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SEGMENT INFORMATION (Tables)
 9 Months Ended
Sep. 30, 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:
 
 
September 30,
2019
 
December 31,
2018
Assets:
 
 

 
 

Hospital Operations and other
 
$
16,202

 
$
15,684

Ambulatory Care
 
6,100

 
5,711

Conifer
 
1,055

 
1,014

Total 
 
$
23,357

 
$
22,409
Reconciliation of other significant reconciling items from segments to consolidated
 
 
Three Months Ended
September 30,
 
Nine Months Ended
September 30,
 
 
2019
 
2018
 
2019
 
2018
Capital expenditures:
 
 

 
 

 
 

 
 

Hospital Operations and other
 
$
135

 
$
115

 
$
423

 
$
343

Ambulatory Care
 
16

 
18

 
57

 
46

Conifer
 
5

 
3

 
12

 
15

Total 
 
$
156

 
$
136

 
$
492

 
$
404

 
 
 
 
 
 
 
 
 
Net operating revenues:
 
 

 
 

 
 

 
 

Hospital Operations and other total prior to inter-segment eliminations(1)
 
$
3,850

 
$
3,762

 
$
11,539

 
$
11,442

Ambulatory Care
 
522

 
502

 
1,526

 
1,531

Conifer
 
 

 
 

 
 
 
 
Tenet
 
140

 
146

 
432

 
440

Other customers
 
196

 
225

 
608

 
721

Total Conifer revenues
 
336

 
371

 
1,040

 
1,161

Inter-segment eliminations
 
(140
)
 
(146
)
 
(432
)
 
(440
)
Total 
 
$
4,568

 
$
4,489

 
$
13,673

 
$
13,694

 
 
 
 
 
 
 
 
 
Equity in earnings of unconsolidated affiliates:
 
 

 
 

 
 

 
 

Hospital Operations and other
 
$
1

 
$
2

 
$
12

 
$
6

Ambulatory Care
 
37

 
31

 
102

 
91

Total 
 
$
38

 
$
33

 
$
114

 
$
97

 
 
 
 
 
 
 
 
 
Adjusted EBITDA(2):
 
 

 
 

 
 

 
 

Hospital Operations and other(2)
 
$
334

 
$
312

 
$
1,018

 
$
1,059

Ambulatory Care
 
207

 
184

 
591

 
547

Conifer
 
90

 
81

 
292

 
270

Total 
 
$
631

 
$
577

 
$
1,901

 
$
1,876

 
 
 
 
 
 
 
 
 
Depreciation and amortization:
 
 

 
 

 
 

 
 

Hospital Operations and other
 
$
175

 
$
175

 
$
539

 
$
514

Ambulatory Care
 
19

 
17

 
55

 
51

Conifer
 
11

 
12

 
33

 
37

Total 
 
$
205

 
$
204

 
$
627

 
$
602


 
 
Three Months Ended
September 30,
 
Nine Months Ended
September 30,
 
 
2019
 
2018
 
2019
 
2018
Adjusted EBITDA(2)
 
$
631

 
$
577

 
$
1,901

 
$
1,876

Income (loss) from divested and closed businesses
(i.e., the Company’s health plan businesses)
 
(1
)
 
9

 
(2
)
 
9

Depreciation and amortization
 
(205
)
 
(204
)
 
(627
)
 
(602
)
Impairment and restructuring charges, and acquisition-related costs
 
(46
)
 
(46
)
 
(101
)
 
(123
)
Litigation and investigation costs
 
(84
)
 
(9
)
 
(115
)
 
(28
)
Interest expense
 
(244
)
 
(249
)
 
(742
)
 
(758
)
Loss from early extinguishment of debt
 
(180
)
 
—

 
(227
)
 
(2
)
Other non-operating expense, net
 
(3
)
 
—

 
(3
)
 
(2
)
Net gains (losses) on sales, consolidation and deconsolidation of facilities
 
(1
)
 
(7
)
 
(3
)
 
111

Income (loss) from continuing operations, before income taxes
 
$
(133
)
 
$
71

 
$
81

 
$
481


(1)
Hospital Operations and other revenues includes health plan revenues of less than $1 million and approximately $1 million for the three and nine months ended September 30, 2019, respectively, and $8 million and $14 million for the three and nine months ended September 30, 2018, respectively.
(2)
Hospital Operations and other Adjusted EBITDA excludes health plan EBITDA of $(1) million and $(2) million for the three and nine months ended September 30, 2019, respectively, and $9 million for both of the three and nine months ended September 30, 2018.