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Side-by-side financial comparison of CSX Corporation (CSX) and TENET HEALTHCARE CORP (THC). Click either name above to swap in a different company.
TENET HEALTHCARE CORP is the larger business by last-quarter revenue ($5.5B vs $3.5B, roughly 1.6× CSX Corporation). CSX Corporation runs the higher net margin — 23.2% vs 11.7%, a 11.5% gap on every dollar of revenue. On growth, TENET HEALTHCARE CORP posted the faster year-over-year revenue change (9.0% vs 1.7%). CSX Corporation produced more free cash flow last quarter ($793.0M vs $367.0M). Over the past eight quarters, TENET HEALTHCARE CORP's revenue compounded faster (1.5% CAGR vs -3.0%).
CSX Transportation, known colloquially as simply CSX, is a Class I freight railroad company operating in the Eastern United States and the Canadian provinces of Ontario and Quebec. Operating about 21,000 route miles (34,000 km) of track, it is the leading subsidiary of CSX Corporation, a Fortune 500 company headquartered in Jacksonville, Florida.
Tenet Healthcare Corporation is an American for-profit multinational healthcare services company based in Dallas. Through its brands, subsidiaries, joint ventures, and partnerships including United Surgical Partners International (USPI), the company operates 65 hospitals and over 450 healthcare facilities. Tenet also runs Conifer Health Solutions, which provides healthcare support services to health systems and other clients.
CSX vs THC — Head-to-Head
Income Statement — Q1 FY2026 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $3.5B | $5.5B |
| Net Profit | $807.0M | $644.0M |
| Gross Margin | — | — |
| Operating Margin | 29.9% | 15.4% |
| Net Margin | 23.2% | 11.7% |
| Revenue YoY | 1.7% | 9.0% |
| Net Profit YoY | 401.2% | 12.6% |
| EPS (diluted) | — | $4.22 |
Green = leading value per metric. Periods may differ when fiscal calendars don't align.
8-Quarter Revenue & Profit Trend
Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.
| Q1 26 | $3.5B | — | ||
| Q4 25 | $3.5B | $5.5B | ||
| Q3 25 | $3.6B | $5.3B | ||
| Q2 25 | $3.6B | $5.3B | ||
| Q1 25 | $3.4B | $5.2B | ||
| Q4 24 | $3.5B | $5.1B | ||
| Q3 24 | $3.6B | $5.1B | ||
| Q2 24 | $3.7B | $5.1B |
| Q1 26 | $807.0M | — | ||
| Q4 25 | $720.0M | $644.0M | ||
| Q3 25 | $694.0M | $579.0M | ||
| Q2 25 | $829.0M | $522.0M | ||
| Q1 25 | $646.0M | $622.0M | ||
| Q4 24 | $720.0M | $572.0M | ||
| Q3 24 | $894.0M | $681.0M | ||
| Q2 24 | $963.0M | $477.0M |
| Q1 26 | 29.9% | — | ||
| Q4 25 | 31.6% | 15.4% | ||
| Q3 25 | 30.3% | 16.8% | ||
| Q2 25 | 35.9% | 15.6% | ||
| Q1 25 | 30.4% | 18.1% | ||
| Q4 24 | 30.8% | 16.2% | ||
| Q3 24 | 37.4% | 21.3% | ||
| Q2 24 | 39.1% | 14.9% |
| Q1 26 | 23.2% | — | ||
| Q4 25 | 20.5% | 11.7% | ||
| Q3 25 | 19.3% | 10.9% | ||
| Q2 25 | 23.2% | 9.9% | ||
| Q1 25 | 18.9% | 11.9% | ||
| Q4 24 | 20.3% | 11.3% | ||
| Q3 24 | 24.7% | 13.3% | ||
| Q2 24 | 26.0% | 9.3% |
| Q1 26 | — | — | ||
| Q4 25 | $0.39 | $4.22 | ||
| Q3 25 | $0.37 | $3.86 | ||
| Q2 25 | $0.44 | $3.14 | ||
| Q1 25 | $0.34 | $4.27 | ||
| Q4 24 | $0.38 | $3.79 | ||
| Q3 24 | $0.46 | $4.89 | ||
| Q2 24 | $0.49 | $2.64 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $1.1B | $2.9B |
| Total DebtLower is stronger | $18.9B | $13.1B |
