EX-99.1 2 thc-20170930ex991earningsr.htm EXHIBIT 99.1 Exhibit

Exhibit 99.1



tenet_logo.jpg
 
Tenet Reports Results for the Third Quarter Ended September 30, 2017

l
Reported a net loss from continuing operations attributable to Tenet shareholders of $366 million or $3.63 per diluted share. Adjusted diluted loss per share from continuing operations was $0.17.
l
Adjusted EBITDA was $507 million including an estimated $30 million impact due to lower revenues and higher expenses related to Hurricanes Harvey and Irma and $10 million of lower-than-anticipated revenues from the Texas Medicaid Waiver and Florida Medicaid programs.
l
Same-hospital patient revenue decreased 2.3% and reflects a 2.2% decrease in adjusted admissions and a 0.2% decrease in revenue per adjusted admission. Hospital segment Adjusted EBITDA totaled $269 million.
l
Ambulatory Care segment revenue increased 0.9% on a same-facility system-wide basis, with cases decreasing 2.4% and revenue per case increasing 3.4%. Adjusted EBITDA for the Ambulatory segment was $159 million, a 1.3% increase, representing a margin of 34.0%.
l
Revenue from Conifer Health Solutions increased 0.8% with revenue from third parties increasing 5.4%. Conifer generated $79 million of Adjusted EBITDA, flat with the third quarter of 2016, representing a margin of 19.7%.
l
Net cash provided by operating activities in the nine months of 2017 was $709 million, a $142 million decrease when compared to $851 million in the first nine months of 2016. Free Cash Flow was $217 million in the first nine months of 2017, a $20 million decrease when compared to $237 million in the first nine months of 2016. Adjusted Free Cash Flow was $308 million in the first nine months of 2017, a $60 million decrease when compared to $368 million in the first nine months of 2016.
l
2017 Outlook has been lowered to reflect a net loss from continuing operations attributable to Tenet common shareholders of a loss of $372 million to a loss of $367 million, Adjusted EBITDA of $2.375 billion to $2.425 billion, a diluted loss per share from continuing operations of a loss of $3.68 to a loss of $3.63 and Adjusted diluted earnings per share from continuing operations of $0.59 to $0.74.
DALLAS – November 6, 2017 – Tenet Healthcare Corporation (NYSE: THC) reported a net loss from continuing operations attributable to Tenet shareholders of $366 million in the third quarter of 2017 compared to a $9 million net loss from continuing operations in the third quarter of 2016. Adjusted EBITDA was $507 million in the third quarter of 2017 compared to $582 million in the third quarter of 2016.

“Consistent with the announcement that we made in late October, we delivered Adjusted EBITDA within our Outlook range for the quarter.  Reflecting on the impact of Hurricanes Harvey and Irma and a softer volume environment, we are lowering our full year 2017 Adjusted EBITDA Outlook to





$2.375 billion to $2.425 billion,” said Ronald A. Rittenmeyer, executive chairman and CEO.  “We are partially offsetting the volume declines with tighter cost controls, but the one-time impacts are difficult to recover in a short period of time. We are challenging ourselves to improve accountability, agility and decision making, changing how we manage our business day-to-day, and reiterating our focus on quality and service.”

The $75 million year-over-year decline in Adjusted EBITDA was primarily attributable to the following items:

(i) a $55 million decline in California Provider Fee revenue, with no revenue being recorded under the program in the third quarter of 2017 since the 2017 program has not yet been approved by the Centers for Medicare and Medicaid Services (CMS); this compares to $55 million in the third quarter of 2016;

(ii) an estimated $30 million of lower revenues and higher expenses associated with Hurricanes Harvey and Irma, prior to any insurance recoveries the Company may receive in future periods. Approximately $20 million of the $30 million impacted the Hospital Operations and other segment and the remaining $10 million impacted the Ambulatory Care segment.

(iii) approximately $20 million due to the sale of the Company’s hospitals and related assets in Houston, effective August 1, 2017.

Hospital Operations and Other Segment

Net operating revenues in the Hospital Operations and other segment was $3.856 billion, down 4.6 percent from $4.040 billion in the third quarter of 2016; in order to improve comparability, these revenue figures exclude revenue generated by the Company’s health plans in both periods since the Company is exiting this business. The decline was primarily due to: (i) a decline in adjusted admissions, including the impact of Hurricane Irma; (ii) the Company not being able to record revenue under the California Provider Fee Program in the third quarter of 2017; and (iii) the sale of our former hospitals and related assets in Houston.

On a same-hospital basis, patient revenue was $3.777 billion, down 2.3 percent from $3.867 billion in the third quarter of 2016. The decline was primarily due to a 2.2 percent decline in adjusted admissions and a 0.2 percent decline in net patient revenue per adjusted admission. The Company’s same-hospital revenue per adjusted admission was lowered by approximately 150 basis points due to the lack of CMS approval of the California Provider Fee Program. The Company estimates that Hurricane Irma lowered same-hospital admissions and adjusted admissions by approximately 50 basis points. Excluding the impact of the hurricane as well as patients that were insured by Humana in both the third quarters of 2016 and 2017, same-hospital admissions declined 1.2 percent and adjusted admissions declined 0.8 percent.


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Adjusted EBITDA in Tenet’s hospital segment was $269 million, representing a decline of $77 million or 22.3 percent as compared to $346 million in the third quarter of 2016. The $77 million decline in Adjusted EBITDA in the hospital segment was primarily driven by: (i) the $55 million decline in revenue from the California Provider Fee program; (ii) an estimated $20 million of lower revenues and higher expenses associated with Hurricane Irma; and (iii) approximately $20 million due to the sale of our former hospitals and related assets in Houston. In addition, a $33 million increase in same-hospital self-pay net revenues contributed to a $26 million increase in the provision for doubtful accounts on a same hospital basis, from $308 million in the third quarter of 2016 to $334 million in the third quarter of 2017, which placed pressure on the year-over-year EBITDA comparison.

Tenet’s health plan business generated losses of $6 million in the third quarter of 2017 versus a loss of $6 million on the EBITDA line in the third quarter of 2016. 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 segment, defined as the sum of salaries, wages and benefits, supplies and other operating expenses, increased 1.7 percent on a per adjusted admission basis in the third quarter of 2017.

Exchanges

Tenet’s same-hospital exchange admissions were 4,856 in the third quarter of 2017, down 6.8 percent from the third quarter of 2016. Same-hospital exchange outpatient visits were 49,089 in the third quarter of 2017, up 4.3 percent from the third quarter of 2016.

Uncompensated Care

Tenet’s provision for doubtful accounts was $355 million in the third quarter of 2017, representing a ratio of 7.2 percent of revenues before bad debt, as compared to $367 million in the third quarter of 2016, or 7.0 percent of revenues before bad debt. The increase in the bad debt ratio was primarily attributable to a $33 million increase in same-hospital self-pay revenues.

Tenet’s uncompensated care costs, defined as the sum of the provision for doubtful accounts, charity care write-offs and uninsured discounts, were $1.361 billion and $1.318 billion in the third quarters of 2017 and 2016, respectively, including $1.006 billion and $951 million, respectively, of charity care write-offs and uninsured discounts that were offered through Tenet’s Compact with Uninsured Patients. Uncompensated care in the third quarter of 2017 represented 22.9 percent of revenue before bad debts, uninsured discounts and charity care write-offs, up from 21.4 percent in the third quarter of 2016. Nearly all of Tenet’s uncompensated care is associated with the Hospital Operations and other segment.


Page 3



Uninsured plus charity admissions decreased by 210 admissions, or 2.0 percent on a same-hospital basis in the third quarter of 2017 compared to the third quarter of 2016. Uninsured plus charity outpatient visits decreased by 15,694 visits, or 11.8 percent, on a same-hospital basis.

Ambulatory Care Segment

During the third quarter of 2017, the Ambulatory segment produced net operating revenues of $468 million, representing an increase of 4.5 percent as compared to $448 million in the third quarter of 2016. In addition, the Ambulatory segment generated Adjusted EBITDA of $159 million, up 1.3 percent from $157 million in the third quarter of 2016 and Adjusted EBITDA less facility-level noncontrolling interest was $104 million, up 1.0 percent from $103 million in the third quarter of 2016. Hurricanes Harvey and Irma lowered EBITDA and EBITDA less facility-level noncontrolling interest by approximately $10 million and $4 million, respectively, during the third 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 0.9 percent, with cases decreasing 2.4 percent and revenue per case increasing 3.4 percent. Hurricanes Harvey and Irma lowered same-facility system-wide case growth by approximately 210 basis points. Also, one less surgical day in the quarter lowered case growth 100 basis points. On a same-day basis and excluding the hurricanes, same-facility system-wide revenue increased 4.0 percent and cases were up 0.7 percent.

Conifer Segment

During the third quarter of 2017, Conifer’s revenue increased 0.8 percent to $401 million, up from $398 million in the third quarter of 2016. Revenue from third party customers increased 5.4 percent to $252 million. Conifer generated $79 million of Adjusted EBITDA in both the third quarters of 2017 and 2016.

Net Income and Earnings Per Share

Tenet reported a net loss from continuing operations attributable to Tenet shareholders of $366 million, or a loss of $3.63 per diluted share, in the third quarter of 2017 compared to a net loss of $9 million, or a loss of $0.09 per diluted share, in the third quarter of 2016.

As shown on Table #2, the net loss from continuing operations attributable to Tenet shareholders of approximately $366 million included: (i) a $329 million pre-tax impairment and restructuring charge, primarily related to the write-down of assets held for sale in Philadelphia and the United Kingdom to their estimated fair value; (ii) a $104 million pre-tax gain on sale, primarily related to the sale of the Company’s former hospitals and related assets in Houston; (iii) a $138 million pre-tax loss from the early extinguishment of debt related to the Company’s refinancing transactions and debt redemption in the quarter; and (iv) other items that lowered pre-tax income by $12 million. 

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These items collectively lowered pre-tax income by approximately $375 million, lowered after-tax income by approximately $349 million and lowered diluted earnings per share by approximately $3.46. The net loss in the third quarter of 2017 does not include the pre-tax restructuring charge of approximately $40 million related to the $150 million cost reduction initiative that was announced on October 27, 2017; this charge will be recorded in the fourth quarter of 2017.

After adjusting for the items listed on Table #2, Tenet recorded an Adjusted net loss from continuing operations attributable to Tenet shareholders of $17 million, or a loss of $0.17 per diluted share, during the third quarter of 2017, as compared to Adjusted net income from continuing operations attributable to Tenet shareholders of $20 million, or $0.20 per diluted share, in the third quarter of 2016.

A reconciliation of GAAP net income (loss) attributable to Tenet shareholders to Adjusted net income (loss) from continuing operations and Adjusted diluted earnings (loss) per share from continuing operations attributable to Tenet shareholders is contained in Table #2 at the end of this release.

Cash Flow and Liquidity

Cash and cash equivalents were $429 million at September 30, 2017 compared to $475 million at June 30, 2017. The Company had no outstanding borrowings on its $1 billion credit line as of September 30, 2017. Accounts receivable days outstanding from continuing operations were 55.6 at September 30, 2017 compared to 56.5 at December 31, 2016. The calculation of accounts receivable days outstanding from continuing operations: (i) includes the accounts receivable of the Company’s two hospitals in Philadelphia, MacNeal Hospital in the Chicago-area and the Aspen facilities in the United Kingdom, which have been classified in assets held for sale on the Condensed Consolidated Balance Sheet at September 30, 2017; (ii) excludes revenue from our former hospitals and related assets in Houston, which were divested on August 1, 2017, from the 2016 and 2017 periods; (iii) excludes health plan revenues from the 2016 and 2017 periods; and (iv) excludes California Provider Fee revenues from the 2016 period.

