Tenet healthcare corp (THC)
CashFlow / Quarterly
Mar'20Dec'19Sep'19Jun'19Mar'19Dec'18Sep'18Jun'18Mar'18Dec'17Sep'17Jun'17Mar'17Dec'16Sep'16Jun'16Mar'16Dec'15Sep'15Jun'15Mar'15Dec'14Sep'14Jun'14Mar'14Dec'13Sep'13Jun'13Mar'13Dec'12Sep'12Jun'12Mar'12Dec'11Sep'11Jun'11Mar'11Dec'10Sep'10Jun'10Mar'10
Net income

159,000

129,000

-152,000

105,000

72,000

102,000

65,000

108,000

191,000

-99,000

-289,000

32,000

36,000

23,000

80,000

39,000

34,000

2,000

28,000

-28,000

76,000

81,000

18,000

-7,000

-16,000

-14,000

36,000

-43,000

-83,000

54,000

32,000

-20,000

67,000

-66,000

15,000

63,000

82,000

82,000

940,000

35,000

95,000

Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation, Depletion and Amortization

203,000

223,000

205,000

214,000

208,000

200,000

204,000

194,000

204,000

208,000

219,000

222,000

221,000

218,000

205,000

215,000

212,000

208,000

185,000

197,000

207,000

240,000

207,000

209,000

193,000

191,000

119,000

121,000

114,000

116,000

110,000

104,000

100,000

100,000

100,000

100,000

98,000

87,000

101,000

97,000

95,000

Provision for doubtful accounts

-

-

-

-

-

-

-

-

-

325,000

355,000

371,000

383,000

354,000

367,000

352,000

376,000

391,000

371,000

352,000

363,000

356,000

249,000

320,000

380,000

348,000

210,000

207,000

207,000

200,000

206,000

190,000

189,000

181,000

189,000

168,000

179,000

178,000

187,000

173,000

189,000

Deferred income tax (benefit) expense

-79,000

80,000

15,000

20,000

22,000

40,000

2,000

38,000

70,000

345,000

-64,000

-81,000

0

9,000

-5,000

6,000

31,000

52,000

17,000

-39,000

12,000

52,000

-15,000

-4,000

-3,000

-7,000

16,000

-21,000

-55,000

34,000

21,000

-1,000

38,000

-21,000

11,000

56,000

35,000

32,000

-996,000

7,000

5,000

Stock-based compensation expense

13,000

8,000

11,000

12,000

11,000

12,000

14,000

11,000

9,000

15,000

15,000

16,000

13,000

17,000

16,000

19,000

16,000

19,000

17,000

18,000

15,000

10,000

15,000

14,000

12,000

10,000

7,000

8,000

11,000

8,000

7,000

9,000

8,000

7,000

5,000

5,000

7,000

4,000

5,000

6,000

7,000

Restructuring Settlement Impairment Provisions and Acquisition Cost

55,000

84,000

46,000

36,000

19,000

86,000

46,000

30,000

47,000

138,000

329,000

41,000

33,000

121,000

31,000

22,000

28,000

52,000

44,000

193,000

29,000

63,000

37,000

32,000

21,000

58,000

20,000

11,000

14,000

7,000

6,000

3,000

3,000

2,000

8,000

2,000

8,000

9,000

3,000

-2,000

0

Gain (Loss) Related to Litigation Settlement

-2,000

-26,000

-84,000

-18,000

-13,000

-10,000

-9,000

-13,000

-6,000

-11,000

-6,000

-1,000

-5,000

-2,000

-4,000

-114,000

-173,000

-224,000

-50,000

-14,000

-3,000

-6,000

-4,000

-12,000

-3,000

-28,000

-1,000

-2,000

0

-2,000

0

-1,000

-2,000

-31,000

-5,000

-8,000

-11,000

-6,000

-2,000

-2,000

-2,000

Net Gain on Sale, Consolidation, And Deconsolidation Of Facilities

2,000

-12,000

-1,000

-1,000

-1,000

16,000

-7,000

8,000

110,000

2,000

104,000

23,000

15,000

0

3,000

1,000

147,000

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Gain (Loss) on Extinguishment of Debt

