COMMUNITY HEALTH SYSTEMS INC

Listed Company

CYHCIK 0001108109NYSEAcceleratedServices-General Medical & Surgical Hospitals, NecDelawareFY ends Dec 31

Period

FY 2025

Revenue

$12.48B

Net Income

$509.00M

Total Assets

$13.20B

Equity

$-1.39B

Shares Out

140.92M

Op. Cash Flow

$543.00M

Business

COMMUNITY HEALTH SYSTEMS INC owns and operates a network of affiliated hospitals and healthcare delivery systems, providing acute and ambulatory care. It offers a broad range of hospital and outpatient services, including emergency care, general and specialty surgery, critical care, internal medicine, obstetrics, diagnostic imaging, cancer care, rehabilitation, urgent care, freestanding emergency departments, ambulatory surgery centers and virtual health visits. Its business is organized across affiliated hospitals, regional networks, outpatient sites and physician alignment programs and includes centralized management functions such as billing, supply chain, finance and quality programs. It serves patients in 39 distinct markets across 15 states through hospitals, physician practices, outpatient facilities and digital channels, receiving payment from government programs, private insurers and patients.

Summary from filing dated 2025-02-19

Financials

Consolidated Statement of Income

Year Ended · In millions, except per-share amounts

Concept	FY 2025 2025-12-31	FY 2024 2024-12-31	FY 2023 2023-12-31	FY 2022 2022-12-31	FY 2021 2021-12-31
Net operating revenues	12,485	12,634	12,490	12,211	12,368
Salaries and benefits	5,412	5,418	5,415	5,330	5,242
Supplies	1,864	1,946	1,993	1,975	2,042
Other operating expenses	3,424	3,642	3,388	3,336	2,958
Lease cost and rent	277	299	319	317	308
Depreciation and amortization	426	486	505	534	540
Impairment and (gain) loss on sale of businesses, net	−406	301	−87	71	24
Total operating expenses	10,997	12,092	11,533	11,390	10,966
Income from operations	1,488	542	957	821	1,402
Interest expense, net of interest income of $2, $3 and $2 in 2025, 2024 and 2023, respectively	870	860	830	858	885
Gain from early extinguishment of debt	−97	−25	−72	−253	79
Equity in earnings of unconsolidated affiliates	−9	−10	−8	−14	−22
Income (loss) before income taxes	724	−283	207	349	499
Provision for income taxes	48	79	191	170	131
Net income (loss)	676	−362	16	179	368
Less: Net income attributable to noncontrolling interests	167	154	149	133	138
Net income (loss) attributable to Community Health Systems, Inc. stockholders	509	−516	−133	46	230
Basic (per share)	3.81	−3.9	−1.02	0.35	1.82
Diluted (per share)	3.77	−3.9	−1.02	0.35	1.76
Basic (shares)	134	132	130	129	127
Diluted (shares)	135	132	130	130	131

