Tenet Reports Second Quarter Adjusted EBITDA of $288 Million

6.2% Growth in Net Operating Revenues

1.5% Growth in Adjusted Admissions

4.9% Increase in Surgeries

Outlook for 2012 Adjusted EBITDA Reconfirmed in Range of $1.250 Billion to $1.375 Billion

DALLAS--()--Tenet Healthcare Corporation (NYSE:THC) today reported Adjusted EBITDA of $288 million for the second quarter ended June 30, 2012, an increase of $13 million, or 4.7 percent, as compared to Adjusted EBITDA of $275 million in the second quarter of 2011. Income from continuing operations was $42 million, or $0.10 per diluted share, in the second quarter of 2012, compared to $40 million, or $0.08 per diluted share, in last year’s second quarter. Net income attributable to common shareholders was a loss of $6 million, or a loss of $0.01 per diluted share, compared to net income of $55 million, or $0.11 per diluted share in the second quarter of 2011. In the second quarter of 2012 net income attributable to common shareholders included impairment and restructuring charges in discontinued operations of $100 million pre-tax, $50 million after-tax and after the noncontrolling interest benefit, or $0.12 per share, related to the previously announced anticipated sale of Creighton University Medical Center. The California Provider Fee 30-month Program contributed $47 million pre-tax, of which approximately $28 million was attributable to other reporting periods.

“We are pleased with our second quarter results which came in above our expectations,” said Trevor Fetter, president and chief executive officer. “This strong performance was driven by growth in patient volumes and revenues. This was our seventh consecutive quarter in which adjusted admissions growth was positive. Several targeted service lines including major trauma and neuro-, thoracic-, oncology and vascular surgeries, contributed to volume growth in the quarter. And, on July 1 Conifer Health Solutions launched phase one of its ground-breaking partnership with Catholic Health Initiatives.”

Discussion of Results (Percentage changes compare Q2’12 to Q2’11, unless otherwise noted.)

Adjusted admissions increased by 1.5 percent and total admissions declined by 0.4 percent. Surgery growth was strong increasing by 4.9 percent, and emergency department visits increased 5.0 percent.

Net operating revenues were $2.265 billion, an increase of $133 million, or 6.2 percent, compared to net operating revenues of $2.132 billion in the second quarter of 2011. Net revenues in the second quarter of 2012 included a net contribution of $47 million from the California Provider Fee 30-month Program of which approximately $28 million was attributable to other reporting periods. Tenet expects to recognize additional net revenues of approximately $66 million in the second half of 2012 related to this program.

Bad debt expense was $190 million compared to $168 million in the second quarter of 2011. Bad debt expense as a percent of revenues was 7.7 percent, an increase of 40 basis points compared to 7.3 percent in the second quarter of 2011, which remained within our 2012 Outlook range. Increased self-pay volume and various favorable settlements of aged managed care accounts in the 2011 period contributed to the increase in bad debt expense.

Net patient revenue per adjusted patient day was $2,543, an increase of 5.3 percent. This pricing increase reflects improved terms in our contracts with commercial managed care payers, partially offset by an adverse shift in payer mix.

Selected operating expenses, defined as the sum of salaries, wages and benefits, supplies and other operating expenses, increased by 3.5 percent per adjusted admission, which was favorable to the Company’s expectations for the quarter. Supply costs were extremely well-controlled, declining 2.3 percent per adjusted admission. Selected operating expenses included an adverse impact of $8 million due to additional costs as a result of declining interest rates.

The comparison of the Company’s Adjusted EBITDA in the 2012 period to the second quarter of 2011 was adversely impacted by $25 million of healthcare information technology (“HIT”) incentive payments recognized as earnings in last year’s second quarter. No HIT incentive payments were recognized in the second quarter of 2012.

The Company initiated segment financial disclosures of Conifer Health Solutions (“Conifer”) in the current quarter. Conifer reported $25 million in Adjusted EBITDA in the second quarter of 2012, which included $16 million of earnings for Conifer services provided to the Company’s hospitals. No revenues were recognized in the second quarter of 2012 related to Conifer’s recently announced partnership with Catholic Health Initiatives, which commenced on July 1, 2012.

