EX-99.1 2 a14-23513_1ex99d1.htm EX-99.1

Exhibit 99.1

 

 

Tenet Reports Adjusted EBITDA of $459 Million

for the Quarter Ended September 30, 2014

 

Raises 2014 Adjusted EBITDA Outlook to $1.90 to $1.95 Billion

 

DALLAS — November 3, 2014 — Tenet Healthcare Corporation (NYSE:THC) reported Adjusted EBITDA for the third quarter ended September 30, 2014 of $459 million, an increase of $171 million, or 59.4 percent, compared to $288 million as reported in the third quarter of 2013. The increase in adjusted EBITDA on a pro forma basis is $47 million, or 11.4 percent compared to pro forma adjusted EBITDA of $412 million in the third quarter of 2013.  Pro forma operating metrics are defined as including both Tenet and Vanguard legacy facilities in both reporting periods.  Excluding the EBITDA impact of the California Provider Fee Program, incremental Texas Medicaid supplemental revenues in the third quarter of 2013, and healthcare information technology incentives from both periods would have resulted in a pro forma adjusted EBITDA increase of $103 million, or 25.0 percent.

 

“We achieved another quarter of strong performance across every dimension of our business,” said Trevor Fetter, president and chief executive officer.  “The growth strategies we have developed and the investments we have made drove record volume increases in inpatient admissions, commercial admissions, outpatient visits, surgeries, and emergency department visits.  From a geographic standpoint, we delivered increases in adjusted admissions in every one of the 14 states in which we operate acute care hospitals.  We exerted strong expense management to convert this robust volume growth into an EBITDA performance that exceeded our Outlook.”

 

Mr. Fetter continued, “We drove an accelerating contribution in the third quarter from healthcare reform, with sequentially higher declines in uncompensated care and increases in Medicaid volume.  Importantly, more than 60 percent of our volume growth in the quarter was unrelated to reform, highlighting the impact of our growth strategies including our faster growing, higher margin, capital light businesses.  Finally, we continue to be pleased with the progress of the Vanguard integration, which is exceeding our expectations.”

 

Discussion of Results  (Percentage changes in operating metrics compare Q3’14 to Q3’13 on a same-hospital pro forma basis unless otherwise noted.  Pro forma operating metrics are defined as including both Tenet and Vanguard legacy hospitals in both reporting periods.)

 

Tenet drove same-hospital pro forma growth in admissions and adjusted admissions of 3.9 percent and 4.9 percent, respectively, compared to the third quarter of 2013.  This admissions growth was even stronger than the 2.8 percent and 4.0 percent respective growth rates for admissions and adjusted admissions achieved in the second quarter.  The growth trend in commercial admissions continued to strengthen in the third quarter outperforming the strong commercial growth generated in the second quarter of this year and again achieved the strongest same-hospital commercial quarterly growth in more than a decade.  Paying

 

1



 

admissions increased by 6.1 percent. Surgeries grew by 9.8 percent and emergency department visits grew by 5.1 percent.  The impact of the Affordable Care Act is estimated to have contributed approximately 40 percent of this volume growth while 60 percent of the growth was related to our investments in service line development, enhanced physician alignment, incremental gains in market share, and higher healthcare utilization.

 

Outpatient visits increased by 8.5 percent.  Approximately 90 percent of the Company’s outpatient growth was organic.

 

Payer mix continued to improve in the quarter. In the five states that expanded Medicaid eligibility under the Affordable Care Act, Tenet achieved a decline in uninsured plus charity admissions of 2,603 admissions, or 59.3 percent, and an increase in Medicaid admissions of 5,050 admissions, or 23.8 percent.  Uninsured plus charity outpatient visits declined by 28,098 visits, or 37.2 percent, and Medicaid outpatient visits grew by 81,995 visits, or 32.3 percent, in these same five states.  Across the entire company, including those states that did not expand Medicaid, uninsured plus charity admissions declined by 3,383 admissions, or 23.9 percent, while Medicaid admissions increased by 5,748 admissions, or 11.4 percent.  Charity and uninsured outpatient visits declined by 30,168 visits, or 15.4 percent and Medicaid outpatient visits increased by 95,911 visits, or 20.6 percent.

 

Exchange volumes continued to grow rising to 3,395 admissions and 29,918 outpatient visits in the third quarter.  On a sequential quarter basis, these exchange volumes were 22.8 percent and 24.5 percent higher, respectively, than the exchange admissions and outpatient visits in the second quarter of 2014.

 

Net operating revenues, after provision for doubtful accounts, were $4.179 billion, an increase of $238 million, or 6.0 percent, compared to pro forma net operating revenues of $3.941 billion in the third quarter of 2013.  These revenue increases primarily reflect volume growth, improved terms in commercial managed care contracts, and growth in the company’s Conifer services businesses.  These growth drivers were partially offset by a decline of approximately $89 million in health plan revenues primarily due to a reduction of covered lives under a contract with the Arizona Medicaid program, and the absence of revenue from the California Provider Fee program in the third quarter of 2014 compared to $19 million in the third quarter of 2013.  Excluding the impact of the California Provider Fee program, patient revenue net of bad debt expense per adjusted admission increased by 2.5 percent.  Commercial managed care revenue increased 6.2 percent per admission and 2.5 percent per outpatient visit.  The smaller increase in outpatient pricing reflects the growth in our urgent care centers, which generate lower revenues and costs per patient encounter.

 

Selected operating expenses for hospital operations, defined as the sum of salaries, wages and benefits, supplies and other operating expenses, decreased by 0.5 percent per adjusted admission.  The selected operating expense metric for hospital operations excludes the Company’s Conifer services business, health plans, and a provider network in Southern California.  Excluding incremental expenses related to increased physician employment, selected operating expenses per adjusted admission declined by 1.4 percent.  These favorable operating expense metrics reflect the realization of Vanguard cost synergies, Tenet’s innovative Performance Excellence Program, and the favorable impact of operating leverage related to

 

2



 

volume growth.  Electronic health records incentives recorded in the third quarter of 2014 were $5 million, a $12 million decrease compared to the $17 million recognized in the third quarter of 2013 due to the timing of when certain of the Company’s hospitals achieved meaningful use criteria.  These incentive payments are not included in the definition of selected operating expenses.

