TENET HEALTHCARE CORP
Business
TENET HEALTHCARE CORP is a diversified healthcare services company that operates an extensive network of acute care and specialty hospitals, outpatient facilities and affiliated physician practices. It offers acute inpatient care, tertiary and specialty services, outpatient urgent care, imaging and ambulatory surgery services, revenue cycle management, clinical documentation and value‑based care solutions. The company reports through two segments: Hospital Operations and Services and Ambulatory Care (USPI), and includes joint ventures and management services arrangements. Tenet distributes services nationwide in the U.S. through wholly owned subsidiaries, joint ventures and downstream partnerships, supported by centralized enterprise administrative functions.
Summary from filing dated 2025-02-18
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 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Net operating revenues | 21,310 | 20,675 | 20,564 | 19,174 | 19,485 | |
| Equity in earnings of unconsolidated affiliates | 264 | 260 | 228 | 216 | 218 | |
| Salaries, wages and benefits | 8,705 | 8,801 | 9,146 | 8,844 | 8,878 | |
| Supplies | 3,780 | 3,647 | 3,590 | 3,273 | 3,328 | |
| Other operating expenses, net | 4,523 | 4,492 | 4,515 | 3,998 | 4,206 | |
| Depreciation and amortization | 863 | 818 | 870 | 841 | 855 | |
| Impairment and restructuring charges, and acquisition-related costs | 130 | 102 | 137 | 226 | 85 | |
| Litigation and investigation costs | 64 | 35 | 47 | — | — | |
| Net losses (gains) on sales, consolidation and deconsolidation of facilities | 1 | −2,916 | −23 | −1 | −445 | |
| Operating income | 3,508 | 5,956 | 2,510 | 2,333 | 2,871 | |
| Interest expense | −821 | −826 | −901 | −890 | — | |
| Other non-operating income, net | 117 | 126 | 19 | 11 | 14 | |
| Loss from early extinguishment of debt | −4 | −8 | −11 | −109 | −74 | |
| Income before income taxes | 2,800 | 5,248 | 1,617 | 1,345 | — | |
| Income tax expense | −433 | −1,184 | −306 | −344 | −411 | |
| Net income | 2,367 | 4,064 | 1,311 | 1,001 | 1,476 | |
| Less: Net income available to noncontrolling interests | 960 | 864 | 700 | 590 | 562 | |
| Net income available to Tenet Healthcare Corporation common shareholders | 1,407 | 3,200 | 611 | 411 | 914 | |
| Basic earnings per share (in dollars per share) | 15.61 | 33.02 | 6.01 | 3.84 | 8.55 | |
| Diluted earnings per share (in dollars per share) | 15.49 | 32.7 | 5.71 | 3.79 | 8.42 | |
| Basic (in shares) | 90 | 97 | 102 | 107 | 107 | |
| Diluted (in shares) | 91 | 98 | 105 | 111 | 109 |
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 | 2,883 | 3,019 | 1,228 | 858 | 2,364 | |
| Accounts receivable | 2,565 | 2,536 | 2,914 | 2,943 | 2,770 | |
| Inventories of supplies, at cost | 348 | 346 | 411 | 405 | 384 | |
| Assets held for sale | 62 | 21 | 775 | 0 | 0 | |
| Other current assets | 1,991 | 1,760 | 1,839 | 1,775 | 1,557 | |
| Total current assets | 7,849 | 7,682 | 7,167 | 5,981 | 7,075 | |
| Investments and other assets | 2,883 | 3,037 | 3,157 | 3,147 | 3,254 | |
| Deferred income taxes | 84 | 80 | 77 | 19 | 65 | |
| Property and equipment, at cost, less accumulated depreciation and amortization ($6,680 at December 31, 2025 and $5,809 at December 31, 2024) | 6,315 | 6,049 | 6,236 | 6,462 | 6,427 | |
| Goodwill | 11,198 | 10,691 | 10,307 | 10,123 | 9,261 | |
| Other intangible assets, at cost, less accumulated amortization ($1,328 at December 31, 2025 and $1,288 at December 31, 2024) | 1,348 | 1,397 | 1,368 | 1,424 | 1,497 | |
| Total assets | 29,677 | 28,936 | 28,312 | 27,156 | 27,579 | |
| Current portion of long-term debt | 79 | 92 | 120 | 145 | 135 | |
| Accounts payable | 1,360 | 1,294 | 1,408 | 1,504 | 1,300 | |
| Accrued compensation and benefits | 858 | 899 | 930 | 778 | 896 | |
| Professional and general liability reserves | 276 | 238 | 254 | 255 | 254 | |
| Accrued interest payable | 81 | 149 | 200 | 213 | 203 | |
| Liabilities held for sale | 0 | 13 | 69 | 0 | 0 | |
| Income tax payable | 0 | 18 | 23 | — | — | |
| Other current liabilities | 1,809 | 1,607 | 1,756 | 1,581 | 1,362 | |
| Total current liabilities | 4,463 | 4,310 | 4,760 | 4,476 | 5,109 | |
| Long-term debt, net of current portion | 13,092 | 13,081 | 14,882 | 14,934 | 15,511 | |
| Professional and general liability reserves | 951 | 900 | 792 | 790 | 791 | |
