A snapshot of 4 healthcare companies' Q4 — 13 notes on how Envision, HCA, Nobilis and Tenet stacked up

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The fourth quarter had a slews of ups and downs for the following healthcare companies that own and operate surgery centers spanning the nation.

Here are 13 notes on their financial results during the fourth quarter:

Envision Healthcare  
1. Envision's ambulatory services division reported $326.7 million in net revenues for the fourth quarter.  Its 2015 fourth quarter revenues were similar at $326.2 million.

2. For fourth quarter 2016, ambulatory services generated $1.27 billion in revenue, a 3.1 percent increase over 2015. Envision's ambulatory services 2016 EBITDA was $240.1 million, a 6.1 percent increase over 2015.

3. The company's net revenues totaled $1.39 billion and net losses totaled $137.8 million in related costs for its AmSurg merger.  Envision also had a $221 million impairment charge related to the phase-out of the Sheridan trade name, transaction, integration and debt extinguishment costs.

4. Net earnings totaled $92 million and EBITDA was $208.7 million.

Hospital Corporation of America
5. HCA's revenue increased 3.8 percent year over year to $10.64 billion in the fourth quarter of 2016.

6. HCA ended the fourth quarter with net income of $920 million, up 58 percent from $582 million in the same period of the year prior.

7. In the fourth quarter, HCA also recorded a $15 million gain due the sales of facilities and benefited from a recent appellate court decision that reduced a judgment in a breach of contract case by more than half.

Nobilis Healthcare
8. Nobilis reported fourth quarter revenue reached $101.9 million, up 13.2 percent over the same period last year.

9. Fourth quarter net income was down considerably, hitting $9.4 million as compared to $44.7 million in the same period last year.

Tenet Healthcare
10. Tenet generated net operating revenue totaling $478 million in the ambulatory segment, up 20.4 percent from Q4 fiscal year 2015.

11. Tenet's ambulatory segment had an adjusted EBITDA of $183 million, a 15.8 percent increase from $158 million in Q4 2015. Ambulatory revenue jumped 5.9 percent on a same-facility system-wide basis.

12. The company had net losses from continuing operations totaling $79 million. This figure is an improvement from Q4 2015, which had losses reaching $100 million.

13. The adjusted EBITDA remained steady at $613 million for both Q4 2015 and 2016. Tenet's adjusted net income from continuing operations was $6 million, or $0.06 per diluted share.

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