EX-99.1 2 a12-26310_1ex99d1.htm PRESS RELEASE ISSUED ON NOVEMBER 7, 2012

Exhibit 99.1

 

 

Tenet Reports Third Quarter Adjusted EBITDA Growth of 40% to $269 Million

5.8% Growth in Net Operating Revenues

1.4% Increase in Adjusted Admissions

6.3% Growth in Outpatient Surgeries

3.7% Increase in Net Patient revenue per Adjusted Admission

 

DALLAS — November 7, 2012 — Tenet Healthcare Corporation (NYSE:THC) today reported Adjusted EBITDA of $269 million for the third quarter ended September 30, 2012, an increase of $77 million, or 40 percent, as compared to Adjusted EBITDA of $192 million in the third quarter of 2011. Net income attributable to common shareholders was $40 million, or $0.37 per diluted share, compared to $6 million, or $0.05 per diluted share in the third quarter of 2011.

 

“Strong revenue growth and disciplined cost control continue to drive our solid financial performance,” said Trevor Fetter, president and chief executive officer. “Adjusted EBITDA increased 40 percent to create the Company’s strongest third quarter in the last ten years. Net revenues grew by 5.8 percent reflecting strong volume increases and continued pricing strength. Our volume growth was one of the strongest in the investor-owned healthcare provider sector, and we recorded our eighth consecutive quarter of positive growth in adjusted admissions. Volume growth was led by a 6.3 percent increase in outpatient surgeries. Cost control was excellent. Conifer Health Solutions, Tenet’s services business, reported another solid quarter contributing $24 million to Adjusted EBITDA.”

 

“As we look to the fourth quarter, state officials in California recently informed the hospital industry that the managed care portion of the California Provider Fee program is not likely to be approved in 2012,” said Mr. Fetter. “This program had been expected to contribute more than $40 million to Adjusted EBITDA in the fourth quarter. We now expect these earnings to be recognized in 2013. As a result of this delay and recent trends in volumes and payer mix, we now expect Adjusted EBITDA of approximately $1.2 billion for 2012.”

 

Discussion of Results  (Percentage changes compare Q3’12 to Q3’11, unless otherwise noted.)

 

In the third quarter, adjusted admissions increased by 1.4 percent, and total admissions declined by 0.5 percent. Outpatient surgeries extended their strong growth trend increasing by 6.3 percent and total emergency department visits increased by 4.9 percent.

 

Net operating revenues were $2.221 billion, an increase of $121 million, or 5.8 percent, compared to net operating revenues of $2.100 billion in the third quarter of 2011.

 

Bad debt expense as a percent of revenues was 8.5 percent, an increase of 20 basis points compared to 8.3 percent in the third quarter of 2011. The increase in bad debt expense was largely the result of the 7.9 percent increase in uninsured and charity outpatient visits.

 

Net patient revenue per adjusted admission was $11,579, an increase of 3.7 percent. This pricing increase primarily reflects improved terms in our contracts with commercial managed care payers.

 

Selected operating expenses, defined as the sum of salaries, wages and benefits, supplies and other operating expenses, increased by only 1.5 percent on a per adjusted admission basis. This favorable cost performance exceeded the Company’s expectations for the quarter. Supply costs were extremely well-controlled, declining 2.2 percent per adjusted admission.

 

Cash and cash equivalents were $83 million at September 30, 2012 compared to $82 million at June 30, 2012. The balance on the Company’s bank line was $175 million at September 30, 2012, a reduction of $25 million as compared to a balance of $200 million as of June 30, 2012. Approximately $60 million of California Provider Fee program revenues have been recognized in Adjusted EBITDA in 2012 that have not yet been received.

 



 

Outlook for Adjusted EBITDA in Fourth Quarter 2012 and Full Year 2013

 

The outlook range for Adjusted EBITDA in the fourth quarter of 2012 is $313 million to $353 million. This range reflects the delayed recognition of the revenue from the managed care portion of the California Provider Fee program into 2013. The Company’s Outlook for 2013 Adjusted EBITDA is in a range of $1.325 billion to $1.425 billion, slightly above analyst consensus estimates.

 

Management’s Webcast Discussion of Third Quarter Results

 

Tenet management will discuss the Company’s third quarter 2012 results on a 9:00 AM (ET) webcast on November 7, 2012.  This webcast may be accessed through Tenet’s website at www.tenethealth.com/investors.

 

Additional information regarding Tenet’s quarterly results of operations, including detailed tabular operational data, is contained in its Form 10-Q report, which will be filed with the Securities and Exchange Commission and posted on the Tenet investor relations website before the webcast. This press release includes certain non-GAAP measures, such as Adjusted EBITDA. A reconciliation of Adjusted EBITDA to net income attributable to Tenet common shareholders is included in the financial tables at the end of this release.

 

Tenet Healthcare Corporation, a leading health care services company, through its subsidiaries operates 49 hospitals, over 100 free-standing outpatient centers and Conifer Health Solutions, a leader in business process solutions for health care providers that serves more than 500 hospital and health care entities nationwide.  Tenet’s hospitals and related health care facilities are committed to providing high quality care to patients in the communities they serve.  For more information, please visit www.tenethealth.com.

 

Media: Rick Black (469) 893-2647

Investors: Thomas Rice (469) 893-2522

Rick.Black@tenethealth.com

Thomas.Rice@tenethealth.com

 

# # #

 

This document contains “forward-looking statements” — that is, statements relating 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,” “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 the factors disclosed under “Forward-Looking Statements” and “Risk Factors” in our Form 10-K for the year ended Dec. 31, 2011, our quarterly reports on Form 10-Q, periodic reports on Form 8-K and other filings with the Securities and Exchange Commission. The Company assumes no obligation to update forward-looking statements contained in this press release as a result of new information or future events or developments.

 

Tenet uses its company web site to provide important information to investors about the company including the posting of important announcements regarding financial performance and corporate developments.

