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CYH

Community HealthC
NYSE / Health Care Equipment & Services
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2026-06-02
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2026-05-06
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Earnings documents stored for CYH.

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Investor releaseQuarter not tagged2026-05-06

Community Health Systems, Inc. Announces Early Tender Results for Its Tender Offer for Certain Outstanding Senior Secured Notes

Business Wire

FRANKLIN, Tenn., May 06, 2026--(BUSINESS WIRE)--Community Health Systems, Inc. (the "Company") (NYSE: CYH) today announced certain matters with respect to its cash tender offer previously announced on April 22, 2026 (as it may be amended from time to time, the "Tender Offer") by its wholly owned subsidiary, CHS/Community Health Systems, Inc. (the "Issuer"), to purchase for cash up to $600,000,000 aggregate purchase price (exclusive of accrued and unpaid interest, the "Aggregate Maximum Purchase Amount") of (i) its outstanding 4.750% Senior Secured Notes due 2031 (the "2031 Notes") and (ii) its outstanding 10.875% Senior Secured Notes due 2032 (the "2032 Notes" and, together with the 2031 Notes, the "Notes"), subject to possible proration and other terms and conditions set forth in the Offer to Purchase (as defined below). Capitalized terms used but not defined herein shall have the meanings assigned to such terms in the Offer to Purchase dated April 22, 2026 (the "Offer to Purchase") with respect to the Tender Offer. As of the Early Tender Date for the Tender Offer, $994,822,000 aggregate principal amount of the 2031 Notes (94.05%) were validly tendered and not validly withdrawn, and $822,029,000 aggregate principal amount of the 2032 Notes (46.18%) were validly tendered and not validly withdrawn. Based upon the aggregate principal amount of 2031 Notes that were validly tendered and not validly withdrawn as of the Early Tender Date, the proration factor with respect to the 2031 Notes is approximately 37.07%. Based upon the aggregate principal amount of 2032 Notes that were validly tendered and not validly withdrawn as of the Early Tender Date, the proration factor with respect to the 2032 Notes is approximately 28.14%. As a result, (i) $368,421,000 aggregate principal amount of the 2031 Notes that were validly tendered and not validly withdrawn at or before the Early Tender Date will be accepted for purchase by the Issuer on the Early Settlement Date, and (ii) $230,946,000 aggregate principal amount of the 2032 Notes that were validly tendered and not validly withdrawn at or before the Early Tender Date will be accepted for purchase by the Issuer on the Early Settlement Date. All such Notes that have been accepted will be settled on the Early Settlement Date in accordance with the terms of the Tender Offer as set forth in the Offer to Purchase, including pro...

Investor releaseQuarter not tagged2026-04-24

Community Health Systems Q1 Earnings Call Highlights

MarketBeat

CHS reported Q1 adjusted EBITDA of $309 million, down 17.8% y/y with a 10.4% margin, as volumes and payer mix missed expectations and recent divestitures created roughly a $50 million year‑over‑year EBITDA drag. Cash flow from operations was a use of $297 million driven by timing items, but CHS completed divestitures generating over $1.1 billion of gross proceeds, redeemed $223 million of 2032 notes and reduced leverage to about 6.5x, while keeping 2026 adjusted EBITDA guidance at $1.34B–$1.49B. Management cited broad demand softness—especially elective procedures like hips and knees and weaker commercial/exchange patients—but is investing in outpatient surgical capacity (multiple ASC deals) and physician additions that increase near‑term costs to position for future recovery. Interested in Community Health Systems, Inc.? Here are five stocks we like better. Tenet Healthcare Stock Sees Strong Gains from Acute Care Boom Community Health Systems (NYSE:CYH) executives told investors the company’s first-quarter 2026 performance landed at the low end of internal expectations as volumes and payer mix came in below plan, while recently divested operations weighed on profitability. Chief Executive Officer Kevin Hammons said adjusted EBITDA declined 17.8% year over year, citing strategic transactions to reduce debt, “macroeconomic disruptions across the country,” and ongoing investments. He noted the quarter included roughly a $50 million year-over-year EBITDA drag from divestitures that shifted from positive contributors in the prior-year period to negative results in the first quarter. Hammons said closing these divestitures will remove that negative drag from future quarters. → Credo Stock Flashes Strong Bullish Signal—Upswing Just Starting Healthcare Stock Rides the Acute Services Phenomenon to New Highs Executive Vice President and Chief Financial Officer Jason Johnson reported adjusted EBITDA of $309 million, with an adjusted EBITDA margin of 10.4%. Johnson said recently divested hospitals generated about $25 million of negative adjusted EBITDA in the first quarter, compared with a $25 million positive contribution in the prior-year period. He added that part of the negative results from hospitals divested in the first quarter was attributable to Winter Storm Gianna. On the revenue side, Hammons said same-store net revenue increased 3.1% year over year, driven...

