A month has gone by since the last earnings report for Tenet Healthcare (THC). Shares have lost about 0.1% in that time frame, outperforming the S&P 500.
Will the recent negative trend continue leading up to its next earnings release, or is Tenet due for a breakout? Before we dive into how investors and analysts have reacted as of late, let's take a quick look at the most recent earnings report in order to get a better handle on the important catalysts.
Tenet Healthcare Q1 Earnings Beat
Estimates, Down Y/Y
Tenet Healthcaredelivered first-quarter 2019 adjusted net earnings
of 54 cents per share, outperforming the Zacks Consensus Estimate
by 80% on the back of operational excellence. However, the bottom
line declined 5.3% year over year.
Quarterly Operational Update
Net operating revenues came in at $4.5 billion, down 3.3% year over
year due to weak performances by the companyâs segments. However,
the top line beat the Zacks Consensus Estimate by 0.8%.
Total visits for the company decreased 2% to 169.9 billion in the
quarter under review.
Its reported net loss from continuing operations of $27 million
came in against the year-ago quarterly net income of $98
million.
Adjusted EBITDA for the first three months of 2019 was $613
million, down 6.4% year over year due to malpractice expense,
risk-based contracting business in California, Aspen divestiture
and contract termination fees.
Quarterly Segment Details
Hospital & Other
Net operating revenues in the Hospital Operations and Other segment
totaled $3.9 billion, down 2.2% year over year. This downside is
largely attributable to hospital divestitures, partially offset by
same hospital revenue growth.
On same-hospital basis, patient revenues were $3.6 billion, up 1.9%
year over year.
Adjusted EBITDA (earnings before interest, taxes, depreciation and
amortization) was $337 million, down 16.2% year over year due to
increase in malpractice expenses and losses due to contract losses,
etc.
Ambulatory Segment
The Ambulatory segment generated net operating revenues of $480
million, down 3.6% year over year. This was mainly due to the
companyâs Aspen divestiture.
Additionally, the segment reported adjusted EBITDA of $177 million,
up 12% year over year.
Conifer Segment
Coniferâs revenues decreased 13.6% from the prior-year quarterâs
level to $349 million. This was mainly due to the companyâs
divestment activities by Tenet and other customers.
The segment reported $99 million of adjusted EBITDA in the quarter
under review, up 1% year over year.
2019 Outlook
The company still expects revenues of $18.0-$18.4 billion.
Net income from continuing operations for 2019 is projected between
$17 million and$117 million, up from the earlier estimate of
$15-$115 million.
Adjusted EBITDA is still estimated between $2.65 billion and $2.75
billion.
Tenet Healthcare projects adjusted free cash flow of $600-$800
million.
The company expects net cash provided by operating activities of
$1.07-$1.375 billion.
Adjusted earnings per share from continuing operations are
projected between $2.08 and $2.59.
Second-Quarter 2019 Outlook
The company expects revenues for the second quarter between $4.4
billion and $4.7 billion.
For the secondquarter, net income or loss attributable tocontinuing
operations can range from a loss of $5 million to an income of $40
million.
Adjusted EBITDA is expected between $625 million and$675
million.
Adjusted earnings per share are projected between 29 cents to 63
cents.
Financial Position
As of Mar 31, 2019, Tenet Healthcare had cash and cash equivalents
of $252 million, down 38.7% from the number at year-end 2018.
The company exited the first quarter with $14.8 billion of
long-term debt, up 1.2% from the count at 2018 end.
Net cash provided by operating activities for the first three
months of 2019 summed $10 million, down 91.2% from the level at
2018 end level.
How Have Estimates Been Moving Since Then?
It turns out, fresh estimates have trended downward during the past month. The consensus estimate has shifted -11.32% due to these changes.
VGM Scores
At this time, Tenet has a subpar Growth Score of D, however its Momentum Score is doing a lot better with a B. Charting a somewhat similar path, the stock was allocated a grade of A on the value side, putting it in the top quintile for this investment strategy.
Overall, the stock has an aggregate VGM Score of C. If you aren't focused on one strategy, this score is the one you should be interested in.
Outlook
Estimates have been broadly trending downward for the stock, and the magnitude of these revisions indicates a downward shift. Notably, Tenet has a Zacks Rank #3 (Hold). We expect an in-line return from the stock in the next few months.
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