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Ardent Health

ARDT
42
Medical - Care Facilities · Healthcare
Winston Score
42
Winston is serious
Mixed quality — meaningful strengths and weaknesses.

Ardent Health Partners runs a network of hospitals and outpatient clinics across the United States. It provides medical care to patients — things like emergency services, surgeries, and routine health visits. The company operates in several states, mostly in smaller and mid-sized markets where it is often one of the few major hospital systems in the area.

Ardent makes money by billing patients, private insurance companies, and government programs like Medicare and Medicaid for the medical services it provides. The company operates roughly 30 hospitals, primarily in states like Oklahoma, Texas, New Mexico, and Kansas. Its competitive position comes partly from being a dominant provider in regional markets where there is less competition from large national hospital chains. The main risk Ardent faces is that a large portion of its revenue depends on government reimbursement rates, which can be cut or changed by policy decisions outside the company's control.

Winston Score History

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+7.0% YoY

YoY Growth Rate

Slow revenue growth

EPS Growth

-6.7% YoY

YoY Growth Rate

Earnings declining

Insider Activity

83.2%ownership

Flat

Insiders holding steady — not selling despite ability to

Cash Runway

~21 months

$610M cash & investments

Quarterly Free Cash Flow

↓ Burn rate worsening

Adequate runway but may need to raise capital within 2 years

Growth context

Ardent Health is growing revenue at 7% year-over-year. The Winston Score measures business quality today — these growth metrics show what could matter tomorrow.

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

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Quality

Gross Margin
15.4%
Thin — 15.4% gross margin
Operating Margin
5.1%
Thin — 5.1% operating margin
ROCE
2.7%
Weak — 2.7% return on capital

ROIC between 0% and 5%. They earn a few cents back per dollar invested in the business.

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Growth

Sales YoY
+6.7%
Slow sales growth (6.7% YoY)
EPS YoY
-40.3%
Earnings shrinking (-40.3% YoY)

Earnings per share down more than 10%. Either a bad year, or a real decline.

EPS Consistency
2/8 quarters
Earnings rarely grow — volatile business

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Cash Flow

Cash Conversion
321%
Turns 321% of profit into real cash
FCF Margin
3.3%
Thin free cash flow (3.3%)

FCF margin between 0% and 10%. Some cash from sales, but not a lot.

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Stability

Debt / Equity
0.70
Moderate — manageable debt (0.70)
Interest Cover
11.15x
Comfortably covers interest (11.2x)

Interest coverage above 8. Profits cover interest many times over.

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Valuation

P/E Ratio (TTM)
10.6x
no trend
Attractive valuation — P/E 10.6

P/E in the normal range. Price is roughly $15 for every $1 of yearly profit.

P/E vs Forward
+1.0
GROWING
Earnings expected to grow — slightly cheaper on forward P/E

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Dividends

Not applicable for this business.
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