Investor releaseQuarter not tagged2026-04-23

Flagging first-quarter volumes dragged CHS’ earnings

Healthcare Dive

This story was originally published on Healthcare Dive. To receive daily news and insights, subscribe to our free daily Healthcare Dive newsletter. Declining admissions and headwinds from recent divestitures dragged for-profit hospital operator Community Health Systems’ earnings into the red during the first quarter, according to results posted this week. CHS posted a $58 million loss in the first quarter, compared to a $13 million loss in the prior-year period. Executives said on a Wednesday morning call with Wall Street investors that it believed its low admissions in the quarter were a “temporary” disruption due to flagging consumer confidence, macroeconomic headwinds and “aggressive” actions from insurance companies. “CHS delivered financial results toward the low end of expectations,”CFO Jason Johnson said on the call. CHS called out last quarter that it could see lower volumes in the first half of 2026 given that consumer confidence was muted at the end of the year. Executives said they expect volume growth to pick up in the back half to help CHS meet its guidance of low single-digit volume growth at the end of the year. Same-store adjusted volumes declined 1.3%, while adjusted admissions fell 0.5% in the quarter compared to the prior-year period. When accounting for divestitures and other factors, consolidated volumes fell more than 10%. Some of the volume loss was driven by “softness” in elective procedures like hip and knee surgeries, Johnson said. Same-store surgeries declined 2.2% compared to the prior-year period. Volume pressures weren’t concentrated in any one market, CEO Kevin Hammons said on the call. Rather, executives said demand for healthcare was down in the first quarter due to “consumer fears” like political instability, the increased cost of living, a poor job market and the U.S.’ war with Iran. Care denials from insurers also didn’t help, according to Hammons, including the “aggressive practices used by the managed care companies that drive inefficiency, unnecessarily delay payment and interfere with the delivery of medical care.” “They’ve turned the dial up on denying pre-authorizations in more cases,” the CEO said. Although volume pressures were “across the board,” CHS believes admissions declines were concentrated in patients with commercial and Affordable Care Act coverage. Adjusted admissions for patients with exchange coverage —...

Investor releaseQuarter not tagged2026-04-23

Community Health Systems Inc (CYH) Q1 2026 Earnings Call Highlights: Navigating Challenges with ...

GuruFocus.com

This article first appeared on GuruFocus. Adjusted EBITDA: $309 million, margin of 10.4%, declined 17.8% year-over-year. Same-Store Net Revenue: Increased 3.1% year-over-year. Net Revenue per Adjusted Admission: Up 3.7% year-over-year. Same-Store Adjusted Admissions: Declined 0.5% year-over-year. Same-Store Inpatient Admissions: Declined 1.3% year-over-year. Same-Store Surgeries: Declined 2.2% year-over-year. Same-Store ED Visits: Down 2.8% year-over-year. Labor Cost: Average hourly rate growth of approximately 2% year-over-year. Same-Store Contract Labor Spend: Down 11% from the prior year period. Salaries and Benefits: Increased 50 basis points as a percentage of revenue year-over-year. Supplies Expense: Declined 60 basis points to 14.9% of net revenue. Medical Specialist Fees: Up approximately 11% year-over-year on a same-store basis. Cash Flows from Operations: Use of $297 million versus positive $120 million in the prior year period. Net Debt: Approximately $9.3 billion following divestitures, down from $10.1 billion at year-end 2025. Leverage Ratio: 6.5 times at quarter end, down from 6.6 times at year-end 2025. Warning! GuruFocus has detected 6 Warning Signs with CYH. Is CYH fairly valued? Test your thesis with our free DCF calculator. Release Date: April 22, 2026 For the complete transcript of the earnings call, please refer to the full earnings call transcript. Community Health Systems Inc (NYSE:CYH) announced significant investments in ambulatory surgery centers, including a major acquisition in Alabama, which is expected to drive future growth. The company is realizing operational improvements, with expectations of 80% of its hospitals receiving a Leapfrog A or B grade, up from 48% the previous year. Community Health Systems Inc (NYSE:CYH) is actively engaging with policymakers to ensure funding for rural health programs, which could benefit its operations in underserved markets. The company has successfully reduced its leverage, with net debt expected to decrease to approximately $9.3 billion following the divestiture of Arkansas hospitals. Labor costs were well managed, with a 2% year-over-year growth in average hourly rate and a reduction in contract labor spend by 11% from the prior year period. Adjusted EBITDA for the first quarter was on the low end of expectations, declining 17.8% from the prior year period. The company experienced volume a...

Investor releaseQuarter not tagged2026-04-22

Here's What Key Metrics Tell Us About Community Health Systems (CYH) Q1 Earnings

Zacks

Community Health Systems (CYH) reported $2.97 billion in revenue for the quarter ended March 2026, representing a year-over-year decline of 6.1%. EPS of -$0.48 for the same period compares to -$0.03 a year ago. The reported revenue represents a surprise of -1.06% over the Zacks Consensus Estimate of $3 billion. With the consensus EPS estimate being -$0.18, the EPS surprise was -171.65%. While investors closely watch year-over-year changes in headline numbers -- revenue and earnings -- and how they compare to Wall Street expectations to determine their next course of action, some key metrics always provide a better insight into a company's underlying performance. As these metrics influence top- and bottom-line performance, comparing them to the year-ago numbers and what analysts estimated helps investors project a stock's price performance more accurately. Here is how Community Health Systems performed in the just reported quarter in terms of the metrics most widely monitored and projected by Wall Street analysts: Adjusted admissions: 206,496 versus the two-analyst average estimate of 210,747. Patient days: 409,776.00 Days versus 422,447.10 Days estimated by two analysts on average. Beds in Service: 8,225 compared to the 7,718 average estimate based on two analysts. Same-store occupancy rate (average beds in service): 53.9% versus the two-analyst average estimate of 60.8%. Number of Hospitals: 65 versus 65 estimated by two analysts on average. Admissions: 94,522 versus 92,002 estimated by two analysts on average. Licensed Beds: 9,530 compared to the 9,509 average estimate based on two analysts. View all Key Company Metrics for Community Health Systems here>>> Shares of Community Health Systems have returned +5.7% over the past month versus the Zacks S&P 500 composite's +9.3% change. The stock currently has a Zacks Rank #2 (Buy), indicating that it could outperform the broader market in the near term. Want the latest recommendations from Zacks Investment Research? Today, you can download 7 Best Stocks for the Next 30 Days. Click to get this free report Community Health Systems, Inc. (CYH) : Free Stock Analysis Report This article originally published on Zacks Investment Research (zacks.com). Zacks Investment Research

