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Ramsay Health Care Limited

RHC.AX
44
Medical - Care Facilities · Healthcare
Price
A$45.00
+0.35 (+0.78%)
Market Cap
A$10.35B
Exchange
Australian Securities Exchange
Winston Score
44
Winston is serious
Mixed quality — meaningful strengths and weaknesses.
Data as of Aug 23, 2026 · filings through Dec 31, 2025
How the score breaks down
Quality
Weak
Growth
Good
Cash Flow
Strong
Stability
Mixed
Valuation
Good
Dividends
Weak

Winston Score History

The full picture

Ramsay Health Care is one of the largest private hospital operators in the world. It owns and runs private hospitals and day surgery centers where patients go for planned operations, mental health treatment, and rehabilitation. The company serves patients, private health insurers, and government health programs across multiple countries.

Ramsay makes money by charging fees for hospital stays, surgical procedures, and other medical services, with payments coming from private insurers and public health systems. It operates roughly 500 facilities across Australia, France, the United Kingdom, Scandinavia, and parts of Asia, making it a genuinely global healthcare provider. Its scale and long-term contracts with insurers and governments give it a degree of pricing stability, but the business faces ongoing pressure from rising labor costs and staff shortages, which are the main risks squeezing its already thin margins.

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+9.3% YoY

YoY Growth Rate

Slow revenue growth

EPS Growth

+232.0% YoY

YoY Growth Rate

EPS growth accelerating

R&D Spend

A$0/ year

0.0% of revenue

Below sector average (18%)

Research and development spending

Insider Activity

19.6%ownership

Declining

Insider ownership declining — could be dilution or selling

Cash Runway

~3 years

A$735M cash & investments

Quarterly Free Cash Flow

↓ Burn rate worsening

A$735M cash & investments at current burn rate

Growth context

Ramsay Health Care Limited is growing revenue at 9% year-over-year. The Winston Score measures business quality today — these growth metrics show what could matter tomorrow.

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Share count broadly stable

+0.7% over 4y

The share count has stayed roughly flat over this period — little dilution or buyback activity.

Diluted shares outstanding: 228.4M (2021) → 230.0M (2025)

Score breakdown

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Quality

Profit per sale
Gross Margin
9.3%
Thin — 9.3% gross margin
Profit after running costs
Operating Margin
5.2%
Thin — 5.2% operating margin
Return on the money invested
ROCE
9.4%
Below par — 9.4% return on capital

ROIC between 5% and 15%. They earn 5 to 15 cents back per year on every dollar invested.

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Growth

Sales growth
Sales YoY
+8.6%
Steady sales growth (+8.6% YoY)
Profit growth
EPS YoY
>+1,000%
Earnings growing fast (>+1,000% YoY)

Earnings growing 25%+ a year. The compounder zone.

How steady the profit is
EPS Consistency
4/8 quarters
Earnings inconsistent quarter-to-quarter

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Cash Flow

Profit that turns into cash
Cash Conversion
531%
Turns 531% of profit into real cash
Spare cash per sale
FCF Margin
3.9%
Thin free cash flow (3.9%)

FCF margin between 0% and 10%. Some cash from sales, but not a lot.

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Stability

What it owes vs what it owns
Debt / Equity
2.35
Heavy debt load (2.35)
Covers its interest
Interest Cover
2.57x
Tight — interest eats into profit (2.6x)

Interest coverage between 1 and 3. Profits cover interest, but with little room to spare.

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Valuation

Price vs profit
P/E Ratio (TTM)
38.1x
Pricey — P/E 38.1

P/E over 35. The market is pricing in heavy, sustained growth.

Cheaper or dearer next year
P/E vs Forward
+12.9
GROWING
Earnings expected to grow meaningfully — cheaper on forward P/E (38.1 → 25.3)

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Dividends

Dividend
Dividend Yield
1.89%
Small dividend — 1.89% yield

Modest yield. The bulk of any return needs to come from price appreciation.

Dividend record
Dividend Growth
-0.6%
Dividend cut (-0.6% YoY) — warning sign

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