Net cash provided by operating activities for the nine months ended September 30, 2017 was $709 million, representing a $142 million decrease compared to $851 million in the first nine months of 2016. After subtracting $492 million and $614 million of capital expenditures in the nine months ended September 30, 2017 and September 30, 2016, respectively, Free Cash Flow was $217 million in the nine months ended September 30, 2017, representing a $20 million decline compared to $237 million in the comparable period in 2016. Adjusted Free Cash Flow was $308 million in the nine months ended September 30, 2017, representing a $60 million decline from $368 million in the comparable period in 2016. The primary reasons for the decline in cash flow from operations, Free Cash Flow and Adjusted Free Cash Flow during the nine months ended September 30, 2017 versus the comparable period in 2016 include lower earnings in the 2017 period, lower cash flows from our health plan businesses in 2017 of approximately $100 million, and the timing of other working capital items, partially offset by lower capital expenditures of $122 million.


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Net cash provided by investing activities was $227 million in the nine months ended September 30, 2017 compared to $150 million of net cash used in investing activities in the comparable period in 2016. The 2017 period included $826 million of proceeds from the sales of facilities and other assets, primarily from the sale of the Company’s Houston-area hospitals effective August 1, 2017 for net pre-tax proceeds of approximately $750 million; the 2016 period included $573 million of proceeds from the sale of the Company’s hospitals and related outpatient facilities in Georgia.

Net cash used in financing activities was $1.223 billion in the nine months ended September 30, 2017 compared to $408 million of net cash used in financing activities in the comparable period in 2016. The 2017 period included: (i) $722 million related to purchases of noncontrolling interests, primarily the Company’s purchase of an additional 23.7 percent of USPI, which increased Tenet’s ownership interest in the USPI joint venture to 80.0 percent; (ii) the refinancing activities that were completed in the second and third quarters of 2017; and (iii) the redemption of $250 million aggregate principal amount of Tenet’s 8.0 percent senior unsecured notes due 2020 on September 11, 2017, which will lower future annual cash interest payments by $20 million.

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 revised Outlook for 2017 includes:

l
Revenue of $18.9 billion to $19.1 billion, excluding approximately $110 million of revenue from the Company’s health plans,
l
Net loss from continuing operations attributable to Tenet common shareholders ranging from a loss of $372 million to a loss of $367 million,
l
Adjusted EBITDA of $2.375 billion to $2.425 billion,
l
Net cash provided by operating activities of $1.0 billion to $1.3 billion,
l
Adjusted Free Cash Flow of $450 million to $650 million,
l
Diluted loss per share from continuing operations attributable to Tenet shareholders ranging from a loss of $3.68 to a loss of $3.63, and
l
Adjusted diluted earnings per share from continuing operations attributable to Tenet shareholders of $0.59 to $0.74.

The Company is lowering the midpoint of its 2017 Adjusted EBITDA Outlook range by $100 million to reflect: (i) approximately $60 million of lower revenues and higher expenses associated with Hurricanes Harvey and Irma, prior to any insurance recoveries the Company may receive in future periods, with approximately $30 million reflected in the Company’s results for the third quarter of 2017 and an additional $30 million included in the Company’s Outlook for the fourth quarter of 2017, primarily related to additional repair costs at facilities that were damaged by the hurricanes; (ii) approximately $15 million of lower-than-anticipated revenue from the Texas and Florida Medicaid programs, of which, $10 million was recognized in the third quarter of 2017; (iii) approximately $17

Page 6



million of executive severance and related stock-based compensation expense to be recorded in the fourth quarter of 2017; and, (iv) approximately $8 million from other items, primarily lower volume growth, higher bad debt and the timing of Ambulatory acquisitions, partially offset by the Company’s cost reduction initiatives.

The Outlook for 2017 assumes equity in earnings of unconsolidated affiliates of $140 million to $150 million, electronic health record incentives of approximately $10 million, net income attributable to noncontrolling interests of $370 million to $380 million and an average diluted share count of 101 million. In addition, the Outlook assumes that CMS will approve the proposed California Provider Fee program for the 30-month period from January 2017 through June 2019 during the fourth quarter of 2017 and further assumes that the Company will record approximately $220 million to $230 million of revenue and Adjusted EBITDA during 2017 as a result of this program. In 2016, the Company recorded $232 million of revenue under the California Provider Fee program. The Company will not be able to recognize any revenue under the 2017 program until CMS approves the program. Finally, the Adjusted EBITDA Outlook excludes approximately $50 million of losses in 2017 that the Company expects to incur in its health plan business.

The Company’s Outlook for the fourth quarter of 2017 includes:
l
Revenue of $4.8 billion to $5.0 billion, excluding approximately $10 million of revenue from the Company’s health plans,
l
Net income from continuing operations attributable to Tenet shareholders ranging from $102 million to $107 million,
l
Adjusted EBITDA of $771 million to $821 million,
l
Earnings per diluted share from continuing operations attributable to Tenet shareholders ranging from $1.01 to $1.06, and
l
Adjusted earnings per diluted share from continuing operations attributable to Tenet shareholders ranging from $1.20 to $1.35.
The Outlook for the fourth quarter assumes equity in earnings of unconsolidated affiliates of approximately $50 million, $2 million of electronic health record incentives, net income attributable to noncontrolling interests of $116 million to $126 million, a pre-tax restructuring charge of approximately $40 million related to the $150 million cost reduction initiative that was announced on October 27, 2017, and an average diluted share count of 101 million. The Outlook for the fourth quarter of 2017 includes $220 million to $230 million of revenue and Adjusted EBITDA associated with the California Provider Fee program, whereas the Company’s results in the fourth quarter of 2016 included $65 million of revenue and Adjusted EBITDA associated with the program.

Additional details on Tenet’s Outlook for both the fourth quarter and calendar year 2017 are available in Tables #4 and #5 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 Third Quarter Results

Tenet management will discuss the Company’s third quarter 2017 results on a webcast scheduled for 10:00 a.m. Eastern Time (9:00 a.m. Central Time) on November 7, 2017. Investors can access

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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‑K report for the twelve months ended December 31, 2016 and Form 10-Q report for the period ended September 30, 2017, which will be filed with the Securities and Exchange Commission and posted on the Company’s website before the webcast.
 
This press release includes certain non-GAAP measures, such as Adjusted EBITDA, Adjusted net income (loss) from continuing operations attributable to Tenet shareholders, Adjusted diluted earnings (loss) per share from continuing operations attributable to Tenet shareholders, Free Cash Flow and Adjusted Free Cash Flow. Reconciliations of these measures to the most comparable GAAP measure are contained in the tables at the end of this release.

Tenet Healthcare Corporation is a diversified healthcare services company with nearly 130,000 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.

###
 
Investor Relations
Brendan Strong
469-893-6992
investorrelations@tenethealth.com
Corporate Communications
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,” “intend,” “plan,” “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, 2016, Form 10-Q for the quarterly period ended September 30, 2017 and other filings with the Securities and Exchange Commission.
 

Page 8



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.

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TENET HEALTHCARE CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)

 
 
 
 
 
 
 
 
 
 
 
(Dollars in millions except per share amounts)
 
Three Months Ended September 30,
 
 
2017
 
%
 
2016
 
%
 
Change
Net operating revenues:
 
 
 
 
 
 
 
 
 
 
Net operating revenues before provision for doubtful accounts
 
$
4,941

 
 
 
$
5,216

 
 
 
(5.3
)%
Less: Provision for doubtful accounts
 
355

 
 
 
367

 
 
 
(3.3
)%
Net operating revenues
 
4,586

 
100.0
 %
 
4,849

 
100.0
 %
 
(5.4
)%
Equity in earnings of unconsolidated affiliates
 
38

 
0.8
 %
 
31

 
0.6
 %
 
22.6
 %
Operating expenses:
 
 
 
 
 
 
 
 
 
 
Salaries, wages and benefits
 
2,264

 
49.4
 %
 
2,308

 
47.6
 %
 
(1.9
)%
Supplies
 
740

 
16.1
 %
 
767

 
15.8
 %
 
(3.5
)%
Other operating expenses, net
 
1,120

 
24.4
 %
 
1,231

 
25.4
 %
 
(9.0
)%
Electronic health record incentives
 
(1
)
 
0.0
 %
 
(2
)
 
0.0
 %
 
(50.0
)%
Depreciation and amortization
 
219

 
4.8
 %
 
205

 
4.2
 %
 
 
Impairment and restructuring charges, and acquisition-related costs
 
329

 
7.2
 %
 
31

 
0.6
 %
 
 
Litigation and investigation costs
 
6

 
0.1
 %
 
4

 
0.1
 %
 
 
Gains on sales, consolidation and deconsolidation of facilities
 
(104
)
 
(2.3
)%
 
(3
)
 
(0.1
)%
 
 
Operating income
 
51

 
1.1
 %
 
339

 
7.0
 %
 
 
Interest expense
 
(257
)
 
 
 
(243
)
 
 
 
 
Other non-operating expense, net
 
(4
)
 
 
 
(7
)
 
 
 
 
Loss from early extinguishment of debt
 
(138
)
 
 
 

 
 
 
 
Net income (loss) from continuing operations, before income taxes
 
(348
)
 
 
 
89

 
 
 
 
Income tax benefit (expense)
 
60

 
 
 
(10
)
 
 
 
 
Net income (loss) from continuing operations, before discontinued operations
 
(288
)
 
 
 
79

 
 
 
 
Discontinued operations:
 
 
 
 
 
 
 
 
 
 
Income (loss) from operations
 
(1
)
 
 
 
2

 
 
 
 
Income tax expense
 

 
 
 
(1
)
 
 
 
 
Net income (loss) from discontinued operations
 
(1
)
 
 
 
1

 
 
 
 
Net income (loss)
 
(289
)
 
 
 
80

 
 
 
 
Less: Net income attributable to noncontrolling interests
 
78

 
 
 
88

 
 
 
 
Net loss attributable to Tenet Healthcare Corporation common shareholders
 
$
(367
)
 
 
 
$
(8
)
 
 
 
 
Amounts attributable to Tenet Healthcare Corporation common shareholders
 
 
 
 
 
 
 
 
 
 
Net loss from continuing operations, net of tax
 
$
(366
)
 
 
 
$
(9
)
 
 
 
 
Net income (loss) from discontinued operations, net of tax
 
(1
)
 
 
 
1

 
 
 
 
Net loss attributable to Tenet Healthcare Corporation common shareholders
 
$
(367
)
 
 
 
$
(8
)
 
 
 
 
Earnings (loss) per share attributable to Tenet Healthcare Corporation common shareholders:
 
 
 
 
 
 
 
 
 
 
Basic
 
 
 
 
 
 
 
 
 
 
Continuing operations
 
$
(3.63
)
 
 
 
$
(0.09
)
 
 
 
 
Discontinued operations
 
(0.01
)
 
 
 
0.01

 
 
 
 
 
 
$
(3.64
)
 
 
 
$
(0.08
)
 
 
 
 
Diluted
 
 
 
 
 
 
 
 
 
 
Continuing operations
 
$
(3.63
)
 
 
 
$
(0.09
)
 
 
 
 
Discontinued operations
 
(0.01
)
 
 
 
0.01

 
 
 
 
 
 
$
(3.64
)
 
 
 
$
(0.08
)
 
 
 
 
Weighted average shares and dilutive securities outstanding (in thousands):
 
 
 
 
 
 
 
 
 
 
Basic
 
100,812

 
 
 
99,523

 
 
 
 
Diluted*
 
100,812

 
 
 
99,523

 
 
 
 


*Had we generated income from continuing operations in the three months ended September 30, 2017 and 2016 the effect of employee stock options, restricted stock units and deferred compensation units on the diluted shares calculation would have been an increase of 711 thousand and 1,455 thousand shares, respectively.

