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FALSE000175665500017566552024-11-062024-11-06
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
_______________________________________________________
FORM 8-K
_______________________________________________________
CURRENT REPORT
PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
Date of Report (Date of earliest event reported): November 6, 2024
___________________
ARDENT HEALTH PARTNERS, INC.
(Exact Name of Registrant as Specified in its Charter)
___________________
Delaware
001-42180
61-1764793
(State or Other Jurisdiction
of Incorporation)
(Commission
File Number)
(I.R.S. Employer
Identification No.)
340 Seven Springs Way, Suite 100,
Brentwood, Tennessee
37027
(Address of Principal Executive Offices)
(Zip Code)
(615) 296-3000
(Registrant’s Telephone Number, including Area Code)
Not Applicable
(Former Name or Former Address, if Changed Since Last Report)
___________________
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under
any of the following provisions:
o
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
o
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
o
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
o
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Securities registered pursuant to Section 12(b) of the Act:
Title of each Class
Trading
Symbol(s)
Name of each exchange
on which registered
Common Stock, $.01 par value per
share
ARDT
New York Stock Exchange
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act
of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging growth company  o
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition
period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the
Exchange Act.  o
Item 2.02. Results of Operations and Financial Condition.
On November 6, 2024, Ardent Health Partners, Inc. (the “Company”) issued a press release announcing its financial results
for the third quarter ended September 30, 2024. A copy of the press release is furnished as Exhibit 99.1 to this Current
Report on Form 8-K and is incorporated herein by reference.
The information in this Current Report on Form 8-K furnished pursuant to Item 2.02, including Exhibit 99.1, shall not be
deemed “filed” for the purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”),
or otherwise subject to the liabilities of that Section. This information shall not be incorporated by reference into any filing
under the Securities Act of 1933, as amended, or the Exchange Act, except to the extent specifically provided in any such
filing.
Item 9.01. Financial Statements and Exhibits.
(d)Exhibits:
Exhibit No.
Exhibit Description
Exhibit 99.1
Exhibit 104
Cover Page Interactive Data File (embedded within the Inline XBRL document)
SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed
on its behalf by the undersigned hereunto duly authorized.
Dated: November 6, 2024
ARDENT HEALTH PARTNERS, INC.
By:
/s/ Alfred Lumsdaine
Name:
Alfred Lumsdaine
Title:
Executive Vice President, Chief Financial Officer
EX-99.1 2 ardt-q324x8kxex991.htm EX-99.1 ARDT - Q3 24 - 8K - EX99.1
1
Exhibit 99.1
ardentbannera.jpg
Ardent Health Reports Third Quarter 2024 Results
Brentwood, Tenn. (November 6, 2024) – Ardent Health Partners, Inc. (NYSE: ARDT) (“Ardent Health” or the “Company”),
a leading provider of healthcare in growing mid-sized urban communities across the U.S., today announced results for the
third quarter ended September 30, 2024.
Third Quarter 2024 Operating and Financial Summary
All comparisons are versus the same prior year period, unless otherwise noted. See the footnotes to the Operating
Statistics table of this press release for definitions of the metrics below and a full list of key operating metrics.
Total Revenue
$1.45 billion
+5.2% over PY
Net Income Attributable
to Ardent Health
$26 million  |  $0.19 per basic and diluted share
Adjusted EBITDA(1)
$98 million
+15.3% over PY, margin expansion of 50bps
Cash Flow from Operating Activities
$90 million
Adjusted Admissions
3.8% Growth Y/Y
Net Patient Service Revenue
per Adjusted Admission
0.9% Growth Y/Y
Adjusted EBITDAR(1)
$138 million
Increase Full-Year 2024 Adjusted EBITDA(1)
& Revenue Guidance
(1)  Adjusted EBITDA and Adjusted EBITDAR are non-GAAP financial measures.  See "Supplemental Non-GAAP Financial Information" for
reconciliations of non-GAAP measures to their most comparable GAAP financial measures.
Strong Third Quarter Results – Raising 2024 Guidance 
•“We are pleased with our third quarter performance," stated Marty Bonick, President and Chief Executive
Officer of Ardent Health. “Year-over-year growth in key metrics, including inpatient and outpatient surgeries and
admissions, accelerated compared to the first half of 2024. Net income attributable to Ardent Health increased
to $26 million and adjusted EBITDA improved 15% year-over-year with margins expanding 50bps to 6.7%.”
•“These results reflect the effectiveness of our consumer-focused growth strategy and operational excellence
initiatives,” continued Bonick. “We’ve continued our service line optimization initiatives, enhanced supply chain
efficiencies, and furthered our technological drive through deployment of new AI initiatives aimed at supporting
our caregivers, driving efficiencies, and elevating clinical outcomes. Collectively our strategic initiatives are
driving value, positioning us strongly for continued growth.”
•“Our solid third quarter results, coupled with momentum from our strategic execution, give us confidence to
increase our 2024 adjusted EBITDA guidance midpoint by 2% and modestly improve our revenue outlook,” said
Bonick.
2
Financial Performance Summary
Total revenue for the third quarter of 2024 grew 5.2% year-over-year to $1.45 billion. This primarily reflects a 3.8% year-
over-year increase in adjusted admissions and 0.9% year-over-year growth in net patient service revenue per adjusted
admission. 
