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Share Name | Share Symbol | Market | Type |
---|---|---|---|
Tenet Healthcare Corporation New | NYSE:THC | NYSE | Common Stock |
Price Change | % Change | Share Price | High Price | Low Price | Open Price | Shares Traded | Last Trade | |
---|---|---|---|---|---|---|---|---|
-7.36 | -4.53% | 155.29 | 162.81 | 155.14 | 161.81 | 244,929 | 15:26:04 |
Tenet Healthcare Corporation (Tenet) (NYSE: THC) today announced its results for the quarter ended June 30, 2024.
"Our results through the second quarter, which have significantly exceeded our expectations, have been driven by volume and revenue growth as well as sustained fundamentally strong operating performance," said Saum Sutaria, M.D., Chairman and Chief Executive Officer of Tenet. "Our portfolio transformation and enhanced cash flow profile provide us with compelling opportunities for growth as we execute on our strategy and continue to broaden our service offerings for patient-centered care."
Tenet’s results for second quarter 2024 versus second quarter 2023 are as follows:
Three Months Ended June 30,
Six Months Ended June 30,
($ in millions, except per share results)
2024
2023
2024
2023
Net operating revenues
$5,103
$5,082
$10,471
$10,103
Net income available to Tenet common shareholders
$259
$123
$2,410
$266
Net income available to Tenet common shareholders per diluted share
$2.64
$1.15
$24.22
$2.47
Adjusted EBITDA1
$945
$843
$1,969
$1,675
Adjusted diluted earnings per share1
$2.31
$1.44
$5.53
$2.87
Balance Sheet and Cash Flows
Ambulatory Care (Ambulatory) Segment
Tenet’s Ambulatory business segment is comprised of the operations of United Surgical Partners International (USPI). As of June 30, 2024, USPI had interests in 520 ambulatory surgery centers (377 consolidated) and 24 surgical hospitals (seven consolidated) in 38 states.
Three Months Ended June 30,
Six Months Ended June 30,
Ambulatory segment results ($ in millions)
2024
2023
2024
2023
Revenues
Net operating revenues
$1,141
$942
$2,136
$1,847
Same-facility system-wide net patient service revenues2
$1,889
$1,764
$3,626
$3,395
Volume Changes versus the Prior-Year Period
Same-facility system-wide surgical cases2
0.2%
6.6%
—%
7.2%
Same-facility system-wide surgical cases on same-business day basis2
0.2%
6.6%
—%
7.2%
Adjusted EBITDA, Margins and NCI
Adjusted EBITDA
$447
$370
$841
$710
Adjusted EBITDA margin
39.2%
39.3%
39.4%
38.4%
Adjusted EBITDA less NCI
$273
$231
$514
$445
Hospital Operations and Services (Hospital) Segment
Tenet’s Hospital business segment is primarily comprised of acute care and specialty hospitals, imaging centers, ancillary outpatient facilities, micro-hospitals and physician practices. It also provides comprehensive end-to-end and focused point services, including hospital and physician revenue cycle management, patient communications and engagement support and value-based care solutions.
Three Months Ended June 30,
Six Months Ended June 30,
Hospital segment results ($ in millions)
2024
2023
2024
2023
Revenues
Net operating revenues
$3,962
$4,140
$8,335
$8,256
Same-hospital net patient service revenues3
$3,444
$3,184
$6,915
$6,317
Same-Hospital Volume Changes versus the Prior-Year Period
Admissions
5.2%
3.0%
4.7%
3.6%
Adjusted admissions4
2.4%
3.2%
2.1%
4.9%
Outpatient visits (including outpatient ER visits)
0.6%
(1.3)%
(0.1)%
(0.6)%
Emergency Room visits (inpatient and outpatient)
1.7%
0.4%
2.8%
2.5%
Hospital surgeries
1.5%
(0.1)%
(0.3)%
1.1%
Adjusted EBITDA
Adjusted EBITDA
$498
$473
$1,128
$965
Adjusted EBITDA margin
12.6%
11.4%
13.5%
11.7%
2024 Outlook1
Tenet’s Outlook for full year 2024 (consolidated and by segment) and third quarter 2024 follows. This outlook reflects the completion of the sale of three Coastal South Carolina hospitals on January 31, 2024 and the completion of the sale of six California hospitals on March 31, 2024.
