•Net income available to common shareholders in first quarter 2025 was $406 million, or $4.27 per diluted share
•Adjusted diluted earnings per share1 increased 35.4% to $4.36 in first quarter 2025 compared to $3.22 in first quarter 2024
•Consolidated Adjusted EBITDA1 in first quarter 2025 increased 13.6% to $1.163 billion compared to first quarter 2024; First quarter 2025 Adjusted EBITDA margin was 22.3%
•First quarter 2025 Ambulatory Care Adjusted EBITDA of $456 million increased 15.7% over first quarter 2024
•FY 2025 Adjusted EBITDA Outlook is expected to be in the range of $3.975 billion to $4.175 billion
DALLAS — April 29, 2025 — Tenet Healthcare Corporation (Tenet) (NYSE: THC) today announced its results for the quarter ended March 31, 2025.
"We had an excellent start to the year driven by strong same-store revenue growth and operational discipline, resulting in earnings and cash flows well ahead of our expectations," said Saum Sutaria, M.D., Chairman and Chief Executive Officer of Tenet. "We continue to expand access to high-quality specialty care as we effectively execute on our mission to deliver quality, compassionate care in the communities we serve."
Page 1
Tenet’s results for first quarter 2025 versus first quarter 2024 are as follows:
Three Months Ended March 31,
($ in millions, except per share results)
2025
2024
Net operating revenues
$5,223
$5,368
Net income available to Tenet common shareholders
$406
$2,151
Net income available to Tenet common shareholders per diluted share
$4.27
$21.38
Adjusted EBITDA1
$1,163
$1,024
Adjusted diluted earnings per share1
$4.36
$3.22
•Net income available to the Company’s common shareholders in first quarter 2025 was $406 million, or $4.27 per diluted share, versus $2.151 billion, or $21.38 per diluted share, in first quarter 2024. First quarter 2024 results included a pre-tax gain of $2.5 billion ($1.856 billion after-tax, or $18.45 per diluted share) primarily associated with the divestiture of three hospitals in South Carolina and six hospitals in California.
•Adjusted EBITDA1 in first quarter 2025 was $1.163 billion compared to $1.024 billion in first quarter 2024, reflecting strong growth in same-hospital admissions and ambulatory net revenue per case, favorable payer mix, and disciplined expense management, partially offset by the impact of hospital divestitures.
•In the first quarter of 2025, the Company recognized a $40 million favorable pre-tax impact associated with additional Medicaid supplemental revenues related to prior years. First quarter 2024 results included a $44 million favorable pre-tax impact for additional Medicaid supplemental revenues related to the last three months of 2023.
Page 2
Balance Sheet and Cash Flows
•Cash flows provided by operating activities for the three months ended March 31, 2025 were $815 million versus $586 million for the three months ended March 31, 2024.
•The Company produced free cash flow1 of $642 million for the three months ended March 31, 2025 versus $346 million for the three months ended March 31, 2024.
•In the three months ended March 31, 2025, the Company repurchased 2,629,195 shares of common stock for $348 million.
•The Company’s ratio of net debt to Adjusted EBITDA1 was 2.46x at March 31, 2025 compared to 2.54x at December 31, 2024.
Page 3
Ambulatory Care (Ambulatory) Segment
Tenet’s Ambulatory business segment is comprised of the operations of United Surgical Partners International (USPI). As of March 31, 2025, USPI had interests in 520 ambulatory surgery centers (380 consolidated) and 25 surgical hospitals (seven consolidated) in 37 states.
Three Months Ended March 31,
Ambulatory segment results ($ in millions)
2025
2024
Revenues
Net operating revenues
$1,194
$995
Same-facility system-wide net patient service revenues2
$1,945
$1,821
Changes versus the Prior-Year Period
Same-facility system-wide net patient service revenues
6.8
%
6.4
%
Same-facility system-wide net patient service revenue per case
9.1
%
6.8
%
Same-facility system-wide surgical cases2
(2.1)
%
(0.4)
%
Same-facility system-wide surgical cases on same-business day basis2
(0.6)
%
(0.4)
%
Adjusted EBITDA, Margins and NCI
Adjusted EBITDA
$456
$394
Adjusted EBITDA margin
38.2%
39.6%
Adjusted EBITDA less NCI
$279
$241
•First quarter 2025 net operating revenues increased 20.0% compared to first quarter 2024 driven by strong net revenue per case growth, acquisitions of facilities, and increased service lines.
