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Exhibit Number 99.1 |
Investor Contact: | Kevin Hammons Executive Vice President and Chief Financial Officer (615) 465-7000 |
COMMUNITY HEALTH SYSTEMS, INC. ANNOUNCES FOURTH QUARTER
AND YEAR ENDED DECEMBER 31, 2019 RESULTS AND 2020 GUIDANCE
FRANKLIN, Tenn. (February 19, 2020) Community Health Systems, Inc. (NYSE: CYH) (the Company) today announced financial and operating results for the three months and year ended December 31, 2019.
The following highlights the financial and operating results for the three months ended December 31, 2019.
| Net operating revenues totaled $3.286 billion. |
| Net loss attributable to Community Health Systems, Inc. common stockholders was $(373) million, or $(3.27) per share (diluted), compared with net loss of $(328) million, or $(2.91) per share (diluted), for the same period in 2018. Excluding the adjusting items as presented in the table in footnote (e) on page 15, net income attributable to Community Health Systems, Inc. common stockholders was $0.40 per share (diluted), compared to net loss of $(0.42) per share (diluted) for the same period in 2018. |
| Adjusted EBITDA was $447 million. |
| Net cash provided by operating activities was $194 million, compared with net cash used in operating activities of $165 million for the same period in 2018, which prior-year period included $266 million paid for the Health Management Associates, Inc. (HMA) legal settlement during the quarter. |
| On a same-store basis, admissions increased 0.1 percent and adjusted admissions increased 1.8 percent, compared with the same period in 2018. |
Net operating revenues for the three months ended December 31, 2019, totaled $3.286 billion, a 4.8 percent decrease, compared with $3.453 billion for the same period in 2018.
Net loss attributable to Community Health Systems, Inc. common stockholders was $(373) million, or $(3.27) per share (diluted), for the three months ended December 31, 2019, compared with $(328) million, or $(2.91) per share (diluted), for the same period in 2018. Excluding the adjusting items as presented in the table in footnote (e) on page 15, net income attributable to Community Health Systems, Inc. common stockholders was $0.40 per share (diluted), for the three months ended December 31, 2019, compared to net loss of $(0.42) per share (diluted) for the same period in 2018. Weighted-average shares outstanding (diluted) were 114 million for the three months ended December 31, 2019, and 113 million for the three months ended December 31, 2018.
Adjusted EBITDA for the three months ended December 31, 2019, was $447 million compared with $419 million for the same period in 2018, representing a 6.7 percent increase.
The consolidated operating results for the three months ended December 31, 2019, reflect a 9.9 percent decrease in admissions and an 8.6 percent decrease in adjusted admissions, compared with the same period in 2018. On a same-store basis, admissions increased 0.1 percent and adjusted admissions increased 1.8 percent for the three months ended December 31, 2019, compared with the same period in 2018. On a same-store basis, net operating revenues increased 3.7 percent for the three months ended December 31, 2019, compared with the same period in 2018.
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The term loan facility was required to be prepaid in an amount equal to (1) 100% of the net cash proceeds of certain asset sales and dispositions by the Company and its subsidiaries, subject to certain exceptions and reinvestment rights, (2) 100% of the net cash proceeds of issuances of certain debt obligations or receivables-based financing by the Company and its subsidiaries, subject to certain exceptions, and (3) 75%, subject to reduction to a lower percentage based on the Company's first lien net leverage ratio (as defined in the Credit Facility generally as the ratio of first lien net debt on the date of determination to the Company's consolidated EBITDA, as defined, for the four quarters most recently ended prior to such date), of excess cash flow (as defined) for any year, subject to certain exceptions.
The term loan facility was required to be prepaid in an amount equal to (1) 100% of the net cash proceeds of certain asset sales and dispositions by the Company and its subsidiaries, subject to certain exceptions and reinvestment rights, (2) 100% of the net cash proceeds of issuances of certain debt obligations or receivables-based financing by the Company and its subsidiaries, subject to certain exceptions, and (3) 75%, subject to reduction to a lower percentage based on the Company's first lien net leverage ratio (as defined in the Credit Facility generally as the ratio of first lien net debt on the date of determination to the Company's consolidated EBITDA, as defined, for the four quarters most recently ended prior to such date), of excess cash flow (as defined) for any year, subject to certain exceptions.
For purposes of calculating the consolidated fixed charge coverage ratio, the calculation of consolidated EBITDA as defined in the ABL Facility is a trailing 12-month calculation that begins with our consolidated net income, with certain adjustments for interest, taxes, depreciation and amortization, net income attributable to noncontrolling interests, stock compensation expense, restructuring costs, and the financial impact of other non-cash or non-recurring an increase of the portion of the commitments under the ABL Facility that are available in the form of letters of credit from $50 million to $200 million.
Loss from continuing operations for the year ended December 31, 2018 included the following: an after-tax charge of $8 million for government and other legal settlements and related costs an after-tax charge of $526 million for the impairment of goodwill and long-lived assets of hospitals sold or held for sale based on their estimated fair values, an after-tax charge of $15 million for employee termination benefits and other restructuring costs, after-tax income of $23 million for gain from early extinguishment of debt, an after-tax charge of $10 million from fair value adjustments on the CVR agreement liability accounted for at fair value related to the HMA Legal Matters, and related legal expenses, and a deferred tax provision of $34 million related to the write-off of deferred tax assets due to the nondeductible components of the HMA Legal Matters.
However, due to the subjective nature of this estimate and the impact that previously unforeseen shifts in actual claim experience can have, future estimates of professional liability could be adversely impacted when actual paid losses develop unexpectedly based on assumptions and settlement events that were not previously known or anticipated.
