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Tenet Healthcare (THC) investor relations material
Tenet Healthcare Q3 2025 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Executive summary
Q3 2025 net operating revenues reached $5.29 billion, up 3.2% year-over-year, with consolidated adjusted EBITDA of $1.1 billion, a 12% increase and a 20.8% margin.
Adjusted diluted EPS grew 26% year-over-year to $3.70, while net income attributable to common shareholders was $342 million, down from $472 million in Q3 2024 due to lower asset sale gains.
Ambulatory segment delivered 12% adjusted EBITDA growth, 8.3% same-facility revenue growth, and a 38.6% margin, with 11 centers acquired and two new centers opened in Q3.
Hospital segment adjusted EBITDA grew 13% to $607 million (15.1% margin), with same-hospital revenues up 6.8% and revenue per adjusted admission up 5.9%.
Strategic focus on high-acuity service lines, disciplined expense management, and robust M&A activity supported growth.
Financial highlights
Q3 2025 adjusted EBITDA margin was 20.8%, up 170 basis points year-over-year.
Free cash flow for Q3 was $778 million, totaling $2.16 billion year-to-date, up 22% over the prior year nine-month period.
Cash and cash equivalents at September 30, 2025, were $2.98 billion, with no borrowings under the $1.5 billion credit facility.
7.8 million shares repurchased year-to-date for $1.19 billion; $1.69 billion remains authorized.
Q3 2025 net income was $342 million ($3.86 per diluted share), down from $472 million ($4.89 per share) in Q3 2024 due to prior-year one-time gains.
Outlook and guidance
FY 2025 adjusted EBITDA guidance raised to $4.47–$4.57 billion, with a margin of 21.1%–21.4%.
Net operating revenue guidance for 2025 increased to $21.15–$21.35 billion.
Free cash flow after NCI for 2025 now expected at $1.495–$1.695 billion, up $250 million at the midpoint from previous guidance.
Capital expenditures for 2025 projected at $875–$975 million, a $150 million increase at the midpoint.
Management expects continued growth in Ambulatory Care through acquisitions and organic expansion, with 2026 planning assuming healthy demand and stable operations.
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