Page 10



TENET HEALTHCARE CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)

 
 
 
 
 
 
 
 
 
 
 
(Dollars in millions except per share amounts)
 
Nine Months Ended September 30,
 
 
2017
 
%
 
2016
 
%
 
Change
Net operating revenues:
 
 
 
 
 
 
 
 
 
 
Net operating revenues before provision for doubtful accounts
 
$
15,310

 
 
 
$
15,856

 
 
 
(3.4
)%
Less: Provision for doubtful accounts
 
1,109

 
 
 
1,095

 
 
 
1.3
 %
Net operating revenues
 
14,201

 
100.0
 %
 
14,761

 
100.0
 %
 
(3.8
)%
Equity in earnings of unconsolidated affiliates
 
95

 
0.7
 %
 
85

 
0.6
 %
 
11.8
 %
Operating expenses:
 
 
 
 
 
 
 
 
 
 
Salaries, wages and benefits
 
6,990

 
49.3
 %
 
7,012

 
47.5
 %
 
(0.3
)%
Supplies
 
2,285

 
16.1
 %
 
2,351

 
15.9
 %
 
(2.8
)%
Other operating expenses, net
 
3,466

 
24.4
 %
 
3,686

 
25.0
 %
 
(6.0
)%
Electronic health record incentives
 
(8
)
 
(0.1
)%
 
(23
)
 
(0.2
)%
 
(65.2
)%
Depreciation and amortization
 
662

 
4.7
 %
 
632

 
4.3
 %
 
 
Impairment and restructuring charges, and acquisition related costs
 
403

 
2.8
 %
 
81

 
0.5
 %
 
 
Litigation and investigation costs
 
12

 
0.1
 %
 
291

 
2.0
 %
 
 
Gains on sales, consolidation and deconsolidation of facilities
 
(142
)
 
(1.0
)%
 
(151
)
 
(1.0
)%
 
 
Operating income
 
628

 
4.4
 %
 
967

 
6.6
 %
 
 
Interest expense
 
(775
)
 
 
 
(730
)
 
 
 
 
Other non-operating expense, net
 
(14
)
 
 
 
(18
)
 
 
 
 
Loss from early extinguishment of debt
 
(164
)
 
 
 

 
 
 
 
Net income (loss) from continuing operations, before income taxes
 
(325
)
 
 
 
219

 
 
 
 
Income tax benefit (expense)
 
105

 
 
 
(61
)
 
 
 
 
Net income (loss) from continuing operations, before discontinued operations
 
(220
)
 
 
 
158

 
 
 
 
Discontinued operations:
 
 
 
 
 
 
 
 
 
 
Loss from operations
 
(1
)
 
 
 
(5
)
 
 
 
 
Income tax benefit
 

 
 
 

 
 
 
 
Net loss from discontinued operations
 
(1
)
 
 
 
(5
)
 
 
 
 
Net income (loss)
 
(221
)
 
 
 
153

 
 
 
 
Less: Net income attributable to noncontrolling interests
 
254

 
 
 
266

 
 
 
 
Net loss attributable to Tenet Healthcare Corporation common shareholders
 
$
(475
)
 
 
 
$
(113
)
 
 
 
 
Amounts attributable to Tenet Healthcare Corporation common shareholders
 
 
 
 
 
 
 
 
 
 
Net loss from continuing operations, net of tax
 
$
(474
)
 
 
 
$
(108
)
 
 
 
 
Net loss from discontinued operations, net of tax
 
(1
)
 
 
 
(5
)
 
 
 
 
Net loss attributable to Tenet Healthcare Corporation common shareholders
 
$
(475
)
 
 
 
$
(113
)
 
 
 
 
Net loss per share attributable to Tenet Healthcare Corporation common shareholders:
 
 
 
 
 
 
 
 
 
 
Basic
 
 
 
 
 
 
 
 
 
 
Continuing operations
 
$
(4.72
)
 
 
 
$
(1.09
)
 
 
 
 
Discontinued operations
 
(0.01
)
 
 
 
(0.05
)
 
 
 
 
 
 
$
(4.73
)
 
 
 
$
(1.14
)
 
 
 
 
Diluted
 
 
 
 
 
 
 
 
 
 
Continuing operations
 
$
(4.72
)
 
 
 
$
(1.09
)
 
 
 
 
Discontinued operations
 
(0.01
)
 
 
 
(0.05
)
 
 
 
 
 
 
$
(4.73
)
 
 
 
$
(1.14
)
 
 
 
 
Weighted average shares and dilutive securities outstanding (in thousands):
 
 
 
 
 
 
 
 
 
 
Basic
 
100,475

 
 
 
99,210

 
 
 
 
Diluted*
 
100,475

 
 
 
99,210

 
 
 
 


*Had we generated income from continuing operations in the nine months ended September 30, 2017 and 2016, the effect of employee stock options, restricted stock units and deferred compensation units on the diluted shares calculation would have been an increase of 747 thousand and 1,470 thousand shares, respectively.




Page 11



TENET HEALTHCARE CORPORATION
CONSOLIDATED BALANCE SHEETS
(Unaudited)

 
 
 
 
 
 
 
September 30,
 
December 31,
(Dollars in millions)
 
2017
 
2016
ASSETS
 
 
 
 
Current assets:
 
 
 
 
Cash and cash equivalents
 
$
429

 
$
716

Accounts receivable, less allowance for doubtful accounts
 
2,567

 
2,897

Inventories of supplies, at cost
 
297

 
326

Income tax receivable
 
14

 
4

Assets held for sale
 
842

 
29

Other current assets
 
1,160

 
1,285

Total current assets 
 
5,309

 
5,257

Investments and other assets
 
1,253

 
1,250

Deferred income taxes
 
783

 
871

Property and equipment, at cost, less accumulated depreciation and amortization
 
7,077

 
8,053

Goodwill
 
7,022

 
7,425

Other intangible assets, at cost, less accumulated amortization
 
1,764

 
1,845

Total assets 
 
$
23,208

 
$
24,701

 
 
 
 
 
LIABILITIES AND EQUITY
 
 
 
 
Current liabilities:
 
 
 
 
Current portion of long-term debt
 
$
140

 
$
191

Accounts payable
 
1,100

 
1,329

Accrued compensation and benefits
 
800

 
872

Professional and general liability reserves
 
210

 
181

Accrued interest payable
 
336

 
210

Liabilities held for sale
 
407

 
9

Other current liabilities
 
1,146

 
1,242

Total current liabilities 
 
4,139

 
4,034

Long-term debt, net of current portion
 
14,741

 
15,064

Professional and general liability reserves
 
617

 
613

Defined benefit plan obligations
 
596

 
626

Deferred income taxes
 

 
279

Other long-term liabilities
 
604

 
610

Total liabilities 
 
20,697

 
21,226

Commitments and contingencies
 
 
 
 
Redeemable noncontrolling interests in equity of consolidated subsidiaries
 
1,816

 
2,393

Equity:
 
 
 
 
Shareholders’ equity:
 
 
 
 
Common stock
 
7

 
7

Additional paid-in capital
 
4,835

 
4,827

Accumulated other comprehensive loss
 
(238)

 
(258)

Accumulated deficit
 
(2,161)

 
(1,742)

Common stock in treasury, at cost
 
(2,419)

 
(2,417)

Total shareholders’ equity 
 
24

 
417

Noncontrolling interests 
 
671

 
665

Total equity
 
695

 
1,082

Total liabilities and equity 
 
$
23,208

 
$
24,701








Page 12



TENET HEALTHCARE CORPORATION
CONSOLIDATED STATEMENTS OF CASH FLOW
(Unaudited)
 
 
 
 
 
 
 
Nine Months Ended
(Dollars in millions)
 
September 30,
 
 
2017
 
2016
Net income (loss)
 
$
(221
)
 
$
153

Adjustments to reconcile net income to net cash provided by operating activities:
 
 
 
 
Depreciation and amortization
 
662

 
632

Provision for doubtful accounts
 
1,109

 
1,095

Deferred income tax expense (benefit)
 
(145
)
 
32

Stock-based compensation expense
 
44

 
51

Impairment and restructuring charges, and acquisition-related costs
 
403

 
81

Litigation and investigation costs
 
12

 
291

Gains on sales, consolidation and deconsolidation of facilities
 
(142
)
 
(151
)
Loss from early extinguishment of debt
 
164

 

Equity in earnings of unconsolidated affiliates, net of distributions received
 
(4
)
 
2

Amortization of debt discount and debt issuance costs
 
33

 
33

Pre-tax loss from discontinued operations
 
1

 
5

Other items, net
 
(19
)
 
(3
)
Changes in cash from operating assets and liabilities:
 
 
 
 
Accounts receivable
 
(1,046
)
 
(1,156
)
Inventories and other current assets
 
97

 
(95
)
Income taxes
 
(14
)
 
(1
)
Accounts payable, accrued expenses and other current liabilities
 
(141
)
 
(35
)
Other long-term liabilities
 
7

 
48

Payments for restructuring charges, acquisition-related costs, and litigation costs and settlements
 
(88
)
 
(132
)
Net cash provided by (used in) operating activities from discontinued operations, excluding income taxes
 
(3
)
 
1

Net cash provided by operating activities
 
709

 
851

Cash flows from investing activities:
 
 

 
 
Purchases of property and equipment — continuing operations
 
(492
)
 
(614
)
Purchases of businesses or joint venture interests, net of cash acquired
 
(41
)
 
(96
)
Proceeds from sales of facilities and other assets
 
826

 
573

Proceeds from sales of marketable securities, long-term investments and other assets
 
20

 
36

Purchases of equity investments
 
(64
)
 
(37
)
Other long-term assets
 
(16
)
 
(15
)
Other items, net
 
(6
)
 
3

Net cash provided by (used in) investing activities
 
227

 
(150
)
Cash flows from financing activities:
 
 

 
 
Repayments of borrowings under credit facility
 
(850
)
 
(1,195
)
Proceeds from borrowings under credit facility
 
850

 
1,195

Repayments of other borrowings
 
(4,099
)
 
(112
)
Proceeds from other borrowings
 
3,788

 
4

Debt issuance costs
 
(62
)
 
(1
)
Distributions paid to noncontrolling interests
 
(178
)
 
(151
)
Proceeds from sale of noncontrolling interests
 
29

 
19

Purchases of noncontrolling interests
 
(722
)
 
(180
)
Proceeds from exercise of stock options and employee stock purchase plan
 
5

 
4

Other items, net
 
16

 
9

Net cash used in financing activities
 
(1,223
)
 
