Tenet Healthcare’s second quarter results were marked by a combination of strong execution in its ambulatory surgery center (ASC) business and continued momentum in high-acuity hospital services. Management cited robust growth in high-acuity procedures, ongoing efficiency gains, and improved payer mix as key contributors to the quarter. CEO Saumya Sutaria highlighted the impact of technology-driven revenue cycle improvements and the effectiveness of the company’s high-acuity strategy, saying, “Our strength in cardiovascular, orthopedic, spine, neurosurgery, and trauma continues to drive our hospital results.” Despite these operational gains, the market’s negative reaction reflects concerns about flat same-store sales and questions around the sustainability of current growth drivers.
Is now the time to buy THC? Find out in our full research report (it’s free).
Tenet Healthcare (THC) Q2 CY2025 Highlights:
- Revenue: $5.27 billion vs analyst estimates of $5.15 billion (3.3% year-on-year growth, 2.3% beat)
- Adjusted EPS: $4.02 vs analyst estimates of $2.87 (40.1% beat)
- Adjusted EBITDA: $1.12 billion vs analyst estimates of $991.9 million (21.3% margin, 13% beat)
- The company lifted its revenue guidance for the full year to $21.1 billion at the midpoint from $20.8 billion, a 1.4% increase
- Management raised its full-year Adjusted EPS guidance to $15.88 at the midpoint, a 26.5% increase
- EBITDA guidance for the full year is $4.47 billion at the midpoint, above analyst estimates of $4.16 billion
- Operating Margin: 15.6%, in line with the same quarter last year
- Same-Store Sales were flat year on year (2.4% in the same quarter last year)
- Market Capitalization: $14.54 billion
While we enjoy listening to the management's commentary, our favorite part of earnings calls are the analyst questions.
Those are unscripted and can often highlight topics that management teams would rather avoid or topics where the answer is complicated.
Here is what has caught our attention.
Our Top 5 Analyst Questions Tenet Healthcare’s Q2 Earnings Call
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A.J. Rice (UBS) asked about the potential impact of proposed changes to outpatient care rules and the elimination of the inpatient-only rule. CEO Saumya Sutaria responded that this shift could benefit Tenet’s ASC business but requires clinical expertise and careful patient selection protocols.
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Josh Raskin (Nephron Research) inquired about the drivers behind USPI’s guidance raise and technology adoption in revenue cycle management. Sutaria explained that technology deployment and standardization have improved collections, while CFO Sun Park cited ongoing high-acuity service mix and M&A activity.
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Andrew Mok (Barclays) sought clarification on the deceleration in hospital and ASC volumes and its effect on guidance. Sutaria attributed the volume adjustments to seasonality and reinforced that the high-acuity strategy remains the primary driver.
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Justin Lake (Wolfe Research) pressed on the risk of healthcare exchange subsidy expiration and the effect on 2026 earnings. Sutaria declined to speculate, emphasizing the importance of exchange subsidies for coverage continuity, while Park confirmed current Medicaid supplemental payments are in line with prior guidance.
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Kevin Fischbeck (Bank of America) questioned how much of the improved payer mix was driven by exchange growth and underlying demand trends. Sutaria acknowledged exchange admissions as a significant factor and reiterated that fundamental demand remains strong, with high-acuity strategies supporting margin gains.
Catalysts in Upcoming Quarters
In upcoming quarters, the StockStory team will monitor (1) the pace of new ASC openings and M&A integration within USPI, (2) the evolution of high-acuity hospital service lines and their contribution to margins, and (3) policy developments affecting healthcare exchange subsidies and Medicaid funding. Operational execution on technology-driven efficiency initiatives will also be a key indicator of future performance.
Tenet Healthcare currently trades at $158.50, down from $174.80 just before the earnings. In the wake of this quarter, is it a buy or sell? See for yourself in our full research report (it’s free).
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