 

Bad debt expense declined by $166 million, or 40.0 percent, to $249 million in the third quarter of 2014 on a pro forma basis.  The decrease in bad debt expense was primarily attributable to a decline in uninsured revenues.  Bad debt expense was 5.6 percent of revenues before bad debts, a decrease of 390 basis points compared to 9.5 percent in the third quarter of 2013.  This was an incremental sequential quarter improvement of 170 basis points as compared to the 7.3 percent bad debt ratio reported in the second quarter of 2014.

 

Conifer reported Adjusted EBITDA of $47 million, an increase of $11 million, or 30.6 percent, compared to $36 million in the third quarter of 2013.  Conifer’s revenues were $296 million in the third quarter of 2014, an increase of $71 million, or 31.6 percent, compared to $225 million in the third quarter of 2013.

 

Income from continuing operations in the third quarter of 2014 was $36 million after-tax, or $0.36 per diluted share, excluding $26 million in after-tax impairments, restructuring charges, acquisition-related costs, litigation and investigation costs and loss on debt extinguishment.  Income from continuing operations in the third quarter of 2013 was $46 million, or $0.45 per diluted share, excluding the comparable items which totaled $13 million after-tax.

 

Net income attributable to common shareholders in the third quarter of 2014 was $9 million after-tax, or $0.09 per share, compared to $28 million after-tax, or $0.27 per share, in the third quarter of 2013.  The third quarter of 2014 included a $95 million increase in pre-tax interest expense compared to the third quarter of 2013.  This increased interest expense is substantially due to the $4.6 billion of financing related to the Vanguard acquisition and $200 million used to finance share repurchases since June 30, 2013.

 

Cash and cash equivalents were $200 million at September 30, 2014 compared to $406 million at June 30, 2014.  Approximately $190 million of net revenues related to the California Provider Fee program, the Texas Medicaid disproportionate share funding, and the Texas uncompensated care 1115 Waiver programs had not been received by the Company as of September 30, 2014.  Accounts receivable days were 49.3 days at September 30, 2014 compared to 48.9 days at June 30, 2014.

 

Outlook for 2014 Adjusted EBITDA

 

The Outlook range for 2014 Adjusted EBITDA is in a range of $1.90 to $1.95 billion, a $25 million mid-point increase as compared to the Company’s prior Outlook of $1.85 to $1.95 billion. Based on this Outlook for 2014 Adjusted EBITDA, the Outlook for 2014 earnings per share is in a range of $1.26 to $1.78 per share.  This Outlook assumes the California Provider Fee Program is approved by December 31, 2014, which would result in the recognition of $140 million of revenues in the fourth quarter.

 

3



 

Management’s Webcast Discussion of Third Quarter Results

 

Tenet management will discuss the Company’s third quarter 2014 results on a webcast scheduled for 10:00 a.m. (ET) on November 4, 2014.  Investors can access the webcast through Tenet’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, 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 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 is a national, diversified healthcare services company with more than 105,000 employees united around a common mission: to help people live happier, healthier lives. The company operates 80 hospitals, more than 200 outpatient centers, six health plans and Conifer Health Solutions, a leading provider of healthcare business process services in the areas of revenue cycle management, value based care and patient communications. 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.

 

###

 

Corporate Communications
Steven Campanini
469-893-2640
mediarelations@tenethealth.com

Investor Relations
Thomas Rice
469-893-6992
investorrelations@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, 2013, and in our quarterly reports on Form 10-Q, periodic reports on Form 8-K

 

4



 

and other filings with the Securities and Exchange Commission. The information contained in this release is as of the date hereof. The company assumes no obligation to update forward-looking statements contained in this release as a result of new information or future events or developments.

 

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.

 

5



 

TENET HEALTHCARE CORPORATION

CONSOLIDATED STATEMENTS OF OPERATIONS

(Unaudited)

 

 

 

Three Months Ended September 30,

 

(Dollars in millions except per share amounts)

 

2014

 

%

 

2013

 

%

 

Change

 

Net operating revenues:

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues before provision for doubtful accounts

 

$

4,428

 

 

 

$

2,618

 

 

 

69.1

%

Less: Provision for doubtful accounts

 

249

 

 

 

210

 

 

 

18.6

%

Net operating revenues

 

4,179

 

100.0

%

2,408

 

100.0

%

73.5

%

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

2,028

 

48.5

%

1,172

 

48.7

%

73.0

%

Supplies

 

665

 

15.9

%

387

 

16.1

%

71.8

%

Other operating expenses, net

 

1,032

 

24.7

%

575

 

24.0

%

79.5

%

Electronic health record incentives

 

(5

)

(0.1

)%

(14

)

(0.6

)%

(64.3

)%

Depreciation and amortization

 

207

 

5.0

%

119

 

4.9

%

73.9

%

Impairment and restructuring charges, and acquisition-related costs

 

37

 

0.9

%

20

 

0.8

%

 

 

Litigation and investigation costs

 

4

 

0.1

%

1

 

%

 

 

Operating income

 

211

 

5.0

%

148

 

6.1

%

 

 

Interest expense

 

(186

)

 

 

(91

)

 

 

 

 

Loss from early extinguishment of debt

 

(24

)

 

 

 

 

 

 

 

Income from continuing operations, before income taxes

 

1

 

 

 

57

 

 

 

 

 

Income tax benefit (expense)

 

18

 

 

 

(16

)

 

 

 

 

Income from continuing operations, before discontinued operations

 

19

 

 

 

41

 

 

 

 

 

Discontinued operations:

 

 

 

 

 

 

 

 

 

 

 

Loss from operations

 

(2

)

 

 

(8

)

 

 

 

 

Litigation and investigation costs

 

 

 

 

(2

)

 

 

 

 

Income tax benefit

 

1

 

 

 

5

 

 

 

 

 

Net loss from discontinued operations

 

(1

)

 

 

(5

)

 

 

 

 

Net income

 

18

 

 

 

36

 

 

 

 

 

Less: Net income attributable to noncontrolling interests

 

9

 

 

 

8

 

 

 

 

 

Net Income attributable to Tenet Healthcare Corporation common shareholders

 

$

9

 

 

 

$

28

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amounts attributable to Tenet Healthcare Corporation common shareholders

 

 

 

 

 

 

 

 

 

 

 

Income from continuing operations, net of tax

 

$

10

 

 

 

$

33

 

 

 

 

 

Loss from discontinued operations, net of tax

 

(1

)

 

 

(5

)

 

 

 

 