(408
)
Net increase (decrease) in cash and cash equivalents
 
(287
)
 
293

Cash and cash equivalents at beginning of period
 
716

 
356

Cash and cash equivalents at end of period
 
$
429

 
$
649

Supplemental disclosures:
 
 

 
 
Interest paid, net of capitalized interest
 
$
(617
)
 
$
(596
)
Income tax payments, net
 
$
(54
)
 
$
(33
)

Page 13




TENET HEALTHCARE CORPORATION
SELECTED STATISTICS – CONTINUING TOTAL HOSPITALS(1) 
(Unaudited)
(Dollars in millions except per patient day,
 
 
 
 
 
 
 
 
 
 
 
 
 
per admission, per adjusted admission
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
and per visit amounts)
 
2017
 
2016
 
Change
 
2017
 
2016
 
Change
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Admissions, Patient Days and Surgeries
 
 
 
 
 
 
 
 
 
 
 
 
 
Number of hospitals (at end of period)
 
73

 
75

 
(2
)
*
73

 
75

 
(2
)
*
Total admissions
 
185,389

 
194,342

 
(4.6
)%
 
572,877

 
600,039

 
(4.5
)%
 
Adjusted patient admissions
 
332,035

 
345,207

 
(3.8
)%
 
1,021,811

 
1,050,839

 
(2.8
)%
 
Paying admissions (excludes charity and uninsured)
 
174,803

 
183,042

 
(4.5
)%
 
541,526

 
568,017

 
(4.7
)%
 
Charity and uninsured admissions
 
10,586

 
11,300

 
(6.3
)%
 
31,351

 
32,022

 
(2.1
)%
 
Admissions through emergency department
 
120,493

 
120,447

 
 %
 
368,773

 
378,786

 
(2.6
)%
 
Paying admissions as a percentage of total admissions
 
94.3
%
 
94.2
%
 
0.1
 %
*
94.5
%
 
94.7
%
 
(0.2
)%
*
Charity and uninsured admissions as a percentage of total admissions
 
5.7
%
 
5.8
%
 
(0.1
)%
*
5.5
%
 
5.3
%
 
0.2
 %
*
Emergency department admissions as a percentage of total admissions
 
65.0
%
 
62.0
%
 
3.0
 %
*
64.4
%
 
63.1
%
 
1.3
 %
*
Surgeries — inpatient
 
50,939

 
54,701

 
(6.9
)%
 
154,844

 
164,835

 
(6.1
)%
 
Surgeries — outpatient
 
67,321

 
72,646

 
(7.3
)%
 
208,291

 
225,296

 
(7.5
)%
 
Total surgeries
 
118,260

 
127,346

 
(7.1
)%
 
363,135

 
390,131

 
(6.9
)%
 
Patient days — total
 
853,059

 
894,323

 
(4.6
)%
 
2,656,277

 
2,802,150

 
(5.2
)%
 
Adjusted patient days
 
1,502,831

 
1,567,894

 
(4.1
)%
 
4,663,779

 
4,851,535

 
(3.9
)%
 
Average length of stay (days)
 
4.60

 
4.60

 
 %
 
4.64

 
4.67

 
(0.6
)%
 
Licensed beds (at end of period)
 
19,433

 
20,340

 
(4.5
)%
 
19,433

 
20,340

 
(4.5
)%
 
Average licensed beds
 
19,783

 
20,367

 
(2.9
)%
 
20,218

 
20,757

 
(2.6
)%
 
Utilization of licensed beds
 
46.9
%
 
47.7
%
 
(0.8
)%
*
48.1
%
 
49.3
%
 
(1.2
)%
*
Outpatient Visits
 
 
 
 
 
 
 

 
 
 
 
 
Total visits
 
1,867,471

 
2,009,019

 
(7.0
)%
 
5,889,261

 
6,193,924

 
(4.9
)%
 
Paying visits (excludes charity and uninsured)
 
1,741,815

 
1,862,046

 
(6.5
)%
 
5,499,724

 
5,742,955

 
(4.2
)%
 
Charity and uninsured visits
 
125,656

 
146,973

 
(14.5
)%
 
389,537

 
450,969

 
(13.6
)%
 
Emergency department visits
 
685,096

 
707,713

 
(3.2
)%
 
2,142,932

 
2,213,321

 
(3.2
)%
 
Paying visits as a percentage of total visits
 
93.3
%
 
92.7
%
 
0.6
 %
*
93.4
%
 
92.7
%
 
0.7
 %
*
Charity and uninsured visits as a percentage of total visits
 
6.7
%
 
7.3
%
 
(0.6
)%
*
6.6
%
 
7.3
%
 
(0.7
)%
*
Total emergency department admissions and visits
 
805,589

 
828,160

 
(2.7
)%
 
2,511,705

 
2,592,107

 
(3.1
)%
 
Revenues
 
 
 
 
 
 
 

 
 
 
 
 
Net inpatient revenues
 
$
2,434

 
$
2,644

 
(7.9
)%
 
$
7,609

 
$
8,013

 
(5.0
)%
 
Net outpatient revenues
 
$
1,426

 
$
1,417

 
0.6
 %
 
$
4,418

 
$
4,391

 
0.6
 %
 
Total patient revenues
 
$
3,860

 
$
4,061

 
(4.9
)%
 
$
12,027

 
$
12,404

 
(3.0
)%
 
Revenues on a Per Admission, Per Patient Day and Per Visit Basis
 
 
 
 
 
 
 

 
 
 
 
 
Net inpatient revenue per admission
 
$
13,129

 
$
13,605

 
(3.5
)%
 
$
13,282

 
$
13,354

 
(0.5
)%
 
Net inpatient revenue per patient day
 
$
2,853

 
$
2,956

 
(3.5
)%
 
$
2,865

 
$
2,860

 
0.2
 %
 
Net outpatient revenue per visit
 
$
764

 
$
705

 
8.4
 %
 
$
750

 
$
709

 
5.8
 %
 
Net patient revenue per adjusted patient admission
 
$
11,625

 
$
11,764

 
(1.2
)%
 
$
11,770

 
$
11,804

 
(0.3
)%
 
Net patient revenue per adjusted patient day
 
$
2,568

 
$
2,590

 
(0.8
)%
 
$
2,579

 
$
2,557

 
0.9
 %
 
Total selected operating expenses (salaries, wages and benefits, supplies and other operating expenses) per adjusted patient admission(2)
 
$
10,367

 
$
10,190

 
1.7
 %
 
$
10,348

 
$
10,147

 
2.0
 %
 
Net Patient Revenues from:
 
 
 
 
 
 
 

 
 
 
 
 
Medicare
 
20.0
%
 
19.9
%
 
0.1
 %
*
20.4
%
 
20.5
%
 
(0.1
)%
*
Medicaid
 
6.5
%
 
8.4
%
 
(1.9
)%
*
6.7
%
 
8.2
%
 
(1.5
)%
*
Managed care
 
62.5
%
 
64.0
%
 
(1.5
)%
*
62.4
%
 
61.5
%
 
0.9
 %
*
Indemnity, self-pay and other
 
11.0
%
 
7.7
%
 
3.3
 %
*
10.5
%
 
9.8
%
 
0.7
 %
*



(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.
* This change is the difference between the 2017 and 2016 amounts shown.

Page 14



TENET HEALTHCARE CORPORATION
SELECTED STATISTICS – CONTINUING SAME HOSPITALS(1) 
(Unaudited)
(Dollars in millions except per patient day,
 
 
 
 
 
 
 
 
 
 
 
 
 
per admission, per adjusted admission
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
and per visit amounts)
 
2017
 
2016
 
Change
 
2017
 
2016
 
Change
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Admissions, Patient Days and Surgeries
 
 
 
 
 
 
 
 
 
 
 
 
 
Number of hospitals (at end of period)
 
72

 
72

 

*
72

 
72

 

*
Total admissions
 
181,970

 
186,765

 
(2.6
)%
 
553,651

 
569,112

 
(2.7
)%
 
Adjusted patient admissions
 
320,821

 
327,960

 
(2.2
)%
 
970,418

 
990,517

 
(2.0
)%
 
Paying admissions (excludes charity and uninsured)
 
171,791

 
176,376

 
(2.6
)%
 
524,588

 
540,172

 
(2.9
)%
 
Charity and uninsured admissions
 
10,179

 
10,389

 
(2.0
)%
 
29,063

 
28,940

 
0.4
 %
 
Admissions through emergency department
 
118,361

 
116,234

 
1.8
 %
 
357,078

 
359,694

 
(0.7
)%
 
Paying admissions as a percentage of total admissions
 
94.4
%
 
94.4
%
 
 %
*
94.8
%
 
94.9
%
 
(0.1
)%
*
Charity and uninsured admissions as a percentage of total admissions
 
5.6
%
 
5.6
%
 
 %
*
5.2
%
 
5.1
%
 
0.1
 %
*
Emergency department admissions as a percentage of total admissions
 
65.0
%
 
62.2
%
 
2.8
 %
*
64.5
%
 
63.2
%
 
1.3
 %
*
Surgeries — inpatient
 
50,074

 
52,556

 
(4.7
)%
 
149,801

 
156,638

 
(4.4
)%
 
Surgeries — outpatient
 
66,482

 
70,206

 
(5.3
)%
 
202,796

 
215,632

 
(6.0
)%
 
Total surgeries
 
116,556

 
122,762

 
(5.1
)%
 
352,597

 
372,270

 
(5.3
)%
 
Patient days — total
 
838,215

 
863,100

 
(2.9
)%
 
2,570,717

 
2,657,969

 
(3.3
)%
 
Adjusted patient days
 
1,466,266

 
1,508,217

 
(2.8
)%
 
4,478,793

 
4,598,669

 
(2.6
)%
 
Average length of stay (days)
 
4.61

 
4.62

 
(0.2
)%
 
4.64

 
4.67

 
(0.6
)%
 
Licensed beds (at end of period)
 
19,327

 
19,292

 
0.2
 %
 
19,327

 
19,292

 
0.2
 %
 
Average licensed beds
 
19,328

 
19,319

 
 %
 
19,297

 
19,326

 
(0.2
)%
 
Utilization of licensed beds
 
47.1
%
 
48.6
%
 
(1.5
)%
*
48.8
%
 
50.4
%
 
(1.6
)%
*
Outpatient Visits
 
 
 
 
 
 
 
 
 
 
 
 
 
Total visits
 
1,813,595

 
1,917,200

 
(5.4
)%
 
5,629,973

 
5,843,476

 
(3.7
)%
 
Paying visits (excludes charity and uninsured)
 
1,696,468

 
1,784,379

 
(4.9
)%
 
5,281,403

 
5,447,091

 
(3.0
)%
 
Charity and uninsured visits
 
117,127

 
132,821

 
(11.8
)%
 
348,570

 
396,385

 
(12.1
)%
 
Emergency department visits
 
646,331

 
662,625

 
(2.5
)%
 
1,987,743

 
2,038,946

 
(2.5
)%
 
Paying visits as a percentage of total visits
 
93.5
%
 
93.1
%
 
0.4
 %
*
93.8
%
 
93.2
%
 
0.6
 %
*
Charity and uninsured visits as a percentage of total visits
 
6.5
%
 
6.9
%
 
(0.4
)%
*
6.2
%
 
6.8
%
 
(0.6
)%
*
Total emergency department admissions and visits
 
764,692

 
778,859

 
(1.8
)%
 
2,344,821

 
2,398,640

 
(2.2
)%
 
Revenues
 
 
 