•Surgical business same-facility system-wide net patient service revenues increased 6.8% in first quarter 2025 compared to first quarter 2024, with cases down 2.1% and net revenue per case up 9.1%. Net revenue per case growth was driven by favorable case mix, increases in higher acuity volumes over the prior year, as well as favorable payer mix.
•First quarter 2025 Adjusted EBITDA increased 15.7% compared to first quarter 2024, due to strong net revenue per case growth, disciplined expense management, and contributions from acquisitions.
Page 4
Hospital Operations and Services (Hospital) Segment
Tenet’s Hospital business segment is primarily comprised of acute care and specialty hospitals, imaging centers, ancillary outpatient facilities, micro-hospitals and physician practices. It also provides comprehensive end-to-end and focused point services, including hospital and physician revenue cycle management, patient communications and engagement support and value-based care solutions.
Three Months Ended March 31,
Hospital segment results ($ in millions)
2025
2024
Revenues
Net operating revenues
$4,029
$4,373
Same-hospital net patient service revenues3
$3,460
$3,271
Same-Hospital Volume Changes versus the Prior-Year Period
Admissions
4.4%
4.2%
Adjusted admissions4
2.9%
1.8%
Outpatient visits (including outpatient ER visits)
0.7%
(0.8)%
Emergency Room visits (inpatient and outpatient)
1.4%
3.9%
Hospital surgeries
(1.4)%
(2.0)%
Adjusted EBITDA
Adjusted EBITDA
$707
$630
Adjusted EBITDA margin
17.5%
14.4%
•First quarter 2025 net operating revenues declined 7.9% from first quarter 2024 primarily due to the impact of hospital divestitures in 2024, partially offset by strong same hospital admissions growth, and favorable payer mix.
•Same-hospital net patient service revenue per adjusted admission increased 2.8% year-over-year for first quarter 2025 primarily due to favorable payer mix, and our focus on growing higher acuity services.
•Adjusted EBITDA in first quarter 2025 was $707 million compared to $630 million in first quarter 2024, reflecting strong same-hospital admissions growth and revenue per adjusted admission, favorable payer mix, and disciplined expense management, partially offset by the impact of hospital divestitures.
•In the first quarter of 2025, the Company recognized a $40 million favorable pre-tax impact associated with additional Medicaid supplemental revenues related to prior years. First quarter 2024 results included a $44 million favorable pre-tax impact for additional Medicaid supplemental revenues related to the last three months of 2023.
Page 5
2025 Outlook1
Tenet’s Outlook for full year 2025 (consolidated and by segment) follows.
CONSOLIDATED ($ in millions, except per share amounts)
FY 2025 Outlook
Net operating revenues
$20,600 to $21,000
Net income available to Tenet common stockholders
$1,057 to $1,202
Adjusted EBITDA
$3,975 to $4,175
Adjusted EBITDA margin
19.3% to 19.9%
Diluted income per common share
$11.37 to $12.92
Adjusted net income
$1,115 to $1,220
Adjusted diluted earnings per share
$11.99 to $13.12
Equity in earnings of unconsolidated affiliates
$265 to $275
Depreciation and amortization
$805 to $835
Interest expense
$795 to $805
Income tax expense5
$425 to $470
Net income available to NCI
$910 to $960
Weighted average diluted common shares
~93 million
Net cash provided by operating activities
$2,500 to $2,850
Adjusted net cash provided by operating activities
$2,600 to $2,900
Capital expenditures
$700 to $800
Free cash flow
$1,800 to $2,050
Adjusted free cash flow
$1,900 to $2,100
NCI cash distributions
$750 to $800
Page 6
Ambulatory Segment ($ in millions)
FY 2025 Outlook
Net operating revenues
$4,850 to $5,000
Adjusted EBITDA
$1,915 to $1,985
NCI
$760 to $790
Adjusted EBITDA less NCI
$1,155 to $1,195
Changes versus prior year6:
Same-facility system-wide revenue
Up 3.0% to 6.0%
Hospital Segment ($ in millions)
FY 2025 Outlook
Net operating revenues
$15,750 to $16,000
Adjusted EBITDA
$2,060 to $2,190
NCI
$150 to $170
Changes versus prior year6:
Inpatient admissions
Up 2.0% to 3.0%
Adjusted admissions
Up 2.0% to 3.0%
Management’s Webcast Discussion of Results
Tenet management will discuss the Company’s first quarter 2025 results in a webcast scheduled for 10:00 a.m. Eastern Time (9:00 a.m. Central Time) on April 29, 2025. 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 April 29, 2025.