CONSOLIDATED ($ in millions, except per share amounts)
FY 2024 Outlook
Third Quarter 2024 Outlook
Net operating revenues
$20,600 to $21,000
$5,000 to $5,100
Net income available to Tenet common stockholders
$2,825 to $2,930
$195 to $240
Adjusted EBITDA
$3,825 to $3,975
$900 to $950
Adjusted EBITDA margin
18.6% to 18.9%
18.0% to 18.6%
Diluted income per common share
$28.83 to $29.90
$2.01 to $2.47
Adjusted net income
$1,020 to $1,090
$210 to $250
Adjusted diluted earnings per share
$10.41 to $11.12
$2.16 to $2.58
Equity in earnings of unconsolidated affiliates
$260 to $270
$60 to $70
Depreciation and amortization
$830 to $860
$210 to $220
Interest expense
$815 to $825
$195 to $205
Income tax expense5
$1,040 to $1,075
$90 to $105
Net income available to NCI
$820 to $870
$195 to $205
Weighted average diluted common shares
~98 million
~97 million
NCI cash distributions
$725 to $775
Net cash provided by operating activities6
$1,900 to $2,250
Adjusted net cash provided by operating activities6
$2,025 to $2,325
Capital expenditures
$800 to $900
Free cash flow6
$1,100 to $1,350
Adjusted free cash flow6
$1,225 to $1,425
Ambulatory Segment ($ in millions)
FY 2024 Outlook
Net operating revenues
$4,325 to $4,475
Adjusted EBITDA
$1,750 to $1,810
NCI
$685 to $715
Adjusted EBITDA less NCI
$1,065 to $1,095
Changes versus prior year7:
Surgical cases volumes
Up 1.0% to 2.0%
Net revenues per surgical case
Up 4.5% to 5.5%
Hospital Segment ($ in millions)
FY 2024 Outlook
Net operating revenues
$16,275 to $16,525
Adjusted EBITDA
$2,075 to $2,165
NCI
$135 to $155
Changes versus prior year7:
Inpatient admissions
Up 3.0% to 4.0%
Adjusted admissions
Up 1.0% to 3.0%
Management’s Webcast Discussion of Results
Tenet management will discuss the Company’s second quarter 2024 results in a webcast scheduled for 10:00 a.m. Eastern Time (9:00 a.m. Central Time) on July 24, 2024. Investors can access the webcast through the Company’s website at www.tenethealth.com/investors.
The slide presentation associated with the webcast referenced above, a copy of this earnings press release, and a related supplemental financial disclosures document will be available on the Company’s Investor Relations website on July 24, 2024.
Cautionary Statement
This release contains “forward-looking statements” - that is, statements that relate to future, not past, events. In this context, forward-looking statements often address the Company’s expected future business and financial performance and financial condition, and often contain words such as “expect,” “anticipate,” “assume,” “believe,” “budget,” “estimate,” “forecast,” “intend,” “plan,” “predict,” “project,” “seek,” “see,” “target,” or “will.” Forward-looking statements by their nature address matters that are, to different degrees, uncertain. Particular uncertainties that could cause the Company’s actual results to be materially different than those expressed in the Company’s 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, 2023 and other filings with the Securities and Exchange Commission.
Footnotes
About Tenet Healthcare
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas. Our care delivery network includes United Surgical Partners International, the largest ambulatory platform in the country, which operates ambulatory surgery centers and surgical hospitals. We also operate a national portfolio of acute care and specialty hospitals, other outpatient facilities, a network of leading employed physicians and a global business center in Manila, Philippines. Our Conifer Health Solutions subsidiary provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve. For more information, please visit www.tenethealth.com.