The third quarter of 2023 benefited from the recognition of approximately $25 million of discrete non-recurring revenue
associated with Medicaid supplemental programs, primarily attributable to a one-time allocation to Oklahoma hospitals
participating in the Supplemental Hospital Offset Payment Program ("SHOPP"). Additionally, in May 2024, the Company
made a strategic decision to transfer certain oncology and infusion services to a health system partner. This transition
resulted in a revenue reduction of more than $10 million in the third quarter of 2024 compared to the same prior year
period, with no material change to adjusted EBITDA.  Excluding these items, total revenue growth for the third quarter of
2024 would have been approximately 8%.
For the third quarter of 2024, net income attributable to Ardent Health was $26 million, or $0.19 per basic and diluted
share, compared to $21 million, or $0.17 per basic and diluted share, in the third quarter of 2023. 
Adjusted EBITDA for the third quarter of 2024 increased 15.3% year-over-year to $98 million, which represented margin
expansion of 50bps to 6.7%. The adjusted EBITDA growth was primarily driven by higher patient volumes, increased
reimbursement rates, strategic service line optimization, and cost reduction initiatives.
Operating Performance Summary
The following table provides a summary of certain key operating metrics for the third quarter of 2024 compared to the
same prior year period. See the footnotes to the Operating Statistics table of this press release for definitions of the
metrics below and a full list of key operating metrics.
Three Months Ended September 30,
2024
2023
% Change
Adjusted admissions
86,833
83,643
3.8%
Admissions
39,568
37,191
6.4%
Inpatient surgeries
8,871
8,826
0.5%
Outpatient surgeries
23,220
23,164
0.2%
Total surgeries
32,091
31,990
0.3%
Emergency room visits
161,343
157,182
2.6%
Net patient service revenue per adjusted admission
$16,312
$16,174
0.9%
•Admissions for the third quarter of 2024 increased 6.4% year-over-year, modestly faster than the comparable 5.3%
growth in the first half of 2024. The increase was primarily attributable to growth in general medicine, including
strong growth in pulmonology and gastroenterology cases, as well as the ongoing impact of the two-midnight rule.
•Surgeries for the third quarter of 2024 increased 0.3% year-over-year, an improvement from a comparable decline of
1.9% during the first half of 2024. The year-over-year growth in total surgeries of 0.3% reflected increases of 0.5%
and 0.2% in inpatient and outpatient surgeries, respectively. As expected, the Company’s strategic service line
optimization efforts continued to be a volume headwind for lower margin services, including otolaryngology;
however, growth in higher acuity lines, including orthopedics, contributed to a more favorable case mix.
•Net patient service revenue per adjusted admission for the third quarter of 2024 increased 0.9% year-over-year. The
growth rate would have been over 3.0%, excluding the aforementioned $25 million in discrete non-recurring revenue
associated with Medicaid supplemental programs recognized during the third quarter of 2023 and the $10 million
year-over-year decrease in revenue related to the oncology and infusion service transfer.
1  Lease-adjusted net leverage is defined as the Company's net debt as of September 30, 2024, plus 8x trailing twelve-month real estate investment
trust ("REIT") rent expense as of the end of the third quarter of 2024, divided by trailing twelve month Adjusted EBITDAR as of September 30, 2024.
3
Balance Sheet, Cash Flow & Liquidity Update
As previously announced, during the third quarter, the Company amended its term loan credit agreement with lenders to
reprice its term loans. The repricing is expected to generate approximately $5 million in annual interest expense savings
and will provide incremental flexibility to pursue capital allocation priorities.
As of September 30, 2024, the Company had total cash and cash equivalents of $563 million and total debt of $1.1 billion.
The Company’s net leverage ratio as of September 30, 2024 was 1.6x, as calculated under the Company's credit
agreements, and its lease-adjusted net leverage ratio1 was 3.5x. Ardent Health expects its lease-adjusted net leverage
ratio will approach a target of 3.0x by the end of 2024, as the impact of the cybersecurity incident in the fourth quarter
rolls off. At the end of the third quarter, the Company’s available liquidity was $851 million.
During the third quarter of 2024, net cash provided by operating activities was $90 million, compared to $89 million in
the same prior year period.
Other Matters
The Company acknowledges the devastation left by Hurricane Helene and Hurricane Milton across the southeastern U.S.
Ardent Health's facilities were not in the hurricanes' paths and, therefore, were not impacted by the storms.  Additionally,
the Company's supply chain, including its sourcing of IV fluids, has not been impacted to date.
Financial Guidance
The Company is updating its financial guidance for the full year 2024, increasing revenue and adjusted EBITDA to reflect
third quarter results and continued confidence in its business execution. The Company is lowering net income guidance
due to a delay in the expected timing of collecting business insurance proceeds related to the cybersecurity incident,
partially offset by higher adjusted EBITDA. The Company's expectation for its business insurance claim remains
unchanged, with additional proceeds expected to be collected in 2025.  All guidance is current as of the time provided
and is subject to change.
Full Year 2024 Projected
(Dollars in millions, except per share amount)
Previous Guidance
New Guidance
Total revenue
$5,750
$5,900
$5,800
$5,875
Net income attributable to Ardent Health Partners, Inc.