| Defined benefit plan obligations | 245 | 298 | 335 | 331 | 421 | |
| Deferred income taxes | 240 | 227 | 326 | 217 | 36 | |
| Other long-term liabilities | 1,713 | 1,573 | 1,709 | 1,800 | 1,439 | |
| Total liabilities | 20,704 | 20,389 | 22,804 | 22,548 | 23,322 | |
| Commitments and contingencies | — | — | — | — | — | |
| Redeemable noncontrolling interests in equity of consolidated subsidiaries | 2,956 | 2,727 | 2,391 | 2,149 | 2,203 | |
| Common stock, $0.05 par value; authorized 262,500 shares; 158,612 shares issued at December 31, 2025 and 158,001 shares issued at December 31, 2024 | 8 | 8 | 8 | 8 | 8 | |
| Additional paid-in capital | 4,914 | 4,873 | 4,834 | 4,778 | 4,877 | |
| Accumulated other comprehensive loss | −181 | −180 | −181 | −181 | −233 | |
| Retained earnings | 4,415 | 3,008 | −192 | −803 | −1,214 | |
| Common stock in treasury, at cost, 71,660 shares at December 31, 2025 and 62,892 shares at December 31, 2024 | −4,936 | −3,538 | −2,861 | −2,660 | −2,410 | |
| Total shareholders equity | 4,220 | 4,171 | 1,608 | 1,142 | 1,028 | |
| Noncontrolling interests | 1,797 | 1,649 | 1,509 | 1,317 | 1,026 | |
| Total equity | 6,017 | 5,820 | 3,117 | 2,459 | 2,054 | |
| Total liabilities and equity | 29,677 | 28,936 | 28,312 | 27,156 | 27,579 |
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 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Deferred income tax expense (benefit) | 9 | −103 | 52 | 209 | 250 | |
| Stock-based compensation expense | 104 | 67 | 66 | 56 | 56 | |
| Litigation and investigation costs | 64 | 35 | 47 | — | — | |
| Net losses (gains) on sales, consolidation and deconsolidation of facilities | 1 | −2,916 | −23 | — | — | |
| Equity in earnings of unconsolidated affiliates, net of distributions received | −34 | −29 | −13 | 2 | −10 | |
| Amortization of debt discount and debt issuance costs | 23 | 26 | 32 | 33 | 33 | |
| Net gains from the sale of investments and long-lived assets | −4 | −4 | −29 | −117 | −23 | |
| Other items, net | −6 | −4 | −4 | 11 | −10 | |
| Accounts receivable | 20 | 245 | −29 | −140 | −197 | |
| Inventories and other current assets | −73 | −86 | −139 | −64 | −52 | |
| Income taxes | −25 | 16 | 10 | −26 | 68 | |
| Accounts payable, accrued expenses and other current liabilities | 209 | −30 | 215 | −898 | −584 | |
| Other long-term liabilities | 9 | −9 | 14 | −15 | 28 | |
| Payments for restructuring charges, acquisition-related costs, and litigation costs and settlements | −121 | −153 | −154 | −214 | −153 | |
| Net cash provided by operating activities | 3,540 | 2,047 | 2,374 | 1,083 | 1,568 | |
| Purchases of property and equipment | −1,010 | −931 | −751 | −762 | −658 | |
| Purchases of businesses or joint venture interests, net of cash acquired | −308 | −571 | −224 | −234 | −1,220 | |
| Proceeds from sales of facilities and other assets | 38 | 4,981 | 71 | 210 | 1,248 | |
| Proceeds from sales of marketable securities and long-term investments | 93 | 63 | 50 | 76 | 31 | |
| Purchases of marketable securities and long-term investments | −90 | −94 | −104 | −92 | −108 | |
| Other items, net | 2 | −19 | −11 | −6 | −7 | |
| Net cash provided by (used in) investing activities | −1,275 | 3,429 | −969 | −808 | −714 | |
| Repayments of borrowings | −2,372 | −2,243 | −1,542 | −2,851 | — | |
| Proceeds from borrowings | 2,276 | 23 | 1,370 | 2,023 | — | |
| Repurchases of common stock | −1,386 | −672 | −200 | −250 | 0 | |
| Debt issuance costs | −32 | 0 | −16 | −24 | −31 | |
| Distributions paid to noncontrolling interests | −809 | −681 | −594 | −560 | −423 | |
| Proceeds from the sale of noncontrolling interests | 42 | 23 | 43 | 27 | 25 | |
| Purchases of noncontrolling interests | −92 | −200 | −167 | −100 | −27 | |
| Advances from managed care payers | 0 | 342 | 0 | 0 | — | |
| Repayments of advances from managed care payers | −32 | −310 | 0 | 0 | — | |
| Taxes paid related to net share settlement, net of proceeds from shares issued under stock-based compensation plans | −51 | −25 | −12 | — | — | |
| Other items, net | 55 | 58 | 83 | −46 | −64 | |
| Net cash used in financing activities | −2,401 | −3,685 | −1,035 | −1,781 | −936 | |
| Net increase (decrease) in cash and cash equivalents | −136 | 1,791 | 370 | −1,506 | −82 | |
| Interest paid, net of capitalized interest | −865 | −851 | −882 | −848 | −937 | |
| Income tax payments, net | −450 | −1,271 | −243 | −161 | −92 |