Ardent Health, Inc.
Business
Ardent Health, Inc. is a holding company whose affiliates operate acute care hospitals and other healthcare facilities and employ physicians to deliver integrated healthcare services. It offers a wide range of inpatient and outpatient services, including internal medicine, general surgery, cardiology, oncology, orthopedics, women’s services, neurology, urology, emergency care, ambulatory surgery, diagnostic imaging and virtual care. The Company operates through a differentiated joint venture model in which it is typically the majority owner and day-to-day operator of hospital JVs and centrally provides management services. Ardent serves growing mid‑sized urban markets across Texas, Oklahoma, New Mexico, New Jersey, Idaho and Kansas through hospitals, ambulatory clinics, urgent care, freestanding emergency departments, imaging centers and telehealth channels.
Summary from filing dated 2025-02-27
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 |
|---|---|---|---|---|---|
| Total revenue | 6,324 | 5,966 | 5,409 | 5,130 | |
| Salaries and benefits | 2,658 | 2,535 | 2,384 | 2,412 | |
| Professional fees | 1,193 | 1,097 | 980 | 736 | |
| Supplies | 1,083 | 1,033 | 993 | 955 | |
| Other operating expenses | 647 | 496 | 452 | 464 | |
| Government stimulus income | 0 | 0 | −9 | −17 | |
| Interest expense | 55 | 66 | 74 | — | |
| Depreciation and amortization | 156 | 146 | 141 | 138 | |
| Loss on extinguishment and modification of debt | 7 | 3 | 0 | 0 | |
| Other non-operating gains | −23 | −26 | −2 | −19 | |
| Total operating expenses | 6,038 | 5,603 | 5,258 | 4,818 | |
| Income before income taxes | 286 | 363 | 152 | 311 | |
| Income tax expense | 56 | 63 | 23 | 46 | |
| Net income | 230 | 300 | 129 | 265 | |
| Net income attributable to noncontrolling interests | 94 | 89 | 75 | 76 | |
| Net income attributable to Ardent Health, Inc. | 136 | 210 | 54 | 189 | |
| Net income per common share, basic (in USD per share) | 0.96 | 1.59 | 0.43 | 1.5 | |
| Net income per common share, diluted (in USD per share) | 0.96 | 1.58 | 0.43 | 1.5 | |
| Weighted average number of common shares, basic (in shares) | 141 | 132 | 126 | 126 | |
| Weighted average number of common shares, diluted (in shares) | 141 | 133 | 126 | 126 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 710 | 557 | 438 | — | — | |
| Accounts receivable | 686 | 743 | 775 | — | — | |
| Inventories | 119 | 115 | 105 | — | — | |
| Prepaid expenses | 113 | 114 | 77 | — | — | |
| Other current assets | 432 | 304 | 222 | — | — | |
| Total current assets | 2,059 | 1,833 | 1,618 | — | — | |
| Property and equipment, net | 936 | 862 | — | — | — | |
| Goodwill | 879 | 852 | 845 | 845 | — | |
| Other intangible assets | 89 | 77 | 77 | — | — | |
| Deferred income taxes | 7 | 12 | 32 | — | — | |
| Other assets | 112 | 143 | 147 | — | — | |
| Total assets | 5,290 | 4,956 | 4,732 | — | — | |
| Current installments of long-term debt | 23 | 9 | 19 | — | — | |
| Accounts payable | 458 | 401 | 475 | — | — | |
| Accrued salaries and benefits | 296 | 295 | 268 | — | — | |
| Other accrued expenses and liabilities | 269 | 240 | 233 | — | — | |
| Total current liabilities | 1,047 | 945 | 994 | — | — | |
| Long-term debt, less current installments | 1,076 | 1,086 | 1,168 | — | — | |
| Long-term operating lease liability | 1,165 | 1,141 | — | — | — | |