Investor releaseQuarter not tagged2026-04-22

Community Health Systems, Inc. Q1 2026 Earnings Call Summary

Moby

Adjusted EBITDA performance landed at the low end of internal expectations, primarily impacted by a $50 million year-over-year drag from recently completed divestitures. Management attributes volume and payer mix challenges to temporary macroeconomic disruptions, specifically citing consumer fears regarding geopolitical instability and rising living costs. Aggressive managed care practices, including increased preauthorization denials, are identified as significant drivers of delayed payments and inefficient medical care delivery. Strategic investments in physician experience, such as ambient listening technology, aim to reduce administrative burdens and optimize face-to-face patient care time. Significant quality improvements were realized, with 80% of hospitals expected to receive Leapfrog A or B grades, up from 48% in the prior year period. The company is pivoting toward a 'network of care' strategy, acquiring majority interests in high-volume surgery centers to extend outpatient capabilities in core markets. Full-year 2026 guidance remains unchanged, assuming that the back half of the year will carry a heavier weight as economic conditions potentially stabilize. Volume recovery is anticipated as deferred elective procedures return to the system, with the company maintaining a low single-digit volume growth target for the year. Management expects to collect a $50 million to $60 million buildup in Medicare Advantage accounts receivable throughout the remainder of the year. The pending $112 million divestiture of four Arkansas hospitals is expected to close in Q2 2026, with proceeds intended for further debt reduction and growth investments. Guidance methodology currently excludes potential upside from the Rural Health Transformation Fund and new state-directed payment programs due to insufficient early-stage data. Winter Storm Firm contributed to negative EBITDA results for hospitals divested during the first quarter. A $25 million benefit from the Georgia State Directed Payment Program was partially offset by out-of-period Indiana provider tax increases. Following the completion of the Arkansas divestiture, net debt is expected to be approximately $9.3 billion, down from $10.1 billion at year-end 2025 and $11.4 billion at year-end 2024. Medical specialist fees grew 11% year-over-year, exceeding the forecasted range of 5% to 8%. Our analysts just identifie...

TranscriptFY2026 Q12026-04-22

FY2026 Q1 earnings call transcript

Earnings source - 58 paragraphs
Operator

Please note this event is being recorded. I would now like to turn the conference over to Anton Hie, Vice President of Investor Relations. Please go ahead.

Anton Hie

Thank you, Bailey, and good morning, everyone, and welcome to Community Health Systems' first quarter 2026 conference call. Joining me on today's call are Kevin Hammons, Chief Executive Officer, and Jason Johnson, Executive Vice President and Chief Financial Officer. Before we begin, I'll remind everyone that this conference call may contain certain forward-looking statements, including all statements that do not relate solely to historical or current facts. These forward-looking statements are subject to a number of known and unknown risks, which are described in headings such as Risk Factors in our annual report on Form 10-K and other reports filed with or furnished to the SEC. Actual results may differ significantly from those expressed in any forward-looking statements in today's discussion. We do not intend to update any of these forward-looking statements.

Anton Hie

Yesterday afternoon, we issued a press release with our financial statements and definitions and calculations of adjusted EBITDA and adjusted EPS. We've also posted a supplemental slide presentation on our website. All calculations we discuss today will exclude gains or losses from early extinguishment of debt, impairment gains or losses on the sale of businesses, and expense from business transformation costs. With that said, I will turn the call over to Kevin Hammons, Chief Executive Officer.

Kevin Hammons

Thank you, Anton. Good morning, everyone, and thank you for joining our first quarter 2026 conference call and for your continued interest in CHS. Before we begin, I want to acknowledge our employees, physicians, and all of our teammates who have embraced our vision to make the healthcare experience exceptional for our patients, our communities, and each other. As people across our organization share in this commitment, I am confident we will see the benefits of making that healthcare experience exceptional. As we do, more patients will choose our health systems, and we'll create an even stronger company. Earlier this week, we announced some significant investments in ambulatory surgery centers in our core markets, including the pending acquisition of a majority ownership interest in the Surgical Institute of Alabama, our largest acquisition since 2016.

Kevin Hammons

This surgery center performs more than 8,000 cases annually and is the largest multi-specialty surgery center in Alabama. We expect to close this transaction during the second quarter. During the first quarter, we also purchased a majority interest in South Anchorage Surgery Center in Alaska and opened 2 de novo ASCs in Birmingham and Foley, Alabama. These targeted investments extend CHS's ability to provide outpatient surgical care in the most advantageous way for our patients while delivering excellent outcomes, optimizing the surgical experience for our physician partners, and driving future growth for our health systems. Turning to our operating performance for the first quarter of 2026, adjusted EBITDA was on the low end of our internal expectations, declining 17.8% from the prior year period, reflecting our strategic transactions to reduce our debt, macroeconomic disruptions across the country, as well as the investments CHS is making in our future.

Kevin Hammons

The quarter's results include an approximate $50 million year-over-year EBITDA drag from recently completed divestitures that went from being positive contributors in the prior year period to negative in the first quarter of 2026. Closing these divestitures will remove the negative EBITDA drag from future quarters. Additionally, while we benefited from some out-of-period revenue related to the Georgia Directed Payment Program, this tailwind was partially offset by out-of-period provider tax increases related to the Indiana program. Same-store net revenue increased 3.1% year-over-year, driven by 3.7% growth in net revenue per adjusted admission, partly offset by a 0.5% decline in same-store adjusted admissions.

Kevin Hammons

We believe volume and payer mix challenges in the first quarter reflect a temporary disruption in demand for healthcare services in our markets, largely driven by consumer fears related to geopolitical instability and increased cost of living, as well as ongoing aggressive practices used by the managed care companies that drive inefficiency, unnecessarily delay payment, and interfere with the delivery of medical care. I'd like to spend just a minute on our top priorities this year as we work to enhance quality, patient experience, physician experience, and employee satisfaction. We're realizing operational improvements at an accelerating pace, and our ability to advance in each of these areas will also ultimately drive enhanced financial performance and long-term value creation for our organization and shareholders.

