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Ardent Health Reports First Quarter 2026 Results Brentwood, Tenn. (

Key Takeaway: Ardent Health, Inc. reported its financial results for the first quarter of 2026, achieving a total revenue of $1.60 billion, which represents a 7.0% increase compared to the previous year. The company also noted a 26.3% rise in adjusted EBITDA to $124 million. However, there was a slight decrease in total admissions by 1.1%, attributed to external factors such as severe weather. Despite these challenges, Ardent has reaffirmed its full-year guidance for 2026, maintaining projected revenues and adjusted EBITDA.

Market Sentiment Analysis

POSITIVE FACTORS

  • Total revenue increased by 7.0% year-over-year to $1.60 billion.
  • Adjusted EBITDA saw a substantial growth of 26.3% to $124 million.
  • Reaffirmation of full-year guidance indicates financial stability and confidence.

CONCERNS & RISKS

  • Admissions decreased by 1.1% year-over-year, impacted by severe weather and a lighter respiratory season.
  • Emergency room visits saw a decline of 3.2%, indicating potential concerns in patient engagement.

Full Press Release Details

Ardent Health Reports First Quarter 2026 Results
Brentwood, Tenn. (May 5, 2026) - Ardent Health, Inc. (NYSE ARDT) ( Ardent Health or the Company ), a leading
provider of healthcare in growing mid-sized urban communities across the U.S., today announced results for the quarter
ended March 31, 2026.
First Quarter 2026 Operating and Financial Summary
All comparisons are versus the same prior year period. See the footnotes to the Operating Statistics table of this press
release for definitions of the metrics below and a full list of key operating metrics.
Total Revenue $1.60 billion 7.0% growth Y Y Net Income Attributable to Ardent Health $40 million
Adjusted EBITDA (1) $124 million 26.3% growth Y Y Adjusted EBITDAR (1) $166 million
Admissions Decrease of 1.1% Y Y Adjusted Admissions 2.0% growth Y Y
Total Surgeries 1.2% growth Y Y Reaffirming Full-Year 2026 Guidance Total Revenue $6,400 - $6,700 million Adjusted EBITDA (1) $485 - $535 million
(1) Adjusted EBITDA and Adjusted EBITDAR are financial measures that have not been prepared in a manner that complies with U.S. generally accepted
accounting principles ( GAAP ). See Supplemental Non-GAAP Financial Information and reconciliations of non-GAAP measures to their most
comparable GAAP financial measures contained later in this press release.
1 Lease-adjusted net leverage ratio is defined as the Company's net debt as of March 31, 2026, plus 8x trailing twelve-month real estate investment trust
( REIT ) rent expense as of the end of the first quarter of 2026, divided by trailing twelve-month Adjusted EBITDAR as of March 31, 2026.
Financial Performance Summary
The Company's first quarter 2026 results included a $10.9 million gain, included in other operating expenses, from an
increase in the carrying value of an investment option it holds in a privately held company.
For the first quarter of 2026
Total revenue grew 7.0% year-over-year to $1,602 million, driven primarily by a 2.0% increase in adjusted
admissions and a 5.5% increase in net patient service revenue per adjusted admission.
Net income attributable to Ardent Health was $40 million, or $0.28 per diluted share, compared to net income
attributable to Ardent Health of $41 million, or $0.29 per diluted share, in the first quarter of 2025.
Adjusted EBITDA increased 26.3% year-over-year to $124 million. Excluding the $10.9 million gain discussed above,
adjusted EBITDA grew 15%.
Operating Performance Summary
The following table provides a summary of certain key operating metrics for the first quarter of 2026 compared to the same
prior year period. See the footnotes to the Operating Statistics table of this press release for definitions of the metrics
below and a full list of key operating metrics.
Three Months Ended March 31,
(Unaudited) 2026 2025 % Change
Adjusted admissions 86,244 84,536 2.0%
Admissions 40,932 41,389 (1.1%)
Inpatient surgeries 9,256 9,250 0.1%
Outpatient surgeries 22,086 21,712 1.7%
Total surgeries 31,342 30,962 1.2%
Emergency room visits 156,168 161,249 (3.2%)
Net patient service revenue per adjusted admission $ 18,367 $ 17,402 5.5%
Admissions for the first quarter of 2026 decreased 1.1% year-over-year and were impacted by severe weather in
certain markets and a lighter respiratory season.
Surgeries for the first quarter of 2026 increased 1.2% year-over-year. The increase in total surgeries reflected
outpatient surgery growth of 1.7% and an inpatient surgery increase of 0.1%.
Balance Sheet, Cash Flow Liquidity Update
As of March 31, 2026, the Company had total cash and cash equivalents of $610 million and total debt of $1.1 billion. The
Company's net leverage ratio was 1.0x and its lease-adjusted net leverage ratio1 was 2.6x as of March 31, 2026, an
improvement from 3.0x as of March 31, 2025. At the end of the first quarter, the Company's available liquidity was $0.9
During the first quarter of 2026, net cash used in operating activities was $60 million, compared to $25 million used in the
same prior year period.
2026 Financial Guidance
The Company is reaffirming its full-year 2026 financial guidance. All guidance is current as of the time provided and is
(Unaudited dollars in millions, except per share amount) Full Year 2026 Guidance
Total revenue $6,400 - $6,700
Net income attributable to Ardent Health, Inc. $129 - $183
Adjusted EBITDA $485 - $535
Rent expense payable to REITs $168 - $168
Diluted earnings per share $0.90 - $1.27
Adjusted admissions growth 1.5% - 2.5%
Capital expenditures $225 - $265
The Company's guidance is based on current plans and expectations and is subject to a number of known and unknown
uncertainties and risks, including those set forth below under the heading Forward-Looking Statements. The Company
does not forecast the impact of items such as, but not limited to, losses (gains) on sales of facilities, losses on retirement of
debt, legal claim costs (benefits) and impairments of long-lived assets. The Company does not believe that it can forecast
