← TENET HEALTHCARE CORP
| Annual Trend | FY 2016 | FY 2017 | FY 2018 | FY 2019 | FY 2020 | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Cash flows from operating activities: | |||||||||||
| Adjustments to reconcile net income to net cash provided by operating activities: | |||||||||||
| Net Income (Loss) Available to Common Stockholders, Basic | ($192.0m) | ($704.0m) | $111.0m | ($232.0m) | $399.0m | $914.0m | $411.0m | $611.0m | $3.2b | $1.4b | |
| Income (Loss) from Continuing Operations, Net of Tax, Attributable to Parent | ($187.0m) | ($704.0m) | $108.0m | ($243.0m) | $399.0m | $915.0m | $410.0m | $611.0m | $3.2b | $1.4b | |
| Income (Loss) from Continuing Operations, Net of Tax, Including Portion Attributable to Noncontrolling Interest | $181.0m | ($320.0m) | $463.0m | $143.0m | $768.0m | $1.5b | $1.0b | $1.3b | — | — | |
| Income (Loss) from Discontinued Operations, Net of Tax, Attributable to Parent | ($5.0m) | $0 | $3.0m | $11.0m | $0 | ($1.0m) | $1.0m | $0 | — | — | |
| Income (Loss) from Discontinued Operations, Net of Tax, Including Portion Attributable to Noncontrolling Interest | ($5.0m) | $0 | $3.0m | $11.0m | $0 | ($1.0m) | $1.0m | $0 | — | — | |
| Net Income (Loss) Attributable to Noncontrolling Interest | $368.0m | $384.0m | $355.0m | $386.0m | $369.0m | $562.0m | $590.0m | $700.0m | $864.0m | $960.0m | |
| Net Income (Loss), Including Portion Attributable to Noncontrolling Interest | $176.0m | ($320.0m) | $466.0m | $154.0m | $768.0m | $1.5b | $1.0b | $1.3b | $4.1b | $2.4b | |
| Amortization of Debt Issuance Costs and Discounts | $41.0m | $44.0m | $45.0m | $35.0m | $38.0m | $33.0m | $33.0m | $32.0m | $26.0m | $23.0m | |
| Amortization of Intangible Assets | — | $172.0m | $185.0m | $188.0m | $172.0m | $188.0m | $172.0m | $174.0m | $172.0m | $166.0m | |
| Amortization of debt discount and debt issuance costs | $41.0m | $44.0m | $45.0m | $35.0m | $38.0m | $33.0m | $33.0m | $32.0m | $26.0m | $23.0m | |
| Depreciation | $850.0m | $870.0m | $802.0m | $850.0m | $857.0m | $855.0m | $669.0m | $696.0m | $646.0m | $697.0m | |
| Depreciation, Depletion and Amortization | $850.0m | $870.0m | $802.0m | $850.0m | $857.0m | $855.0m | $841.0m | $870.0m | $818.0m | $863.0m | |
| Deferred Income Tax Expense (Benefit) | $41.0m | $200.0m | $150.0m | $137.0m | ($128.0m) | $250.0m | $209.0m | $52.0m | ($103.0m) | $9.0m | |
| Deferred Other Tax Expense (Benefit) | $41.0m | $200.0m | $149.0m | $133.0m | ($127.0m) | $250.0m | $209.0m | $52.0m | ($103.0m) | $9.0m | |
| Equity Method Investment, Other than Temporary Impairment | — | $31.0m | — | — | — | — | — | — | — | — | |
| Impairment and restructuring charges, and acquisition-related costs | $202.0m | $541.0m | $209.0m | $185.0m | $290.0m | $85.0m | $226.0m | $137.0m | $102.0m | $130.0m | |
| Payment, Tax Withholding, Share-based Payment Arrangement | — | — | — | — | — | — | — | — | — | $51.0m | |
| Share-based Payment Arrangement, Expense | — | — | $46.0m | $42.0m | $44.0m | $56.0m | $56.0m | $66.0m | $67.0m | $104.0m | |
| Share-based Payment Arrangement, Noncash Expense | $68.0m | $59.0m | $46.0m | $42.0m | $44.0m | $56.0m | $56.0m | $66.0m | $67.0m | $104.0m | |
| Gain (Loss) on Disposition of Assets | — | — | — | — | — | — | $117.0m | $29.0m | $4.0m | $4.0m | |
| Gain (Loss) on Extinguishment of Debt | — | ($164.0m) | $1.0m | ($227.0m) | ($316.0m) | ($74.0m) | ($109.0m) | ($11.0m) | ($8.0m) | ($4.0m) | |
| Income (Loss) from Equity Method Investments | $131.0m | $144.0m | $150.0m | $175.0m | $169.0m | $218.0m | $216.0m | $228.0m | $260.0m | $264.0m | |
| Income Tax Expense (Benefit) | $67.0m | $219.0m | $176.0m | $153.0m | ($97.0m) | $411.0m | $344.0m | $306.0m | $1.2b | $433.0m | |