Cash and cash equivalents were $82 million at June 30, 2012, a decrease of $22 million from $104 million at March 31, 2012. The balance on the Company’s bank line was $200 million at June 30, 2012, a reduction of $83 million as compared to a balance of $283 million as of March 31, 2012. Cash flow from operations was $243 million in the second quarter of 2012, an increase of $65 million as compared to $178 million in the second quarter of 2011. Capital expenditures were $116 million in the second quarter of 2012 compared to $82 million in the second quarter of 2011.

Management’s Webcast Discussion of Second Quarter Results

Tenet management will discuss the Company’s second quarter 2012 results on a 10:00 AM (ET) webcast on August 7, 2012. This webcast may be accessed through Tenet’s website at www.tenethealth.com/investors. A set of slides, which will be referenced on the call, are posted on 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 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 50 hospitals, over 100 free-standing outpatient centers and Conifer Health Solutions, a leader in business process solutions for health care providers serving nearly 400 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.

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.

TENET HEALTHCARE CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
(Dollars in millions except per share amounts)   Three Months Ended June 30,
2012   %     2011   %   Change
 
Net operating revenues:
Net operating revenues before provision for doubtful accounts $ 2,455 $ 2,300 6.7 %
Less: Provision for doubtful accounts   190     168   13.1 %
Net operating revenues 2,265 100.0 % 2,132 100.0 % 6.2 %
Operating expenses:
Salaries, wages and benefits 1,054 46.5 % 982 46.1 % 7.3 %
Supplies 389 17.2 % 392 18.4 % (0.8 ) %
Other operating expenses, net 534 23.7 % 508 23.8 % 5.1 %
Electronic health record incentives % (25 ) (1.2 ) % (100.0 ) %
Depreciation and amortization 104 4.6 % 100 4.7 % 4.0 %
Impairment of long-lived assets and goodwill, and restructuring charges, net 3 0.1 % 2 0.1 %
Litigation and investigation costs   1   %   8   0.4 %
Operating income 180 7.9 % 165 7.7 %
Interest expense (102 ) (98 )
Investment earnings       1  
Income from continuing operations, before income taxes 78 68
Income tax expense   (30 )   (19 )
Income from continuing operations, before
discontinued operations
48 49
Discontinued operations:
Income (loss) from operations 1 (5 )
Impairment of long-lived assets and goodwill,
and restructuring charges, net
(100 )
Net gains on sales of facilities 2
Income tax benefit   29     19  
Income (loss) from discontinued operations   (68 )   14  
Net income (loss) (20 ) 63
Less: Preferred stock dividends 4 6
Less: Net income (loss) attributable to noncontrolling interests   (18 )   2  
Net income (loss) attributable to Tenet Healthcare Corporation common shareholders $ (6 ) $ 55  
 
Amounts attributable to Tenet Healthcare Corporation common shareholders
Income from continuing operations, net of tax $ 42 $ 40
Income (loss) from discontinued operations, net of tax   (48 )   15  
Net income (loss) attributable to Tenet Healthcare Corporation common shareholders $ (6 ) $ 55  
 
Earnings (loss) per share attributable to Tenet Healthcare Corporation common shareholders
Basic
Continuing operations $ 0.10 $ 0.08
Discontinued operations   (0.11 )   0.03  
$ (0.01 ) $ 0.11  
Diluted
Continuing operations $ 0.10 $ 0.08
Discontinued operations   (0.11 )   0.03  
$ (0.01 ) $ 0.11  
Weighted average shares and dilutive securities
outstanding (in thousands):
Basic 415,011 486,794
Diluted 427,708 503,748
TENET HEALTHCARE CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
 
(Dollars in millions except per share amounts)   Six Months Ended June 30,
2012 %   2011     %   Change
 
