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Community Health (CYH)
NYSE:CYH

Community Health (CYH) AI Stock Analysis

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CYH

Community Health

(NYSE:CYH)

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Neutral 60 (OpenAI - 5.2)
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Neutral 60 (OpenAI - 5.2)
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Neutral 60 (OpenAI - 5.2)
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Neutral 60 (OpenAI - 5.2)
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Neutral 60 (OpenAI - 5.2)
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Neutral 60 (OpenAI - 5.2)
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Neutral 60 (OpenAI - 5.2)
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Neutral 60 (OpenAI - 5.2)
Rating:60Neutral
Price Target:
$3.00
▲(3.81% Upside)
Action:ReiteratedDate:02/19/26
The score is driven by improving profitability and cash flow and a very low P/E, but is held back by high balance-sheet risk (negative equity and elevated net debt). Technicals are mildly supportive, while guidance and corporate actions show progress on deleveraging but also highlight near-term revenue and cash-flow headwinds.
Positive Factors
Improved Cash Generation
Consistent positive operating cash flow (TTM $543M) and free cash flow ($302M) provide a durable funding source for capex, working capital and debt reduction. This structural improvement increases financial flexibility and supports ongoing deleveraging even if cash generation remains variable.
Material Deleveraging via Asset Sales
Large divestiture proceeds (e.g., Clarksville ~$623M) and targeted note redemptions have meaningfully reduced high-coupon debt, lowering refinancing risk and interest burden. This durable capital-structure repair improves solvency and extends runway for strategic investments.
Sustainable Cost & Productivity Gains
ERP savings (~$50M) and early AI deployments (appeals, coding, ambient documentation) are delivering recurring efficiency gains. Technology-led cost reductions and targeted service-line wins support margin durability and higher throughput without proportionate labor inflation long-term.
Negative Factors
Negative Equity
Negative shareholders' equity (TTM -$837M) reflects deep capital impairment and constrains financial flexibility. Persistent negative equity raises refinancing and covenant risks, increasing dependence on asset sales and operational fixes to restore balance-sheet health over the medium term.
Shrinking Revenue Base from Divestitures
Planned and completed divestitures remove roughly $1.0B of net revenue from the 2026 baseline, shrinking scale and reducing fixed-cost absorption. While proceeds aid deleveraging, a smaller asset base can depress long-term revenue growth potential and raise per-unit overhead.
Payer Mix & Provider Cost Pressure
Modeled EBITDA exposure to lower ACA exchange enrollment and expected 5–8% growth in medical specialist fees create ongoing margin pressure. These structural payer-mix shifts and rising provider costs erode sustainable profitability absent sustained pricing power or additional efficiency gains.

Community Health (CYH) vs. SPDR S&P 500 ETF (SPY)

Community Health Business Overview & Revenue Model

Company DescriptionCommunity Health Systems, Inc. owns, leases, and operates general acute care hospitals in the United States. It offers 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 services. The company also provides outpatient services at primary care practices, urgent care centers, free-standing emergency departments, ambulatory surgery centers, imaging and diagnostic centers, retail clinics, and direct-to-consumer virtual health visits. As of December 31, 2021, it owned or leased 83 hospitals, including 81 general acute care hospitals and two stand-alone rehabilitation or psychiatric hospitals with an aggregate of 13,289 licensed beds. The company was founded in 1985 and is headquartered in Franklin, Tennessee.
How the Company Makes MoneyCYH primarily makes money by providing healthcare services through its hospitals and related facilities and being reimbursed for those services by government programs, commercial insurers, and patients. Key revenue streams include (1) inpatient admissions (room/board, inpatient procedures, and other hospital services), (2) outpatient services (emergency department visits, outpatient surgeries, imaging, lab, and other ancillary services), and (3) other provider-related services tied to employed/affiliated physicians and ambulatory operations where applicable. Revenue is largely driven by patient volume and case mix, negotiated rates with commercial payers, and reimbursement methodologies and rates set by government payers (e.g., Medicare and Medicaid), as well as patient cost-sharing (deductibles, copays) and self-pay collections. Earnings are influenced by payer mix, reimbursement changes, supplemental or programmatic payments (where applicable), and the company’s ability to manage operating costs (labor, supplies) and collect receivables. Specific significant partnerships contributing to earnings: null.