 
 
 
 
 
 
 
 
 
 
Net inpatient revenues
 
$
2,391

 
$
2,533

 
(5.6
)%
 
$
7,342

 
$
7,571

 
(3.0
)%
 
Net outpatient revenues
 
$
1,386

 
$
1,334

 
3.9
 %
 
$
4,195

 
$
4,081

 
2.8
 %
 
Total patient revenues
 
$
3,777

 
$
3,867

 
(2.3
)%
 
$
11,537

 
$
11,652

 
(1.0
)%
 
Revenues on a Per Admission, Per Patient Day and Per Visit Basis
 
 
 
 
 
 
 
 
 
 
 
 
 
Net inpatient revenue per admission
 
$
13,140

 
$
13,562

 
(3.1
)%
 
$
13,261

 
$
13,303

 
(0.3
)%
 
Net inpatient revenue per patient day
 
$
2,852

 
$
2,935

 
(2.8
)%
 
$
2,856

 
$
2,848

 
0.3
 %
 
Net outpatient revenue per visit
 
$
764

 
$
696

 
9.8
 %
 
$
745

 
$
698

 
6.7
 %
 
Net patient revenue per adjusted patient admission
 
$
11,773

 
$
11,791

 
(0.2
)%
 
$
11,889

 
$
11,764

 
1.1
 %
 
Net patient revenue per adjusted patient day
 
$
2,576

 
$
2,564

 
0.5
 %
 
$
2,576

 
$
2,534

 
1.7
 %
 
Net Patient Revenues from:
 
 
 
 
 
 
 
 
 
 
 
 
 
Medicare
 
20.1
%
 
20.5
%
 
(0.4
)%
*
20.8
%
 
21.1
%
 
(0.3
)%
*
Medicaid
 
6.6
%
 
8.4
%
 
(1.8
)%
*
6.7
%
 
8.2
%
 
(1.5
)%
*
Managed care
 
62.3
%
 
64.3
%
 
(2.0
)%
*
62.3
%
 
61.8
%
 
0.5
 %
*
Indemnity, self-pay and other
 
11.0
%
 
6.8
%
 
4.2
 %
*
10.2
%
 
8.9
%
 
1.3
 %
*

(1) Information for our Hospital Operations and other segment is presented on a same-hospital basis, which includes the results of our same 72 hospitals operated throughout the nine months ended September 30, 2017 and 2016, and associated outpatient facilities but excludes the results of hospitals that Tenet began operating, as well as hospitals Tenet divested, since January 1, 2016.
* This change is the difference between the 2017 and 2016 amounts shown.

Page 15



TENET HEALTHCARE CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
 
 
 
 
 
 
 
 
 
(Dollars in millions except per share amounts)
 
Three Months Ended
 
Nine Months Ended
 
 
3/31/2017
 
6/30/2017
 
9/30/2017
 
9/30/2017
Net operating revenues:
 
 
 
 
 
 
 
 
Net operating revenues before provision for doubtful accounts
 
$
5,196

 
$
5,173

 
$
4,941

 
$
15,310

Less: Provision for doubtful accounts
 
383

 
371

 
355

 
1,109

Net operating revenues
 
4,813

 
4,802

 
4,586

 
14,201

Equity in earnings of unconsolidated affiliates
 
29

 
28

 
38

 
95

Operating expenses:
 
 
 
 
 
 
 
 
Salaries, wages and benefits
 
2,380

 
2,346

 
2,264

 
6,990

Supplies
 
765

 
780

 
740

 
2,285

Other operating expenses, net
 
1,187

 
1,159

 
1,120

 
3,466

Electronic health record incentives
 
(1
)
 
(6
)
 
(1
)
 
(8
)
Depreciation and amortization
 
221

 
222

 
219

 
662

Impairment and restructuring charges, and acquisition-related costs
 
33

 
41

 
329

 
403

Litigation and investigation costs
 
5

 
1

 
6

 
12

Gains on sales, consolidation and deconsolidation of facilities
 
(15
)
 
(23
)
 
(104
)
 
(142
)
Operating income
 
267

 
310

 
51

 
628

Interest expense
 
(258
)
 
(260
)
 
(257
)
 
(775
)
Other non-operating expense, net
 
(5
)
 
(5
)
 
(4
)
 
(14
)
Loss from early extinguishment of debt
 

 
(26
)
 
(138
)
 
(164
)
Net income (loss) from continuing operations, before income taxes
 
4

 
19

 
(348
)
 
(325
)
Income tax benefit
 
33

 
12

 
60

 
105

Net income (loss) from continuing operations, before discontinued operations
 
37

 
31

 
(288
)
 
(220
)
Discontinued operations:
 
 
 
 
 
 
 
 
Income (loss) from operations
 
(2
)
 
2

 
(1
)
 
(1
)
Income tax benefit (expense)
 
1

 
(1
)
 

 

Net income (loss) from discontinued operations
 
(1
)
 
1

 
(1
)
 
(1
)
Net income (loss)
 
36

 
32

 
(289
)
 
(221
)
Less: Net income attributable to noncontrolling interests
 
89

 
87

 
78

 
254

Net loss attributable to Tenet Healthcare Corporation common shareholders
 
$
(53
)
 
$
(55
)
 
$
(367
)
 
$
(475
)
Amounts attributable to Tenet Healthcare Corporation common shareholders
 
 
 
 
 
 
 
 
Net loss from continuing operations, net of tax
 
$
(52
)
 
$
(56
)
 
$
(366
)
 
$
(474
)
Net income (loss) from discontinued operations, net of tax
 
(1
)
 
1

 
(1
)
 
(1
)
Net loss attributable to Tenet Healthcare Corporation common shareholders
 
$
(53
)
 
$
(55
)
 
$
(367
)
 
$
(475
)
Net earnings (loss) per share attributable to Tenet Healthcare Corporation common shareholders:
 
 
 
 
 
 
 
 
Basic
 
 
 
 
 
 
 
 
Continuing operations
 
$
(0.52
)
 
$
(0.56
)
 
$
(3.63
)
 
$
(4.72
)
Discontinued operations
 
(0.01
)
 
0.01

 
(0.01
)
 
(0.01
)
 
 
$
(0.53
)
 
$
(0.55
)
 
$
(3.64
)
 
$
(4.73
)
Diluted
 
 
 
 
 
 
 
 
Continuing operations
 
$
(0.52
)
 
$
(0.56
)
 
$
(3.63
)
 
$
(4.72
)
Discontinued operations
 
(0.01
)
 
0.01

 
(0.01
)
 
(0.01
)
 
 
$
(0.53
)
 
$
(0.55
)
 
$
(3.64
)
 
$
(4.73
)
Weighted average shares and dilutive securities outstanding (in thousands):
 
 
 
 
 
 
 
 
Basic
 
100,000

 
100,612

 
100,812

 
100,475

Diluted
 
100,000

 
100,612

 
100,812

 
100,475


Page 16



TENET HEALTHCARE CORPORATION
SELECTED STATISTICS – CONTINUING TOTAL HOSPITALS(1) 
(Unaudited)
(Dollars in millions except per patient day,
per admission, per adjusted admission and
per visit amounts)
 
 
 
 
 
 
 
 
 
Three Months Ended
 
Nine Months Ended
 
3/31/2017
 
6/30/2017
 
9/30/2017
 
09/30/2017
 
 
 
 
 
 
 
 
 
Admissions, Patient Days and Surgeries
 
 
 
 
 
 
 
 
Number of hospitals (at end of period)
 
76

 
76

 
73

 
73

Total admissions
 
196,907

 
190,394

 
185,389

 
572,877

Adjusted patient admissions
 
347,150

 
342,439

 
332,035

 
1,021,811

Paying admissions (excludes charity and uninsured)
 
186,648

 
179,889

 
174,803

 
541,526

Charity and uninsured admissions
 
10,259

 
10,505

 
10,586

 
31,351

Admissions through emergency department
 
126,473

 
121,807

 
120,493

 
368,773

Paying admissions as a percentage of total admissions
 
94.8
%
 
94.5
%
 
94.3
%
 
94.5
%
Charity and uninsured admissions as a percentage of total admissions
 
5.2
%
 
5.5
%
 
5.7
%
 
5.5
%
Emergency department admissions as a percentage of total admissions
 
64.2
%
 
64.0
%
 
65.0
%
 
64.4
%
Surgeries — inpatient
 
51,800

 
52,083

 
50,939

 
154,844

Surgeries — outpatient
 
69,604

 
71,366

 
67,321

 
208,291

Total surgeries
 
121,404

 
123,449

 
118,260

 
363,135

Patient days — total
 
923,339

 
874,930

 
853,059

 
2,656,277

Adjusted patient days
 
1,603,698

 
1,552,302

 
1,502,831

 
4,663,779

Average length of stay (days)
 
4.69

 
4.60

 
4.60

 
4.64

Licensed beds (at end of period)
 
20,439

 
20,435

 
19,433

 
19,433

Average licensed beds
 
20,440

 
20,435

 
19,783

 
20,218

Utilization of licensed beds
 
50.2
%
 
47.0
%
 
46.9
%
 
48.1
%
Outpatient Visits
 
 
 
 
 
 
 
 
Total visits
 
2,039,942

 
1,981,848

 
1,867,471

 
5,889,261

Paying visits (excludes charity and uninsured)
 
1,908,212

 
1,849,697

 
1,741,815

 
5,499,724

Charity and uninsured visits
 
131,730

 
132,151

 
125,656

 
389,537

Emergency department visits
 
733,051

 
724,785

 
685,096

 
2,142,932

Paying visits as a percentage of total visits
 
93.5
%
 
93.3
%
 
93.3
%
 
93.4
%
Charity and uninsured visits as a percentage of total visits
 
6.5
%
 
6.7
%
 
6.7
%
 
6.6
%
Total emergency department admissions and visits
 
859,524

 
846,592

 
805,589

 
2,511,705

Revenues
 
 
 
 
 
 
 
 
Net inpatient revenues
 
$
2,609

 
$
2,555

 
$
2,434

 
$
7,609

Net outpatient revenues
 
$
1,482

 
$
1,511

 
$
1,426

 
$
4,418

Total patient revenues
 
$
4,091

 
$
4,066

 
$
3,860

 
$
12,027

Revenues on a Per Admission, Per Patient Day and Per Visit Basis
 
 
 
 
 
 
 
 
Net inpatient revenue per admission
 
$
13,250

 
$
13,420

 
$
13,129

 
$
13,282

Net inpatient revenue per patient day
 
$
2,826

 
$
2,920

 
$
2,853

 
$
2,865

Net outpatient revenue per visit
 
$
726

 
$
762

 
$
764

 
$
750

Net patient revenue per adjusted patient admission
 
$
11,785

 
$
11,874

 
$
11,625

 
$
11,770

Net patient revenue per adjusted patient day
 
$
2,551

 
$
2,619

 
$
2,568

 
$
2,579

Total selected operating expenses (salaries, wages and benefits, supplies and other operating expenses) per adjusted patient admission(2)
 
$
10,290

 
$
10,394

 
$
10,367

 
$
10,348

Net Patient Revenues from:
 
 
 
 
 
 
 
 
Medicare
 
21.0
%
 
20.1
%
 
20.0
%
 
20.4
%
Medicaid
 
6.7
%
 
6.9
%
 
6.5
%
 
6.7
%
Managed care
 
62.3
%
 
62.5
%
 
62.5
%
 
62.4
%
Indemnity, self-pay and other
 
10.0
%
 
10.5
%
 
11.0
%
 
10.5
%

(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.