Net operating revenues:
Net operating revenues before provision for doubtful accounts $ 4,946 $ 4,729 4.6 %
Less: Provision for doubtful accounts   379     347   9.2 %
Net operating revenues 4,567 100.0 % 4,382 100.0 % 4.2 %
Operating expenses:
Salaries, wages and benefits 2,116 46.3 % 1,999 45.6 % 5.9 %
Supplies 788 17.3 % 788 18.0 % %
Other operating expenses, net 1,065 23.3 % 999 22.8 % 6.6 %
Electronic health record incentives % (50 ) (1.1 ) % (100.0 ) %
Depreciation and amortization 204 4.5 % 198 4.5 % 3.0 %
Impairment of long-lived assets and goodwill, and restructuring charges, net 6 0.1 % 10 0.2 %
Litigation and investigation costs   3   0.1 %   19   0.4 %
Operating income 385 8.4 % 419 9.6 %
Interest expense (200 ) (216 )
Investment earnings   1     2  
Income from continuing operations, before income taxes 186 205
Income tax expense   (72 )   (69 )
Income from continuing operations, before
discontinued operations
114 136
Discontinued operations:
Income (loss) from operations 3 (15 )
Impairment of long-lived assets and goodwill,
and restructuring charges, net
(100 )
Net gains on sales of facilities 2
Income tax benefit   28     24  
Income (loss) from discontinued operations   (67 )   9  
Net income 47 145
Less: Preferred stock dividends 10 12
Less: Net income (loss) attributable to noncontrolling interests   (15 )   5  
Net income attributable to Tenet Healthcare Corporation common shareholders $ 52   $ 128  
 
Amounts attributable to Tenet Healthcare Corporation common shareholders
Income from continuing operations, net of tax $ 99 $ 120
Income (loss) from discontinued operations, net of tax   (47 )   8  
Net income attributable to Tenet Healthcare Corporation common shareholders $ 52   $ 128  
 
Earnings (loss) per share attributable to Tenet Healthcare Corporation common shareholders
Basic
Continuing operations $ 0.24 $ 0.24
Discontinued operations   (0.11 )   0.02  
$ 0.13   $ 0.26  
Diluted
Continuing operations $ 0.23 $ 0.23
Discontinued operations   (0.11 )   0.02  
$ 0.12   $ 0.25  
Weighted average shares and dilutive securities
outstanding (in thousands):
Basic 413,192 486,848
Diluted 434,718 563,951
TENET HEALTHCARE CORPORATION
CONSOLIDATED BALANCE SHEETS
(Unaudited)
 
June 30,   December 31,
(Dollars in millions) 2012 2011
ASSETS
Current assets:
Cash and cash equivalents $ 82 $ 113
Accounts receivable, less allowance for doubtful accounts 1,356 1,278
Inventories of supplies, at cost 154 161
Income tax receivable 13 7
Current portion of deferred income taxes 409 418
Assets held for sale 41 2
Other current assets   509     378  
Total current assets 2,564 2,357
Investments and other assets 120 156
Deferred income taxes, net of current portion 345 374
Property and equipment, at cost, less accumulated depreciation and amortization 4,181 4,350
Goodwill 749 736
Other intangible assets, at cost, less accumulated amortization   526     489  
Total assets $ 8,485   $ 8,462  
 
LIABILITIES AND EQUITY
Current liabilities:
Current portion of long-term debt $ 237 $ 66
Accounts payable 644 760
Accrued compensation and benefits 363 376
Professional and general liability reserves 73 75
Accrued interest payable 121 112
Accrued legal settlement costs 7 64
Other current liabilities   427     362  
Total current liabilities 1,872 1,815
Long-term debt, net of current portion 4,511 4,294
Professional and general liability reserves 336 337
Accrued legal settlement costs 2 2
Other long-term liabilities   519     506  
Total liabilities 7,240 6,954
Commitments and contingencies
Redeemable noncontrolling interests in equity of consolidated subsidiaries 16 16
Equity:
Shareholders’ equity:
Preferred stock 45 334
Common stock 27 27
Additional paid-in capital 4,410 4,407
Accumulated other comprehensive loss (49 ) (52 )
Accumulated deficit (1,378 ) (1,440 )
Common stock in treasury, at cost   (1,879 )   (1,853 )
Total shareholders’ equity 1,176 1,423
Noncontrolling interests   53     69  
Total equity   1,229     1,492  
Total liabilities and equity $ 8,485   $ 8,462  

TENET HEALTHCARE CORPORATION

CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)