 

2



 

TENET HEALTHCARE CORPORATION

CONSOLIDATED STATEMENTS OF OPERATIONS

(Unaudited)

 

 

 

Three Months Ended September 30,

 

(Dollars in millions except per share amounts)

 

2012

 

%

 

2011

 

%

 

Change

 

 

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues:

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues before provision for doubtful accounts

 

$

2,427

 

 

 

$

2,289

 

 

 

6.0

%

Less: Provision for doubtful accounts

 

206

 

 

 

189

 

 

 

9.0

%

Net operating revenues

 

2,221

 

100.0

%

2,100

 

100.0

%

5.8

%

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

1,050

 

47.3

%

1,002

 

47.7

%

4.8

%

Supplies

 

376

 

16.9

%

379

 

18.0

%

(0.8

)%

Other operating expenses, net

 

539

 

24.2

%

527

 

25.1

%

2.3

%

Electronic health record incentives

 

(13

)

(0.6

)%

 

%

(100.0

)%

Depreciation and amortization

 

110

 

5.0

%

100

 

4.8

%

10.0

%

Impairment of long-lived assets and goodwill, and restructuring charges, net

 

6

 

0.3

%

8

 

0.4

%

 

 

Litigation and investigation costs

 

 

%

5

 

0.2

%

 

 

Operating income

 

153

 

6.9

%

79

 

3.8

%

 

 

Interest expense

 

(103

)

 

 

(59

)

 

 

 

 

Investment earnings

 

1

 

 

 

1

 

 

 

 

 

Income from continuing operations, before income taxes

 

51

 

 

 

21

 

 

 

 

 

Income tax expense

 

(18

)

 

 

(4

)

 

 

 

 

Income from continuing operations, before discontinued operations

 

33

 

 

 

17

 

 

 

 

 

Discontinued operations:

 

 

 

 

 

 

 

 

 

 

 

Income (loss) from operations

 

4

 

 

 

(2

)

 

 

 

 

Net losses on sales of facilities

 

(1

)

 

 

 

 

 

 

 

Income tax expense

 

(4

)

 

 

 

 

 

 

 

Loss from discontinued operations

 

(1

)

 

 

(2

)

 

 

 

 

Net income

 

32

 

 

 

15

 

 

 

 

 

Less: Preferred stock dividends

 

1

 

 

 

6

 

 

 

 

 

Less: Net income (loss) attributable to noncontrolling interests

 

(9

)

 

 

3

 

 

 

 

 

Net income attributable to Tenet Healthcare Corporation common shareholders

 

$

40

 

 

 

$

6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amounts attributable to Tenet Healthcare Corporation common shareholders

 

 

 

 

 

 

 

 

 

 

 

Income from continuing operations, net of tax

 

$

30

 

 

 

$

8

 

 

 

 

 

Income (loss) from discontinued operations, net of tax

 

10

 

 

 

(2

)

 

 

 

 

Net income attributable to Tenet Healthcare Corporation common shareholders

 

$

40

 

 

 

$

6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Earnings (loss) per share attributable to Tenet Healthcare Corporation common shareholders

 

 

 

 

 

 

 

 

 

 

 

Basic

 

 

 

 

 

 

 

 

 

 

 

Continuing operations

 

$

0.29

 

 

 

$

0.07

 

 

 

 

 

Discontinued operations

 

0.09

 

 

 

(0.02

)

 

 

 

 

 

 

$

0.38

 

 

 

$

0.05

 

 

 

 

 

Diluted

 

 

 

 

 

 

 

 

 

 

 

Continuing operations

 

$

0.28

 

 

 

$

0.07

 

 

 

 

 

Discontinued operations

 

0.09

 

 

 

(0.02

)

 

 

 

 

 

 

$

0.37

 

 

 

$

0.05

 

 

 

 

 

Weighted average shares and dilutive securities outstanding (in thousands):

 

 

 

 

 

 

 

 

 

 

 

Basic

 

104,244

 

 

 

117,188

 

 

 

 

 

Diluted

 

107,311

 

 

 

120,908

 

 

 

 

 

 

3



 

TENET HEALTHCARE CORPORATION

CONSOLIDATED STATEMENTS OF OPERATIONS

(Unaudited)

 

 

 

Nine Months Ended September 30,

 

(Dollars in millions except per share amounts)

 

2012

 

%

 

2011

 

%

 

Change

 

 

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues:

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues before provision for doubtful accounts

 

$

7,373

 

 

 

$

7,018

 

 

 

5.1

%

Less: Provision for doubtful accounts

 

585

 

 

 

536

 

 

 

9.1

%

Net operating revenues

 

6,788

 

100.0

%

6,482

 

100.0

%

4.7

%

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

3,166

 

46.7

%

3,001

 

46.3

%

5.5

%

Supplies

 

1,164

 

17.1

%

1,167

 

18.0

%

(0.3

)%

Other operating expenses, net

 

1,604

 

23.7

%

1,526

 

23.5

%

5.1

%

Electronic health record incentives

 

(13

)

(0.2

)%

(50

)

(0.8

)%

(74.0

)%

Depreciation and amortization

 

314

 

4.6

%

298

 

4.6

%

5.4

%

Impairment of long-lived assets and goodwill, and restructuring charges, net

 

12

 

0.2

%

18

 

0.3

%

 

 

Litigation and investigation costs

 

3

 

%

24

 

0.4

%

 

 

Operating income

 

538

 

7.9

%

498

 

7.7

%

 

 

Interest expense

 

(303

)

 

 

(275

)

 

 

 

 

Investment earnings

 

2

 

 

 

3

 

 

 

 

 

Income from continuing operations, before income taxes

 

237

 

 

 

226

 

 

 

 

 

Income tax expense

 

(90

)

 

 

(73

)

 

 

 

 

Income from continuing operations, before discontinued operations

 

147

 

 

 

153

 

 

 

 

 

Discontinued operations:

 

 

 

 

 

 

 

 

 

 

 

Income (loss) from operations

 