| Interest Expense Nonoperating | — | — | — | — | — | — | — | — | $826.0m | $821.0m | |
| Loss from early extinguishment of debt | $30.0m | $164.0m | ($1.0m) | $227.0m | $316.0m | $74.0m | $109.0m | $11.0m | $8.0m | $4.0m | |
| Other Nonoperating Income (Expense) | — | — | — | — | $1.0m | $14.0m | $10.0m | $19.0m | $126.0m | $117.0m | |
| Income (Loss) from Equity Method Investments, Net of Dividends or Distributions | — | $18 | $12 | $32 | $37 | $10 | ($2) | $13 | $29 | $34 | |
| Changes in operating assets and liabilities: | |||||||||||
| Additional Financial Items | |||||||||||
| Accounts payable, accrued expenses and other current liabilities | ($51.0m) | ($10.0m) | ($152.0m) | $36.0m | $1.3b | ($584.0m) | ($898.0m) | $215.0m | ($30.0m) | $209.0m | |
| Accounts receivable | ($1.6b) | ($1.4b) | ($134.0m) | ($247.0m) | $195.0m | ($197.0m) | ($140.0m) | ($29.0m) | $245.0m | $20.0m | |
| Advances from managed care payers | — | — | — | — | — | — | $0 | $0 | $342.0m | $0 | |
| Equity in earnings of unconsolidated affiliates, net of distributions received | ($13.0m) | ($18.0m) | ($12.0m) | ($32.0m) | ($37.0m) | ($10.0m) | $2.0m | ($13.0m) | ($29.0m) | ($34.0m) | |
| Gain (Loss) Related to Litigation Settlement | ($293.0m) | ($23.0m) | ($38.0m) | ($141.0m) | ($44.0m) | ($116.0m) | ($70.0m) | ($47.0m) | ($35.0m) | ($64.0m) | |
| Gain (Loss) on Investments | $8.0m | — | — | — | — | — | — | — | — | — | |
| Goodwill | $7.4b | $7.0b | $7.3b | $7.3b | $8.8b | $9.3b | $10.1b | $10.3b | $10.7b | $11.2b | |
| Income tax payments, net | ($33.0m) | ($56.0m) | ($25.0m) | ($12.0m) | ($12.0m) | ($92.0m) | ($161.0m) | ($243.0m) | ($1.3b) | ($450.0m) | |
| Income taxes | ($8.0m) | ($38.0m) | ($3.0m) | $8.0m | $19.0m | $68.0m | ($26.0m) | $10.0m | $16.0m | ($25.0m) | |
| Increase (Decrease) in Accounts Receivable | $1.6b | $1.4b | $134.0m | $247.0m | ($195.0m) | $197.0m | $140.0m | $29.0m | ($245.0m) | ($20.0m) | |
| Inventories and other current assets | ($83.0m) | ($35.0m) | $17.0m | ($94.0m) | ($145.0m) | ($52.0m) | ($64.0m) | ($139.0m) | ($86.0m) | ($73.0m) | |
| Litigation and investigation costs | $293.0m | $23.0m | $38.0m | $141.0m | $44.0m | $116.0m | $70.0m | $47.0m | $35.0m | $64.0m | |
| Net losses (gains) on sales, consolidation and deconsolidation of facilities | — | ($144.0m) | ($127.0m) | $15.0m | ($14.0m) | ($445.0m) | — | ($23.0m) | ($2.9b) | $1.0m | |
| Other items, net | $16.0m | $29.0m | $54.0m | $4.0m | $10.0m | ($64.0m) | ($46.0m) | $71.0m | $33.0m | $55.0m | |
| Other long-term liabilities | $40.0m | $26.0m | ($102.0m) | $3.0m | $221.0m | $28.0m | ($15.0m) | $14.0m | ($9.0m) | $9.0m | |
| Payments for restructuring charges, acquisition-related costs, and litigation costs and settlements | ($691.0m) | ($125.0m) | ($163.0m) | ($192.0m) | ($333.0m) | ($153.0m) | ($214.0m) | ($154.0m) | ($153.0m) | ($121.0m) | |
| Proceeds from Contributions from Affiliates | — | — | — | — | $187.0m | — | — | — | — | — | |
| Proceeds from Stock Options Exercised | $4.0m | — | — | — | — | — | — | — | — | — | |
| Proceeds from borrowings | — | — | — | — | — | $2.9b | $2.0b | $1.4b | $23.0m | $2.3b | |
| Proceeds from sales of facilities and other assets | $573.0m | $827.0m | $543.0m | $63.0m | $77.0m | $1.2b | $210.0m | $71.0m | $5.0b | $38.0m | |
| Repayments of advances from managed care payers | — | — | — | — | — | — | $0 | $0 | ($310.0m) | ($32.0m) | |
| Repayments of borrowings | — | — | — | — | — | ($3.2b) | ($2.9b) | ($1.5b) | ($2.2b) | ($2.4b) | |
| Restructuring Costs | — | $117.0m | $115.0m | $137.0m | $184.0m | $57.0m | $118.0m | $79.0m | $56.0m | $44.0m | |
| Stock-based compensation expense | $68.0m | $59.0m | $46.0m | $42.0m | $44.0m | $56.0m | $56.0m | $66.0m | $67.0m | $104.0m | |
