Company: THC
Filing Date: 2025-02-18
Form Type: 10-K
Source: 0000070318-25-000009
Chunk: 42

Company: TENET HEALTHCARE CORP
Filing Date: 2025-02-18
Form: 10-K
Item: Item 7
Chunk 42
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Facility Acquisitions and Investment

The table below presents the aggregate amounts we paid to acquire various ownership interests in ambulatory care facilities:

 Years Ended December 31,20242023Purchases of controlling interests$553 $149 Purchases of noncontrolling interests1 2 Equity investment in unconsolidated affiliates and consolidated facilities that did not result in a change of control25 21 $579 $172 

The table below reflects the change in the number of facilities operated by our Ambulatory Care segment since December 31, 2023:

Year Ended December 31, 2024Acquisitions55 De novo14 Dispositions/Mergers(22)Net increase in number of facilities operated47 

During the year ended December 31, 2024, we acquired controlling ownership interests in 52 ASCs, as well as noncontrolling ownership interests in two ASCs and one surgical hospital. Prior to these transactions, we did not have a prior investment in these facilities. In addition, we acquired controlling ownership interests in seven previously unconsolidated ASCs. We paid an aggregate of $554 million to acquire all of the aforementioned ownership interests during the year ended December 31, 2024.

We also regularly engage in the purchase of equity interests with respect to our investments in unconsolidated affiliates and consolidated facilities that do not result in a change in control. These transactions are primarily the acquisitions of equity interests in ASCs and the investment of additional cash in facilities that need capital for new acquisitions, new construction or other business growth opportunities. During the year ended December 31, 2024, we invested approximately $25 million in such transactions.

Consolidated

Impairment and Restructuring Charges, and Acquisition-Related Costs

The following table presents information about our impairment and restructuring charges, and acquisition‑related costs:

Years Ended December 31,20242023Consolidated:  Impairment charges$7 $43 Restructuring charges56 79 Acquisition-related costs39 15 Total impairment and restructuring charges, and acquisition-related costs$102 $137 By segment:Hospital Operations$51 $78 Ambulatory Care51 59 Total impairment and restructuring charges, and acquisition-related costs$102 $137 

During the year ended December 31, 2024, restructuring charges consisted of $17 million of legal costs related to the sale of certain businesses, $12 million