Page 7
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, 2024 and other filings with the Securities and Exchange Commission.
Footnotes
1.Tables and discussions throughout this earnings release include certain financial measures, including those related to our full year 2025 Outlook, that are not in accordance with accounting principles generally accepted in the United States of America (GAAP). Reconciliations of GAAP measures to the Adjusted (non-GAAP) measures used are detailed in Tables #1-6 included at the end of this earnings release. Management’s reasoning for the use of these non-GAAP measures and descriptions of the various non-GAAP measures are included in the Non-GAAP Financial Measures section of this earnings release.
2.Same-facility system-wide revenues and statistical information include the results of the facilities in which the Ambulatory segment has an investment that are not consolidated by Tenet. To help analyze the segment’s results of operations, management uses system-wide measures, which include revenues and cases of both consolidated and unconsolidated facilities.
3.For 2025, same-hospital revenues and statistical data include those for hospitals and hospital-affiliated outpatient centers operated by the Company’s Hospital segment continuously from January 1, 2024 through March 31, 2025. Amounts associated with physician practices are excluded.
4.Adjusted admissions represent actual patient admissions adjusted to include outpatient services provided by facilities in our Hospital segment by multiplying actual patient admissions by the sum of gross inpatient revenues and outpatient revenues, then dividing that result by gross inpatient revenues.
5.Income tax expense is calculated by multiplying 24% (the federal corporate tax rate of 21% plus an estimate of state taxes) by the sum of: pretax income less GAAP facility level NCI expense plus permanent differences, and non-deductible interest expense.
6.Change versus prior year is presented on a same-facility system-wide basis for USPI Ambulatory surgical cases and on a same-hospital basis for hospital statistics.
Page 8
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.
Contact Information
Investor Contact
Media Contact
Will McDowell
Robert Dyer
469-893-2387
469-893-2640
william.mcdowell@tenethealth.com
mediarelations@tenethealth.com
Page 9
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.
•Adjusted EBITDA is defined by the Company as net income available (loss attributable) to Tenet common shareholders before (1) the cumulative effect of changes in accounting principles, (2) net loss attributable (income available) to noncontrolling interests, (3) income (loss) from discontinued operations, net of tax, (4) income tax benefit (expense), (5) gain (loss) from early extinguishment of debt, (6) other non-operating income (expense), net, (7) interest expense, (8) litigation and investigation benefit (costs), net of insurance recoveries, (9) net gains (losses) on sales, consolidation and deconsolidation of facilities, (10) impairment and restructuring charges and acquisition-related costs, (11) depreciation and amortization and (12) income (loss) from divested and closed businesses (i.e., health plan businesses). Litigation and investigation costs excluded do not include ordinary course of business malpractice and other litigation and related expenses.
•Adjusted diluted earnings (loss) per share is defined by the Company as Adjusted net income available (loss attributable) to Tenet common shareholders, divided by the weighted average diluted shares outstanding in the reporting period.
•Adjusted net income available (loss attributable) to Tenet common shareholders is defined by the Company as net income available (loss attributable) to Tenet common shareholders before (1) income (loss) from discontinued operations, net of tax, (2) gain (loss) from early extinguishment of debt, (3) litigation and investigation benefit (costs), net of insurance recoveries, (4) net gains (losses) on sales, consolidation and deconsolidation of facilities, (5) impairment and restructuring charges and acquisition-related costs, (6) income (loss) from divested and closed businesses (i.e., health plan businesses) and (7) the associated impact of these items on taxes and noncontrolling interests. Litigation and investigation costs excluded do not include ordinary course of business malpractice and other litigation and related expenses.