Non-GAAP Financial Measures
The Company believes the non-GAAP measures described below are useful to investors and analysts because they present additional information on the Company’s financial performance. Investors, analysts, Company management and the Company’s Board of Directors utilize these non-GAAP measures, in addition to GAAP measures, to track the Company’s financial and operating performance and compare the Company’s performance to its peer companies, which use similar non-GAAP financial measures in their presentations and earnings releases. The Human Resources Committee of the Company’s Board of Directors also uses certain of these measures to evaluate management’s performance for the purpose of determining incentive compensation. Additional information regarding the purpose and utility of specific non-GAAP measures used in this release is set forth below.
The Company believes that Adjusted EBITDA is a useful measure, in part, because certain investors and analysts use both historical and projected Adjusted EBITDA, in addition to other GAAP and non-GAAP measures, as factors in determining the estimated fair value of shares of the Company’s common stock. Company management also regularly reviews the Adjusted EBITDA performance for each operating segment. The Company does not use Adjusted EBITDA to measure liquidity, but instead to measure operating performance.
The Company uses, and believes investors use, Free Cash Flow and Adjusted Free Cash Flow as supplemental non-GAAP measures to analyze cash flows generated from the Company’s operations. The Company believes these measures are useful to investors in evaluating its ability to fund distributions paid to noncontrolling interests or for acquisitions, purchasing equity interests in joint ventures or repaying debt.
These non-GAAP measures may not be comparable to similarly titled measures reported by other companies. Because these measures exclude many items that are included in the Company’s financial statements, they do not provide a complete measure of the Company’s operating performance. For example, the Company’s definitions of Free Cash Flow and Adjusted Free Cash Flow do not include other important uses of cash including (1) cash used to purchase businesses or joint venture interests, or (2) any items that are classified as Cash Flows from Financing Activities on the Company’s Consolidated Statement of Cash Flows, including items such as (i) cash used to repay borrowings, or (ii) distributions paid to noncontrolling interests. Accordingly, investors are encouraged to use GAAP measures when evaluating the Company’s financial performance.
See corresponding reconciliations of the non-GAAP financial measures referred to above to the most comparable GAAP financial measures in Tables #1 - 6 below.
Tenet Healthcare Corporation
Financial Statements and Reconciliations
Second Quarter Earnings Release
Table of Contents
Description
Page
Consolidated Statements of Operations
12
Consolidated Balance Sheets
14
Consolidated Statements of Cash Flows
15
Segment Reporting
16
Table #1 – Reconciliations of Net Income to Adjusted Net Income
17
Table #2 – Reconciliations of Net Income to Adjusted EBITDA
18
Table #3 – Reconciliations of Net Cash Provided by Operating Activities to Free Cash Flow and Adjusted Free Cash Flow
19
Table #4 – Reconciliations of Outlook Net Income to Outlook Adjusted Net Income
20
Table #5 – Reconciliations of Outlook Net Income to Outlook Adjusted EBITDA
21
Table #6 – Reconciliations of Outlook Net Cash Provided by Operating Activities to Outlook Free Cash Flow and Outlook Adjusted Free Cash Flow
22
TENET HEALTHCARE CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