(Dollars in millions)   Six Months Ended
June 30,
2012     2011  
Net income $ 47 $ 145
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization 204 198
Provision for doubtful accounts 379 347
Deferred income tax expense 37 91
Stock-based compensation expense 17 12
Impairment of long-lived assets and goodwill, and restructuring charges, net 6 10
Litigation and investigation costs 3 19
Fair market value adjustments related to interest rate swap and LIBOR cap agreements 17
Amortization of debt discount and debt issuance costs 11 15
Pre-tax loss from discontinued operations 95 15
Other items, net (4 ) (3 )
Changes in cash from changes in operating assets and liabilities:
Accounts receivable (450 ) (468 )
Inventories and other current assets (116 ) (54 )
Income taxes (5 ) (26 )
Accounts payable, accrued expenses and other current liabilities 23 (117 )
Other long-term liabilities 26 8
Payments against reserves for restructuring charges and litigation costs and settlements (50 ) (22 )
Net cash used in operating activities from discontinued operations, excluding income taxes   (22 )   (11 )
Net cash provided by operating activities 201 176
Cash flows from investing activities:
Purchases of property and equipment — continuing operations (251 ) (197 )
Purchases of property and equipment — discontinued operations (1 ) (1 )
Purchases of businesses or joint venture interests (13 ) (42 )
Proceeds from sales of facilities and other assets — discontinued operations 10
Proceeds from sales of marketable securities, long-term investments and other assets 2 (1 )
Other items, net   5     10  
Net cash used in investing activities (248 ) (231 )
Cash flows from financing activities:
Repayments of borrowings under credit facility (973 )
Proceeds from borrowings under credit facility 1,093
Repayments of other borrowings (67 ) (2 )
Proceeds from other borrowings 292
Deferred debt issuance costs (2 )
Repurchases of common stock (26 ) (72 )
Repurchases of preferred stock (292 )
Cash dividends on preferred stock (12 ) (12 )
Distributions paid to noncontrolling interests (6 ) (4 )
Other items, net   9     4  
Net cash provided by (used in) financing activities   16     (86 )
Net decrease in cash and cash equivalents (31 ) (141 )
Cash and cash equivalents at beginning of period   113     405  
Cash and cash equivalents at end of period $ 82   $ 264  
Supplemental disclosures:
Interest paid, net of capitalized interest $ (181 ) $ (182 )
Income tax (payments) refunds, net $ (11 ) $ 20

TENET HEALTHCARE CORPORATION

SELECTED STATISTICS – CONTINUING HOSPITALS

(Unaudited)

 

(Dollars in millions except per patient day, per admission and per visit amounts)

 

  Three Months Ended June 30,   Six Months Ended June 30,
2012   2011   Change 2012   2011   Change
 
Net inpatient revenues $ 1,548 $ 1,466 5.6 % $ 3,155 $ 3,085 2.3 %
Net outpatient revenues $ 791 $ 738 7.2 % $ 1,557 $ 1,458 6.8 %
 
Number of acute care hospitals (at end of period) 49 49 * 49 49 *
Licensed beds (at end of period) 13,176 13,086 0.7 % 13,176 13,086 0.7 %
Average licensed beds 13,176 13,111 0.5 % 13,157 13,117 0.3 %
Utilization of licensed beds 49.2 % 50.0 % (0.8 ) % * 50.4 % 51.9 % (1.5 ) % *
Patient days 590,437 595,986 (0.9 ) % 1,207,896 1,231,449 (1.9 ) %
Adjusted patient days 919,895 912,369 0.8 % 1,867,011 1,860,725 0.3 %
Net inpatient revenue per patient day $ 2,622 $ 2,460 6.6 % $ 2,612 $ 2,505 4.3 %
Total admissions 125,136 125,592 (0.4 ) % 256,326 257,029 (0.3 ) %
Adjusted patient admissions 196,932 193,971 1.5 % 399,792 391,430 2.1 %
Net inpatient revenue per admission $ 12,371 $ 11,673 6.0 % $ 12,309 $ 12,003 2.5 %
Average length of stay (days) 4.72 4.75 (0.6 ) % 4.71 4.79 (1.7 ) %
Total surgeries 95,422 91,005 4.9 % 188,650 178,512 5.7 %
Outpatient visits 1,046,768 994,204 5.3 % 2,078,379 1,984,615 4.7 %
Net outpatient revenue per visit $ 756 $ 742 1.9 % $ 749 $ 735 1.9 %
 
