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COMMUNITY HEALTH SYSTEMS INC financial statements

Income statement, balance sheet and cash flow statement for the last 10 fiscal years, taken from the XBRL data COMMUNITY HEALTH SYSTEMS INC files with the SEC in its annual reports.

In USD millions, except per-share amounts. Outflows in the cash flow statement are negative.

Income statement

FY2016FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025
Revenue18,43815,35314,15513,21011,78912,36812,21112,49012,63412,485
Cost of revenue3,0112,6722,3552,1511,9632,0421,9751,9931,9461,864
Gross profit15,42712,68111,80011,0599,82610,32610,23610,49710,68810,621
Operating income-860-1,8782086501,1261,4028219575421,488
Interest income141173332232
Pre-tax income-1,715-2,833-715-430422499349207-283724
Income tax-104-449-11160-1851311701917948
Income from continuing operations-1,706-2,447-788-675
Net income to minority interests9563848596138133149154167
Net income-1,721-2,459-788-67551123046-133-516509
EBITDA240-1,0179081,2581,6841,9421,3551,4621,0281,914
EPS, basic-15.54-22.00-6.99-5.934.431.820.35-1.02-3.903.81
EPS, diluted-15.54-22.00-6.99-5.934.391.760.35-1.02-3.903.77
Shares, basic (weighted)111112113114115127129130132134
Shares, diluted (weighted)111112113114117131130130132135

Balance sheet

FY2016FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025
Cash and equivalents2385631962161,6765071183837260
Receivables3,1762,3842,3522,2581,9272,0622,0402,2312,2862,077
Other current assets568462400358338269235275358381
Total current assets4,6664,0683,5493,4274,5103,4793,0823,2083,3013,234
Property, plant and equipment8,1497,0526,1395,6085,3225,5535,3655,2074,7764,503
Lease right-of-use assets607642668738665623617
Goodwill6,5214,7234,5594,3284,2194,2194,1663,9583,7893,316
Intangible assets1410220157
Other non-current assets2,5931,5451,5432,2081,8961,9132,0072,0532,1752,101
Total assets21,94417,45015,85915,60916,00615,21714,66914,45514,05413,204
Accounts payable995967887811783830773912913842
Accrued liabilities1,2301,1271,0951,126637655637571596569
Short-term debt45533204201233121212016
Total current liabilities2,8872,3562,3922,2822,8152,3642,1862,1422,3452,208
Long-term debt14,78913,88013,39213,38512,09312,10911,61411,46611,43210,380
Lease liabilities487524535605563535537
Other non-current liabilities1,5751,3601,0088941,599827644739828891
Total liabilities19,66217,61516,81817,24817,06016,02715,40315,27915,37114,041
Total debt15,24413,91313,59613,40512,21612,14011,63511,48711,45210,396
Paid-in capital1,9752,0142,0172,0082,0942,1182,0842,1852,1752,185
Retained earnings-299-2,761-3,543-4,218-3,707-3,477-3,431-3,564-4,080-3,571
Other comprehensive income-62-21-10-9-13-14-21-14-10-9
Shareholders' equity1,615-767-1,535-2,218-1,625-1,372-1,367-1,392-1,914-1,394
Minority interests113757277878292245238235
Total equity1,728-692-1,463-2,141-1,538-1,290-1,275-1,147-1,676-1,159
Total liabilities and equity21,94417,45015,85915,60916,00615,21714,66914,45514,05413,204
Shares outstanding114115116118130132135137139139

Cash flow statement

FY2016FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025
Net income-1,626-2,396-704-59060736817916-362676
Depreciation and amortization1,100861700608558540534505486426
Stock-based compensation46241310132520221711
Deferred income tax-116-454-3203-18717116535-116-243
Change in receivables-967323193309-13622-193-6699
Cash from operations1,1377732743852,178-131300210480543
Capital expenditures-744-564-527-438-440-469-415-467-360-335
Acquisitions-123-6-26-13-1-3-9-38-25-1
Purchases of investments-505-125-78-80-178-171-114-137-81-139
Sales and maturities of investments4642081149219410211023280123
Cash from investing6301,069-245-2177-524-259-26-275847
Debt issued4,8798412837
Debt repaid-6,715-5,391-2,033-3,557-5,493-4,426-2,356-4,324-5,063-6,516
Cash from financing-1,713-1,517-396-363-895-514-430-264-206-1,167
Net change in cash54325-367201,460-1,169-389-80-1223
Free cash flow393209-253-531,738-600-115-257120208
Interest paid9308529361,0111,039778835801741804
Income taxes paid16-4193-2-4-691171249

Key metrics

Worked out from the statements above. Latest values use the trailing twelve months to June 30, 2026; growth uses fiscal years. Valuation uses the share price of $2.94 on September 25, 2026.

