The earnings call presented a mixed picture with strong operational and strategic initiatives resulting in volume growth and cost management. However, significant challenges such as hurricane impacts, increased payer denials, and a decline in inpatient acuity negatively affected financial performance.

Company Guidance

In the third quarter of 2024 earnings call for Community Health Systems (CYH), various key metrics and guidance were discussed. The company reported a 2.4% increase in admissions and a 2.6% rise in adjusted admissions over the prior year, alongside a 3.1% growth in surgeries, primarily driven by outpatient cases. However, the hurricanes Helene and Milton negatively impacted operations, resulting in an estimated $7 million loss in the third quarter. Net revenue totaled $3.09 billion, with adjusted EBITDA at $347 million, reflecting challenges from increased insurer denials, which posed a $10 million headwind. The company adjusted its 2024 EBITDA guidance to $1.5 billion-$1.54 billion, considering these factors. Despite these setbacks, the company remains optimistic about growth opportunities in 2025, anticipating an annual EBITDA benefit of $100 million-$120 million from new state payment programs once approved.

Improved Same-Store Volumes

Same-store volumes showed growth with a 2.4% increase in admissions and a 2.6% increase in adjusted admissions. Surgeries also improved by 3.1%.

Strategic Growth and Investments

Key capital investments included the Knoxville North Tower expansion and the opening of new patient towers and surgical capacity in Baldwin County, Alabama. These efforts are part of a $200 million campus expansion to capture market share.

Labor Cost Management

Average hourly wage rate increased by 3.9% year-over-year, while contract labor spend decreased by 24% year-over-year, better than expectations.

Clinical Quality Achievements

CHS achieved a nearly 20% improvement in risk-adjusted mortality index and a 24% improvement in patient safety and adverse event composite from CMS.

Positive Cash Flow from Operations

Cash flows from operations were $67 million for the third quarter of 2024, an improvement from $29 million in the year-ago period.

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Community Health (CYH) Earnings, Revenues Date & History

The upcoming earnings date is based on a company’s previous reporting, and may be updated when the actual date is announced

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CYH Earnings History

Report Date	Fiscal Quarter	Forecast / EPS	Last Year's EPS	EPS YoY Change	Slides	Play Transcript
Feb 19, 2025	2024 (Q4)	0.07 / -	-0.41	―	―	―
Oct 23, 2024	2024 (Q3)	-0.21 / -0.30	-0.33	9.09% (+0.03)
Jul 24, 2024	2024 (Q2)	-0.14 / -0.17	-0.22	22.73% (+0.05)
Apr 24, 2024	2024 (Q1)	-0.16 / -0.14	-0.43	67.44% (+0.29)
Feb 20, 2024	2023 (Q4)	0.05 / -0.41	1.5	-127.33% (-1.91)
Oct 25, 2023	2023 (Q3)	-0.16 / -0.33	-0.52	36.54% (+0.19)
Aug 02, 2023	2023 (Q2)	-0.26 / -0.22	-2.52	91.27% (+2.30)
May 01, 2023	2023 (Q1)	-0.18 / -0.43	0.14	-407.14% (-0.57)
Feb 15, 2023	2022 (Q4)	0.35 / 1.50	1.15	30.43% (+0.35)
Oct 26, 2022	2022 (Q3)	-0.02 / -0.52	0.69	-175.36% (-1.21)

The table shows recent earnings report dates and whether the forecast was beat or missed. See the change in forecast and EPS from the previous year.

Beat

Missed

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CYH Earnings-Related Price Changes

Report Date	Price 1 Day Before	Price 1 Day After	Percentage Change
Oct 23, 2024	$5.55	$4.25	-23.42%
Jul 24, 2024	$4.33	$4.76	+9.93%
Apr 24, 2024	$3.03	$3.25	+7.26%
Feb 20, 2024	$4.04	$2.90	-28.22%

Earnings announcements can affect a stock’s price. This table shows the stock's price the day before and the day after recent earnings reports, including the percentage change.

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