these items with sufficient accuracy because of the inherent difficulty of forecasting the timing or amount of various items
that have not yet occurred and are out of the Company's control or cannot be reasonably predicted.
First Quarter 2026 Results Conference Call
The Company will host a conference call to discuss its first quarter financial results on May 6, 2026, at 10 00 a.m. Eastern
Time. A webcast of the conference call will be available in the Investor Relations section of the Company's corporate
website at https ir.ardenthealth.com. To listen to a live broadcast, go to the site at least 15 minutes prior to the scheduled
start time in order to register, download, and install any necessary audio software.
To participate in the live teleconference
United States Live 1-888-596-4144
International Live 1-646-968-2525
To listen to a replay of the teleconference, which will be available through May 20, 2026
United States Replay 1-800-770-2030
International Replay 1-647-362-9199
Ardent Health (NYSE ARDT) is a leading provider of healthcare in growing mid-sized urban communities across the U.S.
With a focus on people and investments in innovative services and technologies, Ardent is passionate about making
healthcare better and easier to access. Through its subsidiaries, the Company delivers care through a system of 30 acute
care hospitals, more than 280 sites of care, and over 2,000 employed and affiliated providers across six states. For more
information, please visit ardenthealth.com.
Investor Contact Dave Styblo, CFA Investor.Relations ardenthealth.com (615) 296-3016
Media Contact Rebecca Kirkham rebecca.kirkham ardenthealth.com (615) 296-3000
Supplemental Non-GAAP Financial Information
We have included certain non-GAAP financial measures in this press release, including Adjusted EBITDA, Adjusted EBITDA
margin, and Adjusted EBITDAR. We define these terms as follows
Adjusted EBITDA and Adjusted EBITDA Margin. Adjusted EBITDA is defined as net income plus (i) provision for income
taxes, (ii) interest expense and (iii) depreciation and amortization expense (or EBITDA), as adjusted to deduct
noncontrolling interest earnings, and excludes the effects of other non-operating losses recoveries from the
cybersecurity incident in November 2023 (the Cybersecurity Incident ), net of incremental information technology and
litigation costs certain legal matters and related costs other expenses, including development, restructuring and
enterprise system conversion costs equity-based compensation expense and (income) loss from disposed operations.
Adjusted EBITDA margin is defined as Adjusted EBITDA divided by total revenue.
Adjusted EBITDA and Adjusted EBITDA margin are non-GAAP performance measures used by our management and
external users of our financial statements, such as investors, analysts, lenders, rating agencies and other interested
parties, to evaluate companies in our industry. Adjusted EBITDA and Adjusted EBITDA margin are performance
measures that are not prepared in accordance with GAAP and are presented in this press release because our
management considers them important analytical indicators commonly used within the healthcare industry to evaluate
financial performance and allocate resources. Further, our management believes that Adjusted EBITDA and Adjusted
EBITDA margin are useful financial metrics to assess our operating performance from period to period by excluding
certain material non-cash items and unusual or non-recurring items that we do not expect to continue in the future and
certain other adjustments we believe are not reflective of our ongoing operations and our performance.
Because not all companies use identical calculations, our presentation of Adjusted EBITDA and Adjusted EBITDA margin
may not be comparable to other similarly titled measures of other companies. While we believe these are useful
supplemental performance measures for investors and other users of our financial information, you should not
consider Adjusted EBITDA and Adjusted EBITDA margin in isolation or as a substitute for net income or any other items
calculated in accordance with GAAP. Adjusted EBITDA and Adjusted EBITDA margin have inherent material limitations
as performance measures, because they add back certain expenses to net income, resulting in those expenses not
being taken into account in the performance measures. We have borrowed money, so interest expense is a necessary
element of our costs. Because we have material capital and intangible assets, depreciation and amortization expense
are necessary elements of our costs. Likewise, the payment of taxes is a necessary element of our operations. Because
Adjusted EBITDA and Adjusted EBITDA margin exclude these and other items, they have material limitations as
measures of our performance.
Adjusted EBITDAR. Adjusted EBITDAR is defined as Adjusted EBITDA further adjusted to add back rent expense payable
to real estate investment trusts ( REITs ), which consists of rent expense pursuant to the master lease agreement (the
Ventas Master Lease ) with Ventas, Inc. ( Ventas ), lease agreements with Ventas for 18 medical office buildings and a
lease arrangement with Medical Properties Trust, Inc. ( MPT ) for the Hackensack Meridian Mountainside Medical
Adjusted EBITDAR is a commonly used non-GAAP valuation measure used by our management, research analysts,
investors and other interested parties to evaluate and compare the enterprise value of different companies in our

Frequently Asked Questions

What were Ardent Health's total revenues for the first quarter of 2026?

Total revenues for Ardent Health in Q1 2026 were $1.60 billion.

How much did Ardent Health's adjusted EBITDA increase?

Adjusted EBITDA increased by 26.3% year-over-year to $124 million.

What was the change in admissions for Q1 2026?

Admissions decreased by 1.1% year-over-year during the first quarter.

What is Ardent Health's revenue guidance for 2026?

Ardent Health's revenue guidance for 2026 is $6.4 to $6.7 billion.

When will Ardent Health discuss its Q1 financial results?

Ardent Health will discuss its Q1 results on May 6, 2026, at 10 AM ET.

Last updated: May 5, 2026