Sources of net patient revenue
Medicare 22.7 % 23.5 % (0.8 ) % * 24.6 % 23.3 % 1.3 % *
Medicaid 10.0 % 7.5 % 2.5 % * 8.7 % 9.6 % (0.9 ) % *
Managed care 56.8 % 58.2 % (1.4 ) % * 56.3 % 56.4 % (0.1 ) % *
Indemnity, self-pay and other 10.5 % 10.8 % (0.3 ) % * 10.4 % 10.7 % (0.3 ) % *
 
 
* This change is the difference between the 2012 and 2011 amounts shown
TENET HEALTHCARE CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS
Fiscal 2012 by Calendar Quarter
(Unaudited)
 
(Dollars in millions except per share amounts)   Three Months Ended   Six Months Ended
03/31/12   06/30/12 06/30/12
 
Net operating revenues:
Net operating revenues before provision for doubtful accounts $ 2,491 $ 2,455 $ 4,946
Less: Provision for doubtful accounts   189     190     379  
Net operating revenues 2,302 2,265 4,567
Operating expenses:
Salaries, wages and benefits 1,062 1,054 2,116
Supplies 399 389 788
Other operating expenses, net 531 534 1,065
Depreciation and amortization 100 104 204
Impairment of long-lived assets and goodwill, and restructuring charges, net 3 3 6
Litigation and investigation costs   2     1     3  
Operating income 205 180 385
Interest expense (98 ) (102 ) (200 )
Investment earnings   1         1  
Income from continuing operations, before income taxes 108 78 186
Income tax expense   (42 )   (30 )   (72 )
Income from continuing operations, before discontinued operations 66 48 114
Discontinued operations:
Income (loss) from operations 2 1 3
Impairment of long-lived assets and goodwill, and restructuring charges, net (100 ) (100 )
Net gains on sales of facilities 2 2
Income tax benefit (expense)   (1 )   29     28  
Income (loss) from discontinued operations   1     (68 )   (67 )
Net income 67 (20 ) 47
Less: Preferred stock dividends 6 4 10
Less: Net income (loss) attributable to noncontrolling interests   3     (18 )   (15 )
Net income (loss) attributable to Tenet Healthcare Corporation common shareholders $ 58   $ (6 ) $ 52  
 
Amounts attributable to Tenet Healthcare Corporation common shareholders
Income from continuing operations, net of tax $ 57 $ 42 $ 99
Income (loss) from discontinued operations, net of tax   1     (48 )   (47 )
Net income (loss) attributable to Tenet Healthcare Corporation common shareholders $ 58   $ (6 ) $ 52  
 
Earnings (loss) per share attributable to Tenet Healthcare Corporation common shareholders
Basic
Continuing operations $ 0.14 $ 0.10 $ 0.24
Discontinued operations       (0.11 )   (0.11 )
$ 0.14   $ (0.01 ) $ 0.13  
Diluted
Continuing operations $ 0.13 $ 0.10 $ 0.23
Discontinued operations       (0.11 )   (0.11 )
$ 0.13   $ (0.01 ) $ 0.12  
Weighted average shares and dilutive securities
outstanding (in thousands):
Basic 411,373 415,011 413,192
Diluted 484,873 427,708 434,718
TENET HEALTHCARE CORPORATION
SELECTED STATISTICS – CONTINUING HOSPITALS
(Unaudited)
     

(Dollars in millions except per patient day, per admission and per visit amounts)

Six Months

 

Three Months Ended Ended
03/31/12 06/30/12 06/30/12
 
Net inpatient revenues $ 1,607 $ 1,548 $ 3,155
Net outpatient revenues $ 766 $ 791 $ 1,557
 
Number of acute care hospitals (at end of period) 49 49 49 *
Licensed beds (at end of period) 13,175 13,176 13,176
Average licensed beds 13,138 13,176 13,157
Utilization of licensed beds 51.6 % 49.2 % 50.4 % *
Patient days 617,459 590,437 1,207,896
Adjusted patient days 947,116 919,895 1,867,011
Net inpatient revenue per patient day $ 2,603 $ 2,622 $ 2,612
Total admissions 131,190 125,136 256,326
Adjusted patient admissions 202,860 196,932 399,792
Net inpatient revenue per admission $ 12,249 $ 12,371 $ 12,309
Average length of stay (days) 4.71 4.72 4.71
Total surgeries 93,228 95,422 188,650
Outpatient visits 1,031,611 1,046,768 2,078,379
Net outpatient revenue per visit $ 743 $ 756 $ 749
 