Kevin Hammons

For example, in the area of quality, when the Spring 2026 Leapfrog safety grades are released next month, we expect as many as 80% of CHS's hospitals to receive a Leapfrog A or B grade, up significantly from just 48% this time a year ago. We also expect 56% of our hospitals to receive a CMS rating of three or more stars when those metrics are published next month, up from 45% in the 2025 ratings. These achievements demonstrate our commitment to continuous improvement and our ability to drive stronger performance in this area. We are hyper-focused on improving the experiences of the people working in our organization, especially our physicians and employees. We have numerous initiatives underway to increase patient satisfaction as well.

Kevin Hammons

On the physician experience front, we are currently deploying an ambient listening technology in our clinics and hospitals, which will help reduce administrative burdens and optimize the time physicians and other providers spend face-to-face with their patients. Investments CHS has made to expand service lines, add new access points, recruit physicians to our markets, and improve our quality and experience, have us better positioned and prepared to accommodate demand as soon as it returns to normal levels. Before I pass the call over to Jason, I'd like to discuss the policy backdrop. Similar to our hospital peers and others in the healthcare industry, we continue to monitor developments related to Medicaid supplemental payment programs and the Rural Health Transformation Program, as well as ACA enhanced premium tax credit expirations and Medicaid work requirements and redeterminations, among other changes.

Kevin Hammons

It is still very early to gauge the impact of these external factors, while there are a lot of moving pieces, unknown variables, and potential consequences. Given CHS's historical and current presence in many rural and underserved markets, we remain actively engaged with policymakers across each of our states to help ensure that programs under the Rural Health Fund are directed towards hospitals and other providers delivering care in these communities, which we believe was the original intent of the fund. We've set up a formal structure with dedicated internal and external resources, working to evaluate each state's various programs as details emerge, and to apply for any and all funding available to us in order to ensure continued access to quality care in our rural communities.

Kevin Hammons

At this point, I will turn the call over to our Chief Financial Officer, Jason Johnson, to review financial results and other information in greater detail. Jason?

Jason Johnson

Thank you, Kevin, and good morning, everyone. For the first quarter, CHS delivered financial results toward the low end of expectations. The company continued to execute well on the controllable aspects of our business, demonstrate significant progress on our top priorities, and further deleverage the balance sheet. However, volumes and payer mix were below expectations, including noteworthy softness in elective procedures such as hips and knees, which, along with negative contribution from recently divested operations, led to margin compression. Adjusted EBITDA for the first quarter was $309 million with margin of 10.4%. Recently divested hospitals produced approximately $25 million of negative adjusted EBITDA in the first quarter compared to +$25 million in the prior year period. A portion of the negative results from the hospitals divested in the first quarter was attributable to impacts from Winter Storm Gianna.

Jason Johnson

Results included approximately $25 million in contribution from Georgia Directed Payment Program that was approved in mid-March. Approximately two-thirds of which related to prior periods, since the program was retroactive to July 1st, 2025. As Kevin previously noted, half of this out-of-period benefit was offset by higher operating expense related to out-of-period Indiana provider taxes. Same-store net revenue for the first quarter increased 3.1% year-over-year, again, driven primarily by rate growth as net revenue per adjusted admission was up 3.7% year-over-year, including the benefit from new state-directed payment programs, partly offset by unfavorable payer mix shift. Same-store inpatient admissions declined 1.3%, and adjusted admissions were down 0.5% year-over-year. Same-store surgeries declined 2.2%, and ED visits were down 2.8%.

Jason Johnson

Labor cost was well managed overall with approximately 2% year-over-year growth in average hourly rate and same-store contract labor spend down 11% from the prior year period. However, salaries and benefits expressed as a percentage of revenue increased 50 basis points year-over-year on a same-store basis, due partly to increased physician employment consistent with the investments Kevin highlighted, as well as continued insourcing, which we believe position the company well to capture share as patients in our markets return to the healthcare system. Supply expense remained well controlled, declining 60 basis points year-over-year to 14.9% of net revenue, which largely reflected the decline in surgical volumes along with better procurement and inventory management under our ERP.

Jason Johnson

Medical specialist fees were up approximately 11% year-over-year on a same-store basis, slightly ahead of our forecast for 5%-8% growth, but were generally consistent as a percentage of net revenue at 5.5%. Cash flows from operations were a use of $297 million for the first quarter versus +$120 million in the prior year period. Approximately one quarter of the year-over-year decline was due to core operating performance, with the remainder primarily attributed to timing of certain items such as Medicaid supplemental payments and provider tax payments that should reverse in future quarters. We also experienced a large buildup of AR related to Medicare Advantage accounts due to delayed payments, which we expect to collect throughout the remainder of the year.

Jason Johnson

As expected, during the quarter, we completed the Clarksville, Tennessee, Pennsylvania and Huntsville, Alabama divestitures, generating more than $1.1 billion in gross proceeds, and in early February, used a portion of the proceeds to redeem $223 million of the 2032 notes at 103 via the special call provision. Kevin previously noted, the company's leverage was down slightly at quarter end to 6.5x versus 6.6x at year-end 2025, and down from 7.4x at year-end 2024. Our next significant maturity is in 2029, and at quarter end, we had no amounts drawn on our ABL. In early March, we announced a definitive agreement to divest four hospitals in Arkansas to Freeman Health System for $112 million in cash and the assumption by the buyer of certain real estate leases.