(Dollars in millions, except per share amounts)
Three Months Ended June 30,
2024
%
2023
%
Change
Net operating revenues
$
5,103
100.0
%
$
5,082
100.0
%
0.4
%
Grant income
5
0.1
%
8
0.2
%
(37.5
)%
Equity in earnings of unconsolidated affiliates
61
1.2
%
54
1.1
%
13.0
%
Operating expenses:
Salaries, wages and benefits
2,168
42.5
%
2,285
45.0
%
(5.1
)%
Supplies
908
17.8
%
891
17.5
%
1.9
%
Other operating expenses, net
1,148
22.4
%
1,125
22.1
%
2.0
%
Depreciation and amortization
208
4.1
%
213
4.3
%
Impairment and restructuring charges, and acquisition-related costs
29
0.6
%
16
0.3
%
Litigation and investigation costs
5
0.1
%
10
0.2
%
Net gains on sales, consolidation and deconsolidation of facilities
(58
)
(1.1
)%
—
—
%
Operating income
761
14.9
%
604
11.9
%
Interest expense
(203
)
(226
)
Other non-operating income, net
29
6
Loss from early extinguishment of debt
—
(11
)
Income before income taxes
587
373
Income tax expense
(110
)
(80
)
Net income
477
293
Less: Net income available to noncontrolling interests
218
170
Net income available to Tenet Healthcare Corporation common shareholders
$
259
$
123
Earnings per share available to Tenet Healthcare Corporation common shareholders:
Basic
$
2.66
$
1.21
Diluted
$
2.64
$
1.15
Weighted average shares and dilutive securities outstanding (in thousands):
Basic
97,267
101,766
Diluted
98,444
104,778
TENET HEALTHCARE CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
(Dollars in millions, except per share amounts)
Six Months Ended June 30,
2024
%
2023
%
Change
Net operating revenues
$
10,471
100.0
%
$
10,103
100.0
%
3.6
%
Grant income
5
—
%
11
0.1
%
(54.5
)%
Equity in earnings of unconsolidated affiliates
120
1.1
%
104
1.0
%
15.4
%
Operating expenses:
Salaries, wages and benefits
4,489
42.9
%
4,543
45.0
%
(1.2
)%
Supplies
1,836
17.5
%
1,782
17.6
%
3.0
%
Other operating expenses, net
2,302
21.9
%
2,218
22.0
%
3.8
%
Depreciation and amortization
416
4.0
%
430
4.2
%
Impairment and restructuring charges, and acquisition-related costs
56
0.5
%
37
0.4
%
Litigation and investigation costs
9
0.1
%
14
0.1
%
Net gains on sales, consolidation and deconsolidation of facilities
(2,558
)
(24.4
)%
(13
)
(0.1
)%
Operating income
4,046
38.6
%
1,207
11.9
%
Interest expense
(421
)
(447
)
Other non-operating income, net
54
4
Loss from early extinguishment of debt
(8
)
(11
)
Income before income taxes
3,671
753
Income tax expense
(860
)
(164
)
Net income
2,811
589
Less: Net income available to noncontrolling interests
401
323
Net income available to Tenet Healthcare Corporation common shareholders
$
2,410
$
266
Earnings per share available to Tenet Healthcare Corporation common shareholders:
Basic
$
24.49
$
2.61
Diluted
$
24.22
$
2.47
Weighted average shares and dilutive securities outstanding (in thousands):
Basic
98,424
102,028
Diluted
99,557
105,354
TENET HEALTHCARE CORPORATION
CONSOLIDATED BALANCE SHEETS
(Unaudited)
(Dollars in millions)
June 30,
December 31,
2024
2023
ASSETS
Current assets:
Cash and cash equivalents
$
2,880
$
1,228
Accounts receivable
2,817
2,914
Inventories of supplies, at cost
382
411
Assets held for sale
21
775
Other current assets
1,855
1,839
Total current assets
7,955
7,167
Investments and other assets
3,156
3,157
Deferred income taxes
85
77
Property and equipment, at cost, less accumulated depreciation and amortization
5,857
6,236
Goodwill
10,799
10,307
Other intangible assets, at cost, less accumulated amortization
1,413
1,368
Total assets
$
29,265
$
28,312
LIABILITIES AND EQUITY
Current liabilities:
Current portion of long-term debt
$
102
$
120
Accounts payable
1,270
1,408
Accrued compensation and benefits
788
930
Professional and general liability reserves
283
254
Accrued interest payable
149
200
Liabilities held for sale