Community Health Earnings Call Summary

Earnings Call Date:Feb 18, 2026
(Q4-2025)
|
% Change Since: |
Next Earnings Date:Apr 29, 2026
Earnings Call Sentiment Positive
The call communicates meaningful operational and financial progress — sequential margin expansion, improved cash flow and a clear deleveraging path supported by divestiture proceeds and targeted cost controls — along with ongoing strategic investments and technology/AI initiatives. However, there are notable near-term headwinds: modest volume softness, the revenue impact of multiple divestitures, exposure to lower ACA exchange enrollment (modeled as a $20M–$30M EBITDA headwind), rising medical specialist fees (5%–8% expected), and a ~$140M cash flow drag from an extra payroll period in 2026. On balance, the company has demonstrated positive momentum on margins, cash generation and balance-sheet repair while acknowledging manageable operational and market risks that have been incorporated into conservative 2026 guidance.
Q4-2025 Updates
Positive Updates
Same-Store Revenue and Pricing Momentum
Same-store net revenue for Q4 increased 2.1% year-over-year, driven by a 2.4% increase in net revenue per adjusted admission.
Adjusted EBITDA and Margin Expansion
Q4 adjusted EBITDA was $395 million with a 12.7% margin; adjusted EBITDA was slightly up versus Q4 2024 on a same-store basis and the company achieved the midpoint of updated FY2025 guidance.
Improved Cash Flow and Free Cash Flow Positive
Cash flows from operations were $266 million in Q4 and $543 million for FY2025 (vs. $480 million in 2024). Excluding cash taxes on divestiture gains, adjusted cash flows from operations were $712 million and adjusted free cash flow was $150 million.
Leverage and Balance Sheet Progress
Net leverage improved from 7.4x at year-end 2024 to 6.6x at year-end 2025 and has been further reduced through early 2026 note redemptions; expected net debt after the Huntsville divestiture is ~ $9.2 billion (down from $10.1B YE2025 and $11.4B YE2024).
Material Divestiture Proceeds and Debt Reduction
Completed and pending divestitures generated significant cash (e.g., Clarksville ~ $623M gross, outreach labs ~$152M, contingent $91M) used to redeem high-coupon notes (two $223M redemptions at 103%) and reduce leverage.
Operational & Cost Control Improvements
Sequential adjusted EBITDA margin expansion, controlled labor (average hourly wage growth within expectations and flat contract labor), and 'live' expense down 110 bps YoY to 14.4% of net revenue in Q4 (down 50 bps for FY2025).
Strategic Investments and Service-Line Growth
Targeted market investments produced local wins: ER visits +13% in Knoxville over 2 years after ER expansion; Grandview births +20% (4,000+ babies) after $10M women's services investment; cardiac surgeries +16% in Longview; inbound transfers +~35% in Carlsbad.
Technology Transformation and Early AI Adoption
ERP implementation completed and reportedly saved ~ $50 million in the first year; AI use cases deployed or in rollout include appeals/autonomous coding, virtual patient sitters (reducing safety events), ambient documentation tools, and maternal-fetal early warning systems.
Negative Updates
Volume Softness in Key Areas
Same-store inpatient admissions and adjusted admissions were down 0.3% in Q4; same-store surgeries declined 1.9% and ED visits declined 3.6% (excluding recently divested Pennsylvania ops, admissions/adjusted admissions were flat and surgeries were down 0.4%).
Guidance Reflects Revenue Headwinds from Divestitures
2026 guidance (net revenue $11.6B–$12.0B, adjusted EBITDA $1.34B–$1.49B) is below FY2025 levels primarily due to divestitures: 2025 partial-year divestitures reduce revenue by ~$210M–$230M and 2026-announced divestitures reduce baseline revenue by ~ $1.0B.
Exchange (HICS) Enrollment Risk
Management estimates a potential 20% reduction in exchange volumes could equate to a $100M–$120M net revenue impact and has modeled a $20M–$30M EBITDA headwind for 2026 tied to lower ACA exchange enrollment and shifts in payer mix.
Upward Pressure on Medical Specialist Fees
Medical specialist fees were $169M in Q4, up 4.6% YoY on a same-store basis and ~5.4% of net revenue; company expects continued pressure with 2026 growth likely in the 5%–8% range (radiology and anesthesia cited).
Cash Flow Headwinds Despite Improvements
2026 will include an extra biweekly pay period (27 pay dates vs. 26), creating an estimated ~$140M headwind to operating cash flow, partially offset by working capital initiatives in guidance assumptions.
Remaining High Absolute Net Debt
Although leverage has improved materially, net debt remains elevated (projected ~ $9.2B after Huntsville sale), and the company continues to rely on asset sales to further deleverage.
One-time Items and Base Adjustment Effects
FY2025 benefitted from retroactive items (Tennessee SDP and opioid settlement) that added ~ $45M of EBITDA, creating a higher 2025 baseline that is being adjusted out of 2026 comparables.
Company Guidance
CHS’s initial 2026 guidance calls for net revenue of $11.6–$12.0 billion, adjusted EBITDA of $1.34–$1.49 billion, cash flows from operations of $600–$700 million and capital expenditures of $350–$400 million; the company says this reflects roughly 4% core same‑site growth (after an estimated $20–$30 million EBITDA headwind from reduced HICS/enrollment), starts from a 2025 EBITDA baseline of about $1.36 billion, and excludes potential state‑directed payment and rural transformation benefits. The bridge subtracts divestiture impacts (about $30–$40 million of EBITDA from 2025‑completed sales and roughly $80–$90 million from the 2026 class; ~$210–$230 million of 2025 net revenue from early 2025 divestitures and ~ $1.0 billion net revenue reduction from 2026 announced/expected sales), and incorporates a ~$140 million 2026 cash headwind from an extra payroll period; Q4 2025 adjusted EBITDA was $395 million (12.7% margin), Q4 same‑store net revenue +2.1% and net revenue per adjusted admission +2.4%, Q4 medical specialist fees $169 million (5.4% of revenue, expected to grow 5–8% in 2026), FY25 cash flow from operations $543 million ($712 million adjusted excluding divestiture taxes) with adjusted free cash flow $150 million, year‑end 2025 leverage 6.6x (net debt $10.1 billion, expected to fall to ~ $9.2 billion after Huntsville), and no ABL draws with next major maturity in 2029.