Events of default under the...Read more
Operating expenses, excluding depreciation and...Read more
It is possible the amount...Read more
This decrease in salaries and...Read more
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CHS used the proceeds from...Read more
Equity in earnings of unconsolidated...Read more
On a same-store basis, net...Read more
This increases the risk that...Read more
In the future, we generally...Read more
Upon the occurrence of an...Read more
Non-same-store net operating revenues decreased...Read more
Non-same-store net operating revenues decreased...Read more
Effective June 1, 2014, the...Read more
Effective January 1, 2008, the...Read more
The decrease in net loss...Read more
Some of those inputs include,...Read more
The new current expected credit...Read more
During 2019, we completed the...Read more
However, we cannot predict our...Read more
Our primary collection risks relate...Read more
The ABL Facility contains customary...Read more
The ABL Facility contains customary...Read more
The ABL Facility contains customary...Read more
Legislative and executive branch efforts...Read more
Wages and other expenses increase...Read more
The estimated construction costs, including...Read more
Such changes impacting the calculation...Read more
The loans under the Credit...Read more
Future estimates of fair value...Read more
These 11 hospitals represented annual...Read more
Equity in earnings of unconsolidated...Read more
The decrease in cash provided...Read more
Percentage (decrease) increase from prior...Read more
Construction costs, including equipment costs,...Read more
Reimbursement under these programs is...Read more
Other contributors to the lower...Read more
Total operating costs and expenses,...Read more
For purposes of calculating the...Read more
This guidance replaces the current...Read more
Interest expense, net, increased by...Read more
Government and other legal settlements...Read more
The net proceeds from this...Read more
Operating expenses, excluding depreciation and...Read more
Of critical importance to us...Read more
At December 31, 2019, we...Read more
These 12 hospitals represented annual...Read more
We believe that the Affordable...Read more
The increase in same-store net...Read more
At December 31, 2019, the...Read more
At December 31, 2019, the...Read more
At December 31, 2019, the...Read more
We are also required to...Read more
We are also required to...Read more
We are also required to...Read more
Prior to the refinancing discussed...Read more
In such event, principal amounts...Read more
In such event, principal amounts...Read more
In such event, principal amounts...Read more
Expense related to government and...Read more
Additionally, significant changes in payor...Read more
In addition, in the event...Read more
The total amount of unrecognized...Read more
Net cash provided by operating...Read more
Prior to the refinancing discussed...Read more
Interest expense, net, increased by...Read more
In addition, under other purchase...Read more
Additionally, effective January 1, 2019,...Read more
For example, final rules issued...Read more
We have implemented cost control...Read more
The increase in same-store net...Read more
A total of approximately $1...Read more
Gain from early extinguishment of...Read more
Gain from early extinguishment of...Read more
The payment rates under the...Read more
The decrease in our effective...Read more
Days revenue outstanding, adjusted for...Read more
On a same-store basis, net...Read more
Principal amounts outstanding under the...Read more
Principal amounts outstanding under the...Read more
Principal amounts outstanding under the...Read more
Ongoing legislative and regulatory efforts...Read more
Generally, these businesses are not...Read more
The Affordable Care Act has...Read more
We may not be able...Read more
Some current initiatives and proposals,...Read more
CHS agreed to pay letter...Read more
CHS agreed to pay letter...Read more
The ASU is effective for...Read more
This ASU is effective for...Read more
The trend toward increased enrollment...Read more
Management considers any changes in...Read more
Net cash provided by operating...Read more
Following this ruling, unless the...Read more
Total cash paid for interest...Read more
Total cash paid for interest...Read more
An after-tax impairment charge of...Read more
This rule limits when services...Read more
We believe that internally generated...Read more
It is difficult to predict...Read more
Net operating revenues include amounts...Read more
Net operating revenues include amounts...Read more
Statements that are predictive in...Read more
This decrease is primarily due...Read more
The key assumption in this...Read more
Supplies, as a percentage of...Read more
Supplies, as a percentage of...Read more
Rent, as a percentage of...Read more
The increase in cash provided...Read more
The net proceeds from this...Read more
Direct and indirect costs incurred...Read more
While the ruling in this...Read more
These 30 hospitals represented annual...Read more
Whenever events or changes in...Read more
Within the statutory framework of...Read more
However, other provisions of the...Read more
The actuarially determined projections are...Read more
For third-party payors including Medicare,...Read more
As of the early tender...Read more
Our net operating revenues for...Read more
On a same-store basis, net...Read more
Effective for claims incurred after...Read more
All obligations under the Credit...Read more
All obligations under the Credit...Read more
CHS used the net proceeds...Read more
From and after December 31,...Read more
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From and after December 31,...Read more
Depreciation and amortization, as a...Read more
Borrowings under the ABL Facility...Read more
Borrowings under the ABL Facility...Read more
Borrowings under the ABL Facility...Read more
As a result of our...Read more
Payment rates under the Medicaid...Read more
Our net cash used in...Read more
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Same-store inpatient admissions for the...Read more
We believe there continues to...Read more
We also continually review our...Read more
The consolidated fixed coverage ratio...Read more
The consolidated fixed coverage ratio...Read more
The consolidated fixed coverage ratio...Read more
Salaries and benefits, as a...Read more
Salaries and benefits, as a...Read more
We expect total capital expenditures...Read more
Financial Statements, Disclosures and Schedules
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Community Health Systems Inc provided additional information to their SEC Filing as exhibits
Ticker: CYH
CIK: 1108109
Form Type: 10-K Annual Report
Accession Number: 0001193125-20-043702
Submitted to the SEC: Thu Feb 20 2020 5:25:27 PM EST
Accepted by the SEC: Thu Feb 20 2020
Period: Tuesday, December 31, 2019
Industry: General Medical And Surgical Hospitals