11
69
Income tax payable
715
23
Other current liabilities
2,175
1,756
Total current liabilities
5,493
4,760
Long-term debt, net of current portion
12,769
14,882
Professional and general liability reserves
844
792
Defined benefit plan obligations
334
335
Deferred income taxes
245
326
Other long-term liabilities
1,711
1,709
Total liabilities
21,396
22,804
Commitments and contingencies
Redeemable noncontrolling interests in equity of consolidated subsidiaries
2,813
2,391
Equity:
Shareholders’ equity:
Common stock
8
8
Additional paid-in capital
4,840
4,834
Accumulated other comprehensive loss
(177
)
(181
)
Retained earnings (accumulated deficit)
2,218
(192
)
Common stock in treasury, at cost
(3,414
)
(2,861
)
Total shareholders’ equity
3,475
1,608
Noncontrolling interests
1,581
1,509
Total equity
5,056
3,117
Total liabilities and equity
$
29,265
$
28,312
TENET HEALTHCARE CORPORATION
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
(Dollars in millions)
Six Months Ended
June 30,
2024
2023
Net income
$
2,811
$
589
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization
416
430
Deferred income tax expense (benefit)
(93
)
37
Stock-based compensation expense
36
33
Impairment and restructuring charges, and acquisition-related costs
56
37
Litigation and investigation costs
9
14
Net gains on sales, consolidation and deconsolidation of facilities
(2,558
)
(13
)
Loss from early extinguishment of debt
8
11
Equity in earnings of unconsolidated affiliates, net of distributions received
(3
)
7
Amortization of debt discount and debt issuance costs
14
18
Net gains from the sale of investments and long-lived assets
(1
)
(15
)
Other items, net
(3
)
(3
)
Changes in cash from operating assets and liabilities:
Accounts receivable
77
7
Inventories and other current assets
16
160
Income taxes
713
(31
)
Accounts payable, accrued expenses and other current liabilities
(124
)
(168
)
Other long-term liabilities
23
12
Payments for restructuring charges, acquisition-related costs, and litigation costs and settlements
(64
)
(78
)
Net cash provided by operating activities
1,333
1,047
Cash flows from investing activities:
Purchases of property and equipment
(385
)
(367
)
Purchases of businesses or joint venture interests, net of cash acquired
(510
)
(96
)
Proceeds from sales of facilities and other assets
4,048
16
Proceeds from sales of marketable securities and long-term investments
17
26
Purchases of marketable securities and long-term investments
(26
)
(37
)
Other items, net
(10
)
(9
)
Net cash provided by (used in) investing activities
3,134
(467
)
Cash flows from financing activities:
Repayments of borrowings
(2,179
)
(1,437
)
Proceeds from borrowings
8
1,362
Repurchases of common stock
(548
)
(90
)
Debt issuance costs
—
(15
)
Distributions paid to noncontrolling interests
(323
)
(270
)
Proceeds from the sale of noncontrolling interests
10
30
Purchases of noncontrolling interests
(88
)
(79
)
Advances from managed care payers
342
—
Other items, net
(37
)
(5
)
Net cash used in financing activities
(2,815
)
(504
)
Net increase in cash and cash equivalents
1,652
76
Cash and cash equivalents at beginning of period
1,228
858
Cash and cash equivalents at end of period
$
2,880
$
934
Supplemental disclosures:
Interest paid, net of capitalized interest
$
(459
)
$
(445
)
Income tax payments, net
$
(240
)
$
(158
)
TENET HEALTHCARE CORPORATION
SEGMENT REPORTING
(Unaudited)
Three Months Ended
Six Months Ended
June 30,
June 30,
(Dollars in millions)
2024
2023
2024
2023
Net operating revenues:
Ambulatory Care
$
1,141
$
942
$
2,136
$
1,847
Hospital Operations and Services
3,962
4,140
8,335
8,256
Total
$
5,103
$
5,082
$
10,471
$
10,103
Equity in earnings of unconsolidated affiliates:
