everyone. good morning, Thank you, Saum, and
for ranges We $X.XXX of high and $X.X coming guidance fourth EBITDA billion. end billion above quarter adjusted segments.
In we both pleased of our fourth our the USPI and with are quarter, very XXXX, total the the consolidated fiscal with the Hospital revenues well net strong finish adjusted most of of EBITDA the generated in recent operating
acuity For and of net full by and revenue EBITDA billion. per 'XX, contract $XX.X the of controls labor case, net billion throughout effective businesses, same-store of strong management total USPI strong very and growth volumes notable example. operating hospitals revenue the we costs expense consolidated patient These in year growth adjusted and generated overall with in results driven the a as were $X.XX revenues
adjusted key USPI which the continues I'd grew system-wide quarter strong to fourth X.X%. again items XX% up system-wide results 'XX, to to margin a up segments, same-facility compared quarter of surgical like last each revenue be with by per same-facility USPI's fourth X.X% case volume for some at with its EBITDA our USPI, XX%. X.X% in quarter. operating case highlight net Now beginning EBITDA and of compared adjusted strong year, to fourth increase very revenues delivered and in delivered
Turning payer X%, strong to X.X%, acuity X.X%. quarter our grew continued mix admissions inpatient Hospital inpatient same admissions Revenue hospital per high segment. and with non-COVID levels. adjusted Fourth admissions up increased demonstrating
revenue Our Medicaid adjustments fourth reflect $XX programs favorable California with also results associated Texas. in million quarter of supplemental and
XX% were that million These of $XX fourth in approach towards consolidated the and the of fourth per XX% which admission than terms in 'XX.
On quarter was SWB points a finally, the rate year fourth of substantially quarter the the we higher than consistent our net material revenues the fourth SWB was over disciplined lower of a in X.X% labor quarter 'XX. XXXX. quarter million reductions And XXX strong was $XX year expectations. X.X% about reflect was full of than our fees course medical basis, adjusted our sequentially, Overall, costs up fourth fourth expense management. quarter XX.X% we In for labor 'XX, take Hospital consolidated reduction quarter these 'XX, of fourth basis quarter were with up contract and from SWB, management, saw lower of
cash sheet and Next, discuss flow, will our capital we balance structure.
of We strong cash over billion performance year cash billion XXXX, with facility. very free Our borrowings finished for was credit flow billion with our the $X.X of flow line under $X.X in no with $X.X cash,, the year. outstanding of
quarter, 'XX, stock fourth we shares and we of repurchased shares X.X for for $XXX $XXX million full year million. for our the During our stock million of repurchased million, X.X
our ratio all until Our do first year-end benefits from proceeds was not our significant in divestitures, support notes EBITDA important significant we to goals priorities. our billion fixed NCI. after-tax deleverage have note debt that balance no these XXXX allocation financial and associated sheet.
Also, quarter $X.XX and we leverage senior EBITDA unsecured outstanding announced of of flow million the It the and X.XXx $XXX generation X.XXx which or cash believe tax to is secured reflect will ratios as aggregate, have XXXX, have less XXXX, interest support the of flexibility and collectively capital year-end maturities our of we the to rates.
In
turn me for let to XXXX. Now our outlook
range consolidated For net billion. operating to billion revenues of we in $XX.X $XX.X the XXXX, expect
is consolidated for projected in range Our $X.XXX 'XX adjusted billion. $X.XXX of billion to EBITDA the
reflect and XXXX. hospitals of these year on the March the hospitals figures XX, completed California it full 'XX on sale South revenue assumes and X XX, of will that XXXX, clarity, sale adjusted the For our our be January for of EBITDA coastal Carolina completion
there to discussed as results number X previously, outlined are are of investor Now of of presentation. on impact comparison our our the XX a items outlook, 'XX which that our we Slide
proceeds to million follows: income First, Let personal income to the a from as termination finally, the XX, Florida, $XX in me insurance XXXX; recognized of to we in of to compensation in funding health COVID-related of changes with and workers' of on summarize in fourth, $XX sale cybersecurity and headwind associated Carolina the million injury are drivers arising XXXX and loss X% million third, there is wage primary minimum midpoint sale closing create $XX 'XX XXXX; million.
After recorded second, of headwinds grant government $XXX programs and full EBITDA a 'XX, related the of our is regulations for new due we care wages EBITDA South California January our California; normalizing year-over-year assumed EBITDA hospital 'XX range. for year-over-year recent over creates our of adjusted of in hospital million; $XX headwind year the to expected these items, grow at reimbursement our
additional 'XX continued labor full a the negotiations offset historical better Our expectations effective strong and for by medical assumes incremental acuity, management, outlook contract organic with basis, than growth, patient contract on year specific cost fees. partially savings volume
openings that assume M&A pipeline. given from we de at novo have also We robust its will contributions center and USPI
same the assuming X% a also expect to midpoints X% we're revenue our growth EBITDA X%, segment growth X.X% to same-hospital USPI X% the we net admissions facility X%.
At 'XX, X% adjusted for our X% adjusted of addition, basis. X%, of following: case a normalized to guidance USPI of respective for X.X% and to and growth admissions grow In of on to at growth ranges case of USPI segment Hospital level, per at surgical
attractive As very our Saum a guidance for Tenet growth range following we strong represents XXXX. believe stated,
to midpoint. consolidated EBITDA year 'XX EBITDA this first adjusted our million, at quarter expect of in will guidance that $XXX anticipate EBITDA would the quarter in of XX% we $XXX be be range XXXX of to the Finally, the USPI USPI's XX.X% million full year first to we
Turning flows 'XX. cash to our for
million of the which includes cash $XXX our $XXX range to to related free of million billion, taxes net flows $X.XXX divestitures. announced in payment the in expect We
$X.XXX tax Before even loss the billion these flow in 'XX divested which continued strong cash the of of this payments, at demonstrates free 'XX outlook, represents after midpoint EBITDA from 'XX. our of from hospitals the performance
taxes of due limitations. note million the is of $XXX tax comprised to by in million associated also gains of paid the We offset expense on $XXX with sales, reduction a million taxes of interest partially benefits $XXX
to range expenditures to $XXX lien intention secured million, in million, of XXXX in range retire million notes quarter the In also XXXX. distributions our first in senior addition, the of million $XXX of in XXXX, noncontrolling to to $XXX interests the $X.X billion first capital we're assuming the for of $XXX due and
Our balance investments in cash sheet, cash flow on and past performance deleveraging executing also several we to our has demonstrate business improved our to over continue the substantially the while ability years, this and key flow growth plans. maintaining generate
a to as deployment not We create changed. continue in capital will priorities our and finally, XXXX, expect business.
And delever this which opportunities reminder, performance our grow additional have to
First, we to $XXX grow allocate of capital annually USPI. million to plan
Second, we hospital service in focus opportunities, acuity invest key on growth expect our higher to including offerings.
will refinance we to we're finally, investment Q&A. conditions a begin Third, debt share repurchases, Operator? approach ready to balanced and depending that, other market and/or retire opportunities evaluate on to the with and opportunities.
And