$163
$182
$156
$176
Adjusted EBITDA
$415
$435
$425
$440
Rent expense payable to REITs
$161
$161
$161
$161
Diluted earnings per share
$1.23
$1.37
$1.18
$1.32
Adjusted admissions growth
4.0%
4.5%
4.5%
5.0%
Net patient service revenue per adjusted admission growth
2.3%
4.4%
2.6%
3.3%
Capital expenditures
$170
$185
$170
$185
The Company’s forecasted guidance is based on current plans and expectations and is subject to a number of known and
unknown uncertainties and risks, including those set forth below under the heading “Forward-Looking Statements.” The
Company does not forecast the impact of items such as, but not limited to, losses (gains) on sales of facilities, losses on
retirement of debt, legal claim costs (benefits) and impairments of long-lived assets because the Company does not
believe that it can forecast these items with sufficient accuracy. This is due to the inherent difficulty of forecasting the
timing or amount of various items that have not yet occurred and are out of the Company’s control or cannot be
reasonably predicted.
4
Third Quarter 2024 Results Conference Call
The Company will host a conference call to discuss its third quarter financial results on November 7, 2024, at 9:00 a.m.
Eastern Time. A webcast of the conference call will be available in the Investor Relations section of the Company’s
corporate website at https://ir.ardenthealth.com. To listen to a live broadcast, go to the site at least 15 minutes prior to
the scheduled start time in order to register, download, and install any necessary audio software.
To participate in the live teleconference:
United States Live:    1-888-596-4144
International Live:    1-646-968-2525
Access Code:              4437657
To listen to a replay of the teleconference, which will be available through November 14, 2024:
United States Replay:  1-800-770-2030
International Replay:  1-609-800-9909
Access Code:              4437657
About Ardent Health
Ardent Health (NYSE: ARDT) is a leading provider of healthcare in growing mid-sized urban communities across the U.S.
With a focus on people and investments in innovative services and technologies, Ardent Health is passionate about
making healthcare better and easier to access. Through its subsidiaries, Ardent Health delivers care through a system of
30 acute care hospitals and more than 200 sites of care with over 1,800 affiliated providers across six states. For more
information, please visit www.ardenthealth.com.
Supplemental Non-GAAP Financial Information
We have included certain financial measures in this press release that have not been prepared in a manner that complies
with U.S. generally accepted accounting principles ("GAAP"), including Adjusted EBITDA and Adjusted EBITDAR. We define
these terms as follows:
•Adjusted EBITDA. Adjusted EBITDA is defined as net income plus (i) provision for income taxes, (ii) interest expense
and (iii) depreciation and amortization expense (or EBITDA), as adjusted to deduct noncontrolling interest earnings,
and excludes the effects of losses on the extinguishment and modification of debt; other non-operating losses
(gains); Cybersecurity Incident recoveries, net of incremental information technology and litigation costs;
restructuring, exit and acquisition-related costs; expenses incurred in connection with the implementation of Epic
Systems ("Epic"), our integrated health information technology system; equity-based compensation expense; and
loss (income) from disposed operations.
Adjusted EBITDA is a non-GAAP performance measure used by our management and external users of our financial
statements, such as investors, analysts, lenders, rating agencies and other interested parties, to evaluate companies
in our industry. Adjusted EBITDA is a performance measure that is not defined under GAAP and is presented in this
press release because our management considers it an important analytical indicator that is commonly used within
the healthcare industry to evaluate financial performance and allocate resources. Further, our management believes
that Adjusted EBITDA is a useful financial metric to assess our operating performance from period to period by
excluding certain material non-cash items and unusual or non-recurring items that we do not expect to continue in
the future and certain other adjustments we believe are not reflective of our ongoing operations and our
performance.
Because not all companies use identical calculations, our presentation of Adjusted EBITDA may not be comparable to
other similarly titled measures of other companies.  While we believe this is a useful supplemental performance
measure for investors and other users of our financial information, you should not consider Adjusted EBITDA in
isolation or as a substitute for net income or any other items calculated in accordance with GAAP. Adjusted EBITDA
has inherent material limitations as a performance measure, because it adds back certain expenses to net income,
resulting in those expenses not being taken into account in the performance measure. We have borrowed money, so
interest expense is a necessary element of our costs. Because we have material capital and intangible assets,
5
depreciation and amortization expense are necessary elements of our costs. Likewise, the payment of taxes is a
necessary element of our operations. Because Adjusted EBITDA excludes these and other items, it has material
limitations as a measure of our performance.
•Adjusted EBITDAR. Adjusted EBITDAR is defined as Adjusted EBITDA further adjusted to add back rent expense
payable to REITs, which consists of rent expense pursuant to the master lease agreement (the "Ventas Master
Lease") with Ventas, Inc. ("Ventas"), lease agreements associated with the MOB Transactions (defined below) and a
lease arrangement with Medical Properties Trust, Inc. ("MPT") for the Hackensack Meridian Mountainside Medical
Center.