| Unrealized Gain (Loss) on Investments | — | — | — | — | — | — | $1.0m | — | — | — | |
| Net Cash Provided by (Used in) Operating Activities | $558.0m | $1.2b | $1.0b | $1.2b | $3.4b | $1.6b | $1.1b | $2.4b | $2.0b | $3.5b | |
| Cash flows from investing activities: | |||||||||||
| Payments to Acquire Property, Plant, and Equipment | $875.0m | $707.0m | $617.0m | $670.0m | $540.0m | $658.0m | $762.0m | $751.0m | $931.0m | $1.0b | |
| Payments to Acquire Businesses, Net of Cash Acquired | $117.0m | $50.0m | $113.0m | $25.0m | $1.2b | $1.2b | $234.0m | $224.0m | $571.0m | $308.0m | |
| Purchases of businesses or joint venture interests, net of cash acquired | ($117.0m) | ($50.0m) | ($113.0m) | ($25.0m) | ($1.2b) | ($1.2b) | ($234.0m) | ($224.0m) | ($571.0m) | ($308.0m) | |
| Payments to Acquire Investments | — | — | — | $62.0m | $44.0m | $108.0m | $92.0m | $104.0m | $94.0m | $90.0m | |
| Purchases of marketable securities and long-term investments | — | ($81.0m) | ($148.0m) | ($62.0m) | ($44.0m) | ($108.0m) | ($92.0m) | ($104.0m) | ($94.0m) | ($90.0m) | |
| Net gains from the sale of investments and long-lived assets | — | — | — | — | ($25.0m) | ($23.0m) | ($117.0m) | ($29.0m) | ($4.0m) | ($4.0m) | |
| Proceeds from sales of marketable securities and long-term investments | $62.0m | $36.0m | $199.0m | $82.0m | $59.0m | $31.0m | $76.0m | $50.0m | $63.0m | $93.0m | |
| Payments for (Proceeds from) Other Investing Activities | $3.0m | $7.0m | $15.0m | $0 | ($18.0m) | $7.0m | $6.0m | $11.0m | $19.0m | ($2.0m) | |
| Net Cash Provided by (Used in) Investing Activities | ($430.0m) | $21.0m | ($115.0m) | ($619.0m) | ($1.6b) | ($714.0m) | ($808.0m) | ($969.0m) | $3.4b | ($1.3b) | |
| Cash flows from financing activities: | |||||||||||
| Debt issuance costs | ($12.0m) | ($62.0m) | $0 | ($70.0m) | ($48.0m) | ($31.0m) | ($24.0m) | ($16.0m) | $0 | ($32.0m) | |
| Payments for Repurchase of Common Stock | — | $0 | — | — | — | — | $250.0m | $200.0m | $672.0m | $1.4b | |
| Repurchases of common stock | $0 | $0 | — | — | $0 | $0 | ($250.0m) | ($200.0m) | ($672.0m) | ($1.4b) | |
| Proceeds from the sale of noncontrolling interests | $22.0m | $31.0m | $20.0m | $21.0m | $14.0m | $25.0m | $27.0m | $43.0m | $23.0m | $42.0m | |
| Purchases of noncontrolling interests | ($186.0m) | ($729.0m) | ($647.0m) | ($11.0m) | ($39.0m) | ($27.0m) | ($100.0m) | ($167.0m) | ($200.0m) | ($92.0m) | |
| Proceeds from (Payments for) Other Financing Activities | $16.0m | $29.0m | $54.0m | $4.0m | $10.0m | ($64.0m) | ($46.0m) | $71.0m | $33.0m | $55.0m | |
| Net Cash Provided by (Used in) Financing Activities | $232.0m | ($1.3b) | ($1.1b) | ($763.0m) | $385.0m | ($936.0m) | ($1.8b) | ($1.0b) | ($3.7b) | ($2.4b) | |
| Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect | — | — | — | ($149.0m) | $2.2b | ($82.0m) | ($1.5b) | $370.0m | $1.8b | ($136.0m) | |
| Net increase (decrease) in cash and cash equivalents | $360.0m | ($105.0m) | ($200.0m) | ($149.0m) | $2.2b | ($82.0m) | ($1.5b) | $370.0m | $1.8b | ($136.0m) | |
| Cash and cash equivalents at beginning of period | $356.0m | $716.0m | $611.0m | $262.0m | $2.4b | $2.4b | $858.0m | $1.2b | $3.0b | $2.9b | |
| Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents | — | — | — | $262.0m | $2.4b | $2.4b | $858.0m | $1.2b | $3.0b | $2.9b | |
| Supplemental disclosure of cash flow information: | |||||||||||
| Interest Paid, Excluding Capitalized Interest, Operating Activities | $932.0m | $939.0m | $976.0m | $946.0m | $962.0m | $937.0m | $848.0m | $882.0m | $851.0m | $865.0m | |
| Income Taxes Paid, Net | $33.0m | $56.0m | $25.0m | $12.0m | $12.0m | $92.0m | $161.0m | $243.0m | $1.3b | $450.0m |
Values abbreviated: b = billions, m = millions, k = thousands. Per share data in USD.