Page 17



TENET HEALTHCARE CORPORATION
SELECTED STATISTICS – CONTINUING SAME HOSPITALS(1) 
(Unaudited)
(Dollars in millions except per patient day,
per admission, per adjusted admission and
per visit amounts)
 
 
 
 
 
 
 
 
 
Three Months Ended
 
Nine Months Ended
 
3/31/2017
 
6/30/2017
 
9/30/2017
 
9/30/2017
 
 
 
 
 
 
 
 
 
Admissions, Patient Days and Surgeries
 
 
 
 
 
 
 
 
Number of hospitals (at end of period)
 
72

 
72

 
72

 
72

Total admissions
 
189,071

 
182,610

 
181,970

 
553,651

Adjusted patient admissions
 
326,533

 
323,064

 
320,821

 
970,418

Paying admissions (excludes charity and uninsured)
 
179,763

 
173,034

 
171,791

 
524,588

Charity and uninsured admissions
 
9,308

 
9,576

 
10,179

 
29,063

Admissions through emergency department
 
121,749

 
116,968

 
118,361

 
357,078

Paying admissions as a percentage of total admissions
 
95.1
%
 
94.8
%
 
94.4
%
 
94.8
%
Charity and uninsured admissions as a percentage of total admissions
 
4.9
%
 
5.2
%
 
5.6
%
 
5.2
%
Emergency department admissions as a percentage of total admissions
 
64.4
%
 
64.1
%
 
65.0
%
 
64.5
%
Surgeries — inpatient
 
49,735

 
49,992

 
50,074

 
149,801

Surgeries — outpatient
 
67,375

 
68,939

 
66,482

 
202,796

Total surgeries
 
117,110

 
118,931

 
116,556

 
352,597

Patient days — total
 
889,667

 
842,835

 
838,215

 
2,570,717

Adjusted patient days
 
1,527,316

 
1,485,211

 
1,466,266

 
4,478,793

Average length of stay (days)
 
4.71

 
4.62

 
4.61

 
4.64

Licensed beds (at end of period)
 
19,285

 
19,281

 
19,327

 
19,327

Average licensed beds
 
19,286

 
19,281

 
19,328

 
19,297

Utilization of licensed beds
 
51.3
%
 
48.0
%
 
47.1
%
 
48.8
%
Outpatient Visits
 
 
 
 
 
 
 
 
Total visits
 
1,937,168

 
1,879,210

 
1,813,595

 
5,629,973

Paying visits (excludes charity and uninsured)
 
1,821,837

 
1,763,098

 
1,696,468

 
5,281,403

Charity and uninsured visits
 
115,331

 
116,112

 
117,127

 
348,570

Emergency department visits
 
674,547

 
666,865

 
646,331

 
1,987,743

Paying visits as a percentage of total visits
 
94.0
%
 
93.8
%
 
93.5
%
 
93.8
%
Charity and uninsured visits as a percentage of total visits
 
6.0
%
 
6.2
%
 
6.5
%
 
6.2
%
Total emergency department admissions and visits
 
796,296

 
783,833

 
764,692

 
2,344,821

Revenues
 
 
 
 
 
 
 
 
Net inpatient revenues
 
$
2,505

 
$
2,446

 
$
2,391

 
$
7,342

Net outpatient revenues
 
$
1,390

 
$
1,419

 
$
1,386

 
$
4,195

Total patient revenues
 
$
3,895

 
$
3,865

 
$
3,777

 
$
11,537

Revenues on a Per Admission, Per Patient Day and Per Visit Basis
 
 
 
 
 
 
 
 
Net inpatient revenue per admission
 
$
13,249

 
$
13,395

 
$
13,140

 
$
13,261

Net inpatient revenue per patient day
 
$
2,816

 
$
2,902

 
$
2,852

 
$
2,856

Net outpatient revenue per visit
 
$
718

 
$
755

 
$
764

 
$
745

Net patient revenue per adjusted patient admission
 
$
11,928

 
$
11,964

 
$
11,773

 
$
11,889

Net patient revenue per adjusted patient day
 
$
2,550

 
$
2,602

 
$
2,576

 
$
2,576

Net Patient Revenues from:
 
 
 
 
 
 
 
 
Medicare
 
21.6
%
 
20.6
%
 
20.1
%
 
20.8
%
Medicaid
 
6.8
%
 
6.8
%
 
6.6
%
 
6.7
%
Managed care
 
62.2
%
 
62.6
%
 
62.3
%
 
62.3
%
Indemnity, self-pay and other
 
9.4
%
 
10.0
%
 
11.0
%
 
10.2
%

(1) Information for our Hospital Operations and other segment is presented on a same-hospital basis, which includes the results of our same 72 hospitals operated throughout the nine months ended September 30, 2017 and 2016, and associated outpatient facilities but excludes the results of hospitals that Tenet began operating, as well as hospitals Tenet divested, since January 1, 2016.

Page 18



TENET HEALTHCARE CORPORATION
SELECTED STATISTICS – CONTINUING SAME HOSPITALS(1) 
(Unaudited)
(Dollars in millions except per patient day, per
admission, per adjusted admission and per
visit amounts)
Three Months Ended
 
Year Ended
3/31/2016
 
6/30/2016
 
9/30/2016
 
12/31/2016
 
12/31/2016
 
 
 
 
 
 
 
 
 
 
Admissions, Patient Days and Surgeries
 
 
 
 
 
 
 
 
 
Number of hospitals (at end of period)
72

 
72

 
72

 
72

 
72

Total admissions
195,679

 
186,668

 
186,765

 
184,561

 
753,673

Adjusted patient admissions
335,006

 
327,551

 
327,960

 
320,445

 
1,310,962

Paying admissions (excludes charity and uninsured)
186,706

 
177,090

 
176,376

 
175,026

 
715,198

Charity and uninsured admissions
8,973

 
9,578

 
10,389

 
9,535

 
38,475

Admissions through emergency department
125,406

 
118,054

 
116,234

 
116,374

 
476,068

Paying admissions as a percentage of total admissions
95.4
%
 
94.9
%
 
94.4
%
 
94.8
%
 
94.9
%
Charity and uninsured admissions as a percentage of total admissions
4.6
%
 
5.1
%
 
5.6
%
 
5.2
%
 
5.1
%
Emergency department admissions as a percentage of total admissions
64.1
%
 
63.2
%
 
62.2
%
 
63.1
%
 
63.2
%
Surgeries - inpatient
51,719

 
52,363

 
52,556

 
50,971

 
207,609

Surgeries - outpatient
72,054

 
73,372

 
70,206

 
71,129

 
286,761

Total surgeries
123,773

 
125,735

 
122,762

 
122,100

 
494,370

Patient days - total
929,061

 
865,808

 
863,100

 
857,118

 
3,515,087

Adjusted patient days
1,579,483

 
1,510,969

 
1,508,217

 
1,481,786

 
6,080,455

Average length of stay (days)
4.75

 
4.64

 
4.62

 
4.64

 
4.66

Licensed beds (at end of period)
19,332

 
19,332

 
19,292

 
19,306

 
19,306

Average licensed beds
19,327

 
19,332

 
19,319

 
19,278

 
19,315

Utilization of licensed beds
53.4
%
 
49.2
%
 
48.6
%
 
48.3
%
 
49.9
%
Outpatient Visits
 
 
 
 
 
 
 
 
 
Total visits
1,975,304

 
1,950,972

 
1,917,200

 
1,853,826

 
7,697,302

Paying visits (excludes charity and uninsured)
1,842,217

 
1,820,495

 
1,784,379

 
1,753,362

 
7,200,453

Charity and uninsured visits
133,087

 
130,477

 
132,821

 
100,464

 
496,849

Emergency department visits
702,777

 
673,544

 
662,625

 
650,573

 
2,689,519

Paying visits as a percentage of total visits
93.3
%
 
93.3
%
 
93.1
%
 
94.6
%
 
93.5
%
Charity and uninsured visits as a percentage of total visits
6.7
%
 
6.7
%
 
6.9
%
 
5.4
%
 
6.5
%
Total emergency department admissions and visits
828,183

 
791,598

 
778,859

 
766,947

 
3,165,587

Revenues
 
 
 
 
 
 
 
 
 
Net inpatient revenues
$
2,568

 
$
2,470

 
$
2,533

 
$
2,518

 
$
10,089

Net outpatient revenues
$
1,370

 
$
1,377

 
$
1,334

 
$
1,371

 
$
5,452

Total patient revenues
$
3,938

 
$
3,847

 
$
3,867

 
$
3,889

 
$
15,541

Revenues on a Per Admission, Per Patient Day and Per Visit Basis
 
 
 
 
 
 
 
 
 
Net inpatient revenue per admission
$
13,124

 
$
13,232

 
$
13,562

 
$
13,643

 
$
13,386

Net inpatient revenue per patient day
$
2,764

 
$
2,853

 
$
2,935

 
$
2,938

 
$
2,870

Net outpatient revenue per visit
$
694

 
$
706

 
$
696

 
$
740

 
$
708

Net patient revenue per adjusted patient admission
$
11,755

 
$
11,745

 
$
11,791

 
$
12,136

 
$
11,855

Net patient revenue per adjusted patient day
$
2,493

 
$
2,546

 
$
2,564

 
$
2,625

 
$
2,556

Net Patient Revenues from:
 
 
 
 
 
 
 
 
 
Medicare
20.4
%
 
22.3
%
 
20.5
%
 
20.8
%
 
21.0
%
Medicaid
8.7
%
 
7.6
%
 
8.4
%
 
8.2
%
 
8.2
%
Managed care
61.7
%
 
59.5
%
 
64.3
%
 
61.2
%
 
61.6
%
Indemnity, self-pay and other
9.2
%
 
10.6
%
 
6.8
%
 
9.8
%
 
9.2
%

(1) Information for our Hospital Operations and other segment is presented on a same-hospital basis, which includes the results of our same 72 hospitals operated throughout the nine months ended September 30, 2017 and 2016, and associated outpatient facilities but excludes the results of hospitals that Tenet began operating, as well as hospitals Tenet divested, since January 1, 2016.