Adjusted EBITDAR is a commonly used non-GAAP valuation measure used by our management, research analysts,
investors and other interested parties to evaluate and compare the enterprise value of different companies in our
industry. Adjusted EBITDAR excludes: (1) certain material noncash items and unusual or non-recurring items that we
do not expect to continue in the future; (2) certain other adjustments that do not impact our enterprise value; and
(3) rent expense payable to our REITs. We operate 30 acute care hospitals, 12 of which we lease from two REITs,
Ventas and MPT, pursuant to long-term lease agreements. Additionally, during 2022, we completed the sale of 18
medical office buildings to Ventas in exchange for $204.0 million and concurrently entered into agreements to lease
the real estate back from Ventas over a 12-year initial term with eight options to renew for additional five-year terms
(the "MOB Transactions"). Our management views the long-term lease agreements with Ventas and MPT, as well as
the MOB Transactions, as more like financing arrangements than true operating leases, with the rent payable to such
REITs being similar to interest expense. As a result, our capital structure is different than many of our competitors,
especially those whose real estate portfolio is predominately owned and not leased. Excluding the rent payable to
such REITs allows investors to compare our enterprise value to those of other healthcare companies without regard
to differences in capital structures, leasing arrangements and geographic markets, which can vary significantly among
companies. Our management also uses Adjusted EBITDAR as one measure in determining the value of prospective
acquisitions or divestitures. Finally, financial covenants in certain of our lease agreements, including the Ventas
Master Lease, use Adjusted EBITDAR as a measure of compliance. Adjusted EBITDAR does not reflect our cash
requirements for leasing commitments. As such, our presentation of Adjusted EBITDAR should not be construed as a
performance or liquidity measure.
Because not all companies use identical calculations, our presentation of Adjusted EBITDAR may not be comparable
to other similarly titled measures of other companies. While we believe this is a useful supplemental valuation
measure for investors and other users of our financial information, you should not consider Adjusted EBITDAR in
isolation or as a substitute for net income or any other items calculated in accordance with GAAP. Adjusted EBITDAR
has inherent material limitations as a valuation measure, because it adds back certain expenses to net income,
resulting in those expenses not being taken into account in the valuation measure. The payment of taxes and rent is
a necessary element of our valuation. Because Adjusted EBITDAR excludes these and other items, it has material
limitations as a measure of our valuation.
Forward-Looking Statements
This press release contains "forward-looking statements" within the meaning of the Private Securities Litigation Reform
Act of 1995 and are based on current expectations and assumptions that are subject to risks and uncertainties. Forward-
looking statements include all statements that are not historical facts. The words "anticipate," "assume," "believe,"
"continue," "could," "estimate," "expect," "intend," "may," "plan," "potential," "predict," "project," "future," "will,"
"seek," "foreseeable," the negative version of these words, or similar terms and phrases are intended to identify forward-
looking statements. These forward-looking statements include, but are not limited to, statements regarding anticipated
financial performance and financial position, including our financial outlook for the full year 2024 and other statements
that are not historical facts. These forward-looking statements are neither promises nor guarantees, but involve risks and
uncertainties that may cause actual results to differ materially from those contained in the forward-looking statements.
Our actual results could differ materially from those anticipated in these forward-looking statements for many reasons,
including, but not limited to, the following: (1) changes in government healthcare programs, including Medicare and
Medicaid and supplemental payment programs and state directed payment arrangements; (2) reduction in the
reimbursement rates paid by commercial payors, our inability to retain and negotiate favorable contracts with private
third-party payors, or an increasing volume of uninsured or underinsured patients; (3) the highly competitive nature of
the healthcare industry; (4) inability to recruit and retain quality physicians, as well as increasing cost to contract with
hospital-based physicians; (5) increased labor costs resulting from increased competition for staffing or a continued or
6
increased shortage of experienced nurses; (6) changes to physician utilization practices and treatment methodologies and
third party-payor controls designed to reduce inpatient services or surgical procedures that impact demand for medical
services; (7) continued industry trends toward value-based purchasing, third party payor consolidated and care
coordination among healthcare providers; (8) loss of key personnel, including key members of our senior management
team; (9) our failure to comply with complex laws and regulations applicable to the healthcare industry or to adjust our
operations in response to changing laws and regulations; (10) inability to successfully complete acquisitions or strategic
joint ventures (“JVs”) or inability to realize all of the anticipated benefits, including anticipated synergies, of past
acquisitions and the risk that transactions may not receive necessary government clearances; (11) failure to maintain
existing relationships with JV partners or enter into relationships with additional healthcare system partners; (12) the
impact of known and unknown claims brought against our hospitals, physician practices, outpatient facilities or other
business operations or against healthcare providers that provide services at our facilities; (13) the impact of government
investigations, claims, audits, whistleblower and other litigation; (14) the impact of any security incidents affecting us or
any third-party vendor upon which we rely; (15) inability or delay in our efforts to construct, acquire, sell, renovate or
expand our healthcare facilities; (16) our failure to comply with federal and state laws relating to Medicare and Medicaid
enrollment, permit, licensing and accreditation requirements, or the expansion of existing or the enactment of new laws
or regulation relating to permit, licensing and accreditation requirements; (17) failure to obtain drugs and medical
supplies at favorable prices or sufficient volumes; (18) operational, legal and financial risks associated with outsourcing
functions to third parties; (19) sensitivity to regulatory, economic and competitive conditions in the states in which our
operations are heavily concentrated; (20) decreased demand for our services provided due to factors beyond our control,
such as seasonal fluctuations in the severity of critical illnesses, pandemic, epidemic or widespread health crisis; (21)
inability to accurately estimate market opportunity and forecasts of market growth; (22) general economic and business
conditions, both nationally and in the regions in which we operate; (23) the impact of seasonal or severe weather
conditions and climate change; (24) inability to demonstrate meaningful use of Electronic Health Record technology; (25)
inability to continually enhance our hospitals with the most recent technological advances in diagnostic and surgical
equipment; (26) effects of current and future health reform initiatives, including the Affordable Care Act, and the
potential for changes to the Affordable Care Act, its implementation or its interpretation (including through executive
orders and court challenges); (27) legal and regulatory restrictions on certain of our hospitals that have physician owners;
(28) risks related to the Ventas Master Lease and its restrictions and limitations on our business; (29) the impact of our
significant indebtedness, including our ability to comply with certain debt covenants and other significant operating and
financial restrictions imposed on us by the agreements governing our indebtedness, and the effects that variable interest
rates, and general economic factors could have on our operations, including our potential inability to service our
indebtedness; (30) conflicts of interest with certain of our existing large stockholders; (31) effects of changes in federal
tax laws; (32) increased costs as a result of operating as a public company; (33) risks related to maintaining an effective
system of internal controls; (34) volatility of our share price and size of the public market for our common stock; (35) our
guidance differing from actual operating and financial performance; (36) the results of our efforts to use technology,
including artificial intelligence, to drive efficiencies and quality initiatives and enhance patient experience; (37) the impact
of recent decisions of the U.S. Supreme Court regarding the actions of federal agencies; and (38) other risk factors
described in our filings with the Securities and Exchange Commission.