7

 

 

 

(17

)

 

 

 

 

Impairment of long-lived assets and goodwill, and restructuring charges, net

 

(100

)

 

 

 

 

 

 

 

Net gains on sales of facilities

 

1

 

 

 

 

 

 

 

 

Income tax benefit

 

24

 

 

 

24

 

 

 

 

 

Income (loss) from discontinued operations

 

(68

)

 

 

7

 

 

 

 

 

Net income

 

79

 

 

 

160

 

 

 

 

 

Less: Preferred stock dividends

 

11

 

 

 

18

 

 

 

 

 

Less: Net income (loss) attributable to noncontrolling interests

 

(24

)

 

 

8

 

 

 

 

 

Net income attributable to Tenet Healthcare Corporation common shareholders

 

$

92

 

 

 

$

134

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amounts attributable to Tenet Healthcare Corporation common shareholders

 

 

 

 

 

 

 

 

 

 

 

Income from continuing operations, net of tax

 

$

129

 

 

 

$

128

 

 

 

 

 

Income (loss) from discontinued operations, net of tax

 

(37

)

 

 

6

 

 

 

 

 

Net income attributable to Tenet Healthcare Corporation common shareholders

 

$

92

 

 

 

$

134

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Earnings (loss) per share attributable to Tenet Healthcare Corporation common shareholders

 

 

 

 

 

 

 

 

 

 

 

Basic

 

 

 

 

 

 

 

 

 

 

 

Continuing operations

 

$

1.25

 

 

 

$

1.06

 

 

 

 

 

Discontinued operations

 

(0.36

)

 

 

0.05

 

 

 

 

 

 

 

$

0.89

 

 

 

$

1.11

 

 

 

 

 

Diluted

 

 

 

 

 

 

 

 

 

 

 

Continuing operations

 

$

1.21

 

 

 

$

1.03

 

 

 

 

 

Discontinued operations

 

(0.35

)

 

 

0.05

 

 

 

 

 

 

 

$

0.86

 

 

 

$

1.08

 

 

 

 

 

Weighted average shares and dilutive securities outstanding (in thousands):

 

 

 

 

 

 

 

 

 

 

 

Basic

 

103,613

 

 

 

120,204

 

 

 

 

 

Diluted

 

106,904

 

 

 

124,466

 

 

 

 

 

 

4



 

TENET HEALTHCARE CORPORATION

CONSOLIDATED BALANCE SHEETS

(Unaudited)

 

 

 

September 30,

 

December 31,

 

(Dollars in millions)

 

2012

 

2011

 

ASSETS

 

 

 

 

 

Current assets:

 

 

 

 

 

Cash and cash equivalents

 

$

83

 

$

113

 

Accounts receivable, less allowance for doubtful accounts

 

1,338

 

1,278

 

Inventories of supplies, at cost

 

154

 

161

 

Income tax receivable

 

13

 

7

 

Current portion of deferred income taxes

 

394

 

418

 

Assets held for sale

 

 

2

 

Other current assets

 

502

 

378

 

Total current assets

 

2,484

 

2,357

 

Investments and other assets

 

126

 

156

 

Deferred income taxes, net of current portion

 

338

 

374

 

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

 

4,173

 

4,350

 

Goodwill

 

771

 

736

 

Other intangible assets, at cost, less accumulated amortization

 

578

 

489

 

Total assets

 

$

8,470

 

$

8,462

 

 

 

 

 

 

 

LIABILITIES AND EQUITY

 

 

 

 

 

Current liabilities:

 

 

 

 

 

Current portion of long-term debt

 

$

243

 

$

66

 

Accounts payable

 

629

 

760

 

Accrued compensation and benefits

 

379

 

376

 

Professional and general liability reserves

 

72

 

75

 

Accrued interest payable

 

110

 

112

 

Accrued legal settlement costs

 

7

 

64

 

Other current liabilities

 

389

 

362

 

Total current liabilities

 

1,829

 

1,815

 

Long-term debt, net of current portion

 

4,508

 

4,294

 

Professional and general liability reserves

 

322

 

337

 

Accrued legal settlement costs

 

2

 

2

 

Other long-term liabilities

 

524

 

506

 

Total liabilities

 

7,185

 

6,954

 

Commitments and contingencies

 

 

 

 

 

Redeemable noncontrolling interests in equity of consolidated subsidiaries

 

16

 

16

 

Equity:

 

 

 

 

 

Shareholders’ equity:

 

 

 

 

 

Preferred stock

 

45

 

334

 

Common stock

 

7

 

7

 

Additional paid-in capital

 

4,437

 

4,427

 

Accumulated other comprehensive loss

 

(49

)

(52

)

Accumulated deficit

 

(1,337

)

(1,440

)

Common stock in treasury, at cost

 

(1,879

)

(1,853

)

Total shareholders’ equity

 

1,224

 

1,423

 

Noncontrolling interests

 

45

 

69

 

Total equity

 

1,269

 

1,492

 

Total liabilities and equity

 

$

8,470

 

$

8,462

 

 

5



 

TENET HEALTHCARE CORPORATION

CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)

 

 

 

Nine Months Ended
September 30,

 

(Dollars in millions)

 

2012

 

2011

 

Net income

 

$

79

 

$

160

 

Adjustments to reconcile net income to net cash provided by operating activities:

 

 

 

 

 

Depreciation and amortization

 

314

 

298

 

Provision for doubtful accounts

 

585

 

536

 

Deferred income tax expense

 

58

 

102

 

Stock-based compensation expense

 

24

 

17

 

Impairment of long-lived assets and goodwill, and restructuring charges, net

 

12

 

18

 

Litigation and investigation costs

 

3

 

24

 

Amortization of debt discount and debt issuance costs

 

16

 

23

 

Pre-tax loss from discontinued operations

 

92

 

17

 

Other items, net

 

(7

)

(10

)

Changes in cash from changes in operating assets and liabilities:

 

 

 

 

 