•Free Cash Flow is defined by the Company as (1) net cash provided by (used in) operating activities, less (2) purchases of property and equipment.
•Adjusted Free Cash Flow is defined by the Company as (1) Adjusted net cash provided by (used in) operating activities, less (2) purchases of property and equipment.
•Adjusted net cash provided by (used in) operating activities is defined by the Company as cash provided by (used in) operating activities prior to (1) payments for restructuring charges, acquisition-related costs and litigation costs and settlements, and (2) net cash provided by (used in) operating activities from discontinued operations.
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.
Impairment and restructuring charges, and acquisition-related costs
19
0.3
%
27
0.5
%
Litigation and investigation costs
17
0.3
%
4
0.1
%
Net gains on sales, consolidation and deconsolidation of facilities
(22)
(0.4)
%
(2,500)
(46.6)
%
Operating income
943
18.1
%
3,285
61.2
%
Interest expense
(204)
(218)
Other non-operating income, net
26
25
Loss from early extinguishment of debt
—
(8)
Income before income taxes
765
3,084
Income tax expense
(143)
(750)
Net income
622
2,334
Less: Net income available to noncontrolling interests
216
183
Net income available to Tenet Healthcare Corporation common shareholders
$
406
$
2,151
Earnings available to Tenet Healthcare Corporation common shareholders:
Basic
$
4.31
$
21.60
Diluted
$
4.27
$
21.38
Weighted average shares and dilutive securities outstanding (in thousands):
Basic
94,242
99,581
Diluted
95,019
100,598
Page 12
TENET HEALTHCARE CORPORATION
CONSOLIDATED BALANCE SHEETS
(Unaudited)
(Dollars in millions)
March 31,
December 31,
2025
2024
ASSETS
Current assets:
Cash and cash equivalents
$
2,999
$
3,019
Accounts receivable
2,619
2,536
Inventories of supplies, at cost
344
346
Assets held for sale
21
21
Other current assets
1,930
1,760
Total current assets
7,913
7,682
Investments and other assets
3,069
3,037
Deferred income taxes
78
80
Property and equipment, at cost, less accumulated depreciation and amortization
5,991
6,049
Goodwill
10,786
10,691
Other intangible assets, at cost, less accumulated amortization
1,400
1,397
Total assets
$
29,237
$
28,936
LIABILITIES AND EQUITY
Current liabilities:
Current portion of long-term debt
$
88
$
92
Accounts payable
1,327
1,294
Accrued compensation and benefits
710
899
Professional and general liability reserves
268
238
Accrued interest payable
248
149
Liabilities held for sale
12
13
Income tax payable
149
18
Other current liabilities
1,649
1,607
Total current liabilities
4,451
4,310
Long-term debt, net of current portion
13,082
13,081
Professional and general liability reserves
877
900
Defined benefit plan obligations
297
298
Deferred income taxes
226
227
Other long-term liabilities
1,651
1,573
Total liabilities
20,584
20,389
Commitments and contingencies
Redeemable noncontrolling interests in equity of consolidated subsidiaries
2,776
2,727
Equity:
Shareholders’ equity:
Common stock
8
8
Additional paid-in capital
4,826
4,873
Accumulated other comprehensive loss
(178)
(180)
Retained earnings
3,414
3,008
Common stock in treasury, at cost
(3,889)
(3,538)
Total shareholders’ equity
4,181
4,171
Noncontrolling interests
1,696
1,649
Total equity
5,877
5,820
Total liabilities and equity
$
29,237
$
28,936
Page 13
TENET HEALTHCARE CORPORATION
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
(Dollars in millions)
Three Months Ended
March 31,
2025
2024
Net income
$
622
$
2,334
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization
206
208
Deferred income tax expense (benefit)
4
(38)
Stock-based compensation expense
21
17
Impairment and restructuring charges, and acquisition-related costs
19
27
Litigation and investigation costs
17
4
Net gains on sales, consolidation and deconsolidation of facilities
(22)
(2,500)
Loss from early extinguishment of debt
—
8
Equity in earnings of unconsolidated affiliates, net of distributions received
5
3
Amortization of debt discount and debt issuance costs
