Community Health Systems demonstrated strong growth and financial improvements in 2024, with significant achievements in outpatient service expansion and clinical outcomes. However, challenges with payer downgrades and medical specialist fees, as well as the impact of a hurricane, present ongoing concerns.

Company Guidance

During the Community Health Systems Fourth Quarter and Full Year 2024 Earnings Conference Call, the company reported significant growth and provided guidance for 2025. Key performance metrics included a 3.2% increase in same-store volume, a 2.7% rise in same-store adjusted admissions, and a 1.3% increase in same-store surgeries for 2024. They also noted a 14% increase in same-store ambulatory surgery center cases. Financially, same-store net operating revenues grew by 5.5%, and adjusted EBITDA improved by 6%, reaching $1.540 billion. Despite challenges such as payer downgrades and medical specialist fees, the company highlighted successful investments in outpatient access and procedural capacity. For 2025, they forecast net revenue of $12.2 billion to $12.6 billion, adjusted EBITDA of $1.450 billion to $1.6 billion, and cash flow from operations between $600 million and $700 million. They also anticipate capital expenditures of $350 million to $400 million, aiming for continued growth and strategic divestitures to enhance shareholder value.

Record Same-Store Volume Levels

Community Health Systems achieved record same-store volume levels for the full year 2024. Same-store admissions increased 3.2%, adjusted admissions increased 2.7%, and same-store surgeries increased 1.3%.

Expansion and Growth in Outpatient Services

Significant expansion in outpatient access, including the acquisition of 10 urgent care clinics in Tucson, Arizona, and the opening of two new free-standing emergency rooms. Same-store ASC cases increased 14% last year.

Financial Performance Improvements

Same-store net operating revenues increased 5.5% and adjusted EBITDA improved 6% for the year, with a 6.5% increase in same-store revenue in the fourth quarter.

Operational and Clinical Achievements

Reduction in risk-adjusted mortality rates, 90% reduction in serious safety event rate from 2013 baseline, and best retention rate for registered nurses in the past five years.

Cash Flow and Liquidity Improvements

Cash flows from operations increased significantly to $480 million for the full year 2024, up from $210 million in 2023.

Successful Divestitures

Completed divestiture of Davis Regional Medical Center and announced agreements for additional divestitures expected to generate more than $1 billion in proceeds.

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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
Apr 23, 2025	2025 (Q1)	-0.03 / -	-0.14	―	―	―
Feb 18, 2025	2024 (Q4)	0.08 / -0.42	-0.41	-2.44% (-0.01)
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)

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
Feb 18, 2025	$3.35	$3.61	+7.76%
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%

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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