Net income attributable to Tenet Healthcare Corporation common shareholders

 

$

9

 

 

 

$

28

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

Basic

 

 

 

 

 

 

 

 

 

 

 

Continuing operations

 

$

0.10

 

 

 

$

0.33

 

 

 

 

 

Discontinued operations

 

(0.01

)

 

 

(0.05

)

 

 

 

 

 

 

$

0.09

 

 

 

$

0.28

 

 

 

 

 

Diluted

 

 

 

 

 

 

 

 

 

 

 

Continuing operations

 

$

0.10

 

 

 

$

0.32

 

 

 

 

 

Discontinued operations

 

(0.01

)

 

 

(0.05

)

 

 

 

 

 

 

$

0.09

 

 

 

$

0.27

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

Basic

 

98,036

 

 

 

100,894

 

 

 

 

 

Diluted

 

100,926

 

 

 

103,098

 

 

 

 

 

 

6



 

TENET HEALTHCARE CORPORATION

CONSOLIDATED STATEMENTS OF OPERATIONS

(Unaudited)

 

 

 

Nine Months Ended September 30,

 

(Dollars in millions except per share amounts)

 

2014

 

%

 

2013

 

%

 

Change

 

Net operating revenues:

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues before provision for doubtful accounts

 

$

13,096

 

 

 

$

7,841

 

 

 

67.0

%

Less: Provision for doubtful accounts

 

949

 

 

 

624

 

 

 

52.1

%

Net operating revenues

 

12,147

 

100.0

%

7,217

 

100.0

%

68.3

%

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

5,905

 

48.6

%

3,499

 

48.5

%

68.8

%

Supplies

 

1,942

 

16.0

%

1,158

 

16.0

%

67.7

%

Other operating expenses, net

 

3,066

 

25.3

%

1,710

 

23.8

%

79.3

%

Electronic health record incentives

 

(72

)

(0.6

)%

(48

)

(0.7

)%

50.0

%

Depreciation and amortization

 

609

 

5.0

%

354

 

4.9

%

72.0

%

Impairment and restructuring charges, and acquisition-related costs

 

90

 

0.7

%

45

 

0.6

%

 

 

Litigation and investigation costs

 

19

 

0.2

%

3

 

%

 

 

Operating income

 

588

 

4.8

%

496

 

6.9

%

 

 

Interest expense

 

(558

)

 

 

(292

)

 

 

 

 

Loss from early extinguishment of debt

 

(24

)

 

 

(348

)

 

 

 

 

Investment earnings

 

 

 

 

1

 

 

 

 

 

Income (loss) from continuing operations, before income taxes

 

6

 

 

 

(143

)

 

 

 

 

Income tax benefit

 

11

 

 

 

57

 

 

 

 

 

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

 

17

 

 

 

(86

)

 

 

 

 

Discontinued operations:

 

 

 

 

 

 

 

 

 

 

 

Loss from operations

 

(17

)

 

 

(5

)

 

 

 

 

Litigation and investigation costs

 

(18

)

 

 

(2

)

 

 

 

 

Income tax benefit

 

13

 

 

 

3

 

 

 

 

 

Loss from discontinued operations

 

(22

)

 

 

(4

)

 

 

 

 

Net loss

 

(5

)

 

 

(90

)

 

 

 

 

Less: Net income attributable to noncontrolling interests

 

44

 

 

 

20

 

 

 

 

 

Net loss attributable to Tenet Healthcare Corporation common shareholders

 

$

(49

)

 

 

$

(110

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amounts attributable to Tenet Healthcare Corporation common shareholders

 

 

 

 

 

 

 

 

 

 

 

Loss from continuing operations, net of tax

 

$

(27

)

 

 

$

(106

)

 

 

 

 

Loss from discontinued operations, net of tax

 

(22

)

 

 

(4

)

 

 

 

 

Net loss attributable to Tenet Healthcare Corporation common shareholders

 

$

(49

)

 

 

$

(110

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net loss per share attributable to Tenet Healthcare Corporation common shareholders:

 

 

 

 

 

 

 

 

 

 

 

Basic

 

 

 

 

 

 

 

 

 

 

 

Continuing operations

 

$

(0.27

)

 

 

$

(1.03

)

 

 

 

 

Discontinued operations

 

(0.23

)

 

 

(0.04

)

 

 

 

 

 

 

$

(0.50

)

 

 

$

(1.07

)

 

 

 

 

Diluted

 

 

 

 

 

 

 

 

 

 

 

Continuing operations

 

$

(0.27

)

 

 

$

(1.03

)

 

 

 

 

Discontinued operations

 

(0.23

)

 

 

(0.04

)

 

 

 

 

 

 

$

(0.50

)

 

 

$

(1.07

)

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

Basic

 

97,625

 

 

 

102,669

 

 

 

 

 

Diluted*

 

97,625

 

 

 

102,669

 

 

 

 

 

 


*Had we generated income from continuing operations available to shareholders in the nine months ended September 30, 2014 and 2013, the effect (in thousands) of employee stock options, restricted stock units and deferred compensation units on the diluted shares calculation would have been an increase in shares of 2,332 and 2,256 shares, respectively.

 

7



 

TENET HEALTHCARE CORPORATION

CONSOLIDATED BALANCE SHEETS

(Unaudited)

 

 

 

September 30,

 

December 31,

 

(Dollars in millions)

 

2014

 

2013

 

ASSETS

 

 

 

 

 

Current assets:

 

 

 

 

 

Cash and cash equivalents

 

$

200

 

$

113

 

Accounts receivable, less allowance for doubtful accounts

 

2,238

 

1,890

 

Inventories of supplies, at cost

 

270

 

260

 

Income tax receivable

 

22

 

 

Current portion of deferred income taxes

 

725

 

692

 

Other current assets

 

746

 

737

 

Total current assets

 

4,201

 

3,692

 

Investments and other assets

 

366

 

357

 

Deferred income taxes, net of current portion

 

100

 

148

 

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

 

7,749

 

7,582

 

Goodwill

 

3,705

 

3,566

 

Other intangible assets, at cost, less accumulated amortization

 

1,191

 

1,105

 

Total assets

 

$

17,312

 

$

16,450

 

 

 

 

 

 

 

LIABILITIES AND EQUITY

 

 

 

 

 

Current liabilities:

 

 

 

 

 

Current portion of long-term debt

 

$

98

 

