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Community Health Systems Inc

Community Health Systems, Inc. owns, leases, and operates general acute care hospitals in the United States. It provides general acute care, emergency room, general and specialty surgery, critical care, internal medicine, obstetrics, diagnostic, psychiatric, and rehabilitation services, as well as skilled nursing and home care. The company also offers outpatient services through primary care practices, urgent care centers, free-standing emergency departments, ambulatory surgery centers, imaging and diagnostic centers, and direct-to-consumer virtual health visits. Founded in 1985, it is headquartered in Franklin, Tennessee.

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United States
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Community Health Systems Guides 2026 Revenue of $11.4-$11.6 Billion as Elective Demand Softens

Community Health Systems reported second-quarter 2026 same-store net revenues up 2.4% year over year and adjusted admissions up 2.9%, but roughly half of that admission growth came from uninsured patients, limiting the revenue benefit. Same-store net revenue per adjusted admission declined 0.5% on weaker service and payer mix, and same-store surgeries fell 0.1% with inpatient surgeries down 3.8% as orthopedic and cardiac procedures stayed soft. Adjusted EBITDA declined to $330 million in the second quarter from $380 million a year earlier, also reflecting divestitures and differences in state-directed payment benefits, while operating cash flow was $87 million. The company now expects 2026 revenues of $11.4-$11.6 billion and adjusted EBITDA of $1.30-$1.375 billion. Among peers, HCA Healthcare posted same-facility admissions up 2.5% and revenue per equivalent admission up 6.4%, while Tenet Healthcare reported net operating revenues up 6% and same-hospital net patient service revenue per adjusted admission up 3.3%.
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CYH · Capital · Negative Q2 adjusted EBITDA fell to $330M from $380M and 2026 guidance of $11.4-$11.6B revenue / $1.30-$1.375B EBITDA reflects softening elective demand and weaker payer mix.
HCA · Demand · Positive HCA posted same-facility admissions up 2.5% and revenue per equivalent admission up 6.4%, cited as a stronger peer comparison.
THC · Demand · Positive Tenet reported net operating revenues up 6% and same-hospital net patient service revenue per adjusted admission up 3.3%, cited as a stronger peer comparison.
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Community Health Systems forecasts 2026 adjusted EBITDA of $1.3 billion to $1.375 billion

Community Health Systems updated its 2026 financial guidance, now projecting net revenue of $11.4 billion to $11.6 billion and adjusted EBITDA of $1.3 billion to $1.375 billion. The revision follows second-quarter results that fell below internal expectations, with adjusted EBITDA of $330 million compared with $380 million a year earlier, as softer elective surgeries and higher uninsured volumes pressured margins. Same-store net revenue rose 2.4%, but net revenue per adjusted admission declined 0.5% because roughly half of the 2.9% increase in same-store adjusted admissions came from uninsured visits with minimal associated revenue. The company also completed a tender offer repurchasing approximately $368 million of 4.75% Senior Secured Notes due 2031 and $231 million of 10.875% Senior Secured Notes due 2032, while closing the divestiture of four Arkansas hospitals for $110 million in cash and acquiring majority stakes in Surgical Institute of Alabama and South Anchorage Surgery Center.
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CYH · Demand · Negative Softer elective surgeries and higher uninsured volumes pressured margins, with net revenue per adjusted admission declining 0.5%.
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Community Health Systems plunges over 10% on weak Q2 results and slashed guidance

Community Health Systems declined more than 10% on Thursday after reporting weaker-than-expected second quarter results and lowering its full-year guidance. The hospital chain posted an adjusted loss of $0.19 per share, missing estimates by $0.09, while revenue came in at $2.83 billion, about $70 million below analysts’ consensus. Adjusted EBITDA for the quarter was $330 million. The company now sees a per-share loss for fiscal 2026 in the range of $1.25 to $1.10, wider than its previous guidance of $0.60 to $0.00, and cut its operating revenue outlook to $11.4 billion to $11.6 billion from $11.6 billion to $12.0 billion. Adjusted EBITDA is now expected to be between $1.30 billion and $1.38 billion, down from the prior range of $1.34 billion to $1.49 billion.
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CYH · Capital · Negative Reported weaker-than-expected Q2 results and slashed full-year guidance on earnings and revenue.
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Community Health Systems Q2 net income drops to $70 million