0

0

-180,000

0

-47,000

3,000

0

-1,000

-1,000

0

-138,000

-26,000

0

-

-

-

-

-

-

-

-

-

-

-

-

0

0

-171,000

-177,000

-4,000

0

0

0

-

-

-

-

-

-

-

-

Equity in earnings of unconsolidated affiliates, net of distributions received

11,000

26,000

4,000

5,000

-3,000

21,000

1,000

-1,000

-9,000

14,000

8,000

0

-4,000

15,000

8,000

2,000

-12,000

51,000

28,000

16,000

4,000

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Fair market value adjustments related to interest rate swap and LIBOR cap agreements

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

2,000

-19,000

0

0

-1,000

-2,000

Amortization of debt discount and debt issuance costs

10,000

10,000

4,000

10,000

11,000

12,000

11,000

11,000

11,000

11,000

11,000

11,000

11,000

8,000

12,000

11,000

10,000

9,000

11,000

14,000

7,000

7,000

7,000

7,000

7,000

7,000

3,000

4,000

5,000

6,000

5,000

6,000

5,000

7,000

8,000

7,000

8,000

8,000

8,000

7,000

8,000

Pre-tax loss (income) from discontinued operations

-1,000

2,000

1,000

2,000

10,000

1,000

0

2,000

1,000

1,000

-1,000

2,000

-2,000

-1,000

2,000

-2,000

-5,000

-

-

-

2,000

0

-2,000

-25,000

-8,000

0

-10,000

6,000

-3,000

-9,000

3,000

-97,000

2,000

-24,000

-2,000

-5,000

-10,000

15,000

-3,000

-8,000

6,000

Other items, net

-2,000

1,000

4,000

3,000

7,000

-1,000

21,000

0

1,000

-1,000

-6,000

23,000

2,000

-2,000

1,000

4,000

-2,000

-37,000

-27,000

1,000

4,000

14,000

7,000

6,000

3,000

1,000

1,000

8,000

10,000

5,000

3,000

1,000

3,000

3,000

7,000

-8,000

11,000

5,000

-1,000

3,000

-2,000

Changes in cash from operating assets and liabilities:
Accounts receivable

-14,000

73,000

36,000

-20,000

158,000

98,000

23,000

-53,000

66,000

402,000

373,000

227,000

446,000

448,000

431,000

272,000

453,000

508,000

345,000

295,000

484,000

587,000

372,000

380,000

557,000

325,000

217,000

194,000

251,000

215,000

203,000

126,000

324,000

232,000

150,000

191,000

277,000

194,000

160,000

135,000

242,000

Inventories and other current assets

-23,000

-4,000

34,000

-51,000

115,000

56,000

71,000

-185,000

41,000

132,000

63,000

-28,000

-132,000

-12,000

65,000

12,000

18,000

68,000

98,000

-110,000

74,000

326,000

66,000

-138,000

60,000

44,000

-7,000

122,000

44,000

-47,000

-10,000

108,000

8,000

3,000

-22,000

-55,000

109,000

17,000

-10,000

11,000

-3,000

Income taxes

-2,000

-12,000

2,000

11,000

-9,000

-11,000

-4,000

18,000

0

24,000

7,000

-27,000

34,000

7,000

-16,000

45,000

-28,000

-23,000

14,000

-1,000

-8,000

-10,000

-10,000

15,000

2,000

-

1,000

7,000

-3,000

3,000

-3,000

8,000

-3,000

19,000

18,000

12,000

14,000

37,000

10,000

-33,000

-17,000

Accounts payable, accrued expenses and other current liabilities

-144,000

73,000

180,000

-98,000

-119,000

42,000

177,000

-188,000

-183,000

131,000

204,000

-184,000

-161,000

-16,000

71,000

8,000