Ambulatory Care
$
58
$
52
$
114
$
99
Hospital Operations and Services
3
2
6
5
Total
$
61
$
54
$
120
$
104
Adjusted EBITDA:
Ambulatory Care
$
447
$
370
$
841
$
710
Hospital Operations and Services
498
473
1,128
965
Total
$
945
$
843
$
1,969
$
1,675
Adjusted EBITDA margins:
Ambulatory Care
39.2
%
39.3
%
39.4
%
38.4
%
Hospital Operations and Services
12.6
%
11.4
%
13.5
%
11.7
%
Total
18.5
%
16.6
%
18.8
%
16.6
%
Capital expenditures:
Ambulatory Care
$
19
$
20
$
37
$
38
Hospital Operations and Services
126
112
348
329
Total
$
145
$
132
$
385
$
367
TENET HEALTHCARE CORPORATION
Additional Supplemental Non-GAAP disclosures
Table #1 – Reconciliations of Net Income Available to Tenet Healthcare Corporation Common Shareholders to Adjusted Net Income Available to Common Shareholders
(Unaudited)
Three Months Ended
Six Months Ended
June 30,
June 30,
(Dollars in millions, except per share amounts)
2024
2023
2024
2023
Net income available to Tenet Healthcare Corporation common shareholders
$
259
$
123
$
2,410
$
266
Less:
Impairment and restructuring charges, and acquisition-related costs
(29
)
(16
)
(56
)
(37
)
Litigation and investigation costs
(5
)
(10
)
(9
)
(14
)
Net gains on sales, consolidation and deconsolidation of facilities
58
—
2,558
13
Loss from early extinguishment of debt
—
(11
)
(8
)
(11
)
Tax and noncontrolling interests impact of above items
9
6
(625
)
7
Adjusted net income available to common shareholders
$
226
$
154
$
550
$
308
Diluted earnings per share
$
2.64
$
1.15
$
24.22
$
2.47
Less:
Impairment and restructuring charges, and acquisition-related costs
(0.30
)
(0.15
)
(0.56
)
(0.35
)
Litigation and investigation costs
(0.05
)
(0.10
)
(0.09
)
(0.13
)
Net gains on sales, consolidation and deconsolidation of facilities
0.59
—
25.70
0.12
Loss from early extinguishment of debt
—
(0.10
)
(0.08
)
(0.10
)
Tax and noncontrolling interests impact of above items
0.09
0.06
(6.28
)
0.06
Adjusted diluted earnings per share
$
2.31
$
1.44
$
5.53
$
2.87
Weighted average basic shares outstanding (in thousands)
97,267
101,766
98,424
102,028
Weighted average dilutive shares outstanding (in thousands)
98,444
104,778
99,557
105,354
TENET HEALTHCARE CORPORATION
Additional Supplemental Non-GAAP disclosures
Table #2 – Reconciliations of Net Income Available to Tenet Healthcare Corporation Common Shareholders to Adjusted EBITDA
(Unaudited)
Three Months Ended
Six Months Ended
June 30,
June 30,
(Dollars in millions)
2024
2023
2024
2023
Net income available to Tenet Healthcare Corporation common shareholders
$
259
$
123
$
2,410
$
266
Less:
Net income available to noncontrolling interests
(218
)
(170
)
(401
)
(323
)
Net income
477
293
2,811
589
Income tax expense
(110
)
(80
)
(860
)
(164
)
Loss from early extinguishment of debt
—
(11
)
(8
)
(11
)
Other non-operating income, net
29
6
54
4
Interest expense
(203
)
(226
)
(421
)
(447
)
Operating income
761
604
4,046
1,207
Litigation and investigation costs
(5
)
(10
)
(9
)
(14
)
Net gains on sales, consolidation and deconsolidation of facilities
58
—
2,558
13
Impairment and restructuring charges, and acquisition-related costs
(29
)
(16
)
(56
)
(37
)
Depreciation and amortization
(208
)
(213
)
(416
)
(430
)
Adjusted EBITDA
$
945
$
843
$
1,969
$
1,675
Net operating revenues
$
5,103
$
5,082
$
10,471
$
10,103
Net income available to Tenet Healthcare Corporation common shareholders as a % of net operating revenues
5.1
%
2.4
%
23.0
%
2.6
%
Adjusted EBITDA as a % of net operating revenues (Adjusted EBITDA margin)
18.5
%
16.6
%
18.8
%
16.6
%
TENET HEALTHCARE CORPORATION
Additional Supplemental Non-GAAP disclosures
Table #3 – Reconciliations of Net Cash Provided by Operating Activities to Free Cash Flow and Adjusted Free Cash Flow