| Self-insured liabilities | 241 | 227 | 244 | — | — | |
| Other long-term liabilities | 77 | 35 | 76 | — | — | |
| Total liabilities | 3,605 | 3,434 | 3,649 | — | — | |
| Commitments and contingencies (see Note 13) | — | — | — | — | — | |
| Redeemable noncontrolling interests | −1 | 1 | 7 | 11 | — | |
| Preferred stock, par value $0.01 per share; 50,000,000 shares authorized; no shares issued and outstanding | 0 | 0 | 0 | — | — | |
| Common stock, par value $0.01 per share; 750,000,000 shares authorized; 142,864,171 and 142,747,818 shares issued and outstanding as of December 31, 2025 and 2024, respectively | 1 | 1 | 0 | — | — | |
| Additional paid-in capital | 788 | 754 | 0 | — | — | |
| Accumulated other comprehensive (loss) income | −4 | 10 | 19 | — | — | |
| Retained earnings | 502 | 366 | 155 | — | — | |
| Equity attributable to Ardent Health, Inc. | 1,288 | 1,131 | 671 | — | — | |
| Noncontrolling interests | 398 | 390 | 404 | — | — | |
| Total equity | 1,686 | 1,521 | 1,075 | 1,040 | 978 | |
| Total liabilities and equity | 5,290 | 4,956 | 4,732 | — | — |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 |
|---|---|---|---|---|---|
| Depreciation and amortization | 156 | 146 | 141 | 138 | |
| Loss on extinguishment and modification of debt | 515,000 | 2 | 0 | 0 | |
| Amortization of deferred financing costs and debt discounts | 4 | 5 | 5 | 6 | |
| Deferred income taxes | 44 | 24 | 4 | 46 | |
| Equity-based compensation | 39 | 18 | 904,000 | 611,000 | |
| (Income) loss from non-consolidated affiliates | −1 | 6 | −2 | −8 | |
| Accounts receivable | 59 | 40 | −181 | −17 | |
| Inventories | −3 | −9 | 2 | 5 | |
| Prepaid expenses and other current assets | −122 | −136 | −37 | 8 | |
| Accounts payable and other accrued expenses and liabilities | 62 | −104 | 137 | 14 | |
| Accrued salaries and benefits | 686,000 | 28 | 23 | −19 | |
| Net cash provided by operating activities | 471 | 315 | 222 | −38 | |
| Investment in acquisitions, net of cash acquired | −3 | −36 | 0 | 0 | |
| Purchases of property and equipment | −212 | −188 | −137 | −151 | |
| Other | 179,000 | −2 | −575,000 | −9 | |
| Net cash used in investing activities | −214 | −220 | −138 | 47 | |
| Proceeds from initial public offering, net of underwriting discounts and commissions | 0 | 209 | 0 | 0 | |
| Proceeds from revolving line of credit | 0 | 0 | 125 | 0 | |
| Proceeds from insurance financing arrangements | 16 | 11 | 25 | 4 | |
| Proceeds from long-term debt | 0 | 4 | 7 | 878,000 | |
| Payments of principal on revolving line of credit | 0 | 0 | −125 | 0 | |
| Payments of principal on insurance financing arrangements | −15 | −10 | −23 | −4 | |
| Payments of principal on long-term debt | −8 | −108 | −14 | −17 | |
| Debt issuance costs | −3 | −2 | 0 | 0 | |
| Payments of initial public offering costs | 0 | −10 | 0 | −2 | |
| Distributions to noncontrolling interests | −88 | −73 | −64 | −69 | |
| Redemption of equity attributable to noncontrolling interests | 0 | 0 | −26 | 0 | |
| Other | −5 | 5 | −7 | −10 | |
| Net cash (used in) provided by financing activities | −103 | 25 | −102 | −270 | |
| Net increase (decrease) in cash and cash equivalents | 153 | 119 | −19 | −262 | |
| Non-cash purchases of property and equipment | 16 | 9 | 16 | 10 | |
| Offering costs not yet paid | 0 | 330,000 | 0 | 0 | |
| Income tax payments, net | 37 | 42 | 19 | 56 |