-114,000

29,000

306,000

-67,000

-200,000

385,000

152,000

-61,000

29,000

82,000

21,000

73,000

-138,000

32,000

-46,000

132,000

-109,000

64,000

21,000

-75,000

-42,000

59,000

18,000

-18,000

-146,000

Other long-term liabilities

-51,000

18,000

-19,000

-33,000

37,000

-20,000

-34,000

-49,000

1,000

19,000

-41,000

22,000

26,000

-8,000

14,000

10,000

24,000

7,000

-9,000

12,000

28,000

6,000

-9,000

34,000

13,000

18,000

-10,000

-22,000

27,000

-17,000

-6,000

10,000

16,000

5,000

-18,000

-4,000

12,000

-35,000

-5,000

9,000

-27,000

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

68,000

56,000

56,000

48,000

32,000

50,000

50,000

30,000

33,000

37,000

26,000

38,000

24,000

559,000

33,000

30,000

69,000

43,000

71,000

53,000

33,000

53,000

31,000

54,000

30,000

78,000

17,000

12,000

7,000

7,000

6,000

39,000

11,000

17,000

5,000

15,000

7,000

7,000

25,000

27,000

24,000

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

0

-1,000

1,000

-3,000

-2,000

-1,000

-1,000

-2,000

-1,000

-2,000

-1,000

-4,000

2,000

-7,000

1,000

3,000

-3,000

-3,000

-10,000

-4,000

-4,000

-7,000

-4,000

2,000

-14,000

-10,000

2,000

-2,000

-5,000

-16,000

3,000

-6,000

-16,000

-4,000

-23,000

0

-11,000

18,000

-7,000

3,000

2,000

Net Cash Provided by (Used in) Operating Activities

129,000

520,000

419,000

284,000

10,000

250,000

338,000

348,000

113,000

491,000

308,000

215,000

186,000

-293,000

269,000

435,000

147,000

191,000

482,000

410,000

-57,000

219,000

221,000

266,000

-19,000

255,000

206,000

160,000

-32,000

256,000

136,000

243,000

-42,000

173,000

148,000

178,000

-2,000

175,000

128,000

191,000

-22,000

Cash flows from investing activities:
Purchases of property and equipment — continuing operations

182,000

178,000

156,000

144,000

192,000

213,000

136,000

125,000

143,000

215,000

144,000

150,000

198,000

261,000

201,000

205,000

208,000

276,000

207,000

175,000

184,000

199,000

211,000

242,000

281,000

293,000

142,000

123,000

133,000

148,000

107,000

115,000

136,000

173,000

97,000

81,000

116,000

179,000

106,000

70,000

78,000

Construction of new and replacement hospitals

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

1,000

7,000

5,000

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

55,000

2,000

10,000

11,000

2,000

16,000

8,000

73,000

16,000

9,000

15,000

20,000

6,000

21,000

2,000

65,000

29,000

220,000

84,000

625,000

11,000

243,000

143,000

33,000

9,000

1,373,000

126,000

11,000

5,000

173,000

25,000

10,000

3,000

28,000

14,000

24,000

18,000

21,000

42,000

2,000

0

Proceeds from sales of facilities and other assets — continuing operations

11,000

19,000

4,000

-1,000

41,000

45,000

17,000

56,000

425,000

1,000

752,000

54,000

20,000

0

0

0

573,000

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Proceeds from sales of facilities and other assets — discontinued operations