(Unaudited)
2024
(Dollars in millions)
Q2
YTD
Net cash provided by operating activities
$
747
$
1,333
Purchases of property and equipment
(145
)
(385
)
Free cash flow
$
602
$
948
Net cash provided by (used in) investing activities
$
(194
)
$
3,134
Net cash used in financing activities
$
(154
)
$
(2,815
)
Net cash provided by operating activities
$
747
$
1,333
Less:
Payments for restructuring charges, acquisition-related costs, and litigation costs and settlements
(39
)
(64
)
Adjusted net cash provided by operating activities
786
1,397
Purchases of property and equipment
(145
)
(385
)
Adjusted free cash flow
$
641
$
1,012
2023
(Dollars in millions)
Q2
YTD
Net cash provided by operating activities
$
598
$
1,047
Purchases of property and equipment
(132
)
(367
)
Free cash flow
$
466
$
680
Net cash used in investing activities
$
(181
)
$
(467
)
Net cash used in financing activities
$
(249
)
$
(504
)
Net cash provided by operating activities
$
598
$
1,047
Less:
Payments for restructuring charges, acquisition-related costs, and litigation costs and settlements
(54
)
(78
)
Adjusted net cash provided by operating activities
652
1,125
Purchases of property and equipment
(132
)
(367
)
Adjusted free cash flow
$
520
$
758
TENET HEALTHCARE CORPORATION
Additional Supplemental Non-GAAP disclosures
Table #4 – Reconciliations of Outlook Net Income Available to Tenet Healthcare Corporation Common Shareholders to Outlook Adjusted Net Income Available to Common Shareholders
(Unaudited)
Third Quarter 2024
FY 2024
(Dollars in millions, except per share amounts)
Low
High
Low
High
Net income available to Tenet Healthcare Corporation common shareholders
$
195
$
240
$
2,825
$
2,930
Less:
Impairment and restructuring charges, acquisition-related costs, and litigation costs and settlements(1)
(20
)
(10
)
(125
)
(75
)
Net gains on sales, consolidation and deconsolidation of facilities(2)
—
—
2,558
2,558
Loss from early extinguishment of debt(2)
—
—
(8
)
(8
)
Tax and noncontrolling interests impact of above items
5
—
(620
)
(635
)
Adjusted net income available to common shareholders
$
210
$
250
$
1,020
$
1,090
Diluted earnings per share
$
2.01
$
2.47
$
28.83
$
29.90
Less:
Impairment and restructuring charges, acquisition-related costs, and litigation costs and settlements
(0.20
)
(0.11
)
(1.27
)
(0.76
)
Net gains on sales, consolidation and deconsolidation of facilities
—
—
26.10
26.10
Loss from early extinguishment of debt
—
—
(0.08
)
(0.08
)
Tax and noncontrolling interests impact of above items
0.05
—
(6.33
)
(6.48
)
Adjusted diluted earnings per share
$
2.16
$
2.58
$
10.41
$
11.12
Weighted average basic shares outstanding (in thousands)
96,000
96,000
97,000
97,000
Weighted average dilutive shares outstanding (in thousands)
97,000
97,000
98,000
98,000
(1)
The figures shown represent the Company's estimate for restructuring charges plus the actual year-to-date results for impairment and restructuring charges, acquisition-related costs, and litigation costs and settlements. The Company does not generally forecast impairment charges, acquisition-related costs, and litigation costs and settlements because it does not believe that it can forecast these items with sufficient accuracy since some of these items are indeterminable at the time the Company provides its financial Outlook.
(2)
The Company does not generally forecast net gains on sales, consolidation and deconsolidation of facilities or losses from the early extinguishment of debt because the Company does not believe that it can forecast these items with sufficient accuracy since it is indeterminable at the time the Company provides its financial Outlook. The figures shown relate to transactions that have already occurred in 2024.
