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DALLAS (AP) — Hospital operator Tenet Healthcare Corp. said Tuesday it took a larger loss in the second quarter on lower admissions and a series of costs related to early debt repayment and other items.

During the quarter Tenet took a charge of $171 million related to the early retirement of debt, its second such charge this year. Tenet also reported greater depreciation and amortization expenses and impairment, restructuring, and acquisition costs. Tenet said its adjusted admissions fell 0.7 percent because of reduced inpatient admissions. Those admissions were weaker than expected for the first half of 2013.

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