.10 |
| | $ | 0.24 |
| | $ | 1.54 |
| | $ | 1.88 |
|
| | | | | | | | |
Weighted average basic shares outstanding (in thousands) | | 102,000 |
| | 102,000 |
| | 102,000 |
| | 102,000 |
|
Weighted average dilutive shares outstanding (in thousands) | | 104,000 |
| | 104,000 |
| | 104,000 |
| | 104,000 |
|
TENET HEALTHCARE CORPORATION
Additional Supplemental Non-GAAP disclosures
Table #6 – Reconciliation of Outlook Net Cash Provided by Operating Activities to Outlook Adjusted Free Cash Flow from Continuing Operations
|
| | | | | | | | | | | | | | |
| | | | | | | | | | |
(Dollars in millions) | | | | | | | | 2018 |
| | | | | | | | Low | | High |
Net cash provided by operating activities | | | | | | | | $ | 1,220 |
| | $ | 1,525 |
|
Less: Payments for restructuring charges, acquisition-related costs and litigation costs and settlements(1) | | | | | | | | (125 | ) | | (75 | ) |
Net cash used in operating activities from discontinued operations | | | | | | | | (5 | ) | | — |
|
Adjusted net cash provided by operating activities – continuing operations | | | | | | | | 1,350 |
| | 1,600 |
|
Purchases of property and equipment – continuing operations | | | | | | | | (625 | ) | | (675 | ) |
Adjusted free cash flow – continuing operations(2) | | | | | | | | $ | 725 |
| | $ | 925 |
|
| |
(1) | The Company has provided an estimate of payments that it anticipates in 2018 related to restructuring charges. The Company does not generally forecast payments related to acquisition-related costs and litigation costs and settlements because the Company does not believe that it can forecast these items with sufficient accuracy since some of these items may be indeterminable at the time the Company provides its financial Outlook. |
| |
(2) | The Company's definition of Adjusted Free Cash Flow does not include other important uses of cash including (1) cash used to purchase businesses or joint venture interests, or (2) any items that are classified as Cash Flows From Financing Activities on the Company's Consolidated Statement of Cash Flows, including items such as (i) cash used to repay borrowings, (ii) distributions paid to noncontrolling interests, or (iii) payments under the Put/Call Agreement for USPI redeemable noncontrolling interests, which are recorded on the Statement of Cash Flows as the purchase of noncontrolling interests. |