Sources of net patient revenue
Medicare 26.5 % 22.7 % 24.6 % *
Medicaid 7.5 % 10.0 % 8.7 % *
Managed care 55.9 % 56.8 % 56.3 % *
Indemnity, self-pay and other 10.1 % 10.5 % 10.4 % *
 
* This change is the difference between the 2012 and 2011 amounts shown
TENET HEALTHCARE CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS

Fiscal 2011 by Calendar Quarter

(Unaudited)

(Dollars in millions except per share amounts)   Three Months Ended Year Ended
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     1     4  
Income (loss) from continuing operations, before income taxes 137 68 21 (61 ) 165
Income tax benefit (expense)   (50 )   (19 )   (4 )   12     (61 )
Income (loss) from continuing operations, before
discontinued operations
87 49 17 (49 ) 104
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 (65 ) 95
Less: Preferred stock dividends 6 6 6 6 24
Less: Net income attributable to noncontrolling interests   3     2     3     5     13  
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 $ 0.16 $ 0.08 $ 0.02 $ (0.13 ) $ 0.15
Discontinued operations   (0.01 )   0.03         (0.04 )   (0.03 )
$ 0.15   $ 0.11   $ 0.02   $ (0.17 ) $ 0.12  
Diluted
Continuing operations $ 0.15 $ 0.08 $ 0.02 $ (0.13 ) $ 0.14
Discontinued operations   (0.01 )   0.03         (0.04 )   (0.02 )
$ 0.14   $ 0.11   $ 0.02   $ (0.17 ) $ 0.12  
Weighted average shares and dilutive securities
outstanding (in thousands):
Basic 486,902 486,794 468,753 432,454 468,726
Diluted 565,181 503,748 483,632 432,454 485,181
TENET HEALTHCARE CORPORATION

SELECTED STATISTICS – CONTINUING HOSPITALS

(Unaudited)

   

(Dollars in millions except per patient day, per admission and per visit amounts)

 

Three Months Ended Year Ended
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 % *
 
* This change is the difference between the 2012 and 2011 amounts shown
TENET HEALTHCARE CORPORATION

SEGMENT REPORTING

(Unaudited)

   
(Dollars in millions) June 30,   December 31,
2012   2011  
Assets:
Hospital Operations and other $ 8,410 $ 8,389
Conifer   75     73  
Total $ 8,485   $ 8,462  
 
Three Months Ended

June 30,

Six Months Ended

June 30,

2012   2011   2012   2011  
Capital expenditures:
Hospital Operations and other $ 114 $ 78 $ 247 $ 191
Conifer   2     4     5     7  
Total $ 116   $ 82   $ 252   $ 198  
 
Revenues:
Hospital Operations and other $ 2,247 $ 2,113 $ 4,532 $ 4,349
Conifer
Tenet 90 64 180 124
Other customers   18     19     35     33  
2,355 2,196 4,747 4,506
Intercompany eliminations   (90 )   (64 )   (180 )   (124 )
Total $ 2,265   $ 2,132   $ 4,567   $ 4,382  
 
Adjusted EBITDA:
Hospital Operations and other $ 263 $ 266 $ 548 $ 632
Conifer   25     9     50     14  
Total $ 288   $ 275   $ 598   $ 646  
 
Depreciation and amortization:
Hospital Operations and other $ 101 $ 98 $ 199 $ 194
Conifer   3     2     5     4  
Total $ 104   $ 100   $ 204   $ 198  
 
Adjusted EBITDA: $ 288 $ 275 $ 598 $ 646
Depreciation and amortization (104 ) (100 ) (204 ) (198 )
Interest expenses (102 ) (98 ) (200 ) (216 )
Litigation and investigation costs (1 ) (8 ) (3 ) (19 )
Impairments of long-lived assets (3 ) (2 ) (6 ) (10 )
Investment earnings   0     1     1     2  
Income before income taxes $ 78   $ 68   $ 186   $ 205  

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 proforma EBITDA on a comparable basis to the prior year’s presentation.

