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Tenet Healthcare Corporation

THC
48
Medical - Care Facilities · Healthcare
Winston Score
48
Winston is serious
Mixed quality — meaningful strengths and weaknesses.

Tenet Healthcare Corporation runs a large network of hospitals and outpatient care centers across the United States. Patients go to these facilities for surgeries, emergency care, and other medical services. Tenet is one of the largest for-profit hospital operators in the country, and it also owns Ambulatory Care, a fast-growing division of surgery centers that handle same-day procedures.

Tenet makes money by billing patients, private insurance companies, and government programs like Medicare and Medicaid for the care it provides. The company operates mainly in the Sun Belt states, including Texas, Florida, and California, and generates roughly $20 billion in annual revenue. Its surgery center business gives it a cost advantage because outpatient procedures are cheaper to run than full hospitals, but Tenet faces real risks from government reimbursement rate changes and ongoing pressure to keep labor costs under control as nursing shortages push wages higher.

Winston Score History

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Growth Profile

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

Revenue Growth

+2.8% YoY

YoY Growth Rate

Slow revenue growth

EPS Growth

+87.7% YoY

YoY Growth Rate

EPS growth accelerating

Insider Activity

1.2%ownership

Flat

Insiders holding steady — not selling despite ability to

Cash Position

Cash flow positive

$3.0B cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

Company generates more cash than it spends — no dilution risk from fundraising

Growth context

Tenet Healthcare Corporation is growing revenue at 3% 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
16.4%
Thin — 16.4% gross margin
Operating Margin
16.4%
Healthy — 16.4% operating margin
ROCE
4.9%
Weak — 4.9% 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
+4.6%
Slow sales growth (4.6% YoY)
EPS YoY
+27.2%
Earnings growing fast (27.2% YoY)

Earnings growing 25%+ a year. The compounder zone.

EPS Consistency
6/8 quarters
Earnings grew in most of the last 8 quarters

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Cash Flow

Cash Conversion
256%
Turns 256% of profit into real cash
FCF Margin
15.6%
Converts sales into free cash efficiently (15.6%)

FCF margin between 10% and 20%. Every $100 in sales becomes $10 to $20 in real cash.

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Stability

Debt / Equity
2.74
Heavy debt load (2.74)
Interest Cover
4.21x
Adequate interest coverage (4.2x)

Interest coverage between 3 and 8. Profits cover interest several times over.

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Valuation

P/E Ratio (TTM)
9.9x
no trend
Attractive valuation — P/E 9.9

P/E under 10. The price tag is small relative to last year's profit.

P/E vs Forward
-1.6
SLOWING
Earnings expected to fall — forward P/E higher than today

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Dividends

Not applicable for this business.
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