Tenet Healthcare
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Tenet Healthcare (THC) investor relations material

Tenet Healthcare Q2 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q2 2026 earnings summary24 Jul, 2026

Executive summary

  • Consolidated adjusted EBITDA reached $1.304 billion in Q2 2026, up 16.3% year-over-year, with a margin of 23.2%, exceeding expectations due to strong operational performance and high-acuity strategy.

  • Adjusted diluted EPS increased 52.2% to $6.12 in Q2 2026 compared to prior year.

  • Net income available to common shareholders for Q2 2026 was $826 million ($9.84 per diluted share), up from $288 million ($3.14 per share) in Q2 2025.

  • Year-to-date outperformance totals $97 million across both segments.

  • Board authorized a $2.0 billion increase to the share repurchase program, with $2.13 billion remaining as of July 23, 2026.

Financial highlights

  • Q2 2026 net operating revenues were $5.63 billion, up 6.8% year-over-year; six-month revenues reached $10.996 billion, up 4.8%.

  • Q2 2026 adjusted free cash flow was $444 million; year-to-date adjusted free cash flow was $1.422 billion.

  • USPI (Ambulatory) Q2 2026 adjusted EBITDA was $542 million, up 8.8% year-over-year, with a 39.0% margin.

  • Hospital segment Q2 2026 adjusted EBITDA was $762 million, up 22.3% year-over-year, with an 18.0% margin.

  • Recognized $92 million of favorable out-of-period supplemental Medicaid revenues in Q2.

Outlook and guidance

  • FY 2026 adjusted EBITDA guidance raised to $4.83–$5.03 billion, a $295 million increase at midpoint.

  • FY 2026 net operating revenues projected at $21.9–$22.5 billion, up $300 million at midpoint.

  • FY 2026 adjusted free cash flow after NCI expected at $1.825–$2.055 billion, up $225 million at midpoint.

  • FY 2026 adjusted diluted EPS forecast at $20.30–$21.69.

  • Q3 2026 consolidated adjusted EBITDA expected to be 23–24% of full-year guidance.

Drivers of USPI case volume decline vs acuity
Impact of lower exchange admissions on margins
Strategy for the $2.0 billion buyback expansion
Flexing cost base to offset exchange headwinds
USPI high-acuity service line expansion strategy
AI and automation impact on cost structure
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