Jason Johnson

The transaction is expected to close in the second quarter of 2026, further enhancing liquidity to continue to reduce net debt and leverage or to fund growth investments. Following the completion of the Arkansas divestiture, our net debt will be approximately $9.3 billion, down from $10.1 billion at year-end 2025 and $11.4 billion at year-end 2024. As Kevin previously noted, earlier this week, we announced several ASC investments in Alabama and Arkansas that are either pending or recently completed, with a combined price tag of approximately $85 million. We will continue to evaluate opportunities for growth investments across each of our core markets. Our financial guidance for 2026 remains unchanged.

Jason Johnson

While new developments have emerged relative to the outlook that we provided in February, including the approval of Georgia Directed Payment Program, the pending divestiture of our Arkansas operations, and the ASC investments, we believe these are captured within the initial range for adjusted EBITDA of $1.34 billion-$1.49 billion. There are multiple items on the horizon that could affect guidance in the future, most notably the potential approval of new or enhanced state direct payment programs and potential tailwinds from the Rural Health Transformation Program. We don't have sufficient data to adjust the outlook at this early stage in the year. This concludes our prepared remarks. At this time, we'll turn the call back over to the operator for Q&A.

Operator

We will now begin the question-and-answer session. To ask a question, you may press star then one on your touch tone phone. If you are using a speakerphone, please pick up your handset before pressing the keys. If at any time your question has been addressed and you would like to withdraw the question, please press star then two. Please limit yourself to one question and one follow-up. At this time, we will pause momentarily to assemble our roster. Our first question comes from Brian Tanquilut with Jefferies. Please go ahead.

Meghan Holtz

Good morning, guys. This is Meghan Holtz for Brian Tanquilut. I guess it would be helpful if we could start on the payer mix and volume pressures that you saw in the quarter. Is it due to the macro environment, or are you seeing particular pressures in your markets, particularly as you start to see some green shoots in Q4 around your commercial book? How should we be just thinking about volume for the full year as you had been originally guiding to 1.5%-2.5% of that 5% revenue growth? Should we still be thinking about that as comps get easier in the second half and you guys hopefully recover some volume?

Kevin Hammons

Sure. I'll start off, and Jason, feel free to jump in. The volume pressures we really saw were across the board. I wouldn't call out any specific markets that were worse than others. We really do believe that it was a broad pressure on volume. It was also concentrated more so in individuals with commercial and health exchange coverage. That leads us to believe a couple things. One, it's macroeconomic issues, because those are the individuals with high deductibles. The more aggressive behavior by the managed care companies is, we understand, at least anecdotally, that they've turned the dial up on denying pre-authorizations in more cases. Oftentimes, those patients are not even getting to us because of that.

Meghan Holtz

Okay.

Jason Johnson

Yeah, maybe I would just add, as it relates to our guidance, we're assuming low single digit volume growth for the year. We're at -0.5% as adjusted admission for the first quarter. We do think that should recover. I think payer mix was the other piece that came in less than our expectations for the full year. Similar, we think that comes back as the economy continues to improve.

Meghan Holtz

Okay, thank you. As a quick follow-up, operating cash flow looked a little weak in the quarter. We assume it's working capital timing related headwinds that you'll ultimately recapture, but can you just give us the moving pieces on what was going on in the operating cash flow line in the quarter?

Kevin Hammons

Sure. I'll take that one, too, Jason. Yeah, there are several items that are timing related that we expect to flip through the rest of the year. I'll name a few here. There's about $90 million of Medicaid supplemental payments, provider tax payments, timing. In other words, with timing difference between when we either recognize the revenue or the expense, some of it to provider taxes versus when we receive those payments or make the tax payments. $50 million-$60 million, I mentioned, I referenced this in my comments, that there was a buildup of managed care, Medicare Advantage accounts, and that's about $50 million-$60 million, which we do expect to collect in the remainder of the year. We make our bonus payments annually in the first quarter every year. That's about $50 million.

Kevin Hammons

That'll continue to flip back the other way as the accrual for this year builds up. There's $25 million-$50 million of AP timing that occurs and usually does happen at year-end versus the first quarter. The final thing I'll mention is about a $15 million initial interest payment on the 2034 notes that were deferred from September 2025 and made this quarter. Those notes were issued in August of last year, and rather than make the initial payment a month or so later, it was deferred until the first quarter.

Meghan Holtz

Thank you.

Operator

Our next question comes from Ben Hendrix with RBC. Please go ahead.

Ben Hendrix

Great. Thank you very much. Appreciate that it's early in the quarter, but just wanted to talk about the HIX exchange headwind from the EPTC expiry that you are assuming in your guidance. I think in the bridge that we have here, we had about $110 million of revenue and about $25 million of EBITDA assumed. Just wanted to see, based on some of the reports that have come out intra-quarter, in your experience, just if there's any kind of change to that progression and if you're seeing any kind of regional variation. Thanks.

Kevin Hammons

Yeah. We haven't made any changes to our assumptions yet. We still really don't have a lot more data than we had in February. I do know that our net revenue and adjusted admissions remain between 4%-5% in both the first quarter of this year and last year. Our revenue actually went up, but we did see about a 3.9% drop in adjusted admissions and most of the exchange plan patients. That's, I think, similar to what we see with a lot of plans that have the high deductibles or that at the beginning of the year that we think are staying out of the system. Certainly, there's some portion of those people that may have dropped the coverage or moved to another plan or self-pay, but we don't really have any new information yet.

Kevin Hammons

I think that's still going to be second or third quarter before we get a better feel for that.

Ben Hendrix

Thanks. Then just on the core growth that you're anticipating, obviously, coming in a little bit softer than expected in the first quarter, but how are we thinking about that phasing through the rest of the year? I know that you've mentioned some consumer confidence, and how you see that developing as we get closer to the end of the year. Thanks.