Page 19



TENET HEALTHCARE CORPORATION
SEGMENT REPORTING
(Unaudited)

(Dollars in millions)
 
 
 
 
 
September 30,
 
December 31,
 
 
 
 
 
 
2017
 
2016
Assets
 
 
 
 
 
 
 
 
Hospital Operations and other
 
 
 
 
 
$
16,249

 
$
17,871

Ambulatory Care
 
 
 
 
 
5,847

 
5,722

Conifer
 
 
 
 
 
1,112

 
1,108

Total
 
 
 
 
 
$
23,208

 
$
24,701

 
 
 
 
 
 
 
 
 
 
 
Three Months Ended
 
Nine Months Ended
 
 
September 30,
 
September 30,
 
 
2017
 
2016
 
2017
 
2016
Capital expenditures:
 
 
 
 
 
 
 
 
Hospital Operations and other
 
$
122

 
$
182

 
$
441

 
$
557

Ambulatory Care
 
16

 
14

 
37

 
42

Conifer
 
6

 
5

 
14

 
15

Total
 
$
144

 
$
201

 
$
492

 
$
614

 
 
 
 
 
 
 
 
 
Net operating revenues:
 
 
 
 
 
 
 
 
Hospital Operations and other total prior to inter-segment eliminations(1)
 
$
3,866

 
$
4,162

 
$
12,066

 
$
12,761

Ambulatory Care
 
468

 
448

 
1,395

 
1,319

Conifer
 
 
 
 
 
 
 
 
Tenet
 
149

 
159

 
463

 
488

Other customers
 
252

 
239

 
740

 
681

Total Conifer revenues
 
401

 
398

 
1,203

 
1,169

Inter-segment eliminations
 
(149
)
 
(159
)
 
(463
)
 
(488
)
Total
 
$
4,586

 
$
4,849

 
$
14,201

 
$
14,761

 
 
 
 
 
 
 
 
 
Equity in earnings of unconsolidated affiliates:
 
 
 
 
 
 
 
 
Hospital Operations and other
 
$
4

 
$
3

 
$
4

 
$
6

Ambulatory Care
 
34

 
28

 
91

 
79

Total
 
$
38

 
$
31

 
$
95

 
$
85

 
 
 
 
 
 
 
 
 
Adjusted EBITDA:
 
 
 
 
 
 
 
 
Hospital Operations and other(2)
 
$
269

 
$
346

 
$
924

 
$
1,191

Ambulatory Care
 
159

 
157

 
476

 
432

Conifer
 
79

 
79

 
204

 
205

Total
 
$
507

 
$
582

 
$
1,604

 
$
1,828

 
 
 
 
 
 
 
 
 
Depreciation and amortization:
 
 
 
 
 
 
 
 
Hospital Operations and other
 
$
185

 
$
170

 
$
560

 
$
525

Ambulatory Care
 
22

 
22

 
66

 
69

Conifer
 
12

 
13

 
36

 
38

Total
 
$
219

 
$
205

 
$
662

 
$
632

 
(1)
Hospital Operations and other revenues includes health plan revenues of $10 million and $100 million for the three and nine ended September 30, 2017, respectively and $122 million and $385 million for the three and nine months ended September 30, 2016, respectively.
(2)
Hospital Operations and other Adjusted EBITDA excludes health plan EBITDA of $(6) million and $(41) million for the three and nine months ended September 30, 2017, respectively and $(6) million and $(8) million for the three and nine ended September 30, 2016, respectively.








Page 20



TENET HEALTHCARE CORPORATION
STATEMENT OF OPERATIONS – AMBULATORY CARE SEGMENT
(Unaudited)
 
 
 
 
 
 
 
 
 
(Dollars in millions)
 
Three Months Ended September 30,
 
 
2017
 
2016
 
 
 
 
 
 
 
 
 
 
 
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
 
$
477

 
$
518

 
$
457

 
$
507

Less: Provision for doubtful accounts
 
(9
)
 
(11
)
 
(9
)
 
(13
)
Net operating revenues(1)
 
468

 
507

 
448

 
494

Equity in earnings of unconsolidated affiliates(2)
 
34

 

 
28

 

Operating expenses:
 

 

 
 
 
 
Salaries, wages and benefits
 
155

 
122

 
144

 
119

Supplies
 
95

 
133

 
89

 
124

Other operating expenses, net
 
93

 
93

 
86

 
99

Electronic health record incentives
 

 

 

 

Depreciation and amortization
 
22

 
17

 
22

 
16

Impairment and restructuring charges, and acquisition-related costs
 
62

 

 
5

 

Gains on sales, consolidation and deconsolidation of facilities
 

 

 
(3
)
 
3

Operating income
 
75

 
142

 
133

 
133

Interest expense
 
(35
)
 
(6
)
 
(35
)
 
(6
)
Other
 
2

 

 

 
5

Net income from continuing operations, before income taxes
 
42

 
136

 
98

 
132

Income tax expense
 
(20
)
 
(2
)
 
(18
)
 
(2
)
Net income
 
22

 
$
134

 
80

 
$
130

Less: Net income attributable to noncontrolling interests
 
61

 

 
69

 
 
Net income (loss) attributable to Tenet Healthcare Corporation common shareholders
 
$
(39
)
 

 
$
11

 
 
Equity in earnings of unconsolidated affiliates
 
 
 
$
34

 
 
 
$
28


(1)
On a same-facility system-wide basis, net revenue in Tenet’s Ambulatory Care segment increased 0.9% during the three months ended September 30, 2017, with cases decreasing 2.4% and revenue per case increasing 3.4%.
(2)
At September 30, 2017, 109 of the 329 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 220 facilities and account for these investments as consolidated subsidiaries.
 

Page 21



TENET HEALTHCARE CORPORATION
STATEMENT OF OPERATIONS – AMBULATORY CARE SEGMENT
(Unaudited)
 
 
 
 
 
 
 
 
 
(Dollars in millions)
 
Nine Months Ended September 30,
 
 
2017
 
2016
 
 
 
 
 
 
 
 
 
 
 
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
 
$
1,422

 
$
1,492

 
$
1,346

 
$
1,491

Less: Provision for doubtful accounts
 
(27
)
 
(31
)
 
(27
)
 
(41
)
Net operating revenues(1)
 
1,395

 
1,461

 
1,319

 
1,450

Equity in earnings of unconsolidated affiliates(2)
 
91

 

 
79

 

Operating expenses:
 

 

 

 

Salaries, wages and benefits
 
458

 
352

 
437

 
353

Supplies
 
285

 
383

 
266

 
375

Other operating expenses, net
 
267

 
290

 
263

 
303

Electronic health record incentives
 

 

 

 

Depreciation and amortization
 
66

 
49

 
69

 
51

Impairment and restructuring charges, and acquisition-related costs
 
70

 
1

 
9

 
1

Gains on sales, consolidation and deconsolidation of facilities
 
(7
)
 

 
(33
)
 
3

Operating income
 
347

 
386

 
387

 
364

Interest expense
 
(109
)
 
(17
)
 
(105
)
 
(18
)
Other
 
5

 

 

 
6

Net income from continuing operations, before income taxes
 
243

 
369

 
282

 
352

Income tax expense
 
(58
)
 
(6
)
 
(37
)
 
(5
)
Net Income
 
185

 
$
363

 
245

 
$
347

Less: Net income attributable to noncontrolling interests(3)
 
193

 

 
204

 

Net income (loss) attributable to Tenet Healthcare Corporation common shareholders
 
$
(8
)
 

 
$
41

 

Equity in earnings of unconsolidated affiliates
 
 
 
$
91

 
 
 
$
79


(1)
On a same-facility system-wide basis, net revenue in Tenet’s Ambulatory Care segment increased 3.5% during the nine months ended September 30, 2017, with cases decreasing 0.8% and revenue per case increasing 4.3%.
(2)
At September 30, 2017, 109 of the 329 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 220 facilities and account for these investments as consolidated subsidiaries.
(3)
During the nine months ended September 30, 2016, the Company recorded $19 million of noncontrolling interests expense related to a $33 million gain on the consolidation of facilities (the gain is not included in Adjusted EBITDA) and an associated $7 million income tax benefit.

Page 22




Non-GAAP Financial Measures
Adjusted EBITDA, a non-GAAP measure, is defined by the Company as net income (loss) attributable to Tenet Healthcare Corporation common shareholders before (1) the cumulative effect of changes in accounting principle, (2) net loss (income) attributable to noncontrolling interests, (3) income (loss) from discontinued operations, (4) income tax benefit (expense), (5) other non-operating income (expense), net, (6) gain (loss) from early extinguishment of debt, (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 (loss) from continuing operations attributable to Tenet Healthcare Corporation common shareholders, a non-GAAP measure, is defined by the Company as net income (loss) attributable to Tenet Healthcare Corporation common shareholders before (1) impairment and restructuring charges, and acquisition-related costs, (2) litigation and investigation costs, (3) gains on sales, consolidation and deconsolidation of facilities, (4) gain (loss) from early extinguishment of debt, (5) income (loss) from divested operations and closed businesses, (6) the associated impact of these five items on taxes and noncontrolling interests, and (7) net income (loss) from discontinued operations. Adjusted diluted earnings (loss) per share from continuing operations, a non-GAAP term, is defined by the Company as Adjusted net income (loss) from continuing operations attributable 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 Adjusted EBITDA to net income (loss) attributable to Tenet Healthcare Corporation common shareholders, the most comparable GAAP measure, is set forth in Table #1 below for the three and nine months ended September 30, 2017 and 2016. A reconciliation of Adjusted net income from continuing operations attributable to Tenet Healthcare Corporation common shareholders to net income (loss) attributable to Tenet Healthcare Corporation common shareholders, the most comparable GAAP measure, is set forth in Table #2 below for the three and nine months ended September 30, 2017 and 2016. A reconciliation of Free Cash Flow and Adjusted Free Cash Flow to net cash provided by (used in) operating activities, the most comparable GAAP measure, is set forth in Table #3 below for the three and nine months ended September 30, 2017 and 2016.


Page 23



TENET HEALTHCARE CORPORATION
Additional Supplemental Non-GAAP disclosures
Table #1 – Reconciliation of Adjusted EBITDA to Net Income (Loss)
Attributable to Tenet Healthcare Corporation Common Shareholders
(Unaudited)
 
 
 
 
 
 
 
 
 
(Dollars in millions)
 
Three Months Ended
 
Nine Months Ended
 
 
September 30,
 
September 30,
 
 
2017
 
2016
 
2017
 
2016
Net loss attributable to Tenet Healthcare Corporation common shareholders
 
$
(367
)
 
$
(8
)
 
$
(475
)
 
$
(113
)
Less: Net income attributable to noncontrolling interests
 
(78
)
 
(88
)
 
(254
)
 
(266
)
Net income (loss) from discontinued operations, net of tax
 
(1
)
 
1

 
(1
)
 
(5
)
Net income (loss) from continuing operations
 
(288
)
 
79

 
(220
)
 
158

Income tax benefit (expense)
 
60

 
(10
)
 
105

 
(61
)
Loss from early extinguishment of debt
 
(138
)
 

 
(164
)
 

Other non-operating expense, net
 
(4
)
 
(7
)
 
(14
)
 
(18
)
Interest expense
 
(257
)
 
(243
)
 
(775
)
 
(730
)
Operating income
 
51

 
339

 
628

 
967

Litigation and investigation costs
 
(6
)
 
(4
)
 
(12
)
 
(291
)
Gains on sales, consolidation and deconsolidation of facilities
 
104

 
3

 
142

 
151

Impairment and restructuring charges, and acquisition-related costs
 
(329
)
 
(31
)
 
(403
)
 
(81
)
Depreciation and amortization
 
(219
)
 
(205
)
 
(662
)
 
(632
)
Loss from divested and closed businesses
 
(6
)
 
(6
)
 
(41
)
 
(8
)
Adjusted EBITDA
 
$
507

 
$
582

 
$
1,604

 
$
1,828

 
 
 
 
 
 
 
 