Accounts receivable

 

(653

)

(618

)

Inventories and other current assets

 

(106

)

(32

)

Income taxes

 

(2

)

(44

)

Accounts payable, accrued expenses and other current liabilities

 

(23

)

(96

)

Other long-term liabilities

 

20

 

(10

)

Payments against reserves for restructuring charges and litigation costs and settlements

 

(56

)

(27

)

Net cash used in operating activities from discontinued operations, excluding income taxes

 

(19

)

(34

)

Net cash provided by operating activities

 

337

 

324

 

Cash flows from investing activities:

 

 

 

 

 

Purchases of property and equipment—continuing operations

 

(358

)

(294

)

Purchases of property and equipment—discontinued operations

 

(2

)

(4

)

Purchases of businesses or joint venture interests

 

(38

)

(56

)

Proceeds from sales of facilities and other assets — discontinued operations

 

45

 

 

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

 

9

 

31

 

Other items, net

 

(2

)

(1

)

Net cash used in investing activities

 

(346

)

(324

)

Cash flows from financing activities:

 

 

 

 

 

Repayments of borrowings under credit facility

 

(1,458

)

 

Proceeds from borrowings under credit facility

 

1,553

 

 

Repayments of other borrowings

 

(76

)

(4

)

Proceeds from other borrowings

 

292

 

 

Repurchases of preferred stock

 

(292

)

 

Deferred debt issuance costs

 

(3

)

 

Repurchases of common stock

 

(26

)

(196

)

Cash dividends on preferred stock

 

(13

)

(18

)

Distributions paid to noncontrolling interests

 

(9

)

(8

)

Other items, net

 

11

 

6

 

Net cash used in financing activities

 

(21

)

(220

)

Net decrease in cash and cash equivalents

 

(30

)

(220

)

Cash and cash equivalents at beginning of period

 

113

 

405

 

Cash and cash equivalents at end of period

 

$

83

 

$

185

 

Supplemental disclosures:

 

 

 

 

 

Interest paid, net of capitalized interest

 

$

(288

)

$

(255

)

Income tax (payments) refunds, net

 

$

(9

)

$

9

 

 

6



 

TENET HEALTHCARE CORPORATION

SELECTED STATISTICS – CONTINUING HOSPITALS

(Unaudited)

 

(Dollars in millions except per patient day, per

 

Three Months Ended September 30,

 

 

 

Nine Months Ended September 30,

 

 

admission and per visit amounts)

 

2012

 

2011

 

Change

 

 

 

2012

 

2011

 

Change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net inpatient revenues

 

$

1,501

 

$

1,444

 

3.9

%

 

 

$

4,656

 

$

4,529

 

2.8

%

 

Net outpatient revenues

 

$

789

 

$

734

 

7.5

%

 

 

$

2,346

 

$

2,192

 

7.0

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of acute care hospitals (at end of period)

 

49

 

49

 

 

*

 

49

 

49

 

 

*

Licensed beds (at end of period)

 

13,216

 

13,119

 

0.7

%

 

 

13,216

 

13,119

 

0.7

%

 

Average licensed beds

 

13,216

 

13,106

 

0.8

%

 

 

13,177

 

13,113

 

0.5

%

 

Utilization of licensed beds

 

47.8

%

49.1

%

(1.3

)%

*

 

49.5

%

50.9

%

(1.4

)%

*

Patient days

 

580,594

 

591,948

 

(1.9

)%

 

 

1,788,490

 

1,823,397

 

(1.9

)%

 

Adjusted patient days

 

911,233

 

909,960

 

0.1

%

 

 

2,778,244

 

2,770,685

 

0.3

%

 

Net inpatient revenue per patient day

 

$

2,585

 

$

2,439

 

6.0

%

 

 

$

2,603

 

$

2,484

 

4.8

%

 

Total admissions

 

124,869

 

125,458

 

(0.5

)%

 

 

381,195

 

382,487

 

(0.3

)%

 

Adjusted patient admissions

 

197,778

 

194,965

 

1.4

%

 

 

597,570

 

586,395

 

1.9

%

 

Net inpatient revenue per admission

 

$

12,021

 

$

11,510

 

4.4

%

 

 

$

12,214

 

$

11,841

 

3.2

%

 

Average length of stay (days)

 

4.65

 

4.72

 

(1.5

)%

 

 

4.69

 

4.77

 

(1.7

)%

 

Total surgeries

 

94,260

 

92,574

 

1.8

%

 

 

282,910

 

271,086

 

4.4

%

 

Outpatient visits

 

1,035,236

 

987,318

 

4.9

%

 

 

3,113,615

 

2,971,933

 

4.8

%

 

Net outpatient revenue per visit

 

$

762

 

$

743

 

2.6

%

 

 

$

753

 

$

738

 

2.0

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sources of net patient revenue

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Medicare

 

22.1

%

22.5

%

(0.4

)%

*

 

23.8

%

23.1

%

0.7

%

*

Medicaid

 

7.7

%

8.0

%

(0.3

)%

*

 

8.4

%

9.1

%

(0.7

)%

*

Managed care

 

58.9

%

58.2

%

0.7

%

*

 

57.2

%

57.0

%

0.2

%

*

Indemnity, self-pay and other

 

11.3

%

11.3

%

%

*

 

10.6

%

10.8

%

(0.2

)%

*

 


*   This change is the difference between the 2012 and 2011 amounts shown

 

7



 

TENET HEALTHCARE CORPORATION

CONSOLIDATED STATEMENTS OF OPERATIONS

Fiscal 2012 by Calendar Quarter

(Unaudited)

 

 

 

Three Months Ended

 

Nine
Months
Ended

 

(Dollars in millions except per share amounts)

 

03/31/12

 

06/30/12

 

09/30/12

 

09/30/12

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues:

 

 

 

 

 

 

 

 

 

Net operating revenues before provision for doubtful accounts

 

$

2,491

 

$

2,455

 

$

2,427

 