Kevin Hammons

Sure. I think we indicated, even at the fourth quarter earnings release, we expected this year to be more heavily weighted on the back half. We had anticipated starting off the year a little softer given that consumer confidence coming out of December was muted and low. Throughout the first quarter, we saw a jobs report come out that was much worse than expected. The conflict in the Middle East that transpired in March and the rise in price of oil and gas and price at the pump and so forth. We do believe that we'll see some economic recovery in the back half of the year. Second quarter will be a little bit of an easier comp for us, as well.

Kevin Hammons

We think that with the work that we're doing on improving, as I mentioned, improving quality, improving our patient experiences, that gets more traction. We'll really be positioned well with this deferred business as people ultimately will come back and have these procedures done. We believe we'll be positioned well to capture that business, and maybe uniquely positioned to capture that business in our markets, and that should serve us well. That is likely not to happen until the back half of the year.

Ben Hendrix

Great. Thank you very much.

Operator

Our next question comes from A.J. Rice with UBS. Please go ahead.

A.J. Rice

Hi, everybody. Maybe first, on these acquisitions, the Surgical Institute of Alabama and the Alaska one, I know traditionally, I've tended to think of you guys as doing, when it's something like an ASC within your existing markets. I'm not sure whether you'd describe these as being adjacent to existing hospitals, or are you pivoting to now maybe looking more at freestanding ASCs as an investment opportunity? Should we think that there'll be some incremental capital devoted to that going forward?

Kevin Hammons

Thanks, A.J. Great question. These acquisitions, we would still characterize as being part of our networks of care, extending the care areas that we're treating patients from those hospitals, but still connected within our markets and just an extension of those networks. Not going into what I would call new markets with just an ASC strategy.

A.J. Rice

Okay. All right. Just maybe any update on what you're seeing with labor, hourly wages, contract labor, and then professional fees as well?

Jason Johnson

Yeah. The average hourly rate increase was 2.3% during the first quarter versus the prior year. We did make an investment in physicians. We have 30 net physicians added in the first quarter. That's probably about $5 million of salaries, wages, and benefits. We insourced one anesthesia program in November 2025, and that's about $2 million-$2.5 million of additional expenses this quarter. Contract labor came down 11%. I think we're continuing to see a return to rate and usage that are more consistent with prior to the pandemic.

A.J. Rice

Okay.

Kevin Hammons

Maybe if I can just add a little more color. I think Jason absolutely got that right. As I think about Jason's comments that we added some additional physicians during the quarter, part of what we experienced, and as we're being intentional about working on physician experience, our physician turnover decreased during the quarter. We were able to continue to hire new physicians at the previous pace we had been hiring at, which has allowed us to add net new physicians. That positions us well. It's another area that positions us well. It comes at a little bit of a cost right now without the volume, and adding new physicians to the labor cost, but that will position us well in the future, that as this business comes back, we'll have more capacity to take on additional patients with the additional physicians.

Kevin Hammons

Again, we look at that as a net positive for us, even though it's coming at a little bit of an extra cost this quarter.

A.J. Rice

Okay. Thanks so much.

Operator

Our next question comes from Stephen Baxter with Wells Fargo. Please go ahead.

Speaker 8

Hi, this is Mitchell on for Steve. Can you give us a sense of the financial profile of the four Arkansas hospitals you announced are going to be divested, and then as well as the large ASC investment? Just trying to better understand how that fits into the guidance. Thank you.

Jason Johnson

Yeah. Stephen, thanks for the question. The $112 million proceeds, Arkansas, that's about, I think, a 10-12 multiple. That was not reflected in our initial guidance in February. That'll come out for about a half a year. The ASC investments, which are largely going to offset that, they're just about a wash. No effect on our guidance between netting those two.

Speaker 8

Thank you.

Operator

Our next question comes from Andrew Mok with Barclays. Please go ahead.

Thomas Walsh

Good morning. This is Thomas Walsh on for Andrew. Can you help us better understand the uncompensated care and self-pay mix shifts in the quarter as ACA exchange disenrollment picked up? What's the most direct driver of higher uncompensated care, higher uninsurance or worsening collections from the insured population?

Jason Johnson

Yeah. Over time, the collections experience does continue to draw this natural trend that we see. I don't think there was anything outside this quarter. There was an increase in self-pay volumes this quarter. Relative to the overall net revenue, it increased as a percentage of total. Don't know that there's any one thing that we can point to, except for, I don't know, part of this could be the behavior of those folks don't have insurance, that they continue to come into the health systems regardless of what's happening in the broader macro environment.

Kevin Hammons

I do think it's a fair point, and we've taken into consideration the additional risk of collectibility of co-pays and deductibles in that amount and have adjusted accordingly.

Thomas Walsh

Great. Following up, there are a number of moving parts inside the pricing of 3.7% in the quarter. Could you help us understand the contribution of normal course rate increases, incremental state directed payments, and then the payer mix or acuity headwinds?

Jason Johnson

Yeah. The normal rate increases are, I think, consistent with our guide around 3% of the impact. Then the Medicaid supplemental payments, Georgia, which I mentioned, was approved this quarter. That was about $30 million of revenue, $25 million of EBITDA. That's nine months' worth or three quarters. That's worth about $10 million a quarter on revenue and $8 million or $9 million on EBITDA. Then the rest of the decline was volume and payer mix that netted against those benefits, probably evenly between slight drop in acuity as well, but it's more about payer mix and volume offsetting those total rate increases.

Thomas Walsh

Thank you.

Operator

This concludes our question-and-answer session. I would like to turn the conference back over to Kevin Hammons, Chief Executive Officer, for any closing remarks.

Kevin Hammons

Thank you everyone for joining the call today. If you have any additional questions, you can always reach us at 615-465-7000. Have a good day, everyone.