  Three Months Ended

June 30,

  Six Months Ended

June 30,

2012   2011 2012   2011
Adjusted supplemental EBITDA:
Hospital Operations and other $ 279 $ 266 $ 580 $ 632
Conifer   9   9   18   14
Total $ 288 $ 275 $ 598 $ 646

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 six months ended June 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)
 
(Dollars in millions)   Three Months Ended
June 30,
  Six Months Ended
June 30,
2012   2011   2012   2011  
Net income attributable to Tenet Healthcare Corporation common shareholders $ (6 ) $ 55 $ 52 $ 128
Less: Net loss/(income) attributable to noncontrolling interests 18 (2 ) 15 (5 )
Preferred stock dividends (4 ) (6 ) (10 ) (12 )
Income (loss) from discontinued operations, net of tax   (68 )   14     (67 )   9  
Income from continuing operations 48 49 114 136
Income tax expense (30 ) (19 ) (72 ) (69 )
Investment earnings 1 1 2
Interest expense   (102 )   (98 )   (200 )   (216 )
Operating income 180 165 385 419
Litigation and investigation costs (1 ) (8 ) (3 ) (19 )
Impairment of long-lived assets and goodwill, and restructuring charges (3 ) (2 ) (6 ) (10 )
Depreciation and amortization   (104 )   (100 )   (204 )   (198 )
Adjusted EBITDA $ 288   $ 275   $ 598   $ 646  
 
Net operating revenues $ 2,265   $ 2,132   $ 4,567   $ 4,382  
 
Adjusted EBITDA as % of net operating revenues (Adjusted EBITDA margin) 12.7 % 12.9 % 13.1 % 14.7 %
Table #2 - Reconciliation of Outlook Adjusted EBITDA to
Outlook Net Income Attributable to Tenet Healthcare Corporation Common Shareholders

for Year Ending December 31, 2012

(Unaudited)
 
(Dollars in millions)   Low   High
 
Net income attributable to Tenet Healthcare Corporation common shareholders $ 165 $ 270
Less:
Net loss attributable to noncontrolling interests 5 10
Preferred stock dividends (12 ) (12 )
Loss from discontinued operations, net of tax   (75 )   (60 )
Income from continuing operations 247 332
Income tax expense   (158 )   (213 )
Income from continuing operations, before income taxes 405 545
Interest expense, net   (410 )   (390 )
Operating income 815 935
Litigation and investigation costs (10 ) (5 )
Impairment of long-lived assets and goodwill, and restructuring charges (15 ) (5 )
Depreciation and amortization   (410 )   (430 )
Adjusted EBITDA $ 1,250   $ 1,375  
 
Net operating revenues $ 9,000 $ 9,300
Adjusted EBITDA as % of net operating revenues (Adjusted EBITDA margin) 13.9 % 14.8 %
Table #3 - Reconciliation of Outlook Adjusted EBITDA to
Outlook Normalized Income From Continuing Operations

for Year Ending December 31, 2012

(Unaudited)
 
(Dollars in millions)   Low   High
 
Adjusted EBITDA (from Table #2) $ 1,250 $ 1,375
 
Depreciation and amortization (410) (430)
Interest expense, net (410) (390)
Income from continuing operations, before income taxes 430 555
Income tax expense (a) (168) (216)
Income from continuing operations 262 339
Preferred stock dividends (12) (12)
Net income attributable to noncontrolling interests (15) (10)
Income from continuing operations net of tax (a) $ 235 $ 317
 
 
Weighted average shares outstanding (in millions) 437 437
Diluted earnings per share – continuing operations (a) $ 0.54 $ 0.73
 
(a) Uses tax rate of 39 percent

Contacts

Tenet Healthcare Corporation
Media:
Rick Black, 469-893-2647
Rick.Black@tenethealth.com
or
Investors:
Thomas Rice, 469-893-2522
Thomas.Rice@tenethealth.com

Contacts

Tenet Healthcare Corporation
Media:
Rick Black, 469-893-2647
Rick.Black@tenethealth.com
or
Investors:
Thomas Rice, 469-893-2522
Thomas.Rice@tenethealth.com