6
8
Other items, net
2
(5)
Changes in cash from operating assets and liabilities:
Accounts receivable
(69)
(263)
Inventories and other current assets
(108)
(18)
Income taxes
132
783
Accounts payable, accrued expenses and other current liabilities
24
19
Other long-term liabilities
(8)
24
Payments for restructuring charges, acquisition-related costs, and litigation costs and settlements
(36)
(25)
Net cash provided by operating activities
815
586
Cash flows from investing activities:
Purchases of property and equipment
(173)
(240)
Purchases of businesses or joint venture interests, net of cash acquired
(27)
(449)
Proceeds from sales of facilities and other assets
11
4,030
Proceeds from sales of marketable securities and long-term investments
14
7
Purchases of marketable securities and long-term investments
(17)
(10)
Other items, net
5
(10)
Net cash provided by (used in) investing activities
(187)
3,328
Cash flows from financing activities:
Repayments of borrowings
(32)
(2,141)
Proceeds from borrowings
1
2
Repurchases of common stock
(348)
(278)
Distributions paid to noncontrolling interests
(189)
(162)
Proceeds from the sale of noncontrolling interests
11
5
Purchases of noncontrolling interests
(41)
(52)
Repayments of advances from managed care payers
(11)
—
Other items, net
(39)
(35)
Net cash used in financing activities
(648)
(2,661)
Net increase (decrease) in cash and cash equivalents
(20)
1,253
Cash and cash equivalents at beginning of period
3,019
1,228
Cash and cash equivalents at end of period
$
2,999
$
2,481
Supplemental disclosures:
Interest paid, net of capitalized interest
$
(99)
$
(162)
Income tax payments, net
$
(7)
$
(5)
Page 14
TENET HEALTHCARE CORPORATION
SEGMENT REPORTING
(Unaudited)
Three Months Ended
March 31,
(Dollars in millions)
2025
2024
Net operating revenues:
Ambulatory Care
$
1,194
$
995
Hospital Operations and Services
4,029
4,373
Total
$
5,223
$
5,368
Equity in earnings of unconsolidated affiliates:
Ambulatory Care
$
54
$
56
Hospital Operations and Services
2
3
Total
$
56
$
59
Adjusted EBITDA:
Ambulatory Care
$
456
$
394
Hospital Operations and Services
707
630
Total
$
1,163
$
1,024
Adjusted EBITDA margins:
Ambulatory Care
38.2
%
39.6
%
Hospital Operations and Services
17.5
%
14.4
%
Total
22.3
%
19.1
%
Capital expenditures:
Ambulatory Care
$
25
$
18
Hospital Operations and Services
148
222
Total
$
173
$
240
Page 15
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
March 31,
(Dollars in millions, except per share amounts)
2025
2024
Net income available to Tenet Healthcare Corporation common shareholders
$
406
$
2,151
Less:
Impairment and restructuring charges, and acquisition-related costs
(19)
(27)
Litigation and investigation costs
(17)
(4)
Net gains on sales, consolidation and deconsolidation of facilities
22
2,500
Loss from early extinguishment of debt
—
(8)
Tax and noncontrolling interests impact of above items
6
(634)
Adjusted net income available to common shareholders
$
414
$
324
Diluted earnings per share
$
4.27
$
21.38
Less:
Impairment and restructuring charges, and acquisition-related costs
(0.20)
(0.27)
Litigation and investigation costs
(0.18)
(0.04)
Net gains on sales, consolidation and deconsolidation of facilities
0.23
24.85
Loss from early extinguishment of debt
—
(0.08)
Tax and noncontrolling interests impact of above items
0.06
(6.30)
Adjusted diluted earnings per share
$
4.36
$
3.22
Weighted average basic shares outstanding (in thousands)
94,242
99,581
Weighted average dilutive shares outstanding (in thousands)
95,019
100,598
Page 16
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
March 31,
(Dollars in millions)
2025
2024
Net income available to Tenet Healthcare Corporation common shareholders
$
406
$
2,151
Less:
Net income available to noncontrolling interests
(216)
(183)
Net income
622
2,334
Income tax expense
(143)
(750)
Loss from early extinguishment of debt
—
(8)
Other non-operating income, net
26
25
Interest expense
(204)
(218)
Operating income
943
3,285
Litigation and investigation costs