Operator

The conference is now concluded. Thank you for attending today's presentation. You may now disconnect.

Investor releaseQuarter not tagged2026-04-07

Community Health Systems to Webcast First Quarter 2026 Conference Call

Business Wire

FRANKLIN, Tenn., April 07, 2026--(BUSINESS WIRE)--Community Health Systems, Inc. (NYSE: CYH) today announced that it will webcast its first quarter 2026 conference call. The Company will issue a press release announcing its results on Tuesday, April 21, 2026, after the regular close of trading. The conference call is scheduled to begin at 10:00 a.m. Central Time, 11:00 a.m. Eastern Time, on Wednesday, April 22, 2026. During this call, Community Health Systems will review the Company’s financial and operating results for the first quarter ended March 31, 2026. A live webcast of the conference call will be available online at https://www.chs.net/investor-relations/investor-tools/webcasts/. An online replay will follow shortly after the call and continue for approximately 30 days. You can join the live call by dialing 1-833-630-1961 (domestic) or 1-412-317-1842 (international). Once connected, request to be joined into the Community Health Systems, Inc. call. A telephonic replay of the conference call will be available through April 29, 2026, by dialing 1-855-669-9658 and entering the confirmation number, 5811463. About Community Health Systems, Inc. Community Health Systems, Inc. is one of the nation’s largest healthcare companies. The Company’s affiliates are leading providers of healthcare services, developing and operating healthcare delivery systems in 33 distinct markets across 13 states. The Company’s subsidiaries own or lease 64 affiliated hospitals with more than 9,000 beds and operate more than 900 sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers. The Company’s headquarters are located in Franklin, Tennessee, a suburb south of Nashville. Shares in Community Health Systems, Inc. are traded on the New York Stock Exchange under the symbol "CYH." More information about the Company can be found on its website at www.chs.net. View source version on businesswire.com: https://www.businesswire.com/news/home/20260407997105/en/ Contacts Investor Contacts: Kevin J. Hammons Chief Executive Officer (615) 465-7000 Anton Hie Vice President – Investor Relations (615) 465-7012

Investor releaseQuarter not tagged2026-03-20

Community Health Systems (CYH) Down 14.8% Since Last Earnings Report: Can It Rebound?

Zacks

A month has gone by since the last earnings report for Community Health Systems (CYH). Shares have lost about 14.8% in that time frame, underperforming the S&P 500. But investors have to be wondering, will the recent negative trend continue leading up to its next earnings release, or is Community Health Systems due for a breakout? Well, first let's take a quick look at the most recent earnings report in order to get a better handle on the recent catalysts for Community Health Systems, Inc. before we dive into how investors and analysts have reacted as of late. Community Health Q4 Earnings Beat Estimates on Lower Expenses Community Health reported break-even earnings per share in the quarter, outperforming the Zacks Consensus Estimate of a loss of 32 cents. The bottom line improved from a loss of 42 cents in the prior-year quarter. Net operating revenues declined 4.9% year over year to $3.1 billion in the quarter under review and missed the consensus estimate by 1.2%. The quarterly earnings benefited from lower operating expenses. The positives were partly offset by a decrease in patient days, occupancy rate and adjusted admissions. Community Health Systems reported revenues of $12.5 billion, down from $12.6 billion in the prior year. The company posted adjusted operating income of $1.19 per share compared with an adjusted operating loss of $1.03 a year ago, reflecting significant bottom-line improvement. Full-year adjusted EBITDA slipped marginally to $1.52 billion from $1.54 billion in the previous year. The total operating expenses declined to $11 billion from $12.1 billion in 2024. At the end of the fourth quarter, Community Health operated 69 hospitals, down from 76 in the year-ago period. Patient days declined 8.5% year over year, while the average length of stay decreased 2.3% to 4.2 days. Occupancy rate slipped to 49.6% from 50.5% in the prior-year quarter. Adjusted admissions fell 6.8% year over year in the quarter under review. On a same-store basis, admissions edged down 0.3% from the corresponding prior-year period. As of Dec. 31, 2025, CYH had 10,458 licensed beds, reflecting an 8.3% decline from the year-ago quarter. The reported figure was lower than both the Zacks Consensus Estimate and our estimate of 10,478. Total operating expenses declined 11.1% year over year to $2.7 billion in the fourth quarter, primarily due to lower supplies, other op...

Investor releaseQuarter not tagged2026-02-25

Sila Realty Trust, Inc. Q4 2025 Earnings Call Summary

Moby

Transitioned shareholder base to approximately 70% institutional ownership following the first full year as a publicly traded company. Acquired six healthcare facilities in 2025 for $150 million, focusing on modern construction and high-quality tenant sponsorship in the 'Sila mold'. Achieved a 90% retention rate on expiring leases, with non-renewals representing only 0.5% of Annual Base Rent (ABR). Improved tenant credit quality by increasing investment-grade rated tenant guarantors to 40.6% of the portfolio. Successfully transitioned the Fayetteville facility to an investment-grade regional hospital system, reducing exposure to Community Health Systems. Executed strategic dispositions, including the Saginaw facility and pending sales in Nevada and Virginia, to optimize portfolio construction. Maintained high portfolio utilization with 99.9% of properties under triple-net lease structures to ensure durable income streams. Anticipates 2026 acquisition volume to remain similar to 2025 levels, driven by market conditions and a 24-month buying capacity. Prioritizing internal redevelopment and expansion opportunities which typically yield 150 to 200 basis points higher than market capitalization rates. Targets a leverage range of 4.5x to 5.5x net debt to EBITDAre, providing over $200 million in immediate deployment capacity. Expects the 'Silver Tsunami' demographic shift to drive increased outpatient spending and patient volumes through 2030. Plans to complete the Stoughton facility demolition by the end of Q1 2026, reducing monthly carrying costs from $120,000 to $35,000. Reported a 5.8% decrease in AFFO per share primarily due to increased interest expense from new swaps entered at the end of 2024. Noted a significant reduction in one-time lease termination fees, dropping from over $6 million in 2024 to less than $300,000 in 2025. Identified a known 2026 conversion of a single-tenant property to multi-tenant, with 40% of the space (0.3% of ABR) requiring re-leasing. Highlighted the acquisition of OneOncology by Cencora, which will provide common control for seven former GenesisCare master leased properties. Our analysts just identified a stock with the potential to be the next Nvidia. Tell us how you invest and we'll show you why it's our #1 pick. Tap here. Management observes market cap rates for rehab facilities in the 6.75% to 7.5% range and MOB/ASC assets b...