Consolidated Balance Sheet

As of · In millions, except per-share amounts

Concept	FY 2025 2025-12-31	FY 2024 2024-12-31	FY 2023 2023-12-31	FY 2022 2022-12-31	FY 2021 2021-12-31
Cash and cash equivalents	260	37	38	118	507
Patient accounts receivable	2,077	2,286	2,231	2,040	2,062
Supplies	322	331	328	353	355
Prepaid income taxes	13	53	76	99	94
Prepaid expenses	181	236	—	—	—
Other current assets	381	358	275	235	269
Total current assets	3,234	3,301	3,208	3,082	3,479
Land and improvements	399	427	474	497	534
Buildings and improvements	5,453	5,658	5,951	6,038	6,050
Equipment and fixtures	3,060	3,075	3,086	3,104	3,173
Property and equipment	8,912	9,160	9,511	9,639	9,757
Less accumulated depreciation and amortization	−4,409	−4,384	−4,304	−4,274	−4,204
Property and equipment, net	4,503	4,776	5,207	5,365	5,553
Goodwill	3,300	3,789	3,958	4,166	4,219
Deferred income taxes	50	13	29	49	53
Other assets, net of accumulated amortization of $1,317 and $1,501 at December 31, 2025 and 2024, respectively	2,101	2,175	2,053	2,007	1,913
Total assets	13,204	14,054	14,455	14,669	15,217
Current maturities of long-term debt	16	20	21	21	31
Current operating lease liabilities	110	115	124	148	147
Accounts payable	842	913	912	773	830
Employee compensation	569	596	571	637	655
Accrued interest	238	222	160	189	225
Other	433	479	354	418	476
Total current liabilities	2,208	2,345	2,142	2,186	2,364
Long-term debt	10,380	11,432	11,466	11,614	12,109
Deferred income taxes	25	231	369	354	192
Long-term operating lease liabilities	537	535	563	605	535
Other long-term liabilities	891	828	739	644	827
Total liabilities	14,041	15,371	15,279	15,403	16,027
Redeemable noncontrolling interests in equity of consolidated subsidiaries	322	359	323	541	480
Commitments and contingencies (Note 16)	—	—	—	—	—
Preferred stock, $.01 par value per share, 100,000,000 shares authorized; none issued	—	—	—	—	—
Common stock, $.01 par value per share, 300,000,000 shares authorized; 138,626,917 shares issued and outstanding at December 31, 2025, and 138,919,641 shares issued and outstanding at December 31, 2024	1	1	1	1	1
Additional paid-in capital	2,185	2,175	2,185	2,084	2,118
Accumulated other comprehensive loss	−9	−10	−14	−21	−14
Accumulated deficit	−3,571	−4,080	−3,564	−3,431	−3,477
Total Community Health Systems, Inc. stockholders deficit	−1,394	−1,914	−1,392	−1,367	−1,372
Noncontrolling interests in equity of consolidated subsidiaries	235	238	245	92	82
Total stockholders deficit	−1,159	−1,676	−1,147	−1,275	−1,290
Total liabilities and stockholders deficit	13,204	14,054	14,455	14,669	15,217

Consolidated Statement of Cash Flows

Year Ended · In millions, except per-share amounts

Concept	FY 2025 2025-12-31	FY 2024 2024-12-31	FY 2023 2023-12-31	FY 2022 2022-12-31	FY 2021 2021-12-31
Deferred income taxes	−243	−116	35	165	170
Stock-based compensation expense	11	17	22	20	25
Other non-cash expenses, net	173	188	181	182	78
Patient accounts receivable	99	−66	−193	22	−136
Supplies, prepaid expenses and other current assets	44	−75	−82	−128	1
Accounts payable, accrued liabilities and income taxes	−36	137	−50	−158	16
Other	−104	−5	−65	−215	−176
Net cash provided by operating activities	543	480	210	300	−131
Acquisitions of facilities and other related businesses	−1	−25	−38	−9	−3
Purchases of property and equipment	−335	−360	−467	−415	−469
Proceeds from disposition of hospitals and other ancillary operations	1,254	174	432	89	17
Proceeds from sale of property and equipment	8	5	28	38	10
Purchases of available-for-sale debt securities and equity securities	−139	−81	−137	−114	−171
Proceeds from sales of available-for-sale debt securities and equity securities	123	80	232	110	102
Purchases of investments in unconsolidated affiliates	0	−9	−11	−19	−7
Increase in other investments	−63	−59	−65	−60	−113
Net cash provided by (used in) investing activities	847	−275	−26	−259	−524
Repurchase of restricted stock shares for payroll tax withholding requirements	−2	−1	−4	−8	−5
Deferred financing costs and other debt-related costs	−16	−9	−3	−74	−313
Proceeds from noncontrolling investors in joint ventures	2	1	5	13	—
Redemption of noncontrolling investments in joint ventures	−3	−3	−1	−5	−19
Distributions to noncontrolling investors in joint ventures	−164	−155	−141	−125	−121
Other borrowings	41	25	39	48	60
Issuance of long-term debt	2,470	1,236	989	1,535	4,310
Proceeds from ABL Facility	3,021	3,763	3,176	542	—
Repayments of long-term indebtedness	−6,516	−5,063	−4,324	−2,356	−4,426
Net cash used in financing activities	−1,167	−206	−264	−430	−514
Net change in cash and cash equivalents	223	−1	−80	−389	−1,169
Interest payments	−804	−741	−801	−835	−778
Income tax payments, net of refunds	−249	−171	−91	−6	−4

Filings

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