(17)
(4)
Net gains on sales, consolidation and deconsolidation of facilities
22
2,500
Impairment and restructuring charges, and acquisition-related costs
(19)
(27)
Depreciation and amortization
(206)
(208)
Adjusted EBITDA
$
1,163
$
1,024
Net operating revenues
$
5,223
$
5,368
Net income available to Tenet Healthcare Corporation common shareholders as a % of net operating revenues
7.8
%
40.1
%
Adjusted EBITDA as a % of net operating revenues (Adjusted EBITDA margin)
22.3
%
19.1
%
Page 17
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)
Three Months Ended
March 31,
(Dollars in millions)
2025
2024
Net cash provided by operating activities
$
815
$
586
Purchases of property and equipment
(173)
(240)
Free cash flow
$
642
$
346
Net cash provided by (used in) investing activities
$
(187)
$
3,328
Net cash used in financing activities
$
(648)
$
(2,661)
Net cash provided by operating activities
$
815
$
586
Less:
Payments for restructuring charges, acquisition-related costs, and litigation costs and settlements
(36)
(25)
Adjusted net cash provided by operating activities
851
611
Purchases of property and equipment
(173)
(240)
Adjusted free cash flow
$
678
$
371
Page 18
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)
FY 2025
(Dollars in millions, except per share amounts)
Low
High
Net income available to Tenet Healthcare Corporation common shareholders
$
1,057
$
1,202
Less:
Impairment and restructuring charges, acquisition-related costs, and litigation costs and settlements(1)
(100)
(50)
Net gains on sales, consolidation and deconsolidation of facilities(2)
22
22
Tax and noncontrolling interests impact of above items
20
10
Adjusted net income available to common shareholders
$
1,115
$
1,220
Diluted earnings per share
$
11.37
$
12.92
Less:
Impairment and restructuring charges, acquisition-related costs, and litigation costs and settlements
(1.08)
(0.55)
Net gains on sales, consolidation and deconsolidation of facilities
0.24
0.24
Tax and noncontrolling interests impact of above items
0.22
0.11
Adjusted diluted earnings per share
$
11.99
$
13.12
Weighted average basic shares outstanding (in thousands)
92,000
92,000
Weighted average dilutive shares outstanding (in thousands)
93,000
93,000
(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 2025.
Page 19
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)
FY 2025
(Dollars in millions)
Low
High
Net income available to Tenet Healthcare Corporation common shareholders
$
1,057
$
1,202
Less:
Net income available to noncontrolling interests
(910)
(960)
Income tax expense
(425)
(470)
Interest expense
(805)
(795)
Other non-operating income, net
105
115
Net gains on sales, consolidation and deconsolidation of facilities(2)
22
22
Impairment and restructuring charges, acquisition-related costs, and litigation costs and settlements(1)
(100)
(50)
Depreciation and amortization
(805)
(835)
Adjusted EBITDA
$
3,975
$
4,175
Net income available to Tenet Healthcare Corporation common shareholders
$
1,057
$
1,202
Net operating revenues
$
20,600
$
21,000
Net income available to Tenet Healthcare Corporation common shareholders as a % of net operating revenues
5.1
%
5.7
%
Adjusted EBITDA as a % of net operating revenues (Adjusted EBITDA margin)
19.3
%
19.9
%
(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 2025.
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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 2025
(Dollars in millions)
Low
High
Net cash provided by operating activities
$
2,500
$
2,850
Purchases of property and equipment
(700)
(800)
Free cash flow
$
1,800
$
2,050
Net cash provided by operating activities
$
2,500
$
2,850
Less:
Payments for restructuring charges, acquisition-related costs and litigation costs and settlements(1)
(100)
(50)
Adjusted net cash provided by operating activities
2,600
2,900
Purchases of property and equipment
(700)
(800)
Adjusted free cash flow(2)
$
1,900
$
2,100
(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 or 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.