$

153

 

Accounts payable

 

1,068

 

1,085

 

Accrued compensation and benefits

 

735

 

622

 

Professional and general liability reserves

 

175

 

156

 

Accrued interest payable

 

265

 

198

 

Other current liabilities

 

804

 

879

 

Total current liabilities

 

3,145

 

3,093

 

Long-term debt, net of current portion

 

11,455

 

10,696

 

Professional and general liability reserves

 

525

 

555

 

Defined benefit plan obligations

 

381

 

398

 

Other long-term liabilities

 

544

 

490

 

Total liabilities

 

16,050

 

15,232

 

Commitments and contingencies

 

 

 

 

 

Redeemable noncontrolling interests in equity of consolidated subsidiaries

 

396

 

340

 

Equity:

 

 

 

 

 

Shareholders’ equity:

 

 

 

 

 

Common stock

 

7

 

7

 

Additional paid-in capital

 

4,597

 

4,572

 

Accumulated other comprehensive loss

 

(20

)

(24

)

Accumulated deficit

 

(1,471

)

(1,422

)

Common stock in treasury, at cost

 

(2,378

)

(2,378

)

Total shareholders’ equity

 

735

 

755

 

Noncontrolling interests

 

131

 

123

 

Total equity

 

866

 

878

 

Total liabilities and equity

 

$

17,312

 

$

16,450

 

 

8



 

TENET HEALTHCARE CORPORATION

CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)

 

 

 

Nine Month Ended
September 30,

 

(Dollars in millions)

 

2014

 

2013

 

Net loss

 

$

(5

)

$

(90

)

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

 

 

 

 

 

Depreciation and amortization

 

609

 

354

 

Provision for doubtful accounts

 

949

 

624

 

Deferred income tax benefit

 

(22

)

(60

)

Stock-based compensation expense

 

41

 

26

 

Impairment and restructuring charges, and acquisition-related costs

 

90

 

45

 

Litigation and investigation costs

 

19

 

3

 

Loss from early extinguishment of debt

 

24

 

348

 

Amortization of debt discount and debt issuance costs

 

21

 

12

 

Pre-tax income from discontinued operations

 

35

 

7

 

Other items, net

 

(16

)

(19

)

Changes in cash from operating assets and liabilities:

 

 

 

 

 

Accounts receivable

 

(1,309

)

(662

)

Inventories and other current assets

 

12

 

(159

)

Income taxes

 

(7

)

(5

)

Accounts payable, accrued expenses and other current liabilities

 

120

 

(44

)

Other long-term liabilities

 

38

 

(5

)

Payments for restructuring charges, acquisition-related costs, and litigation costs and settlements

 

(115

)

(36

)

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

 

(16

)

(5

)

Net cash provided by operating activities

 

468

 

334

 

Cash flows from investing activities:

 

 

 

 

 

Purchases of property and equipment — continuing operations

 

(734

)

(398

)

Purchases of businesses or joint venture interests, net of cash acquired

 

(185

)

(142

)

Proceeds from sales of facilities and other assets — discontinued operations

 

4

 

11

 

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

 

2

 

6

 

Other long-term assets

 

(4

)

11

 

Other items, net

 

3

 

3

 

Net cash used in investing activities

 

(914

)

(509

)

Cash flows from financing activities:

 

 

 

 

 

Repayments of borrowings under credit facility

 

(1,965

)

(1,001

)

Proceeds from borrowings under credit facility

 

1,560

 

1,211

 

Repayments of other borrowings

 

(655

)

(1,987

)

Proceeds from other borrowings

 

1,608

 

1,907

 

Deferred debt issuance costs

 

(26

)

(31

)

Repurchases of common stock

 

 

(300

)

Distributions paid to noncontrolling interests

 

(30

)

(18

)

Contributions from noncontrolling interests

 

15

 

98

 

Proceeds from exercise of stock options

 

23

 

22

 

Other items, net

 

3

 

(8

)

Net cash provided by (used in) financing activities

 

533

 

(107

)

Net increase (decrease) in cash and cash equivalents

 

87

 

(282

)

Cash and cash equivalents at beginning of period

 

113

 

364

 

Cash and cash equivalents at end of period

 

$

200

 

$

82

 

Supplemental disclosures:

 

 

 

 

 

Interest paid, net of capitalized interest

 

$

(487

)

$

(295

)

Income tax payments, net

 

$

(5

)

$

(5

)

 

9



 

TENET HEALTHCARE CORPORATION

SELECTED STATISTICS — CONTINUING SAME HOSPITALS

(Unaudited)

 

(Dollars in millions except per patient day,

 

Three Months Ended September 30,

 

Nine Months Ended September 30,

 

per admission and per visit amounts)

 

2014

 

2013

 

Change

 

2014

 

2013

 

Change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net inpatient revenues

 

$

1,602

 

$

1,502

 

6.7

%

$

4,711

 

$

4,580

 

2.9

%

Net outpatient revenues

 

$

924

 

$

845

 

9.3

%

$

2,710

 

$

2,502

 

8.3

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of acute care hospitals (at end of period)

 

49

 

49

 

*

49

 

49

 

*

Licensed beds (at end of period)

 

13,231

 

13,180

 

0.4

%

13,231

 

13,180

 

0.4

%

Average licensed beds

 

13,231

 

13,180

 

0.4

%

13,202

 

13,180

 

0.2

%

Utilization of licensed beds

 

48.9

%

47.0

%

1.9

%*

49.5

%

48.4

%

1.1

%*

Patient days — total

 

594,664

 

569,833

 

4.4

%

1,783,957

 

1,740,508

 

2.5

%

Adjusted patient days

 

962,054

 

912,483

 

5.4

%

2,859,601

 

2,762,043

 

3.5

%

Net inpatient revenue per patient day

 

$

2,694

 

$

2,636

 

2.2

%

$

2,641

 

$

2,631

 

0.4.%

 

Total admissions

 

127,118

 

121,569

 

4.6

%

376,289

 

368,220

 

2.2

%

Adjusted patient admissions

 

208,229

 

196,761

 

5.8

%

609,721

 

589,866

 

3.4

%

Charity and uninsured admissions

 

8,538

 

8,809

 

(3.1

)%

24,844

 

26,243

 

(5.3

)%

Net inpatient revenue per admission

 

$

12,602

 

$

12,355

 

2.0

%

$

12,520

 