$

7,373

 

Less: Provision for doubtful accounts

 

189

 

190

 

206

 

585

 

Net operating revenues

 

2,302

 

2,265

 

2,221

 

6,788

 

Operating expenses:

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

1,062

 

1,054

 

1,050

 

3,166

 

Supplies

 

399

 

389

 

376

 

1,164

 

Other operating expenses, net

 

531

 

534

 

539

 

1,604

 

Electronic health record incentives

 

 

 

(13

)

(13

)

Depreciation and amortization

 

100

 

104

 

110

 

314

 

Impairment of long-lived assets and goodwill, and restructuring charges, net

 

3

 

3

 

6

 

12

 

Litigation and investigation costs

 

2

 

1

 

 

3

 

Operating income

 

205

 

180

 

153

 

538

 

Interest expense

 

(98

)

(102

)

(103

)

(303

)

Investment earnings

 

1

 

 

1

 

2

 

Income from continuing operations, before income taxes

 

108

 

78

 

51

 

237

 

Income tax expense

 

(42

)

(30

)

(18

)

(90

)

Income from continuing operations, before discontinued operations

 

66

 

48

 

33

 

147

 

Discontinued operations:

 

 

 

 

 

 

 

 

 

Income from operations

 

2

 

1

 

4

 

7

 

Impairment of long-lived assets and goodwill, and restructuring charges, net

 

 

(100

)

 

(100

)

Net gains (losses) on sales of facilities

 

 

2

 

(1

)

1

 

Income tax benefit (expense)

 

(1

)

29

 

(4

)

24

 

Income (loss) from discontinued operations

 

1

 

(68

)

(1

)

(68

)

Net income

 

67

 

(20

)

32

 

79

 

Less: Preferred stock dividends

 

6

 

4

 

1

 

11

 

Less: Net income (loss) attributable to noncontrolling interests

 

3

 

(18

)

(9

)

(24

)

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

 

$

58

 

$

(6

)

$

40

 

$

92

 

 

 

 

 

 

 

 

 

 

 

Amounts attributable to Tenet Healthcare Corporation common shareholders

 

 

 

 

 

 

 

 

 

Income from continuing operations, net of tax

 

$

57

 

$

42

 

$

30

 

$

129

 

Income (loss) from discontinued operations, net of tax

 

1

 

(48

)

10

 

(37

)

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

 

$

58

 

$

(6

)

$

40

 

$

92

 

 

 

 

 

 

 

 

 

 

 

Earnings (loss) per share attributable to Tenet Healthcare Corporation common shareholders

 

 

 

 

 

 

 

 

 

Basic

 

 

 

 

 

 

 

 

 

Continuing operations

 

$

0.55

 

$

0.40

 

$

0.29

 

$

1.25

 

Discontinued operations

 

0.01

 

(0.46

)

0.09

 

(0.36

)

 

 

$

0.56

 

$

(0.06

)

$

0.38

 

$

0.89

 

Diluted

 

 

 

 

 

 

 

 

 

Continuing operations

 

$

0.52

 

$

0.39

 

$

0.28

 

$

1.21

 

Discontinued operations

 

0.01

 

(0.45

)

0.09

 

(0.35

)

 

 

$

0.53

 

$

(0.06

)

$

0.37

 

$

0.86

 

Weighted average shares and dilutive securities outstanding (in thousands):

 

 

 

 

 

 

 

 

 

Basic

 

102,843

 

103,753

 

104,244

 

103,613

 

Diluted

 

121,218

 

106,927

 

107,311

 

106,904

 

 

8



 

TENET HEALTHCARE CORPORATION

SELECTED STATISTICS – CONTINUING HOSPITALS

(Unaudited)

 

 

 

 

 

 

 

 

 

Nine
Months

 

(Dollars in millions except per patient day, per

 

Three Months Ended

 

Ended

 

admission and per visit amounts)

 

03/31/12

 

06/30/12

 

09/30/12

 

09/30/12

 

 

 

 

 

 

 

 

 

 

 

Net inpatient revenues

 

$

1,607

 

$

1,548

 

$

1,501

 

$

4,656

 

Net outpatient revenues

 

$

766

 

$

791

 

$

789

 

$

2,346

 

 

 

 

 

 

 

 

 

 

 

Number of acute care hospitals (at end of period)

 

49

 

49

 

49

 

49

 

Licensed beds (at end of period)

 

13,175

 

13,176

 

13,216

 

13,216

 

Average licensed beds

 

13,138

 

13,176

 

13,216

 

13,177

 

Utilization of licensed beds

 

51.6

%

49.2

%

47.8

%

49.5

%

Patient days

 

617,459

 

590,437

 

580,594

 

1,788,490

 

Adjusted patient days

 

947,116

 

919,895

 

911,233

 

2,778,244

 

Net inpatient revenue per patient day

 

$

2,603

 

$

2,622

 

$

2,585

 

$

2,603

 

Total admissions

 

131,190

 

125,136

 

124,869

 

381,195

 

Adjusted patient admissions

 

202,860

 

196,932

 

197,778

 

597,570

 

Net inpatient revenue per admission

 

$

12,249

 

$

12,371

 

$

12,021

 

$

12,214

 

Average length of stay (days)

 

4.71

 

4.72

 

4.65

 

4.69

 

Total surgeries

 

93,228

 

95,422

 

94,260

 

282,910

 

Outpatient visits

 

1,031,611

 

1,046,768

 

1,035,236

 

3,113,615

 

Net outpatient revenue per visit

 

$

743

 

$

756

 

$

762

 

$

753

 

 

 

 

 

 

 

 

 

 

 

Sources of net patient revenue

 

 

 

 

 

 

 

 

 

Medicare

 

26.5

%

22.7

%

22.1

%

23.8

%

Medicaid

 

7.5

%

10.0

%

7.7

%

8.4

%

Managed care

 

55.9

%

56.8

%

58.9

%

57.2

%

Indemnity, self-pay and other

 