Many of the important factors that will determine these results are beyond our ability to control or predict. You are
cautioned not to put undue reliance on any forward-looking statements, which speak only as of the date of this press
release. Except as otherwise required by law, we do not assume any obligation to publicly update or release any revisions
to these forward-looking statements to reflect events or circumstances after the date of this news release or to reflect
the occurrence of unanticipated events. All references to “Company,” “Ardent Health,” “we,” “our” and “us” as used
throughout this release refer to Ardent Health Partners, Inc. and its affiliates, unless stated otherwise or indicated by
context.
Media Relations:
Rebecca Kirkham
Ardent Health
rebecca.kirkham@ardenthealth.com
(615) 296-3000
Investor Relations:
Dave Styblo
Ardent Health
Investor.Relations@ardenthealth.com
(615) 296-3016
7
Ardent Health Partners, Inc.
Condensed Consolidated Income Statements
(Unaudited; Dollars in thousands, except per share amounts)
Three Months Ended September 30,
2024
2023
 
Amount
%
Amount
%
Total revenue
$1,449,817
100.0%
$1,377,727
100.0%
Expenses:
Salaries and benefits
635,223
43.8%
595,580
43.2%
Professional fees
274,223
18.9%
246,540
17.9%
Supplies
251,862
17.4%
249,548
18.1%
Rents and leases
26,410
1.8%
24,506
1.8%
Rents and leases, related party
37,249
2.6%
36,413
2.6%
Other operating expenses
117,700
8.2%
124,642
9.1%
Government stimulus income
0.0%
0.0%
Interest expense
14,629
1.0%
19,041
1.4%
Depreciation and amortization
36,771
2.5%
35,488
2.6%
Loss on extinguishment and modification of debt
1,490
0.1%
0.0%
Other non-operating gains
(2,807)
(0.2)%
0.0%
Total operating expenses
1,392,750
96.1%
1,331,758
96.7%
Income before income taxes
57,067
3.9%
45,969
3.3%
Income tax expense
11,062
0.7%
7,261
0.5%
Net income
46,005
3.2%
38,708
2.8%
Net income attributable to noncontrolling interests
19,683
1.4%
17,870
1.3%
Net income attributable to Ardent Health Partners, Inc.
$26,322
1.8%
$20,838
1.5%
Net income per share:
Basic
$0.19
$0.17
Diluted
$0.19
$0.17
Weighted-average common shares outstanding:
Basic
137,107,595
126,115,301
Diluted
137,542,995
126,115,301
8
Ardent Health Partners, Inc.
Condensed Consolidated Income Statements
(Unaudited; Dollars in thousands, except per share amounts)
Nine Months Ended September 30,
2024
2023
 
Amount
%
Amount
%
Total revenue
$4,359,783
100.0%
$4,063,449
100.0%
Expenses:
Salaries and benefits
1,880,790
43.1%
1,785,939
44.0%
Professional fees
810,820
18.6%
715,111
17.6%
Supplies
769,034
17.6%
743,713
18.3%
Rents and leases
76,251
1.7%
73,230
1.8%
Rents and leases, related party
111,413
2.6%
108,914
2.7%
Other operating expenses
354,851
8.2%
342,026
8.3%
Government stimulus income
0.0%
(8,463)
(0.2)%
Interest expense
52,050
1.2%
55,854
1.4%
Depreciation and amortization
108,434
2.5%
104,860
2.6%
Loss on extinguishment and modification of debt
3,388
0.1%
0.0%
Other non-operating gains
(3,062)
(0.1)%
(522)
0.0%
Total operating expenses
4,163,969
95.5%
3,920,662
96.5%
Income before income taxes
195,814
4.5%
142,787
3.5%
Income tax expense
36,997
0.9%
24,591
0.6%
Net income
158,817
3.6%
118,196
2.9%
Net income attributable to noncontrolling interests
62,678
1.4%
60,139
1.5%
Net income attributable to Ardent Health Partners, Inc.
$96,139
2.2%
$58,057
1.4%
Net income per share:
Basic
$0.74
$0.46
Diluted
$0.74
$0.46
Weighted-average common shares outstanding:
Basic
129,877,510
126,115,301
Diluted
130,022,643
126,115,301
9
 Ardent Health Partners, Inc.