$

12,438

 

0.7

%

Average length of stay (days)

 

4.68

 

4.69

 

(0.2

)%

4.74

 

4.73

 

0.2

%

Total surgeries

 

127,042

 

111,055

 

14.4

%

365,928

 

321,137

 

13.9

%

Admissions through emergency department

 

80,328

 

75,512

 

6.4

%

241,767

 

231,328

 

4.5

%

Emergency department visits

 

433,174

 

400,345

 

8.2

%

1,280,225

 

1,202,125

 

6.5

%

Total emergency department admissions and visits

 

513,502

 

475,857

 

7.9

%

1,521,992

 

1,433,453

 

6.2

%

Outpatient visits

 

1,155,852

 

1,071,421

 

7.9

%

3,377,121

 

3,198,922

 

5.6

%

Charity and uninsured outpatient visits

 

113,216

 

114,550

 

(1.2

)%

333,748

 

339,123

 

(1.6

)%

Net outpatient revenue per visit

 

$

799

 

$

789

 

1.3

%

$

802

 

$

782

 

2.6

%

Net patient revenue per adjusted patient admission

 

$

12,131

 

$

11,928

 

1.7

%

$

12,171

 

$

12,006

 

1.4

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net Patient Revenues from:

 

 

 

 

 

 

 

 

 

 

 

 

 

Medicare

 

20.3

%

21.3

%

(1.0

)%*

21.2

%

21.8

%

(0.6

)%*

Medicaid

 

7.4

%

8.8

%

(1.4

)%*

7.3

%

8.9

%

(1.6

)%*

Managed care

 

63.1

%

58.8

%

4.3

%*

61.4

%

58.2

%

3.2

%*

Indemnity, self-pay and other

 

9.2

%

11.1

%

(1.9

)%*

10.1

%

11.1

%

(1.0

)%*

 


*                 This change is the difference between the 2014 and 2013 amounts shown

 

10



 

TENET HEALTHCARE CORPORATION

SELECTED STATISTICS — CONTINUING TOTAL HOSPITALS

(Unaudited)

 

(Dollars in millions except per patient day, 

 

Three Months Ended September 30,

 

Nine Months Ended September 30,

 

per admission and per visit amounts)

 

2014

 

2013

 

Change

 

2014

 

2013

 

Change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net inpatient revenues

 

$

2,463

 

$

1,502

 

64.0

%

$

7,296

 

$

4,580

 

59.3

%

Net outpatient revenues

 

$

1,441

 

$

845

 

70.5

%

$

4,235

 

$

2,502

 

69.3

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of acute care hospitals (at end of period)

 

80

 

49

 

31

*

80

 

49

 

31

*

Licensed beds (at end of period)

 

20,762

 

13,180

 

57.5

%

20,762

 

13,180

 

57.5

%

Average licensed beds

 

20,692

 

13,180

 

57.0

%

20,439

 

13,180

 

55.1

%

Utilization of licensed beds

 

48.4

%

47.0

%

1.4

%*

49.4

%

48.4

%

1.0

%*

Patient days — total

 

921,228

 

569,833

 

61.7

%

2,757,485

 

1,740,508

 

58.4

%

Adjusted patient days

 

1,574,346

 

912,483

 

72.5

%

4,663,406

 

2,762,043

 

68.8

%

Net inpatient revenue per patient day

 

$

2,674

 

$

2,636

 

1.4

%

$

2,646

 

$

2,631

 

0.6

%

Total admissions

 

199,914

 

121,569

 

64.4

%

588,828

 

368,220

 

59.9

%

Adjusted patient admissions

 

345,787

 

196,761

 

75.7

%

1,007,106

 

589,866

 

70.7

%

Charity and uninsured admissions

 

10,990

 

8,809

 

24.8

%

34,447

 

26,243

 

31.3

%

Net inpatient revenue per admission

 

$

12,320

 

$

12,355

 

(0.3

)%

$

12,391

 

$

12,438

 

(0.4

)%

Average length of stay (days)

 

4.61

 

4.69

 

(1.7

)%

4.68

 

4.73

 

(1.1

)%

Total surgeries

 

178,439

 

111,055

 

60.7

%

514,385

 

321,137

 

60.2

%

Admissions through emergency department

 

123,147

 

75,512

 

63.1

%

367,834

 

231,328

 

59.0

%

Emergency department visits

 

719,835

 

400,345

 

79.8

%

2,086,846

 

1,202,125

 

73.6

%

Total emergency department admissions and visits

 

842,982

 

475,857

 

77.2

%

2,454,680

 

1,433,453

 

71.2

%

Outpatient visits

 

2,125,002

 

1,071,421

 

98.3

%

6,138,740

 

3,198,922

 

91.9

%

Charity and uninsured outpatient visits

 

170,022

 

114,550

 

48.4

%

505,036

 

339,123

 

48.9

%

Net outpatient revenue per visit

 

$

678

 

$

789

 

(14.1

)%

$

690

 

$

782

 

(11.2

)%

Net patient revenue per adjusted patient admission

 

$

11,290

 

$

11,928

 

(5.3

)%

$

11,450

 

$

12,006

 

(4.6

)%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net Patient Revenues from:

 

 

 

 

 

 

 

 

 

 

 

 

 

Medicare

 

21.5

%

21.3

%

0.2

%*

22.2

%

21.8

%

0.4

%*

Medicaid

 

8.7

%

8.8

%

(0.1

)%*

8.8

%

8.9

%

(0.1

)%*

Managed care

 

60.7

%

58.8

%

1.9

%*

58.8

%

58.2

%

0.6

%*

Indemnity, self-pay and other

 

9.1

%

11.1

%

(2.0

)%*

10.2

%

11.1

%

(0.9

)%*

 


*                 This change is the difference between the 2014 and 2013 amounts shown

 

11



 

TENET HEALTHCARE CORPORATION

CONSOLIDATED STATEMENTS OF OPERATIONS

(Unaudited)

 

 

 

Three Months Ended

 

Nine Months
Ended

 

(Dollars in millions except per share amounts)

 

03/31/14

 

06/30/14

 

09/30/14

 

09/30/14

 

Net operating revenues:

 

 

 

 

 

 

 

 

 

Net operating revenues before provision for doubtful accounts

 

$

4,306

 

$

4,362

 

$

4,428

 

$

13,096

 

Less: Provision for doubtful accounts

 

380

 