Investor releaseQuarter not tagged2026-02-21

Community Health Systems Q4 Earnings Call Highlights

MarketBeat

Q4 results met expectations: adjusted EBITDA was $395 million (12.7% margin) with same-store net revenue up 2.1% year-over-year, though volumes were mixed (slight declines in admissions, surgeries and ED visits). Portfolio and balance-sheet progress: CHS is nearing the end of programmatic divestitures, used sale proceeds to redeem high-coupon debt, and reduced leverage to 6.6x (net debt expected to fall to about $9.2 billion after the planned Huntsville sale). 2026 guidance and key headwinds: management guided to adjusted EBITDA of $1.34–1.49 billion and noted the range is lower due to divestitures and one-off 2025 benefits, while calling out exchange enrollment uncertainty, specialist-fee inflation, and a ~ $140 million cash-flow headwind from having 27 pay periods; ERP and AI initiatives have already produced roughly $50 million of savings. Interested in Community Health Systems, Inc.? Here are five stocks we like better. Tenet Healthcare Stock Sees Strong Gains from Acute Care Boom Community Health Systems (NYSE:CYH) executives said the hospital operator’s fourth-quarter results came in line with updated expectations, citing sequential margin expansion, a modest improvement in payer mix, and continued cost controls. On the company’s fourth-quarter and full-year 2025 earnings call, newly appointed Chief Executive Officer Kevin Hammons and Chief Financial Officer Jason Johnson also outlined a portfolio strategy that is moving toward the “end” of programmatic divestitures while emphasizing targeted investments in core markets and further debt reduction. Johnson said adjusted EBITDA in the fourth quarter totaled $395 million, representing a 12.7% margin, and that results were “generally consistent with expectation.” The company achieved the midpoint of its updated full-year 2025 guidance, he said, aided by sequential margin improvement. → Corning’s Surprise AI Boom: Is It Already Too Late to Buy? Healthcare Stock Rides the Acute Services Phenomenon to New Highs Same-store net revenue increased 2.1% year-over-year in the quarter, driven primarily by rate growth and slightly higher acuity. Net revenue per adjusted admission rose 2.4% on a same-store basis. At the same time, volumes were mixed: Same-store inpatient admissions and adjusted admissions each declined 0.3%. Same-store surgeries fell 1.9%. Same-store emergency department (ED) visits declined 3.6%. Whe...

Investor releaseQuarter not tagged2026-02-20

Community Health Systems Inc (CYH) Q4 2025 Earnings Call Highlights: Navigating Growth Amidst ...

GuruFocus.com

This article first appeared on GuruFocus. Same-Store Net Revenue Growth: Increased 2.1% year-over-year in Q4 2025. Net Revenue per Adjusted Admission: Up 2.4% year-over-year in Q4 2025. Adjusted EBITDA: $395 million with a margin of 12.7% for Q4 2025. Same-Store Inpatient Admissions: Down 0.3% year-over-year in Q4 2025. Same-Store Surgeries: Declined 1.9% year-over-year in Q4 2025. Cash Flows from Operations: $266 million for Q4 2025; $543 million for the full year 2025. Leverage Ratio: Reduced from 7.4 times at year-end 2024 to 6.6 times at year-end 2025. Net Debt: Expected to be approximately $9.2 billion post-Huntsville divestiture. 2026 Financial Guidance: Net revenue of $11.6 billion to $12.0 billion; Adjusted EBITDA of $1.34 billion to $1.49 billion. Warning! GuruFocus has detected 5 Warning Signs with CYH. Is CYH fairly valued? Test your thesis with our free DCF calculator. Release Date: February 19, 2026 For the complete transcript of the earnings call, please refer to the full earnings call transcript. Community Health Systems Inc (NYSE:CYH) achieved a sequential margin expansion in the fourth quarter of 2025, with adjusted EBITDA reaching $395 million and a margin of 12.7%. The company reported a 2.1% year-over-year increase in same-store net revenue for the fourth quarter, driven by a 2.4% increase in net revenue per adjusted admission. Significant investments in specific markets, such as the ER expansion in Knoxville and women's services in Birmingham, have led to notable growth in ER visits and births, respectively. CYH successfully reduced its leverage from 7.4 times at the end of 2024 to 6.6 times at the end of 2025, with plans for further debt reduction in 2026. The company has turned free cash flow positive, reporting adjusted free cash flows of $150 million for 2025, marking a significant financial improvement. Same-store inpatient admissions and adjusted admissions were each down 0.3% year-over-year, with surgeries declining by 1.9% and ED visits down by 3.6%. The company faces potential headwinds from economic and regulatory disruptions, impacting patient behavior and creating uncertainty in reimbursement and insurance coverage. CYH anticipates upward pressure on medical specialist fees, expecting growth in the range of 5% to 8% for 2026, driven by radiology and anesthesia costs. The initial 2026 financial guidance reflects a decrease in...

As of 2026-05-18 • Updated weeklySource: Earnings sourceIngestion runbook