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Side-by-side financial comparison of TENET HEALTHCARE CORP (THC) and US Foods Holding Corp. (USFD). Click either name above to swap in a different company.

US Foods Holding Corp. is the larger business by last-quarter revenue ($9.8B vs $5.5B, roughly 1.8× TENET HEALTHCARE CORP). TENET HEALTHCARE CORP runs the higher net margin — 11.7% vs 1.9%, a 9.8% gap on every dollar of revenue. On growth, TENET HEALTHCARE CORP posted the faster year-over-year revenue change (9.0% vs 3.3%). TENET HEALTHCARE CORP produced more free cash flow last quarter ($367.0M vs $159.0M). Over the past eight quarters, US Foods Holding Corp.'s revenue compounded faster (4.6% CAGR vs 1.5%).

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.

US Foods Holding Corp. is an American food service distributor. It is the second-largest food service distributor in the U.S., after Sysco. The company supplies 250,000 locations including independent restaurants, chain restaurants, healthcare, hospitality, and educational institutions.

THC vs USFD — Head-to-Head

Bigger by revenue
USFD
USFD
1.8× larger
USFD
$9.8B
$5.5B
THC
Growing faster (revenue YoY)
THC
THC
+5.7% gap
THC
9.0%
3.3%
USFD
Higher net margin
THC
THC
9.8% more per $
THC
11.7%
1.9%
USFD
More free cash flow
THC
THC
$208.0M more FCF
THC
$367.0M
$159.0M
USFD
Faster 2-yr revenue CAGR
USFD
USFD
Annualised
USFD
4.6%
1.5%
THC

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
THC
THC
USFD
USFD
Revenue
$5.5B
$9.8B
Net Profit
$644.0M
$184.0M
Gross Margin
17.6%
Operating Margin
15.4%
3.3%
Net Margin
11.7%
1.9%
Revenue YoY
9.0%
3.3%
Net Profit YoY
12.6%
178.8%
EPS (diluted)
$4.22
$0.82

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.

Revenue
THC
THC
USFD
USFD
Q4 25
$5.5B
$9.8B
Q3 25
$5.3B
$10.2B
Q2 25
$5.3B
$10.1B
Q1 25
$5.2B
$9.4B
Q4 24
$5.1B
$9.5B
Q3 24
$5.1B
$9.7B
Q2 24
$5.1B
$9.7B
Q1 24
$5.4B
$8.9B
Net Profit
THC
THC
USFD
USFD
Q4 25
$644.0M
$184.0M
Q3 25
$579.0M
$153.0M
Q2 25
$522.0M
$224.0M
Q1 25
$622.0M
$115.0M
Q4 24
$572.0M
$66.0M
Q3 24
$681.0M
$148.0M
Q2 24
$477.0M
$198.0M
Q1 24
$2.3B
$82.0M
Gross Margin
THC
THC
USFD
USFD
Q4 25
17.6%
Q3 25
17.2%
Q2 25
17.6%
Q1 25
17.3%
Q4 24
17.6%
Q3 24
17.1%
Q2 24
17.6%
Q1 24
16.7%
Operating Margin
THC
THC
USFD
USFD
Q4 25
15.4%
3.3%
Q3 25
16.8%
2.8%
Q2 25
15.6%
3.7%
Q1 25
18.1%
2.4%
Q4 24
16.2%
3.2%
Q3 24
21.3%
2.9%
Q2 24
14.9%
3.6%
Q1 24
61.2%
1.8%
Net Margin
THC
THC
USFD
USFD
Q4 25
11.7%
1.9%
Q3 25
10.9%
1.5%
Q2 25
9.9%
2.2%
Q1 25
11.9%
1.2%
Q4 24
11.3%
0.7%
Q3 24
13.3%
1.5%
Q2 24
9.3%
2.0%
Q1 24
43.5%
0.9%
EPS (diluted)
THC
THC
USFD
USFD
Q4 25
$4.22
$0.82
Q3 25
$3.86
$0.67
Q2 25
$3.14
$0.96
Q1 25
$4.27
$0.49
Q4 24
$3.79
$0.28
Q3 24
$4.89
$0.61
Q2 24
$2.64
$0.80
Q1 24
$21.38
$0.33