Condensed Consolidated Statements of Cash Flows
(Unaudited; Dollars in thousands)
Nine Months Ended
September 30,
 
2024
2023
Cash flows from operating activities:
 
 
Net income
$158,817
$118,196
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization
108,434
104,860
Other non-operating gains
(45)
Loss on extinguishment and modification of debt
2,158
Amortization of deferred financing costs and debt discounts
4,235
4,266
Deferred income taxes
1,690
5,346
Equity-based compensation
8,873
723
Loss from non-consolidated affiliates
2,160
3,622
Changes in operating assets and liabilities, net of effect of acquisitions and divestitures:
Accounts receivable
77,284
(54,896)
Inventories
(2,545)
(556)
Prepaid expenses and other current assets
(21,189)
(20,450)
Accounts payable and other accrued expenses and liabilities
(132,031)
9,996
Accrued salaries and benefits
(12,429)
(16,863)
Net cash provided by operating activities
195,457
154,199
Cash flows from investing activities:
Investment in acquisitions, net of cash acquired
(8,044)
Purchases of property and equipment
(106,234)
(79,959)
Other
(738)
(1,318)
Net cash used in investing activities
(115,016)
(81,277)
Cash flows from financing activities:
Proceeds from initial public offering, net of underwriting discounts and commissions
208,656
Proceeds from insurance financing arrangements
10,797
24,749
Proceeds from long-term debt
3,600
1,225
Payments of principal on insurance financing arrangements
(7,370)
(15,885)
Payments of principal on long-term debt
(106,335)
(10,549)
Debt issuance costs
(2,450)
Payments of initial public offering costs
(8,636)
Distributions to noncontrolling interests
(53,138)
(50,677)
Redemption of equity attributable to noncontrolling interests
(26,024)
Other
(7,209)
Net cash provided by (used in) financing activities
45,124
(84,370)
Net increase (decrease) in cash and cash equivalents
125,565
(11,448)
Cash and cash equivalents at beginning of year
437,577
456,124
Cash and cash equivalents at end of year
$563,142
$444,676
Supplemental Cash Flow Information:
Non-cash purchases of property and equipment
$5,546
$13,188
Offering costs not yet paid
$898
$—
10
Ardent Health Partners, Inc.
Condensed Consolidated Balance Sheets
(Unaudited; Dollars in thousands)
September 30,
2024 (1)
December 31,
2023 (1)
Assets
Current assets:
Cash and cash equivalents
$563,142
$437,577
Accounts receivable
705,747
775,452
Inventories
108,231
105,485
Prepaid expenses
119,956
77,281
Other current assets
193,616
222,290
Total current assets
1,690,692
1,618,085
Property and equipment, net
814,860
811,089
Operating lease right of use assets
261,214
260,003
Operating lease right of use assets, related party
932,246
941,150
Goodwill
852,001
844,704
Other intangible assets, net
76,930
76,930
Deferred income taxes
34,764
32,491
Other assets
137,307
147,106
Total assets
$4,800,014
$4,731,558
 
 
 
Liabilities and Equity
Current liabilities:
Current installments of long-term debt
$12,167
$18,605
Accounts payable
368,850
474,543
Accrued salaries and benefits
255,370
267,685
Other accrued expenses and liabilities
250,945
233,271
Total current liabilities
887,332
994,104
Long-term debt, less current installments
1,083,725
1,168,253
Long-term operating lease liability
233,786
235,241
Long-term operating lease liability, related party
922,665
932,090
Self-insured liabilities
231,951
243,552
Other long-term liabilities
53,686
76,002
Total liabilities
3,413,145
3,649,242
Redeemable noncontrolling interests
2,391
7,302
Equity:
Common units, no and unlimited units authorized as of September 30, 2024 and December 31, 2023,
respectively; no and 484,922,828 units issued and outstanding as of September 30, 2024 and December
31, 2023, respectively
496,882
Preferred stock, par value $0.01 per share; 50,000,000 and no shares authorized as of September 30,
2024 and December 31, 2023, respectively; no shares issued and outstanding as of September 30, 2024
and December 31, 2023
Common stock, par value $0.01 per share; 750,000,000 and no shares authorized as of September 30,
2024 and December 31, 2023, respectively; 142,735,842 and no shares issued and outstanding as of
September 30, 2024 and December 31, 2023, respectively
1,428
Additional paid in capital
743,364
Accumulated other comprehensive income
9,486
18,561
Retained earnings
251,592
155,453
Equity attributable to Ardent Health Partners, Inc.
1,005,870
670,896
Noncontrolling interests
378,608
404,118
Total equity
1,384,478
1,075,014
Total liabilities and equity
$4,800,014
$4,731,558
(1)As of September 30, 2024 and December 31, 2023, the unaudited condensed consolidated balance sheet included total liabilities of consolidated
variable interest entities of $303.2 million and $337.8 million, respectively. Refer to Note 2 of the Company's unaudited condensed consolidated
financial statements included in its Quarterly Report on Form 10-Q for further discussion.
11
 Ardent Health Partners, Inc.