TENET HEALTHCARE CORPORATION
Additional Supplemental Non-GAAP disclosures
Table #5 – Reconciliations of Outlook Net Income Available to Tenet Healthcare Corporation Common Shareholders to Outlook Adjusted EBITDA
(Unaudited)
Third Quarter 2024
FY 2024
(Dollars in millions)
Low
High
Low
High
Net income available to Tenet Healthcare Corporation common shareholders
$
195
$
240
$
2,825
$
2,930
Less:
Net income available to noncontrolling interests
(195
)
(205
)
(820
)
(870
)
Income tax expense
(90
)
(105
)
(1,040
)
(1,075
)
Interest expense
(205
)
(195
)
(825
)
(815
)
Loss from early extinguishment of debt(2)
—
—
(8
)
(8
)
Other non-operating income, net
15
25
90
100
Net gains on sales, consolidation and deconsolidation of facilities(2)
—
—
2,558
2,558
Impairment and restructuring charges, acquisition-related costs, and litigation costs and settlements(1)
(20
)
(10
)
(125
)
(75
)
Depreciation and amortization
(210
)
(220
)
(830
)
(860
)
Adjusted EBITDA
$
900
$
950
$
3,825
$
3,975
Net income available to Tenet Healthcare Corporation common shareholders
$
195
$
240
$
2,825
$
2,930
Net operating revenues
$
5,000
$
5,100
$
20,600
$
21,000
Net income available to Tenet Healthcare Corporation common shareholders as a % of net operating revenues
3.9
%
4.7
%
13.7
%
14.0
%
Adjusted EBITDA as a % of net operating revenues (Adjusted EBITDA margin)
18.0
%
18.6
%
18.6
%
18.9
%
(1)The figures shown represent the Company's estimate for restructuring charges plus the actual year-to-date results for impairment and restructuring charges, acquisition-related costs, and litigation costs and settlements. The Company does not generally forecast impairment charges, acquisition-related costs, and litigation costs and settlements because it does not believe that it can forecast these items with sufficient accuracy since some of these items are indeterminable at the time the Company provides its financial Outlook.
(2)
The Company does not generally forecast net gains on sales, consolidation and deconsolidation of facilities or losses from the early extinguishment of debt because the Company does not believe that it can forecast these items with sufficient accuracy since it is indeterminable at the time the Company provides its financial Outlook. The figures shown relate to transactions that have already occurred in 2024.
TENET HEALTHCARE CORPORATION
Additional Supplemental Non-GAAP disclosures
Table #6 – Reconciliations of Outlook Net Cash Provided by Operating Activities to Outlook Free Cash Flow and Outlook Adjusted Free Cash Flow
(Unaudited)
FY 2024
(Dollars in millions)
Low
High
Net cash provided by operating activities
$
1,900
$
2,250
Purchases of property and equipment
(800
)
(900
)
Free cash flow
$
1,100
$
1,350
Net cash provided by operating activities
$
1,900
$
2,250
Less:
Payments for restructuring charges, acquisition-related costs and litigation costs and settlements(1)
(125
)
(75
)
Adjusted net cash provided by operating activities
2,025
2,325
Purchases of property and equipment
(800
)
(900
)
Adjusted free cash flow(2)
$
1,225
$
1,425
(1)
The figures shown represent the Company's estimate for restructuring payments plus the actual year-to-date payments for restructuring charges, acquisition-related costs, and litigation costs and settlements. The Company does not generally forecast payments for acquisition-related costs, and litigation costs and settlements because it does not believe that it can forecast these items with sufficient accuracy since some of these items are indeterminable at the time the Company provides its financial Outlook.
(2)
The Company’s definition of Adjusted Free Cash Flow does not include other important uses of cash including (1) cash used to purchase businesses or joint venture interests, or (2) any items that are classified as Cash Flows From Financing Activities on the Company’s Consolidated Statement of Cash Flows, including items such as (i) cash used to repay borrowings, and (ii) distributions paid to noncontrolling interests.
View source version on businesswire.com: https://www.businesswire.com/news/home/20240723399752/en/
Investor Contact Will McDowell 469-893-2387 william.mcdowell@tenethealth.com
Media Contact Robert Dyer 469-893-2640 mediarelations@tenethealth.com
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