10.1

%

10.5

%

11.3

%

10.6

%

 

9



 

TENET HEALTHCARE CORPORATION

CONSOLIDATED STATEMENTS OF OPERATIONS

Fiscal 2011 by Calendar Quarter

(Unaudited)

 

 

 

Three Months Ended

 

Year Ended

 

(Dollars in millions except per share amounts)

 

03/31/11

 

06/30/11

 

09/30/11

 

12/31/11

 

12/31/11

 

 

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues:

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues before provision for doubtful accounts

 

$

2,429

 

$

2,300

 

$

2,289

 

$

2,353

 

$

9,371

 

Less: Provision for doubtful accounts

 

179

 

168

 

189

 

181

 

717

 

Net operating revenues

 

2,250

 

2,132

 

2,100

 

2,172

 

8,654

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

1,017

 

982

 

1,002

 

1,014

 

4,015

 

Supplies

 

396

 

392

 

379

 

381

 

1,548

 

Other operating expenses, net

 

491

 

508

 

527

 

494

 

2,020

 

Electronic health record incentives

 

(25

)

(25

)

 

(5

)

(55

)

Depreciation and amortization

 

98

 

100

 

100

 

100

 

398

 

Impairment of long-lived assets and goodwill, and restructuring charges, net

 

8

 

2

 

8

 

2

 

20

 

Litigation and investigation costs

 

11

 

8

 

5

 

31

 

55

 

Operating income

 

254

 

165

 

79

 

155

 

653

 

Interest expense

 

(118

)

(98

)

(59

)

(100

)

(375

)

Loss from early extinguishment of debt

 

 

 

 

(117

)

(117

)

Investment earnings

 

1

 

1

 

1

 

 

3

 

Income (loss) from continuing operations, before income taxes

 

137

 

68

 

21

 

(62

)

164

 

Income tax benefit (expense)

 

(50

)

(19

)

(4

)

12

 

(61

)

Income (loss) from continuing operations, before discontinued operations

 

87

 

49

 

17

 

(50

)

103

 

Discontinued operations:

 

 

 

 

 

 

 

 

 

 

 

Loss from operations

 

(10

)

(5

)

(2

)

(1

)

(18

)

Impairment of long-lived assets and goodwill, and restructuring charges, net

 

 

 

 

(6

)

(6

)

Litigation settlements, and investigation costs

 

 

 

 

(17

)

(17

)

Income tax benefit

 

5

 

19

 

 

8

 

32

 

Income (loss) from discontinued operations

 

(5

)

14

 

(2

)

(16

)

(9

)

Net income (loss)

 

82

 

63

 

15

 

(66

)

94

 

Less: Preferred stock dividends

 

6

 

6

 

6

 

6

 

24

 

Less: Net income attributable to noncontrolling interests

 

3

 

2

 

3

 

4

 

12

 

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

 

$

73

 

$

55

 

$

6

 

$

(76

)

$

58

 

 

 

 

 

 

 

 

 

 

 

 

 

Amounts attributable to Tenet Healthcare Corporation common shareholders

 

 

 

 

 

 

 

 

 

 

 

Income (loss) from continuing operations, net of tax

 

$

80

 

$

40

 

$

8

 

$

(60

)

$

68

 

Income (loss) from discontinued operations, net of tax

 

(7

)

15

 

(2

)

(16

)

(10

)

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

 

$

73

 

$

55

 

$

6

 

$

(76

)

$

58

 

 

 

 

 

 

 

 

 

 

 

 

 

Earnings (loss) per share attributable to Tenet Healthcare Corporation common shareholders

 

 

 

 

 

 

 

 

 

 

 

Basic

 

 

 

 

 

 

 

 

 

 

 

Continuing operations

 

$

0.66

 

$

0.33

 

$

0.07

 

$

(0.55

)

$

0.58

 

Discontinued operations

 

(0.06

)

0.12

 

(0.02

)

(0.15

)

(0.09

)

 

 

$

0.60

 

$

0.45

 

$

0.05

 

$

(0.70

)

$

0.49

 

Diluted

 

 

 

 

 

 

 

 

 

 

 

Continuing operations

 

$

0.61

 

$

0.32

 

$

0.07

 

$

(0.55

)

$

0.56

 

Discontinued operations

 

(0.05

)

0.12

 

(0.02

)

(0.15

)

(0.08

)

 

 

$

0.56

 

$

0.44

 

$

0.05

 

$

(0.70

)

$

0.48

 

Weighted average shares and dilutive securities outstanding (in thousands):

 

 

 

 

 

 

 

 

 

 

 

Basic

 

121,726

 

121,699

 

117,188

 

108,114

 

117,182

 

Diluted

 

141,295

 

125,937

 

120,908

 

108,114

 

121,295

 

 

10



 

TENET HEALTHCARE CORPORATION

SELECTED STATISTICS — CONTINUING HOSPITALS

(Unaudited)

 

(Dollars in millions except per patient day, per

 

Three Months Ended

 

Year Ended

 

admission and per visit amounts)

 

03/31/11

 

06/30/11

 

09/30/11

 

12/31/11

 

12/31/11

 

 

 

 

 

 

 

 

 

 

 

 

 

Net inpatient revenues

 

$

1,619

 

$

1,466

 

$

1,444

 

$

1,499

 

$

6,028

 

Net outpatient revenues

 

$

720

 

$

738

 

$

734

 

$

736

 

$

2,928

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of acute care hospitals (at end of period)

 

49

 

49

 

49

 

49

 

49

 

Licensed beds (at end of period)

 

13,123

 

13,086

 

13,119

 

13,119

 

13,119

 

Average licensed beds

 

13,123

 

13,111

 

13,106

 

13,119

 

13,115

 

Utilization of licensed beds

 

53.8

%

50.0

%

49.1

%

48.9

%

50.4

%

Patient days

 

635,463

 

595,986

 

591,948

 

589,848

 

2,413,245

 

Adjusted patient days

 