Community Health Financial Statement Overview

Summary
Operations have rebounded with TTM profitability (net income $509M) and positive free cash flow ($302M). However, the balance sheet remains a major constraint with persistently negative equity (TTM -$837M) and historically high leverage, keeping financial risk elevated despite improving cash generation.
Income Statement
56
Neutral
Profitability has improved meaningfully into TTM (Trailing-Twelve-Months), with net income turning positive ($509M) after losses in 2023–2024, and gross margin expanding sharply versus prior years. However, top-line growth is weak, with revenue slightly down in TTM (Trailing-Twelve-Months) after low single-digit growth in 2023–2024, and profit margins have been volatile over the cycle (losses as recently as 2024).
Balance Sheet
22
Negative
The balance sheet is the key weakness: stockholders’ equity is negative across all periods (TTM (Trailing-Twelve-Months): -$837M), which limits financial flexibility and makes leverage risk more acute. While reported total debt is much lower in TTM (Trailing-Twelve-Months) than in prior annual periods, the combination of negative equity and historically very heavy debt load increases refinancing and stability risk.
Cash Flow
64
Positive
Cash generation is a relative bright spot: operating cash flow is positive in TTM (Trailing-Twelve-Months) ($543M) and free cash flow is also positive ($302M), a clear improvement from negative free cash flow in 2021–2023. That said, cash flow has been uneven historically (including negative operating cash flow in 2021), and recent free cash flow covers only a portion of reported earnings, suggesting earnings quality is improving but not yet consistently strong.
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue12.48B12.63B12.49B12.21B12.37B
Gross Profit1.08B5.27B5.08B4.91B5.08B
EBITDA2.02B1.25B1.29B1.17B1.71B
Net Income509.00M-516.00M-133.00M46.00M230.00M
Balance Sheet
Total Assets13.20B14.05B14.46B14.67B15.22B
Cash, Cash Equivalents and Short-Term Investments260.00M37.00M38.00M118.00M507.00M
Total Debt11.58B12.10B12.17B12.39B12.82B
Total Liabilities14.04B15.37B15.28B15.40B16.03B
Stockholders Equity-1.39B-1.91B-1.39B-1.37B-1.37B
Cash Flow
Free Cash Flow208.00M120.00M-257.00M-115.00M-600.00M
Operating Cash Flow543.00M480.00M210.00M300.00M-131.00M
Investing Cash Flow847.00M-277.00M-22.00M-251.00M-543.00M
Financing Cash Flow-1.17B-204.00M-268.00M-438.00M-495.00M

