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SEGMENT INFORMATION (Tables)
9 Months Ended
Sep. 30, 2017
Segment Reporting [Abstract]  
Reconciliation of assets by reportable segment to consolidated assets
The following tables include amounts for each of our reportable segments and the reconciling items necessary to agree to amounts reported in the accompanying Condensed Consolidated Balance Sheets and Condensed Consolidated Statements of Operations:
 
 
September 30, 2017
 
December 31, 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

Reconciliation of other significant reconciling items from segments to consolidated
 
 
Three Months Ended
September 30,
 
Nine Months Ended
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
 
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


 
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
 
2017
 
2016
 
2017
 
2016
Adjusted EBITDA 
 
$
507

 
$
582

 
$
1,604

 
$
1,828

Loss from divested and closed businesses
(i.e., the Company’s health plan businesses)
 
(6
)
 
(6
)
 
(41
)
 
(8
)
Depreciation and amortization
 
(219
)
 
(205
)
 
(662
)
 
(632
)
Impairment and restructuring charges, and acquisition-related costs
 
(329
)
 
(31
)
 
(403
)
 
(81
)
Litigation and investigation costs
 
(6
)
 
(4
)
 
(12
)
 
(291
)
Interest expense
 
(257
)
 
(243
)
 
(775
)
 
(730
)
Loss from early extinguishment of debt
 
(138
)
 

 
(164
)
 

Other non-operating expense, net
 
(4
)
 
(7
)
 
(14
)
 
(18
)
Gains on sales, consolidation and deconsolidation of facilities
 
104

 
3

 
142

 
151

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

 
$
(325
)
 
$
219


(1)
Hospital Operations and other revenues includes health plan revenues of $10 million and $100 million for the three and nine months 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 months ended September 30, 2016, respectively.