948,356

 

912,369

 

909,960

 

902,762

 

3,673,447

 

Net inpatient revenue per patient day

 

$

2,548

 

$

2,460

 

$

2,439

 

$

2,541

 

$

2,498

 

Total admissions

 

131,437

 

125,592

 

125,458

 

125,347

 

507,834

 

Adjusted patient admissions

 

197,459

 

193,971

 

194,965

 

193,631

 

780,026

 

Net inpatient revenue per admission

 

$

12,318

 

$

11,673

 

$

11,510

 

$

11,959

 

$

11,870

 

Average length of stay (days)

 

4.83

 

4.75

 

4.72

 

4.71

 

4.75

 

Total surgeries

 

87,507

 

91,005

 

92,574

 

91,200

 

362,286

 

Outpatient visits

 

990,411

 

994,204

 

987,318

 

982,083

 

3,954,016

 

Net outpatient revenue per visit

 

$

727

 

$

742

 

$

743

 

$

749

 

$

741

 

 

 

 

 

 

 

 

 

 

 

 

 

Sources of net patient revenue

 

 

 

 

 

 

 

 

 

 

 

Medicare

 

23.2

%

23.5

%

22.5

%

23.1

%

23.1

%

Medicaid

 

11.5

%

7.5

%

8.0

%

8.6

%

9.0

%

Managed care

 

54.6

%

58.2

%

58.2

%

58.1

%

57.2

%

Indemnity, self-pay and other

 

10.7

%

10.8

%

11.3

%

10.2

%

10.7

%

 

11



 

TENET HEALTHCARE CORPORATION

SEGMENT REPORTING

(Unaudited)

 

 

 

September 30,

 

December 31,

 

 

 

2012

 

2011

 

Assets

 

 

 

 

 

Hospital Operations and other

 

$

8,381

 

$

8,389

 

Conifer

 

89

 

73

 

Total

 

$

8,470

 

$

8,462

 

 

 

 

 

 

 

 

 

Three Months Ended
September 30,

 

Nine Months Ended
September 30,

 

 

 

2012

 

2011

 

2012

 

2011

 

Capital expenditures:

 

 

 

 

 

 

 

 

 

Hospital Operations and other

 

$

105

 

$

98

 

$

352

 

$

289

 

Conifer

 

3

 

2

 

8

 

9

 

Total

 

$

108

 

$

100

 

$

360

 

$

298

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues:

 

 

 

 

 

 

 

 

 

Hospital Operations and other

 

$

2,193

 

$

2,076

 

$

6,725

 

$

6,425

 

Conifer

 

 

 

 

 

 

 

 

 

Tenet

 

94

 

68

 

274

 

192

 

Other customers

 

28

 

24

 

63

 

57

 

 

 

2,315

 

2,168

 

7,062

 

6,674

 

Intercompany eliminations

 

(94

)

(68

)

(274

)

(192

)

Total

 

$

2,221

 

$

2,100

 

$

6,788

 

$

6,482

 

 

 

 

 

 

 

 

 

 

 

Adjusted EBITDA:

 

 

 

 

 

 

 

 

 

Hospital Operations and other

 

$

245

 

$

180

 

$

793

 

$

812

 

Conifer

 

24

 

12

 

74

 

26

 

Total

 

$

269

 

$

192

 

$

867

 

$

838

 

 

 

 

 

 

 

 

 

 

 

Depreciation and amortization:

 

 

 

 

 

 

 

 

 

Hospital Operations and other

 

$

108

 

$

98

 

$

307

 

$

292

 

Conifer

 

2

 

2

 

7

 

6

 

Total

 

$

110

 

$

100

 

$

314

 

$

298

 

 

 

 

 

 

 

 

 

 

 

Adjusted EBITDA

 

$

269

 

$

192

 

$

867

 

$

838

 

Depreciation and amortization

 

(110

)

(100

)

(314

)

(298

)

Interest expenses

 

(103

)

(59

)

(303

)

(275

)

Litigation and investigation costs

 

 

(5

)

(3

)

(24

)

Impairments of long-lived assets

 

(6

)

(8

)

(12

)

(18

)

Investment earnings

 

1

 

1

 

2

 

3

 

Income before income taxes

 

$

51

 

$

21

 

$

237

 

$

226

 

 

Due to the fact that Conifer’s revenues from providing services to Tenet’s hospitals were based on third-party billing terms in 2012 but not in 2011, the following table presents 2012 Adjusted EBITDA on a comparable basis to the 2011 presentation.

 

 

 

Three Months Ended
September 30,

 

Nine Months Ended
September 30,

 

 

 

2012

 

2011

 

2012

 

2011

 

Adjusted supplemental EBITDA:

 

 

 

 

 

 

 

 

 

Hospital Operations and other

 

$

260

 

$

180

 

$

840

 

$

812

 

Conifer

 

9

 

12

 

27

 

26

 

Total

 

$

269

 

$

192

 

$

867

 

$

838

 

 

12



 

(1) Reconciliation of Adjusted EBITDA

 

Adjusted EBITDA, a non-GAAP term, is defined by the Company as net income (loss) attributable to Tenet Healthcare Corporation common shareholders before (1) cumulative effect of changes in accounting principle, net of tax, (2) net income attributable to noncontrolling interests, (3) preferred stock dividends, (4) income (loss) from discontinued operations, net of tax, (5) income tax (expense) benefit, (6) investment earnings (loss), (7) gain (loss) from early extinguishment of debt, (8) net gain (loss) on sales of investments, (9) interest expense, (10) litigation and investigation (costs) benefit, net of insurance recoveries, (11) hurricane insurance recoveries, net of costs, (12) impairment of long-lived assets and goodwill and restructuring charges, net of insurance recoveries, and (13) depreciation and amortization. The Company’s Adjusted EBITDA may not be comparable to EBITDA reported by other companies.

