Company Description
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company in the general medical and surgical hospitals industry. The company is headquartered in Dallas and is classified in the Health Care and Social Assistance sector. Tenet’s operations span acute care and specialty hospitals, ambulatory surgery centers, other outpatient facilities, and physician practices, along with healthcare support services delivered through dedicated subsidiaries.
Tenet describes its operations as a care delivery network that includes United Surgical Partners International (USPI), which it identifies as the largest ambulatory platform in the country. USPI operates ambulatory surgery centers and surgical hospitals across numerous states. In addition to this ambulatory platform, Tenet operates a national portfolio of acute care and specialty hospitals and other outpatient facilities, and it works with a network of employed physicians. The company also operates a global business center in Manila, Philippines, which supports its broader enterprise.
Business Segments and Care Delivery
Tenet’s activities are organized around key business segments highlighted in its public disclosures. The Ambulatory business segment is comprised of the operations of USPI. This segment focuses on ambulatory surgery centers and surgical hospitals. Tenet reports system-wide measures for this segment that include revenues and cases from both consolidated and unconsolidated facilities, reflecting the breadth of its ambulatory footprint.
The Hospital Operations and Services segment is primarily comprised of acute care and specialty hospitals, imaging centers, ancillary outpatient facilities, micro-hospitals and physician practices. Within this segment, Tenet also provides a set of services that it describes as comprehensive end-to-end and focused point services, including hospital and physician revenue cycle management, patient communications and engagement support, and value-based care solutions. These activities are part of how Tenet supports hospital operations and financial performance.
Conifer Health Solutions and Revenue Cycle Services
Through its Conifer Health Solutions subsidiary, Tenet provides revenue cycle management and value-based care services. According to the company’s descriptions, Conifer serves hospitals, health systems, physician practices, employers and other clients. These services are positioned to help healthcare organizations manage billing, collections, and care models that are tied to value-based arrangements. Conifer’s role extends Tenet’s reach beyond its own facilities into a broader set of healthcare stakeholders.
Geographic Footprint and Support Infrastructure
Tenet’s care delivery network is national in scope. The company states that it operates a national portfolio of acute care and specialty hospitals and other outpatient facilities. It also notes the presence of a global business center in Manila, Philippines, which provides support to the enterprise. This combination of U.S.-based care sites and international support operations underpins Tenet’s ability to coordinate services across its segments.
Capital Structure and Financing Activities
Tenet’s SEC filings describe an active approach to managing its capital structure. The company has issued senior secured first lien notes and senior notes with various maturities, and it has used proceeds from these offerings, together with cash on hand, to redeem or partially redeem existing notes. For example, Tenet has issued 5.500% senior secured first lien notes due 2032 and 6.000% senior notes due 2033, and indicated that net proceeds would be used to redeem senior secured second lien notes due 2027 and a portion of senior notes due 2028. These transactions are documented in its Form 8-K filings.
In addition, Tenet has entered into a senior secured revolving credit facility under a credit agreement that provides for revolving loans up to a specified aggregate principal amount, with a sub-facility for letters of credit. Borrowing availability under this asset-based lending agreement is determined by a borrowing base that references eligible accounts receivable, eligible inventory and Medicaid supplemental payments. Tenet’s obligations under this facility are guaranteed by certain domestic wholly owned hospital subsidiaries and secured by a first-priority lien on accounts receivable and inventory owned by Tenet and those subsidiaries.
Tenet has also extended a separate letter of credit facility through an amendment to an existing letter of credit agreement. This facility provides for the issuance of standby and documentary letters of credit up to a defined aggregate principal amount, with terms governing interest on unreimbursed drawings, unused commitment fees, and fees on issued but undrawn letters of credit. These financing arrangements illustrate how Tenet supports its liquidity and capital needs while operating a large healthcare network.
Public Company Status and Governance
Tenet Healthcare Corporation is incorporated in Nevada and files reports with the U.S. Securities and Exchange Commission under Commission File Number 1-7293. Its common stock, with a par value of $0.05 per share, trades on the New York Stock Exchange under the ticker symbol THC. The company also has certain series of senior notes listed on the NYSE. Board and governance matters, such as director resignations and board size adjustments, are disclosed through Form 8-K filings, reflecting ongoing corporate governance activity.
Mission and Stated Focus
Across multiple public statements, Tenet emphasizes that its enterprise is united by a mission to deliver quality, compassionate care in the communities it serves. This mission is referenced in connection with its hospital operations, ambulatory facilities, physician networks, and Conifer Health Solutions’ services. The company also highlights a focus on higher acuity service lines, operational discipline, and value-based care solutions in its earnings communications, indicating areas of strategic emphasis within its business model.
Role Within the Healthcare and Hospital Industry
Within the general medical and surgical hospitals industry, Tenet combines traditional hospital operations with a large ambulatory platform and a revenue cycle and value-based care services subsidiary. Its disclosures describe a mix of inpatient and outpatient care sites, along with financial and operational support services for both its own facilities and external clients. This structure positions Tenet as a diversified healthcare services organization that participates in hospital care, ambulatory surgery, physician services, and healthcare business services.
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Short Interest History
Short interest in Tenet Healthcare (THC) currently stands at 2.6 million shares, down 1.9% from the previous reporting period, representing 3.0% of the float. Over the past 12 months, short interest has decreased by 23.4%. This relatively low short interest suggests limited bearish sentiment.
Days to Cover History
Days to cover for Tenet Healthcare (THC) currently stands at 3.6 days, up 17.8% from the previous period. This days-to-cover ratio represents a balanced liquidity scenario for short positions. The days to cover has increased 103.4% over the past year, indicating either rising short interest or declining trading volume. The ratio has shown significant volatility over the period, ranging from 1.1 to 3.6 days.