320

 

249

 

949

 

Net operating revenues

 

3,926

 

4,042

 

4,179

 

12,147

 

Operating expenses:

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

1,921

 

1,956

 

2,028

 

5,905

 

Supplies

 

628

 

649

 

665

 

1,942

 

Other operating expenses, net

 

999

 

1,035

 

1,032

 

3,066

 

Electronic health record incentives

 

(9

)

(58

)

(5

)

(72

)

Depreciation and amortization

 

193

 

209

 

207

 

609

 

Impairment and restructuring charges, and acquisition-related costs

 

21

 

32

 

37

 

90

 

Litigation and investigation costs

 

3

 

12

 

4

 

19

 

Operating income

 

170

 

207

 

211

 

588

 

Interest expense

 

(182

)

(190

)

(186

)

(558

)

Loss from early extinguishment of debt

 

 

 

(24

)

(24

)

Income (loss) from continuing operations, before income taxes

 

(12

)

17

 

1

 

6

 

Income tax benefit (expense)

 

1

 

(8

)

18

 

11

 

Income (loss) from continuing operations, before discontinued operations

 

(11

)

9

 

19

 

17

 

Discontinued operations:

 

 

 

 

 

 

 

 

 

Loss from operations

 

(8

)

(7

)

(2

)

(17

)

Litigation and investigation costs

 

 

(18

)

 

(18

)

Income tax benefit

 

3

 

9

 

1

 

13

 

Net loss from discontinued operations

 

(5

)

(16

)

(1

)

(22

)

Net income (loss)

 

(16

)

(7

)

18

 

(5

)

Less: Net income attributable to noncontrolling interests

 

16

 

19

 

9

 

44

 

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

 

$

(32

)

$

(26

)

$

9

 

$

(49

)

 

 

 

 

 

 

 

 

 

 

Amounts attributable to Tenet Healthcare Corporation common shareholders

 

 

 

 

 

 

 

 

 

Loss from continuing operations, net of tax

 

$

(27

)

$

(10

)

$

10

 

$

(27

)

Loss from discontinued operations, net of tax

 

(5

)

(16

)

(1

)

(22

)

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

 

$

(32

)

$

(26

)

$

9

 

$

(49

)

 

 

 

 

 

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

Basic

 

 

 

 

 

 

 

 

 

Continuing operations

 

$

(0.28

)

$

(0.11

)

$

0.10

 

$

(0.27

)

Discontinued operations

 

(0.05

)

(0.16

)

(0.01

)

(0.23

)

 

 

$

(0.33

)

$

(0.27

)

$

0.09

 

$

(0.50

)

Diluted

 

 

 

 

 

 

 

 

 

Continuing operations

 

$

(0.28

)

$

(0.11

)

$

0.10

 

$

(0.27

)

Discontinued operations

 

(0.05

)

(0.16

)

(0.01

)

(0.23

)

 

 

$

(0.33

)

$

(0.27

)

$

0.09

 

$

(0.50

)

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

 

 

 

 

 

 

 

 

 

Basic

 

97,161

 

97,677

 

98,036

 

97,625

 

Diluted

 

97,161

 

97,677

 

100,926

 

97,625

 

 

12



 

TENET HEALTHCARE CORPORATION

SELECTED STATISTICS — CONTINUING SAME HOSPITALS

(Unaudited)

 

(Dollars in millions except per patient days,

 

Three Months Ended

 

Nine Months
Ended

 

per admission and per visit amounts)

 

03/31/14

 

06/30/14

 

09/30/14

 

09/30/14

 

 

 

 

 

 

 

 

 

 

 

Net inpatient revenues

 

$

1,569

 

$

1,540

 

$

1,602

 

$

4,711

 

Net outpatient revenues

 

$

859

 

$

927

 

$

924

 

$

2,710

 

 

 

 

 

 

 

 

 

 

 

Number of acute care hospitals (at end of period)

 

49

 

49

 

49

 

49

 

Licensed beds (at end of period)

 

13,178

 

13,231

 

13,231

 

13,231

 

Average licensed beds

 

13,178

 

13,196

 

13,231

 

13,202

 

Utilization of licensed beds

 

51.0

%

48.7

%

48.9

%

49.5

%

Patient days — total

 

605,042

 

584,251

 

594,664

 

1,783,957

 

Adjusted patient days

 

949,403

 

948,144

 

962,054

 

2,859,601

 

Net inpatient revenue per patient day

 

$

2,593

 

$

2,636

 

$

2,694

 

$

2,641

 

Total admissions

 

124,451

 

124,720

 

127,118

 

376,289

 

Adjusted patient admissions

 

196,855

 

204,637

 

208,229

 

609,721

 

Charity and uninsured admissions

 

8,387

 

7,919

 

8,538

 

24,844

 

Net inpatient revenue per admission

 

$

12,607

 

$

12,348

 

$

12,602

 

$

12,520

 

Average length of stay (days)

 

4.86

 

4.68

 

4.68

 

4.74

 

Total surgeries

 

114,734

 

124,152

 

127,042

 

365,928

 

Admissions through emergency department

 

80,910

 

80,529

 

80,328

 

241,767

 

Emergency department visits

 

414,193

 

432,858

 

433,174

 

1,280,225

 

Total emergency department admissions and visits

 

495,103

 

513,387

 

513,502

 

1,521,992

 

Outpatient visits

 

1,080,674

 

1,140,595

 

1,155,852

 

3,377,121

 

Charity and uninsured outpatient visits

 

111,857

 

108,675

 

113,216

 

333,748

 

Net outpatient revenue per visit

 

$

795

 

$

813

 

$

799

 

$

802

 

Net patient revenue per adjusted patient admission

 

$

12,334

 

$

12,055

 

$

12,131

 

$

12,171

 

 

 

 

 

 

 

 

 

 

 

Net Patient Revenues from:

 

 

 

 

 

 

 

 

 

Medicare

 

22.0

%

21.3

%

20.3

%

21.2

%

Medicaid

 

7.4

%

7.2

%

7.4

%

7.3

%

Managed care

 

59.5

%

61.7

%

63.1

%

61.4

%

Indemnity, self-pay and other

 

11.1

%

9.8

%

9.2

%

10.1

%

 

13



 

TENET HEALTHCARE CORPORATION

SELECTED STATISTICS — CONTINUING TOTAL HOSPITALS

(Unaudited)

 