Community Health Technical Analysis

Technical Analysis Sentiment
Negative
Last Price2.89
Price Trends
50DMA
3.28
Negative
100DMA
3.36
Negative
200DMA
3.23
Negative
Market Momentum
MACD
-0.09
Positive
RSI
32.87
Neutral
STOCH
7.02
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For CYH, the sentiment is Negative. The current price of 2.89 is below the 20-day moving average (MA) of 3.31, below the 50-day MA of 3.28, and below the 200-day MA of 3.23, indicating a bearish trend. The MACD of -0.09 indicates Positive momentum. The RSI at 32.87 is Neutral, neither overbought nor oversold. The STOCH value of 7.02 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for CYH.

Community Health Risk Analysis

Community Health disclosed 37 risk factors in its most recent earnings report. Community Health reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Community Health Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
78
Outperform
$2.47B17.679.94%1.80%23.74%-18.99%
75
Outperform
$1.85B20.669.24%18.77%6.88%
70
Outperform
$9.53B18.8424.48%0.65%11.13%27.53%
62
Neutral
$2.02B12.545.57%1.69%-22.96%-59.35%
60
Neutral
$400.63M0.82-31.57%0.74%
53
Neutral
$1.42B7.31953.09%15.48%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
CYH
Community Health
2.89
0.13
4.71%
ADUS
Addus Homecare
99.28
8.30
9.12%
EHC
Encompass Health
95.86
-3.47
-3.49%
NHC
National Healthcare
158.81
68.96
76.75%
SEM
Select Medical
16.25
-0.31
-1.85%
AVAH
Aveanna Healthcare Holdings
6.52
0.94
16.85%

Community Health Corporate Events

Business Operations and StrategyM&A Transactions
Community Health Divests Four Arkansas Hospitals to Freeman
Neutral
Mar 5, 2026

On March 5, 2026, Community Health Systems said a subsidiary signed a definitive agreement to sell substantially all assets of four Arkansas hospitals and related outpatient centers and practices to Freeman Health System for $112 million, subject to typical working capital and lease adjustments. The facilities include Northwest Medical Center – Bentonville, Northwest Medical Center – Springdale, Northwest Medical Center – Willow Creek Women’s Hospital in Johnson and Siloam Springs Regional Hospital.

The transaction, which was flagged previously as part of CHS’s potential divestiture program, is expected to close in the second quarter of 2026, pending customary regulatory approvals and closing conditions. The deal continues the company’s strategy of reshaping its hospital portfolio, with implications for its Arkansas footprint and capital structure, and Leerink Partners is acting as exclusive financial adviser.

The most recent analyst rating on (CYH) stock is a Buy with a $5.00 price target. To see the full list of analyst forecasts on Community Health stock, see the CYH Stock Forecast page.

Business Operations and StrategyFinancial DisclosuresM&A TransactionsPrivate Placements and Financing
Community Health Advances Portfolio Streamlining and Debt Reduction
Positive
Feb 18, 2026

Community Health Systems reported fourth-quarter 2025 net operating revenues of $3.106 billion, down 4.9% year-on-year, but turned a net income of $110 million, or $0.81 per diluted share, compared with a loss a year earlier, helped by gains on asset sales despite lower volumes and a decline in adjusted EBITDA to $395 million. For full-year 2025, net operating revenues slipped 1.2% to $12.485 billion, yet the company swung to net income of $509 million, or $3.77 per diluted share, from a $516 million loss in 2024, as it benefited from portfolio rationalization, legal-settlement proceeds and improved reimbursement, even as adjusted EBITDA edged down to $1.526 billion and volumes softened.