Operating Statistics
(Unaudited)
 
Three Months Ended September 30,
Nine Months Ended September 30,
 
2024
%
Change
2023
2024
%
Change
2023
Total revenue (in thousands)
$1,449,817
5.2%
$1,377,727
$4,359,783
7.3%
$4,063,449
Hospitals operated (at period end) (1)
30
(3.2)%
31
30
(3.2)%
31
Licensed beds (at period end) (2)
4,287
(0.8)%
4,323
4,287
(0.8)%
4,323
Utilization of licensed beds (3)
46%
4.5%
44%
46%
2.2%
45%
Admissions (4)
39,568
6.4%
37,191
116,995
5.6%
110,754
Adjusted admissions (5)
86,833
3.8%
83,643
254,909
3.5%
246,298
Inpatient surgeries (6)
8,871
0.5%
8,826
26,829
0.3%
26,751
Outpatient surgeries (7)
23,220
0.2%
23,164
69,201
(1.7)%
70,417
Emergency room visits (8)
161,343
2.6%
157,182
475,212
3.7%
458,160
Patient days (9)
182,023
4.8%
173,687
540,196
2.6%
526,634
Total encounters (10)
1,482,655
7.5%
1,378,599
4,304,097
4.7%
4,109,144
Average length of stay (11)
4.60
(1.5)%
4.67
4.62
(2.7)%
4.75
Net patient service revenue per adjusted admission (12)
$16,312
0.9%
$16,174
$16,784
3.6%
$16,206
(1)Hospitals operated (at period end). This metric represents the total number of hospitals operated by us at the end of the applicable period, irrespective of
whether the hospital real estate is (i) owned by us, (ii) leased by us or (iii) held through a controlling interest in a JV. This metric includes the managed
clinical operations of the hospital at UT Health North Campus in Tyler, Texas ("UT Health North Campus Tyler"), a hospital owned by The University of
Texas Health Science Center at Tyler ("UTHSCT"), an affiliate of The University of Texas System. Since we only manage the clinical operations of UT Health
North Campus Tyler, the financial results of such entity are not consolidated under Ardent Health Partners, Inc.
On April 30, 2024, we closed UT Health East Texas Specialty Hospital, a long-term acute care hospital (the “LTAC Hospital”) in Tyler, Texas. The LTAC
Hospital's inventory and fixed assets were transferred or repurposed to be used by our other hospitals. The LTAC Hospital had 36 licensed patient beds and
accounted for approximately $0.0 million and $2.2 million of total revenue and a pre-tax loss of $0.2 million and $0.5 million for the three months ended
September 30, 2024 and 2023, respectively, and approximately $2.4 million and $8.0 million of total revenue and a pre-tax loss of $0.8 million and $0.5
million for the nine months ended September 30, 2024 and 2023, respectively.
(2)Licensed beds (at period end). This metric represents the total number of beds for which the appropriate state agency licenses a facility, regardless of
whether the beds are actually available for patient use.
(3)Utilization of licensed beds. This metric represents a measure of the actual utilization of our inpatient facilities, computed by (i) dividing patient days by
the number of days in each period, and (ii) further dividing that number by average licensed beds, which is calculated by dividing total licensed beds (at
period end) by the number of days in the period, multiplied by the number of days in the period the licensed beds were in existence.
(4)Admissions. This metric represents the number of patients admitted for inpatient treatment during the applicable period.
(5)Adjusted admissions. This metric is used by management as a general measure of combined inpatient and outpatient volume. Adjusted admissions
provides management with a key performance indicator that considers both inpatient and outpatient volumes by applying an inpatient volume measure
(admissions) to a ratio of gross inpatient and outpatient revenue to gross inpatient revenue. Gross inpatient and outpatient revenue reflect gross inpatient
and outpatient charges prior to estimated contractual adjustments, uninsured discounts, implicit price concessions, and other discounts. The calculation of
adjusted admissions is summarized as follows:
Adjusted Admissions  =  Admissions  x  (Gross Inpatient Revenue + Gross Outpatient Revenue)
Gross Inpatient Revenue
(6)Inpatient surgeries. This metric represents the number of surgeries performed on patients who have been admitted to our hospitals. Pain management, c-
sections, and certain diagnostic procedures are excluded from inpatient surgeries.
(7)Outpatient surgeries. This metric represents the number of surgeries performed on patients who have not been admitted to our hospitals. Pain
management, c-sections, and certain diagnostic procedures are excluded from outpatient surgeries.
(8)Emergency room visits. This metric represents the total number of patients provided with emergency room treatment during the applicable period.
(9)Patient days. This metric represents the total number of days of care provided to patients admitted to our hospitals during the applicable period.
(10)Total encounters. This metric represents the total number of events where healthcare services are rendered resulting in a billable event during the
applicable period. This includes both hospital and ambulatory patient interactions.
(11)Average length of stay. This metric represents the average number of days admitted patients stay in our hospitals.
(12)Net patient service revenue per adjusted admission. This metric represents net patient service revenue divided by adjusted admissions for the applicable
period. Net patient service revenue reflects gross inpatient and outpatient charges less estimated contractual adjustments, uninsured discounts, implicit
price concessions, and other discounts.
12
 Ardent Health Partners, Inc.
Supplemental Non-GAAP Disclosures
(Unaudited; Dollars in thousands)
 
Three Months Ended September 30,
Nine Months Ended September 30,
2024
2023
2024
2023
Net income
$46,005
$38,708
$158,817
$118,196
Adjusted EBITDA Addbacks:
Income tax expense
11,062
7,261
36,997
24,591
Interest expense, net
14,629
19,041
52,050
55,854
Depreciation and amortization
36,771
35,488
108,434
104,860
Noncontrolling interest earnings
(19,683)
(17,870)
(62,678)
(60,139)
Loss on extinguishment and modification of debt
1,490
3,388
Other non-operating losses (gains) (1)
47
(208)
(522)
Cybersecurity Incident recoveries, net (2)
(4,976)
(4,976)
Restructuring, exit and acquisition-related costs (3)
3,796
1,511
11,694
11,473
Epic expenses (4)
485
437
1,500
1,415
Equity-based compensation
8,135
181
8,873
723
Loss (income) from disposed operations
3
3
1,989
(65)
Adjusted EBITDA
$97,764
$84,760
$315,880
$256,386
(1)Other non-operating losses (gains) include gains and losses realized on certain non-recurring events or events that are non-operational in nature, including
gains realized on certain asset divestitures.