| Stockholders' EquityBook value | $13.6B | $4.2B |
| Total Assets | $44.2B | $29.7B |
| Debt / EquityLower = less leverage | 1.39× | 3.10× |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | $1.1B | — | ||
| Q4 25 | $5.0M | $2.9B | ||
| Q3 25 | $6.0M | $3.0B | ||
| Q2 25 | $6.0M | $2.6B | ||
| Q1 25 | $8.0M | $3.0B | ||
| Q4 24 | $72.0M | $3.0B | ||
| Q3 24 | $12.0M | $4.1B | ||
| Q2 24 | $4.0M | $2.9B |
| Q1 26 | $18.9B | — | ||
| Q4 25 | $18.2B | $13.1B | ||
| Q3 25 | $18.6B | $13.1B | ||
| Q2 25 | $18.6B | $13.1B | ||
| Q1 25 | $18.5B | $13.1B | ||
| Q4 24 | $17.9B | $13.1B | ||
| Q3 24 | $18.5B | $12.8B | ||
| Q2 24 | $18.0B | $12.8B |
| Q1 26 | $13.6B | — | ||
| Q4 25 | $13.2B | $4.2B | ||
| Q3 25 | $12.8B | $4.0B | ||
| Q2 25 | $12.4B | $3.7B | ||
| Q1 25 | $12.2B | $4.2B | ||
| Q4 24 | $12.5B | $4.2B | ||
| Q3 24 | $12.9B | $3.8B | ||
| Q2 24 | $12.6B | $3.5B |
| Q1 26 | $44.2B | — | ||
| Q4 25 | $43.7B | $29.7B | ||
| Q3 25 | $43.3B | $29.4B | ||
| Q2 25 | $42.9B | $28.7B | ||
| Q1 25 | $43.2B | $29.2B | ||
| Q4 24 | $42.8B | $28.9B | ||
| Q3 24 | $43.1B | $29.4B | ||
| Q2 24 | $42.4B | $29.3B |
| Q1 26 | 1.39× | — | ||
| Q4 25 | 1.38× | 3.10× | ||
| Q3 25 | 1.45× | 3.26× | ||
| Q2 25 | 1.50× | 3.49× | ||
| Q1 25 | 1.52× | 3.13× | ||
| Q4 24 | 1.43× | 3.14× | ||
| Q3 24 | 1.43× | 3.33× | ||
| Q2 24 | 1.42× | 3.67× |
Cash Flow & Capital Efficiency
How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.
| Metric | | |
|---|---|---|
| Operating Cash FlowLast quarter | $1.3B | $731.0M |
| Free Cash FlowOCF − Capex | $793.0M | $367.0M |
| FCF MarginFCF / Revenue | 22.8% | 6.6% |
| Capex IntensityCapex / Revenue | — | 6.6% |
| Cash ConversionOCF / Net Profit | 1.58× | 1.14× |
| TTM Free Cash FlowTrailing 4 quarters | $2.0B | $2.5B |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | $1.3B | — | ||
| Q4 25 | $1.4B | $731.0M | ||
| Q3 25 | $1.3B | $1.1B | ||
| Q2 25 | $635.0M | $936.0M | ||
| Q1 25 | $1.3B | $815.0M | ||
| Q4 24 | $1.4B | $-331.0M | ||
| Q3 24 | $1.7B | $1.0B | ||
| Q2 24 | $1.1B | $747.0M |
| Q1 26 | $793.0M | — | ||
| Q4 25 | $709.0M | $367.0M | ||
| Q3 25 | $607.0M | $778.0M | ||
| Q2 25 | $-141.0M | $743.0M | ||
| Q1 25 | $536.0M | $642.0M | ||
| Q4 24 | $550.0M | $-661.0M | ||
| Q3 24 | $1.1B | $829.0M | ||
| Q2 24 | $547.0M | $602.0M |
| Q1 26 | 22.8% | — | ||
| Q4 25 | 20.2% | 6.6% | ||
| Q3 25 | 16.9% | 14.7% | ||
| Q2 25 | -3.9% | 14.1% | ||
| Q1 25 | 15.7% | 12.3% | ||
| Q4 24 | 15.5% | -13.0% | ||
| Q3 24 | 29.3% | 16.2% | ||
| Q2 24 | 14.8% | 11.8% |
| Q1 26 | — | — | ||
| Q4 25 | 19.3% | 6.6% | ||
| Q3 25 | 20.4% | 5.3% | ||
| Q2 25 | 21.7% | 3.7% | ||
| Q1 25 | 21.0% | 3.3% | ||
| Q4 24 | 23.7% | 6.5% | ||
| Q3 24 | 17.3% | 4.2% | ||
| Q2 24 | 14.6% | 2.8% |
| Q1 26 | 1.58× | — | ||
| Q4 25 | 1.93× | 1.14× | ||
| Q3 25 | 1.93× | 1.83× | ||
| Q2 25 | 0.77× | 1.79× | ||
| Q1 25 | 1.94× | 1.31× | ||
| Q4 24 | 1.93× | -0.58× | ||
| Q3 24 | 1.89× | 1.53× | ||
| Q2 24 | 1.13× | 1.57× |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
CSX
Segment breakdown not available.
THC
| Other | $2.9B | 52% |
| Health Care Patient Service | $1.4B | 25% |
| Equity Method Investment Nonconsolidated Investee Or Group Of Investees | $1.2B | 22% |
| Health Care Other Sources | $56.0M | 1% |