(Dollars in millions except per patient days,

 

Three Months Ended

 

Nine Months
Ended

 

per admission and per visit amounts)

 

03/31/14

 

06/30/14

 

09/30/14

 

09/30/14

 

 

 

 

 

 

 

 

 

 

 

Net inpatient revenues

 

$

2,440

 

$

2,393

 

$

2,463

 

$

7,296

 

Net outpatient revenues

 

$

1,346

 

$

1,448

 

$

1,441

 

$

4,235

 

 

 

 

 

 

 

 

 

 

 

Number of acute care hospitals (at end of period)

 

77

 

79

 

80

 

80

 

Licensed beds (at end of period)

 

20,279

 

20,553

 

20,762

 

20,762

 

Average licensed beds

 

20,263

 

20,370

 

20,692

 

20,439

 

Utilization of licensed beds

 

51.0

%

48.9

%

48.4

%

49.4

%

Patient days — total

 

929,164

 

907,093

 

921,228

 

2,757,485

 

Adjusted patient days

 

1,525,379

 

1,563,681

 

1,574,346

 

4,663,406

 

Net inpatient revenue per patient day

 

$

2,626

 

$

2,638

 

$

2,674

 

$

2,646

 

Total admissions

 

194,273

 

194,641

 

199,914

 

588,828

 

Adjusted patient admissions

 

323,810

 

337,509

 

345,787

 

1,007,106

 

Charity and uninsured admissions

 

12,530

 

10,927

 

10,990

 

34,447

 

Net inpatient revenue per admission

 

$

12,560

 

$

12,294

 

$

12,320

 

$

12,391

 

Average length of stay (days)

 

4.78

 

4.66

 

4.61

 

4.68

 

Total surgeries

 

162,282

 

173,664

 

178,439

 

514,385

 

Admissions through emergency department

 

122,601

 

122,086

 

123,147

 

367,834

 

Emergency department visits

 

665,002

 

702,009

 

719,835

 

2,086,846

 

Total emergency department admissions and visits

 

787,603

 

824,095

 

842,982

 

2,454,680

 

Outpatient visits

 

1,947,687

 

2,066,051

 

2,125,002

 

6,138,740

 

Charity and uninsured outpatient visits

 

165,248

 

169,766

 

170,022

 

505,036

 

Net outpatient revenue per visit

 

$

691

 

$

701

 

$

678

 

$

690

 

Net patient revenue per adjusted patient admission

 

$

11,692

 

$

11,380

 

$

11,290

 

$

11,450

 

 

 

 

 

 

 

 

 

 

 

Net Patient Revenues from:

 

 

 

 

 

 

 

 

 

Medicare

 

22.6

%

22.5

%

21.5

%

22.2

%

Medicaid

 

7.7

%

9.9

%

8.7

%

8.8

%

Managed care

 

57.8

%

58.0

%

60.7

%

58.8

%

Indemnity, self-pay and other

 

11.9

%

9.6

%

9.1

%

10.2

%

 

14



 

TENET HEALTHCARE CORPORATION

SEGMENT REPORTING

(Unaudited)

 

 

 

September 30,

 

December 31,

 

 

 

2014

 

2013

 

Assets

 

 

 

 

 

Hospital Operations and other

 

$

16,988

 

$

16,194

 

Conifer

 

324

 

256

 

Total

 

$

17,312

 

$

16,450

 

 

 

 

Three Months Ended
 September 30,

 

Nine Months Ended
 September 30,

 

 

 

2014

 

2013

 

2014

 

2013

 

Capital expenditures:

 

 

 

 

 

 

 

 

 

Hospital Operations and other

 

$

207

 

$

139

 

$

717

 

$

387

 

Conifer

 

4

 

3

 

17

 

11

 

Total

 

$

211

 

$

142

 

$

734

 

$

398

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues:

 

 

 

 

 

 

 

 

 

Hospital Operations and other

 

$

4,031

 

$

2,275

 

$

11,707

 

$

6,840

 

Conifer

 

 

 

 

 

 

 

 

 

Tenet

 

148

 

92

 

426

 

278

 

Other customers

 

148

 

133

 

440

 

377

 

 

 

4,327

 

2,500

 

12,573

 

7,495

 

Intercompany eliminations

 

(148

)

(92

)

(426

)

(278

)

Total

 

$

4,179

 

$

2,408

 

$

12,147

 

$

7,217

 

 

 

 

 

 

 

 

 

 

 

Adjusted EBITDA:

 

 

 

 

 

 

 

 

 

Hospital Operations and other

 

$

412

 

$

252

 

$

1,167

 

$

802

 

Conifer

 

47

 

36

 

139

 

96

 

Total

 

$

459

 

$

288

 

$

1,306

 

$

898

 

 

 

 

 

 

 

 

 

 

 

Depreciation and amortization:

 

 

 

 

 

 

 

 

 

Hospital Operations and other

 

$

202

 

$

114

 

$

594

 

$

339

 

Conifer

 

5

 

5

 

15

 

15

 

Total

 

$

207

 

$

119

 

$

609

 

$

354

 

 

 

 

 

 

 

 

 

 

 

Adjusted EBITDA

 

$

459

 

$

288

 

$

1,306

 

$

898

 

Depreciation and amortization

 

(207

)

(119

)

(609

)

(354

)

Impairments and restructuring charges, and acquisition-related costs

 

(37

)

(20

)

(90

)

(45

)

Litigation and investigation costs

 

(4

)

(1

)

(19

)

(3

)

Interest expense

 

(186

)

(91

)

(558

)

(292

)

Loss from early extinguishment of debt

 

(24

)

 

(24

)

(348

)

Investment earnings

 

 

 

 

1

 

Income (loss) from continuing operations before income taxes

 

$

1

 

$

57

 

$

6

 

$

(143

)

 

15



 

(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) the cumulative effect of changes in accounting principle, net of tax; (2) net loss (income) attributable to noncontrolling interests; (3) preferred stock dividends; (4) income (loss) from discontinued operations, net of tax; (5) income tax benefit (expense); (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 benefit (costs), net of insurance recoveries; (11) hurricane insurance recoveries, net of costs; (12) impairment and restructuring charges and acquisition-related costs; 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, 2014 and 2013.

 

For certain pro financial information of the Company as if the Vanguard acquisition had occurred at January 1, 2013, see Note 14 of the notes to the condensed consolidated financial statements in the Company’s Form 10-Q for the quarterly period ended September 30, 2014.