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
THC
THC
USFD
USFD
Cash + ST InvestmentsLiquidity on hand
$2.9B
$41.0M
Total DebtLower is stronger
$13.1B
$5.1B
Stockholders' EquityBook value
$4.2B
$4.3B
Total Assets
$29.7B
$13.9B
Debt / EquityLower = less leverage
3.10×
1.18×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
THC
THC
USFD
USFD
Q4 25
$2.9B
$41.0M
Q3 25
$3.0B
$56.0M
Q2 25
$2.6B
$61.0M
Q1 25
$3.0B
$101.0M
Q4 24
$3.0B
$59.0M
Q3 24
$4.1B
$81.0M
Q2 24
$2.9B
$405.0M
Q1 24
$2.5B
$267.0M
Total Debt
THC
THC
USFD
USFD
Q4 25
$13.1B
$5.1B
Q3 25
$13.1B
$4.8B
Q2 25
$13.1B
$4.7B
Q1 25
$13.1B
$4.7B
Q4 24
$13.1B
$4.8B
Q3 24
$12.8B
$4.7B
Q2 24
$12.8B
$4.6B
Q1 24
$12.8B
$4.6B
Stockholders' Equity
THC
THC
USFD
USFD
Q4 25
$4.2B
$4.3B
Q3 25
$4.0B
$4.5B
Q2 25
$3.7B
$4.6B
Q1 25
$4.2B
$4.6B
Q4 24
$4.2B
$4.5B
Q3 24
$3.8B
$4.6B
Q2 24
$3.5B
$5.0B
Q1 24
$3.5B
$4.8B
Total Assets
THC
THC
USFD
USFD
Q4 25
$29.7B
$13.9B
Q3 25
$29.4B
$14.0B
Q2 25
$28.7B
$13.8B
Q1 25
$29.2B
$13.7B
Q4 24
$28.9B
$13.4B
Q3 24
$29.4B
$13.5B
Q2 24
$29.3B
$13.7B
Q1 24
$28.9B
$13.4B
Debt / Equity
THC
THC
USFD
USFD
Q4 25
3.10×
1.18×
Q3 25
3.26×
1.08×
Q2 25
3.49×
1.02×
Q1 25
3.13×
1.02×
Q4 24
3.14×
1.06×
Q3 24
3.33×
1.01×
Q2 24
3.67×
0.92×
Q1 24
3.70×
0.95×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
THC
THC
USFD
USFD
Operating Cash FlowLast quarter
$731.0M
$293.0M
Free Cash FlowOCF − Capex
$367.0M
$159.0M
FCF MarginFCF / Revenue
6.6%
1.6%
Capex IntensityCapex / Revenue
6.6%
1.4%
Cash ConversionOCF / Net Profit
1.14×
1.59×
TTM Free Cash FlowTrailing 4 quarters
$2.5B
$959.0M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
THC
THC
USFD
USFD
Q4 25
$731.0M
$293.0M
Q3 25
$1.1B
$351.0M
Q2 25
$936.0M
$334.0M
Q1 25
$815.0M
$391.0M
Q4 24
$-331.0M
$283.0M
Q3 24
$1.0B
$270.0M
Q2 24
$747.0M
$482.0M
Q1 24
$586.0M
$139.0M
Free Cash Flow
THC
THC
USFD
USFD
Q4 25
$367.0M
$159.0M
Q3 25
$778.0M
$236.0M
Q2 25
$743.0M
$257.0M
Q1 25
$642.0M
$307.0M
Q4 24
$-661.0M
$178.0M
Q3 24
$829.0M
$190.0M
Q2 24
$602.0M
$413.0M
Q1 24
$346.0M
$52.0M
FCF Margin
THC
THC
USFD
USFD
Q4 25
6.6%
1.6%
Q3 25
14.7%
2.3%
Q2 25
14.1%
2.5%
Q1 25
12.3%
3.3%
Q4 24
-13.0%
1.9%
Q3 24
16.2%
2.0%
Q2 24
11.8%
4.3%
Q1 24
6.4%
0.6%
Capex Intensity
THC
THC
USFD
USFD
Q4 25
6.6%
1.4%
Q3 25
5.3%
1.1%
Q2 25
3.7%
0.8%
Q1 25
3.3%
0.9%
Q4 24
6.5%
1.1%
Q3 24
4.2%
0.8%
Q2 24
2.8%
0.7%
Q1 24
4.5%
1.0%
Cash Conversion
THC
THC
USFD
USFD
Q4 25
1.14×
1.59×
Q3 25
1.83×
2.29×
Q2 25
1.79×
1.49×
Q1 25
1.31×
3.40×
Q4 24
-0.58×
4.29×
Q3 24
1.53×
1.82×
Q2 24
1.57×
2.43×
Q1 24
0.25×
1.70×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

THC
THC

Other$2.9B52%
Health Care Patient Service$1.4B25%
Equity Method Investment Nonconsolidated Investee Or Group Of Investees$1.2B22%
Health Care Other Sources$56.0M1%

USFD
USFD

Product One$3.5B36%
Product Two$1.7B17%
Product Three$1.7B17%
Product Four$985.0M10%
Product Five$901.0M9%
Product Six$580.0M6%
Product Seven$485.0M5%

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