0

0

0

0

17,000

0

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

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

10,000

30,000

43,000

5,000

4,000

34,000

22,000

9,000

134,000

16,000

4,000

7,000

9,000

26,000

12,000

12,000

12,000

42,000

7,000

5,000

6,000

44,000

5,000

0

3,000

6,000

3,000

0

3,000

8,000

4,000

2,000

3,000

28,000

21,000

5,000

5,000

53,000

15,000

4,000

12,000

Purchases of marketable securities and equity investments

4,000

48,000

5,000

5,000

4,000

105,000

6,000

7,000

30,000

17,000

62,000

1,000

1,000

2,000

2,000

17,000

18,000

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Other long-term assets

2,000

25,000

-5,000

2,000

2,000

-10,000

-2,000

4,000

-7,000

-6,000

4,000

0

12,000

16,000

12,000

-7,000

10,000

-

-

-

-2,000

4,000

-10,000

10,000

4,000

3,000

-5,000

23,000

-29,000

4,000

2,000

1,000

2,000

-

-

-

-

-

-

-

-

Other items, net

-18,000

-11,000

4,000

6,000

1,000

-10,000

-4,000

4,000

4,000

-12,000

-4,000

9,000

1,000

-

-

-

-

-

-

-

-

-

-

-

-

0

0

-1,000

-2,000

-1,000

2,000

-3,000

-2,000

-

-

-

-

0

-1,000

1,000

-3,000

Net cash used in investing activities

-204,000

-193,000

-123,000

-164,000

-139,000

-235,000

-105,000

-148,000

373,000

-206,000

535,000

-119,000

-189,000

-280,000

-204,000

-266,000

320,000

-45,000

-287,000

-798,000

-187,000

-408,000

-338,000

-285,000

-291,000

-1,655,000

-249,000

-156,000

-104,000

-316,000

-98,000

-112,000

-136,000

-179,000

-93,000

-102,000

-129,000

-149,000

-145,000

-58,000

-68,000

Cash flows from financing activities:
Repayments of borrowings under credit facility