(2)Cybersecurity Incident recoveries, net represents insurance recovery proceeds associated with the Cybersecurity Incident, net of incremental information
technology and litigation costs.
(3)Restructuring, exit and acquisition-related costs represent (i) enterprise restructuring costs, including severance costs related to work force reductions of
$3.2 million and $1.3 million for the three months ended September 30, 2024 and 2023, respectively, and $10.1 million and $10.6 million for the nine
months ended September 30, 2024 and 2023, respectively; (ii) penalties and costs incurred for terminating pre-existing contracts at acquired facilities of
$0.2 million and $0.1 million for the three months ended September 30, 2024 and 2023, respectively, and $0.6 million and $0.6 million for the nine months
ended September 30, 2024 and 2023, respectively;  and (iii) third-party professional fees and expenses, salaries and benefits, and other internal expenses
incurred in connection with potential and completed acquisitions of $0.4 million and $0.1 million for the three months ended September 30, 2024 and 2023,
respectively, and $1.0 million and $0.3 million for the nine months ended September 30, 2024 and 2023, respectively.
(4)Epic expenses consist of various costs incurred in connection with the implementation of Epic, our health information technology system. These costs
included professional fees of $0.5 million and $0.4 million for the three months ended September 30, 2024 and 2023, respectively, and $1.5 million and
$1.4 million for the nine months ended September 30, 2024 and 2023, respectively. Epic expenses do not include the ongoing costs of the Epic system.
13
 Ardent Health Partners, Inc.
Supplemental Non-GAAP Disclosures
(Unaudited; Dollars in thousands)
 
Three Months
Ended
September 30,
Nine Months
Ended
September 30,
2024
2024
Net income
$46,005
$158,817
Adjusted EBITDAR Addbacks:
Income tax expense
11,062
36,997
Interest expense, net
14,629
52,050
Depreciation and amortization
36,771
108,434
Noncontrolling interest earnings
(19,683)
(62,678)
Loss on extinguishment and modification of debt
1,490
3,388
Other non-operating losses (gains) (1)
47
(208)
Cybersecurity Incident recoveries, net (2)
(4,976)
(4,976)
Restructuring, exit and acquisition-related costs (3)
3,796
11,694
Epic expenses (4)
485
1,500
Equity-based compensation
8,135
8,873
Loss from disposed operations
3
1,989
Rent expense payable to REITs (5)
40,056
119,826
Adjusted EBITDAR
$137,820
$435,706
(1)Other non-operating losses (gains) include gains and losses realized on certain non-recurring events or events that are non-operational in nature, including
gains realized on certain asset divestitures.
(2)Cybersecurity Incident recoveries, net represents insurance recovery proceeds associated with the Cybersecurity Incident, net of incremental information
technology and litigation costs.
(3)Restructuring, exit and acquisition-related costs represent (i) enterprise restructuring costs, including severance costs related to work force reductions of
$3.2 million and $10.1 million for the three and nine months ended September 30, 2024, respectively; (ii) penalties and costs incurred for terminating pre-
existing contracts at acquired facilities of $0.2 million and $0.6 million for the three and nine months ended September 30, 2024, respectively; and (iii) third-
party professional fees and expenses, salaries and benefits, and other internal expenses incurred in connection with potential and completed acquisitions of
$0.4 million and $1.0 million for the three and nine months ended September 30, 2024, respectively.
(4)Epic expenses consist of various costs incurred in connection with the implementation of Epic, our health information technology system. These costs
included professional fees of $0.5 million and $1.5 million for the three and nine months ended September 30, 2024, respectively. Epic expenses do not
include the ongoing costs of the Epic system.
(5)Rent expense payable to REITs consists of rent expense of $37.2 million and $111.4 million related to the Ventas Master Lease and lease agreements
associated with MOB Transactions with Ventas for the three and nine months ended September 30, 2024, respectively, and rent expense of $2.8 million and
$8.4 million related to a lease arrangement with MPT for the lease of Hackensack Meridian Mountainside Medical Center for the three and nine months
ended September 30, 2024, respectively.
14
Ardent Health Partners, Inc.
Supplemental Non-GAAP Disclosures
(Unaudited; Dollars in millions)
 
For the Full Year Ending 
December 31, 2024 
Low
High
Net income
$241
$263
Adjusted EBITDA Addbacks:
Income tax expense
39
45
Interest expense, net
66
65
Depreciation and amortization
145
144
Noncontrolling interest earnings
(85)
(87)
Loss on extinguishment and modification of debt
3
3
Cybersecurity Incident recoveries, net (1)
(20)
(25)
Restructuring, exit and acquisition-related costs
13
12
Epic expenses
4
3
Equity-based compensation
17
17
Loss from disposed operations
2
Adjusted EBITDA
$425
$440
(1)Cybersecurity Incident recoveries, net represents insurance recovery proceeds associated with the Cybersecurity Incident, net of incremental
information technology and litigation costs.