 
Net operating revenues
 
$
4,586

 
$
4,849

 
$
14,201

 
$
14,761

Less: Net operating revenues from health plans
 
10

 
122

 
100

 
385

Adjusted net operating revenues
 
$
4,576

 
$
4,727

 
$
14,101

 
$
14,376

 
 
 
 
 
 
 
 
 
Net loss attributable to Tenet Healthcare Corporation common shareholders as a % of net operating revenues
 
(8.0
)%
 
(0.2
)%
 
(3.3
)%
 
(0.8
)%
 
 
 
 
 
 
 
 
 
Adjusted EBITDA as % of adjusted net operating revenues (Adjusted EBITDA margin)
 
11.1
 %
 
12.3
 %
 
11.4
 %
 
12.7
 %









Page 24





TENET HEALTHCARE CORPORATION
Additional Supplemental Non-GAAP disclosures
Table #2 – Pre-Tax, After-Tax and Earnings (Loss) Per Share Impact of Certain Items
on Continuing Operations
(Unaudited)
 
 
 
 
 
 
 
 
 
 
 
Three Months Ended
 
Nine Months Ended
(Dollars in millions except per share amounts)
 
September 30,
 
September 30,
 
 
2017
 
2016
 
2017
 
2016
Adjustments to calculate Adjusted Diluted EPS
 
Impairment and restructuring charges, and acquisition-related costs(1)
 
$
(329
)
 
$
(31
)
 
$
(403
)
 
$
(81
)
Litigation and investigation costs
 
(6
)
 
(4
)
 
(12
)
 
(291
)
Gain on sales, consolidation and deconsolidation of facilities(2)
 
104

 
3

 
142

 
151

Loss from early extinguishment of debt(3)
 
(138
)
 

 
(164
)
 

Loss from divested and closed businesses
 
(6
)
 
(6
)
 
(41
)
 
(11
)
Pre-tax impact
 
(375
)
 
(38
)
 
(478
)
 
(232
)
Tax impact of above items
 
26

 
10

 
65

 
37

Total after-tax impact
 
(349
)
 
(28
)
 
(413
)
 
(195
)
Noncontrolling interests impact
 

 
(1
)
 

 
(19
)
Total loss from items above
 
$
(349
)
 
$
(29
)
 
$
(413
)
 
$
(214
)
 
 
 
 
 
 
 
 
 
Net loss attributable to common shareholders
 
$
(367
)
 
$
(8
)
 
$
(475
)
 
$
(113
)
Less net income (loss) from discontinued operations, net of tax
 
(1
)
 
1

 
(1
)
 
(5
)
Net loss from continuing operations, net of tax
 
(366
)
 
(9
)
 
(474
)
 
(108
)
Net loss from adjustments above
 
349

 
29

 
413

 
214

Adjusted net income (loss) from continuing operations attributable to common shareholders
 
$
(17
)
 
$
20

 
$
(61
)
 
$
106

 
 
 
 
 
 
 
 
 
Weighted average dilutive shares outstanding (in thousands)
 
100,812

 
100,978

 
100,475

 
100,680

Diluted earnings (loss) per share from continuing operations
 
$
(3.63
)
 
$
(0.09
)
 
$
(4.72
)
 
$
(1.09
)
Adjusted diluted earnings (loss) per share from continuing operations
 
$
(0.17
)
 
$
0.20

 
$
(0.61
)
 
$
1.05







(1)
Impairment and restructuring charges, and acquisition-related costs of $329 million in the three months ended September 30, 2017 were primarily related to the write-down of assets held for sale in Philadelphia and the United Kingdom to their estimated fair value less the estimated costs to sell.  The Company’s results in the three months ended September 30, 2017 do not include restructuring charges related to the Company’s $150 million cost reduction initiative; these charges will be recorded in the three months ending December 31, 2017.
(2)
Gain on sales, consolidation and deconsolidation of facilities of $104 million in the three months ended September 30, 2017 was primarily related to a gain on sale of the Company’s former hospitals, physician practices and related assets in Houston, Texas and the surrounding area.
(3)
Loss from early extinguishment of debt of $138 million in the three months ended September 30, 2017 was related to the Company’s refinancing transactions and debt redemption in the quarter.



Page 25



TENET HEALTHCARE CORPORATION
Additional Supplemental Non-GAAP disclosures
Table #3 – Reconciliations of Free Cash Flow and Adjusted Free Cash Flow
(Unaudited)
 
 
 
 
 
 
 
 
 
 
 
Three Months Ended
 
Nine Months Ended
(Dollars in millions)
 
September 30,
 
September 30,
 
 
2017
 
2016
 
2017
 
2016
Net cash provided by operating activities
 
$
308

 
$
269

 
$
709

 
$
851

Purchases of property and equipment
 
(144
)
 
(201
)
 
(492
)
 
(614
)
Free cash flow
 
$
164

 
$
68

 
$
217

 
$
237

 
 
 
 
 
 
 
 
 
Net cash provided by (used in) investing activities
 
$
535

 
$
(204
)
 
$
227

 
$
(150
)
Net cash used in financing activities
 
$
(889
)
 
$
(72
)
 
$
(1,223
)
 
$
(408
)
 
 
 
 
 
 
 
 
 
Net cash provided by operating activities
 
$
308

 
$
269

 
$
709

 
$
851

Less: Payments for restructuring charges, acquisition-related costs, and litigation costs and settlements
 
(26
)
 
(33
)
 
(88
)
 
(132
)
Net cash (used in) provided by operating activities from discontinued operations
 
(1
)
 
1

 
(3
)
 
1

Adjusted net cash provided by operating activities – continuing operations
 
335

 
301

 
800

 
982

Purchases of property and equipment – continuing operations
 
(144
)
 
(201
)
 
(492
)
 
(614
)
Adjusted free cash flow – continuing operations
 
$
191

 
$
100

 
$
308

 
$
368



Page 26



TENET HEALTHCARE CORPORATION
Additional Supplemental Non-GAAP disclosures
Table #4 – Reconciliation of Outlook Adjusted EBITDA to
Outlook Net Income Attributable to Tenet Healthcare Corporation Common Shareholders
(Unaudited)
 
 
 
 
 
 
 
 
 
(Dollars in millions, except per share amounts)
 
Q4 2017
 
2017
 
 
Low
 
High
 
Low
 
High
Net income (loss) attributable to Tenet Healthcare Corporation common shareholders
 
$
98

 
$
108

 
$
(377
)
 
$
(367
)
Less: Net income attributable to noncontrolling interests
 
(116
)
 
(126
)
 
(370
)
 
(380
)
Net income (loss) from discontinued operations, net of tax
 
(4
)
 
1

 
(5
)
 

Income (loss) from continuing operations
 
218

 
233

 
(2
)
 
13

Income tax (expense) benefit
 
(65
)
 
(60
)
 
40

 
45

Income (loss) from continuing operations, before income taxes
 
283

 
293

 
(42
)
 
(32
)
Interest expense
 
(245
)
 
(255
)
 
(1,020
)
 
(1,030
)
Loss on early extinguishment of debt
 

 

 
(164
)
 
(164
)
Other non-operating expense, net
 
(6
)
 
(6
)
 
(20
)
 
(20
)
Operating income
 
534

 
554

 
1,162

 
1,182

Gains on sales, consolidation and deconsolidation of facilities(1)
 

 

 
142

 
142

Impairment and restructuring charges, acquisition-related costs and litigation costs and settlements(2)
 
(35
)
 
(45
)
 
(450
)
 
(460
)
Depreciation and amortization
 
(198
)
 
(208
)
 
(860
)
 
(870
)
Loss from divested and closed businesses
 
(4
)
 
(14
)
 
(45
)
 
(55
)
Adjusted EBITDA
 
$
771

 
$
821

 
$
2,375

 
$
2,425

Net income (loss) from continuing operations
 
$
102

 
$
107

 
$
(372
)
 
$
(367
)
Net income (loss) from continuing operations as a % of operating revenues
 
2.1
%
 
2.1
%
 
(2.0
)%
 
(1.9
)%
Net operating revenues
 
$
4,804

 
$
5,014

 
$
19,005

 
$
19,215

Less: Net operating revenues from health plans
 
5

 
15

 
105

 
115

Adjusted net operating revenues
 
$
4,799

 
$
4,999

 
$
18,900

 
$
19,100

Adjusted EBITDA as % of adjusted net operating revenues (Adjusted EBITDA margin)
 
16.1
%
 
16.4
%
 
12.6
 %
 
12.7
 %
Adjusted EBITDA
 
$
771

 
$
821

 
$
2,375

 
$
2,425

Depreciation and amortization
 
(198
)
 
(208
)
 
(860
)
 
(870
)
Interest expense
 
(245
)
 
(255
)
 
(1,020
)
 
(1,030
)
Other non-operating expense, net
 
(6
)
 
(6
)
 
(20
)
 
(20
)
Adjusted income from continuing operations before income taxes
 
322

 
352

 
475

 
505

Income tax benefit (expense)
 
(85
)
 
(90
)
 
(45
)
 
(50
)
Adjusted income from continuing operations
 
237

 
262

 
430

 
455

Net income attributable to noncontrolling interests
 
(116
)
 
(126
)
 
(370
)
 
(380
)
Adjusted net income from continuing operations attributable to common shareholders
 
$
121

 
$
136

 
$
60

 
$
75

Basic weighted average shares outstanding (in millions)
 
101

 
101

 
101

 
101

Fully diluted weighted average shares outstanding (in millions)
 
101

 
101

 
101

 
101

Diluted earnings (loss) per share from continuing operations
 
$
1.01

 
$
1.06

 
$
(3.68
)
 
$
(3.63
)
Adjusted diluted earnings (loss) per share from continuing operations
 
$
1.20

 
$
1.35

 
$
0.59

 
$
0.74


(1)
The Company does not forecast impairment and restructuring charges, acquisition-related costs and litigation costs and settlements and gains 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.
(2)
In conjunction with the Company's recently announced $150 million cost reduction initiative, the Company expects to recognize a pre-tax restructuring charge of approximately $40 million in the fourth quarter of 2017. Substantially all of these costs relate to employee severance.    

Page 27



TENET HEALTHCARE CORPORATION
Additional Supplemental Non-GAAP disclosures
Table #5 – Reconciliation of Outlook Adjusted Free Cash Flow
for the Year Ending December 31, 2017
 
 
 
 
 
 
 
 
 
 
 
(Dollars in millions)
 
 
 
 
 
 
 
2017
 
 
 
 
 
 
 
 
Low
 
High
Net cash provided by operating activities
 
 
 
 
 
 
 
$
1,017

 
$
1,267

Less: Payments for restructuring charges, acquisition-related costs and litigation costs and settlements(1)
 
 
 
 
 
 
 
(103
)
 
(108
)
Net cash used in operating activities from discontinued operations
 
 
 
 
 
 
 
(5
)
 

Adjusted net cash provided by operating activities – continuing operations
 
 
 
 
 
 
 
1,125

 
1,375

Purchases of property and equipment – continuing operations
 
 
 
 
 
 
 
(675
)
 
(725
)
Adjusted free cash flow – continuing operations(2)
 
 
 
 
 
 
 
$
450

 
$
650

 
(1)
Company does not forecast impairment and restructuring charges, 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. In conjunction with the Company's recently announced $150 million cost reduction initiative, the Company expects to recognize payments of approximately $15 million to $20 million in the fourth quarter of 2017. Substantially all of these payments relate to employee severance.
(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.


Page 28