240,000

760,000

785,000

600,000

495,000

445,000

145,000

360,000

0

120,000

750,000

100,000

0

700,000

0

200,000

995,000

935,000

565,000

625,000

690,000

465,000

665,000

635,000

665,000

285,000

381,000

420,000

200,000

315,000

485,000

518,000

455,000

365,000

0

0

0

-

-

-

-

Proceeds from borrowings under credit facility

740,000

485,000

870,000

600,000

685,000

445,000

145,000

360,000

0

120,000

750,000

100,000

0

700,000

0

200,000

995,000

825,000

575,000

375,000

820,000

685,000

665,000

465,000

430,000

480,000

558,000

433,000

220,000

140,000

460,000

435,000

658,000

445,000

0

0

0

-

-

-

-

Repayments of other borrowings

48,000

47,000

4,416,000

48,000

1,620,000

74,000

77,000

70,000

91,000

40,000

3,070,000

940,000

89,000

42,000

36,000

38,000

38,000

38,000

19,000

1,960,000

32,000

28,000

587,000

44,000

24,000

3,146,000

20,000

1,068,000

899,000

172,000

9,000

63,000

4,000

839,000

2,000

1,000

1,000

0

874,000

5,000

7,000

Proceeds from other borrowings

7,000

1,000

4,202,000

9,000

1,507,000

8,000

1,000

7,000

7,000

7,000

2,951,000

831,000

6,000

756,000

4,000

-1,000

1,000

-50,000

21,000

2,786,000

401,000

0

500,000

508,000

600,000

4,600,000

0

1,057,000

850,000

800,000

0

292,000

0

-

-

-

-

0

600,000

0

1,000

Repurchases of common stock

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

100,000

108,000

92,000

100,000

100,000

0

0

26,000

178,000

124,000

72,000

0

-

-

-

-

Cash dividends on preferred stock

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

1,000

1,000

6,000

6,000

6,000

6,000

6,000

6,000

6,000

6,000

6,000

6,000

Debt issuance costs

1,000

7,000

45,000

0

18,000

0

0

0

0

0

33,000

27,000

2,000

-

-

-

-

4,000

4,000

68,000

4,000

1,000

7,000

8,000

11,000

123,000

1,000

15,000

15,000

14,000

1,000

2,000

0

-

-

-

-

-

-

-

-

Distributions paid to noncontrolling interests

76,000

84,000

79,000

70,000

74,000

71,000

77,000

76,000

64,000

80,000

55,000

60,000

63,000

67,000

56,000

51,000

44,000

45,000

42,000

12,000

11,000

15,000

10,000

9,000

11,000

9,000

8,000

4,000

6,000

6,000

3,000

3,000

3,000

2,000

4,000

2,000

2,000

2,000

3,000

2,000

1,000

Proceeds from sale of noncontrolling interests

2,000

6,000

6,000

5,000

4,000

6,000

7,000

2,000

5,000

2,000

15,000

4,000

10,000

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Purchases of noncontrolling interests

0

3,000

2,000

3,000

3,000

4,000

1,000

633,000

9,000

7,000

717,000

5,000

0

-

-

-

-

14,000

0

0

254,000

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Proceeds from exercise of stock options and employee stock purchase plan

2,000

8,000

1,000

2,000

1,000

1,000

1,000

5,000

9,000

2,000

2,000

1,000

2,000

-

-

-

-

0

6,000

2,000

7,000

3,000

12,000

5,000

6,000

0

1,000

6,000

15,000

6,000

1,000

2,000

2,000

-

-

-

-

-

-

-

-

Contributions from noncontrolling interests

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

2,000

-

2,000

0

13,000

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Other items, net

40,000

22,000

17,000

-18,000

-17,000

30,000

10,000

-6,000

20,000

13,000

18,000

3,000

-5,000

7,000

15,000

8,000

-14,000

-

-

-

-3,000

-

-

-

-

13,000

-6,000

-4,000

2,000

3,000

0

0

3,000

-3,000

2,000

2,000

2,000

1,000

2,000

2,000

2,000

Net cash provided by (used in) financing activities

426,000

-379,000

-231,000

-123,000

-30,000

-104,000

-136,000

-771,000

-123,000

-103,000

-889,000

-193,000

-141,000

640,000

-72,000

-241,000

-95,000

-240,000

-44,000

502,000

236,000

182,000

-89,000

284,000

338,000

1,431,000

35,000

-9,000

-133,000

341,000

-37,000

-153,000

169,000

-66,000

-134,000

-79,000

-7,000

-19,000

-296,000

-11,000

-11,000

Net increase (decrease) in cash and cash equivalents

351,000

-52,000

65,000

-3,000

-159,000

-89,000

97,000

-571,000

363,000

182,000

-46,000

-97,000

-144,000

67,000

-7,000

-72,000

372,000

-94,000

151,000

114,000

-8,000

-7,000

-206,000

265,000

28,000

31,000

-8,000

-5,000

-269,000

281,000

1,000

-22,000

-9,000

-72,000

-79,000

-3,000

-138,000

7,000

-313,000

122,000

-101,000

Supplemental disclosures:
Interest paid, net of capitalized interest

172,000

241,000

221,000

326,000

158,000

324,000

151,000

332,000

169,000

322,000

149,000

338,000

130,000

336,000

129,000

335,000

132,000

340,000

134,000

268,000

117,000

239,000

127,000

255,000

105,000

131,000

69,000

101,000

125,000

664,000

-107,000

-79,000

-102,000

-92,000

-73,000

-85,000

-97,000

-715,000

112,000

89,000

112,000

Income tax (payments) refunds, net

3,000

-6,000

5,000

22,000

-9,000

1,000

3,000

22,000

-1,000

2,000

10,000

43,000

1,000

0

4,000

23,000

6,000

1,000

-2,000

9,000

-1,000

3,000

-14,000

20,000

-1,000

-1,000

3,000

-11,000

3,000

-4,000

2,000

-9,000

-2,000

-19,000

-11,000

44,000

-24,000

0

0

17,000

17,000