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SEGMENT INFORMATION (Tables)
3 Months Ended
Mar. 31, 2019
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 in the Condensed Consolidated Statements of Operations, as applicable:
 
 
March 31, 2019
 
December 31, 2018
Assets:
 
 

 
 

Hospital Operations and other
 
$
16,070

 
$
15,684

Ambulatory Care
 
6,014

 
5,711

Conifer
 
1,074

 
1,014

Total 
 
$
23,158

 
$
22,409

Reconciliation of other significant reconciling items from segments to consolidated
 
 
Three Months Ended
March 31,
 
 
2019
 
2018
Capital expenditures:
 
 

 
 

Hospital Operations and other
 
$
170

 
$
120

Ambulatory Care
 
20

 
15

Conifer
 
2

 
8

Total 
 
$
192

 
$
143

 
 
 
 
 
Net operating revenues:
 
 

 
 

Hospital Operations and other total prior to inter-segment eliminations(1)
 
$
3,862

 
$
3,947

Ambulatory Care
 
480

 
498

Conifer
 
 

 
 

Tenet
 
146

 
150

Other customers
 
203

 
254

Total Conifer revenues
 
349

 
404

Inter-segment eliminations
 
(146
)
 
(150
)
Total 
 
$
4,545

 
$
4,699

 
 
 
 
 
Equity in earnings of unconsolidated affiliates:
 
 

 
 

Hospital Operations and other
 
$
3

 
$
(2
)
Ambulatory Care
 
31

 
27

Total 
 
$
34

 
$
25

 
 
 
 
 
Adjusted EBITDA(2):
 
 

 
 

Hospital Operations and other(2)
 
$
337

 
$
402

Ambulatory Care
 
177

 
165

Conifer
 
99

 
98

Total 
 
$
613

 
$
665

 
 
 
 
 
Depreciation and amortization:
 
 

 
 

Hospital Operations and other
 
$
179

 
$
175

Ambulatory Care
 
18

 
17

Conifer
 
11

 
12

Total 
 
$
208

 
$
204


 
 
Three Months Ended March 31,
 
 
2019
 
2018
Adjusted EBITDA(2)
 
$
613

 
$
665

Loss from divested and closed businesses
(i.e., the Company’s health plan businesses)
 
(1
)
 
(1
)
Depreciation and amortization
 
(208
)
 
(204
)
Impairment and restructuring charges, and acquisition-related costs
 
(19
)
 
(47
)
Litigation and investigation costs
 
(13
)
 
(6
)
Interest expense
 
(251
)
 
(255
)
Loss from early extinguishment of debt
 
(47
)
 
(1
)
Other non-operating income (expense), net
 
1

 
(1
)
Net gains (losses) on sales, consolidation and deconsolidation of facilities
 
(1
)
 
110

Income from continuing operations, before income taxes
 
$
74

 
$
260


(1)
Hospital Operations and other revenues includes health plan revenues of less than $1 million for the three months ended March 31, 2019 and $6 million for the three months ended March 31, 2018, respectively.
(2)
Hospital Operations and other Adjusted EBITDA excludes health plan EBITDA of $(1) million for both the three months ended March 31, 2019 and 2018.