 

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)

 

 

 

Three Months Ended
September 30,

 

Nine Months Ended
September 30,

 

(Dollars in millions)

 

2014

 

2013

 

2014

 

2013

 

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

 

$

9

 

$

28

 

$

(49

)

$

(110

)

Less: Net (income) attributable to noncontrolling interests

 

(9

)

(8

)

(44

)

(20

)

Loss from discontinued operations, net of tax

 

(1

)

(5

)

(22

)

(4

)

Income (loss) from continuing operations

 

19

 

41

 

17

 

(86

)

Income tax benefit (expense)

 

18

 

(16

)

11

 

57

 

Investment earnings

 

 

 

 

1

 

Loss from early extinguishment of debt

 

(24

)

 

(24

)

(348

)

Interest expense

 

(186

)

(91

)

(558

)

(292

)

Operating income

 

211

 

148

 

588

 

496

 

Litigation and investigation costs

 

(4

)

(1

)

(19

)

(3

)

Impairment and restructuring charges, and acquisition-related costs

 

(37

)

(20

)

(90

)

(45

)

Depreciation and amortization

 

(207

)

(119

)

(609

)

(354

)

Adjusted EBITDA

 

$

459

 

$

288

 

$

1,306

 

$

898

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues

 

$

4,179

 

$

2,408

 

$

12,147

 

$

7,217

 

 

 

 

 

 

 

 

 

 

 

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

 

11.0

%

12.0

%

10.8

%

12.4

%

 

16



 

TENET HEALTHCARE CORPORATION

Additional Supplemental Non-GAAP Disclosures

Table #2 - Reconciliation of Adjusted Free Cash Flow

(Unaudited)

 

 

 

Three Months Ended
September 30,

 

Nine Months Ended
September 30,

 

(Dollars in millions)

 

2014

 

2013

 

2014

 

2013

 

Net cash provided by operating activities

 

$

221

 

$

206

 

$

468

 

$

334

 

Less:

 

 

 

 

 

 

 

 

 

Payments for restructuring charges, acquisition-related costs, and litigation costs and settlements

 

(31

)

(17

)

(115

)

(36

)

Net cash provided by (used in) operating activities from discontinued operations

 

(4

)

2

 

(16

)

(5

)

Adjusted net cash provided by operating activities — continuing operations

 

256

 

221

 

599

 

375

 

Purchases of property and equipment — continuing operations

 

(211

)

(142

)

(734

)

(398

)

Adjusted free cash flow — continuing operations

 

$

45

 

$

79

 

$

(135

)

$

(23

)

 

TENET HEALTHCARE CORPORATION

Additional Supplemental Non-GAAP Disclosures

Table #3 - Reconciliation of Outlook Adjusted EBITDA to

Outlook Net Income Attributable to Tenet Healthcare Corporation Common Shareholders

for the Year Ending December 31, 2014

(Unaudited)

 

 

 

2014

 

(Dollars in millions)

 

Low

 

High

 

Net income attributable to Tenet Healthcare Corporation common shareholders

 

$

23

 

$

85

 

Less: Net (income) attributable to noncontrolling interests

 

(65

)

(55

)

Loss from discontinued operations, net of tax

 

(35

)

(25

)

Income from continuing operations

 

$

123

 

$

165

)

Income tax (expense) (a)

 

(59

)

(87

)

Income from continuing operations, before income taxes

 

$

182

 

$

252

 

Loss from early extinguishment of debt

 

(24

)

(24

)

Interest expense, net

 

(755

)

(745

)

Operating income

 

$

961

 

$

1,021

 

Impairment and restructuring charges, acquisition-related costs and litigation costs and settlements(b)

 

(109

)

(109

)

Depreciation and amortization

 

(830

)

(820

)

Adjusted EBITDA

 

$

1,900

 

$

1,950

 

 

 

 

 

 

 

Net operating revenues

 

$

16,400

 

$

16,600

 

 

 

 

 

 

 

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

 

11.6

%

11.7

%

 


(a)         Uses a tax rate of 40% excluding unusual adjustments for unreported periods

(b)         Company does not forecast impairment and restructuring charges, acquisition-related and litigation costs and settlements

 

17



 

TENET HEALTHCARE CORPORATION

Additional Supplemental Non-GAAP Disclosures

Table #4 - Reconciliation of Outlook Adjusted EBITDA to

Outlook Normalized Income from Continuing Operations

for the Year Ending December 31, 2014

(Unaudited)

 

 

 

2014

 

(Dollars in millions)

 

Low

 

High

 

Adjusted EBITDA

 

$

1,900

 

$

1,950

 

Depreciation and amortization

 

(830

)

(820

)

Interest expense, net

 

(755

)

(745

)

Income from continuing operations before income taxes

 

$

315

 

$

385

 

Income tax expense (a)

 

(124

)

(152

)

Normalized income (loss) from continuing operations

 

$

191

 

$

233

 

Net (income) attributable to noncontrolling interests

 

(65

)

(55

)

Net income (loss) attributable to common shareholders

 

$

126

 

$

178

 

 

 

 

 

 

 

Fully diluted weighted average share outstanding (in millions)

 

100

 

100

 

 

 

 

 

 

 

Normalized fully diluted earnings per share — continuing operations

 

$

1.26

 

$

1.78

 

 


(a)         Uses a tax rate of 40% excluding unusual adjustments for unreported periods

 

TENET HEALTHCARE CORPORATION

Additional Supplemental Non-GAAP Disclosures

Table #5 - Reconciliation of Outlook Adjusted Free Cash Flow

for the Year Ending December

 

 

 

2014

 

(Dollars in millions)

 

Low

 

High

 

Net cash provided by operating activities

 

$

910

 

$

970

 

Less:

 

 

 

 

 

Payments for restructuring charges, acquisition-related costs and litigation costs and settlements(a)

 

(115

)

(115

)

Net cash used in operating activities from discontinued operations

 

(25

)

(15

)

Adjusted net cash provided by operating activities — continuing operations

 

$

1,050

 

$

1,100

 

Purchases of property and equipment — continuing operations

 

(1,000

)

(900

)

Adjusted free cash flow — continuing operations

 

$

50

 

$

200

 

 


(a)         Company does not forecast impairment and restructuring charges, acquisition-related and litigation costs and settlements

 

18