The company further strengthened its balance sheet by redeeming a total of $445 million of 10.875% Senior Secured Notes due 2032 and retiring remaining 5.625% notes due 2027, leaving about $1.78 billion of the 2032 issuance outstanding as of mid-February 2026. In 2025 it divested equity stakes in multiple hospitals, sold four additional hospitals, monetized its ambulatory outreach lab business to Laboratory Corporation of America Holdings for $194 million, and completed the sale of three Pennsylvania hospitals to Tenor Health Foundation effective February 1, 2026, underscoring a strategic shift toward a leaner hospital portfolio and reduced leverage.

The most recent analyst rating on (CYH) stock is a Buy with a $3.50 price target. To see the full list of analyst forecasts on Community Health stock, see the CYH Stock Forecast page.

Business Operations and StrategyExecutive/Board Changes
Community Health Sets 2026 Performance-Linked Executive Compensation Packages
Positive
Feb 11, 2026

On February 10, 2026, Community Health Systems’ board set 2026 compensation packages for CEO Kevin J. Hammons, CFO Jason K. Johnson, and EVP of Operations and Development Kevin A. Stockton, establishing base salaries of $1.25 million, $630,000, and $740,000, respectively. The board also defined cash incentive targets tied to performance goals under the 2019 Employee Performance Incentive Plan, with additional upside for non-financial improvements and overachievement, underscoring the company’s focus on performance-linked executive pay.

The board further approved substantial long-term equity awards under the amended 2009 Stock Option and Award Plan, including non-qualified stock options, time-vesting restricted stock, and performance-based restricted stock that can vest at 0% to 200% of target based on results from 2026 through 2028. These decisions align executive incentives with multi-year operational and financial performance, signaling an emphasis on retention and value creation for stakeholders in the coming years.

The most recent analyst rating on (CYH) stock is a Buy with a $3.50 price target. To see the full list of analyst forecasts on Community Health stock, see the CYH Stock Forecast page.

Business Operations and StrategyFinancial DisclosuresM&A TransactionsRegulatory Filings and Compliance
Community Health Completes Major Clarksville Joint Venture Sale
Positive
Feb 2, 2026

On February 1, 2026, a subsidiary of Community Health Systems completed the sale of its 80% ownership interest in joint ventures that own and operate Tennova Healthcare – Clarksville and certain ancillary businesses in Clarksville, Tennessee, to Vanderbilt University Medical Center and its affiliates, which had previously held a minority stake. The transaction generated $623 million in cash proceeds for the CHS selling entity, subject to post-closing working capital adjustments, and CHS subsidiaries concurrently paid about $23 million in cash to the purchaser to settle amounts owed to the joint ventures, representing a significant disposition for the company that will be reflected in unaudited pro forma financial information filed with regulators.

The most recent analyst rating on (CYH) stock is a Buy with a $5.00 price target. To see the full list of analyst forecasts on Community Health stock, see the CYH Stock Forecast page.

Business Operations and StrategyM&A Transactions
Community Health to Sell Crestwood Medical Center Assets
Neutral
Jan 20, 2026

On January 20, 2026, Community Health Systems, Inc. announced that a subsidiary, CHS/Community Health Systems, Inc., entered into an asset purchase agreement to sell substantially all assets of the 180-bed Crestwood Medical Center in Huntsville, Alabama, along with associated outpatient centers and practices, to Huntsville Hospital Health System for $450 million, subject to customary adjustments. The deal, which was previously flagged as part of Community Health Systems’ broader divestiture plans discussed in 2025, is expected to close in the second quarter of 2026, provided specified closing conditions are met, and includes transition services arrangements under which CHS will provide IT and operational support post-closing; the agreement can be terminated if not completed by June 1, 2026, underscoring execution and timing risk for the company’s ongoing portfolio-optimization strategy.

The most recent analyst rating on (CYH) stock is a Sell with a $2.00 price target. To see the full list of analyst forecasts on Community Health stock, see the CYH Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Feb 19, 2026