Community Health Systems reported second quarter net income attributable to stockholders of $70 million, or $0.51 per share, down from $282 million, or $2.09 per share, a year ago. Adjusted EBITDA fell to $330 million from $380 million. Net operating revenues totaled $2.825 billion, a 9.8 percent decrease compared to $3.133 billion in the same period of 2025, though same-store net operating revenues rose 2.4 percent. On a same-store basis, admissions increased 1.9 percent and adjusted admissions increased 2.9 percent for the three months ended June 30, 2026. Excluding items, net loss attributable to stockholders was $0.19 per share compared to a loss of $0.05 per share. Shares fell 9.32 percent overnight to $2.92 after closing at $3.22 on the NYSE.
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CYH · Capital · Negative Net income and adjusted EBITDA fell sharply, with net loss per share worse than prior year, driving shares down 9.32%.
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Zacks Highlights Tenet Healthcare, Universal Health Services, Acadia Healthcare, and Community Health Systems as Hospital Stocks to Watch

Zacks Equity Research identifies Tenet Healthcare, Universal Health Services, Acadia Healthcare, and Community Health Systems as hospital stocks worth watching amid a structural shift toward lower-cost care settings. The Zacks Medical-Hospital industry is seeing the fastest growth in ambulatory surgery centers, home health, and post-acute care, while hospitals face elevated costs and reimbursement uncertainty. The industry carries a Zacks Industry Rank of 107, placing it in the top 43% of nearly 250 industries, and its 2026 earnings estimates have risen 5.7% over the past year. Tenet Healthcare is expanding its ambulatory care segment, with consensus 2026 earnings per share of $17.61, up 5% year over year. Universal Health Services is growing through tuck-in acquisitions and facility expansion, with 2026 earnings per share estimated at $23.47, an 8% increase. Acadia Healthcare is seeing rising patient days and strong demand for mental health treatment, with 2026 earnings per share of $1.50 and a projected 14.8% jump in 2027. Community Health Systems is benefiting from lower expenses and improving payer mix, with 2026 revenues pegged at $11.56 billion and shares up 15.9% in the past month.
ACHC ▲THC ▲UHS ▲CYH ▲
ACHC · Demand · Positive Rising patient days and strong demand for mental health treatment
THC · Demand · Positive Expanding ambulatory care segment with consensus 2026 EPS up 5%
UHS · Capital · Positive Growing through tuck-in acquisitions and facility expansion, 2026 EPS up 8%
CYH · Capital · Positive Lower expenses and improving payer mix, with shares up 15.9% in past month
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Community Health Systems Still Carries $10.13 Billion in Long-Term Debt

Community Health Systems ended the first quarter with long-term debt of $10.13 billion, far exceeding its market capitalization of about $427 million. Cash and equivalents rose to $712 million from $260 million at year-end 2025, but the net debt-to-capital ratio of 106.1% remains well above the industry average of 65.6%. The company has reduced debt from $13.4 billion at the end of 2019 through asset sales and retirement of expensive obligations, and net debt-to-EBITDA improved to 6.79 from a five-year median of 8.48. Adjusted EBITDA topped $1.5 billion in both 2024 and 2025, and recent divestitures helped lift occupancy to 55.4% in the first quarter. Peers HCA Healthcare and Tenet Healthcare carry long-term debt of $39.5 billion and $13.1 billion respectively, but their net debt-to-EBITDA ratios stand at 3.22 and 2.81.
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CYH · Capital · Negative High debt load and net debt-to-capital ratio of 106.1% far above industry average, despite some improvement.
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Community Health Systems price targets trimmed by $0.50 on CMS rule concerns

Barclays and Truist have trimmed their price targets for Community Health Systems by about $0.50 each, signaling a more cautious stance on the hospital operator following the proposed Centers for Medicare and Medicaid Services rule. Barclays described the proposed rule as neutral to slightly negative for hospital stocks, while highlighting that an expansion of supplemental Medicaid payment cuts, including an 11% to 14% reduction in certain fee-for-service supplemental payments, could pressure margins and cash flow visibility. The fair value estimate remains unchanged at $3.31 per share, with forecast revenue contraction easing slightly from a decline of 1.76% to a decline of 1.74% and expected net profit margin effectively unchanged at about 1.18%. The future price-to-earnings multiple remains very high at about 480.21 times, and the discount rate is unchanged at 12.46%.
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CYH · Regulation · Negative Proposed CMS rule with supplemental payment cuts could pressure margins and cash flow.
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