 

The Company provides this information as a supplement to GAAP information to assist itself and investors in understanding the impact of various items on its financial statements, some of which are recurring or involve cash payments. The Company uses this information in its analysis of the performance of its business excluding items that it does not consider as relevant in the performance of its hospitals in continuing operations. In addition, from time to time we use this measure to define certain performance targets under our compensation programs. Adjusted EBITDA is not a measure of liquidity, but is a measure of operating performance that management uses in its business as an alternative to net income (loss) attributable to Tenet Healthcare Corporation common shareholders. Because Adjusted EBITDA excludes many items that are included in our financial statements, it does not provide a complete measure of our operating performance. Accordingly, investors are encouraged to use GAAP measures when evaluating the Company’s financial performance.

 

The reconciliation of net income (loss) attributable to Tenet Healthcare Corporation common shareholders, the most comparable GAAP term, to Adjusted EBITDA, is set forth in the first table below for the three and nine months ended September 30, 2012 and 2011.

 

TENET HEALTHCARE CORPORATION

Additional Supplemental Non-GAAP Disclosures

Table #1 - Reconciliation of Adjusted EBITDA to Net Income Attributable to Tenet Healthcare Corporation Common Shareholders

(Unaudited)

 

 

 

Three Months Ended
September 30,

 

Nine Months Ended
September 30,

 

(Dollars in millions)

 

2012

 

2011

 

2012

 

2011

 

Net income attributable to Tenet Healthcare Corporation common shareholders

 

$

40

 

$

6

 

$

92

 

$

134

 

Less: Net (income) loss attributable to noncontrolling interests

 

9

 

(3

)

24

 

(8

)

Preferred stock dividends

 

(1

)

(6

)

(11

)

(18

)

Income (loss) from discontinued operations, net of tax

 

(1

)

(2

)

(68

)

7

 

Income from continuing operations

 

33

 

17

 

147

 

153

 

Income tax expense

 

(18

)

(4

)

(90

)

(73

)

Investment earnings

 

1

 

1

 

2

 

3

 

Interest expense

 

(103

)

(59

)

(303

)

(275

)

Operating income

 

153

 

79

 

538

 

498

 

Litigation and investigation costs

 

 

(5

)

(3

)

(24

)

Impairment of long-lived assets and goodwill, and restructuring charges, net

 

(6

)

(8

)

(12

)

(18

)

Depreciation and amortization

 

(110

)

(100

)

(314

)

(298

)

Adjusted EBITDA

 

$

269

 

$

192

 

$

867

 

$

838

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues

 

$

2,221

 

$

2,100

 

$

6,788

 

$

6,482

 

 

 

 

 

 

 

 

 

 

 

Adjusted EBITDA as % of net operating revenues (Adjusted EBITDA margin)

 

12.1

%

9.1

%

12.8

%

12.9

%

 

13



 

TENET HEALTHCARE CORPORATION
Additional Supplemental Non-GAAP Disclosures

Table #2 - Reconciliation of Outlook Adjusted EBITDA to
Outlook Net Income Attributable to Tenet Healthcare Corporation Common Shareholders

for Years Ending December 31, 2012 and 2013

(Unaudited)

 

 

 

2012

 

2013

 

(Dollars in Millions)

 

Low

 

High

 

Low

 

High

 

Net Income Attributable to Common Shareholders

 

$

134

 

$

175

 

$

258

 

$

335

 

Less:

 

 

 

 

 

 

 

 

 

Net (income) loss attributable to noncontrolling interests

 

20

 

25

 

(15

)

(10

)

Preferred stock dividends

 

(12

)

(12

)

0

 

0

 

Loss from discontinued operations, net of tax

 

(75

)

(70

)

(5

)

0

 

Income from continuing operations

 

201

 

232

 

278

 

345

 

Income tax expense

 

(129

)

(148

)

(177

)

(220

)

Income from continuing operations, before income taxes

 

330

 

380

 

455

 

565

 

Investment earnings

 

0

 

0

 

0

 

0

 

Interest expense

 

(410

)

(390

)

(460

)

(420

)

Net loss from extinguishment of long-term debt

 

0

 

0

 

0

 

0

 

Operating income

 

740

 

770

 

915

 

985

 

Litigation and investigation costs

 

(10

)

(5

)

0

 

0

 

Impairment of long-lived assets and goodwill, and restructuring charges

 

(20

)

(15

)

0

 

0

 

Depreciation and amortization

 

(410

)

(430

)

(410

)

(440

)

Adjusted EBITDA

 

$

1,180

 

$

1,220

 

$

1,325

 

$

1,425

 

 

Table #3 - Reconciliation of Outlook Adjusted EBITDA to
Outlook Normalized Income from Continuing Operations
for Years Ending December 31, 2012 and 2013

(Unaudited)

 

 

 

2012

 

2013

 

(Dollars in Millions except per share amounts)

 

Low

 

High

 

Low

 

High

 

Adjusted EBITDA (from Table #1)

 

$

1,180

 

$

1,220

 

$

1,325

 

$

1,425

 

Depreciation and amortization

 

(410

)

(430

)

(410

)

(440

)

Interest expense

 

(410

)

(390

)

(460

)

(420

)

Normalized income from continuing operations before income taxes

 

$

360

 

$

400

 

$

455

 

$

565

 

Income tax expense (a)

 

(140

)

(156

)

(177

)

(220

)

Normalized income from continuing operations (a)

 

$

220

 

$

244

 

$

278

 

$

345

 

Preferred stock dividends

 

(12

)

(12

)

0

 

0

 

Net (income) loss attributable to noncontrolling interests

 

(12

)

(7

)

(15

)

(10

)

Normalized net income attributable to common shareholders (a)

 

$

196

 

$

225

 

$

263

 

$

335

 

Weighted average shares outstanding (in millions)

 

107

 

107

 

99

 

99

 

Normalized earnings per share - continuing operations (a)

 

1.83

 

2.10

 

2.66

 

3.38

 

 


(a) Uses tax rate of 39 percent excluding unusual adjustments.

 

14