Profitability

MetricValueHow it is calculated
Gross margin85.4%Gross profit / revenue.
Operating margin11.4%Operating income / revenue.
EBITDA margin15.0%EBITDA (operating income + depreciation and amortization) / revenue.
Pre-tax margin3.9%Pre-tax income / revenue.
Net margin2.1%Net income / revenue.
FCF margin-1.5%Free cash flow (cash from operations - capital expenditures) / revenue.
Operating cash flow margin1.1%Cash from operations / revenue.
Effective tax rate11.4%Income tax / pre-tax income, when pre-tax income is positive.
Return on assets (ROA)2.1%Net income / average total assets.
Return on invested capital (ROIC)15.0%Approximation: operating income x (1 - tax rate) / average (total debt + equity - cash). Tax rate is the effective rate when between 0% and 50%, else 21%.
Stock-based pay / revenue0.1%Stock-based compensation (from the cash flow statement) / revenue.
Capex / revenue2.6%Capital expenditures / revenue.
D&A / revenue3.7%Depreciation and amortization / revenue.

Growth

MetricValueHow it is calculated
Revenue growth, 1y-1.2%Revenue vs the same period a year earlier. Only from a positive base.
Revenue CAGR, 3y0.7%Compound annual growth of revenue over 3 fiscal years: (end / start)^(1/3) - 1. Only when both values are positive.
Revenue CAGR, 5y1.2%Compound annual growth of revenue over 5 fiscal years: (end / start)^(1/5) - 1. Only when both values are positive.
Gross profit growth, 1y-0.6%Gross profit vs the same period a year earlier. Only from a positive base.
Gross profit CAGR, 3y1.2%Compound annual growth of gross profit over 3 fiscal years: (end / start)^(1/3) - 1. Only when both values are positive.
Gross profit CAGR, 5y1.6%Compound annual growth of gross profit over 5 fiscal years: (end / start)^(1/5) - 1. Only when both values are positive.
Operating income growth, 1y174.5%Operating income vs the same period a year earlier. Only from a positive base.
Operating income CAGR, 3y21.9%Compound annual growth of operating income over 3 fiscal years: (end / start)^(1/3) - 1. Only when both values are positive.
Operating income CAGR, 5y5.7%Compound annual growth of operating income over 5 fiscal years: (end / start)^(1/5) - 1. Only when both values are positive.
EBITDA growth, 1y86.2%EBITDA vs the same period a year earlier. Only from a positive base.
EBITDA CAGR, 3y12.2%Compound annual growth of ebitda over 3 fiscal years: (end / start)^(1/3) - 1. Only when both values are positive.
EBITDA CAGR, 5y2.6%Compound annual growth of ebitda over 5 fiscal years: (end / start)^(1/5) - 1. Only when both values are positive.
Net income CAGR, 3y122.8%Compound annual growth of net income over 3 fiscal years: (end / start)^(1/3) - 1. Only when both values are positive.
Net income CAGR, 5y-0.1%Compound annual growth of net income over 5 fiscal years: (end / start)^(1/5) - 1. Only when both values are positive.
EPS CAGR, 3y120.8%Compound annual growth of eps over 3 fiscal years: (end / start)^(1/3) - 1. Only when both values are positive.
EPS CAGR, 5y-3.0%Compound annual growth of eps over 5 fiscal years: (end / start)^(1/5) - 1. Only when both values are positive.
Operating cash flow growth, 1y13.1%Operating cash flow vs the same period a year earlier. Only from a positive base.
Operating cash flow CAGR, 3y21.9%Compound annual growth of operating cash flow over 3 fiscal years: (end / start)^(1/3) - 1. Only when both values are positive.
Operating cash flow CAGR, 5y-24.3%Compound annual growth of operating cash flow over 5 fiscal years: (end / start)^(1/5) - 1. Only when both values are positive.
Free cash flow growth, 1y73.3%Free cash flow vs the same period a year earlier. Only from a positive base.
Free cash flow CAGR, 5y-34.6%Compound annual growth of free cash flow over 5 fiscal years: (end / start)^(1/5) - 1. Only when both values are positive.
Total assets growth, 1y-6.0%Total assets vs the same period a year earlier. Only from a positive base.
Total assets CAGR, 3y-3.4%Compound annual growth of total assets over 3 fiscal years: (end / start)^(1/3) - 1. Only when both values are positive.
Total assets CAGR, 5y-3.8%Compound annual growth of total assets over 5 fiscal years: (end / start)^(1/5) - 1. Only when both values are positive.
Share count change, 1y2.2%Change in diluted weighted shares vs a year earlier. Negative means buybacks shrank the share count; positive means dilution.
Share count change per year, 3y1.3%Change in diluted weighted shares, per year over 3 years. Negative means buybacks shrank the share count; positive means dilution.
Share count change per year, 5y3.0%Change in diluted weighted shares, per year over 5 years. Negative means buybacks shrank the share count; positive means dilution.

Balance sheet health

MetricValueHow it is calculated
Current ratio1.53xCurrent assets / current liabilities.
Quick ratio1.14x(Cash + short-term investments + receivables) / current liabilities.
Cash ratio0.07x(Cash + short-term investments) / current liabilities.
Debt / assets78.7%Total debt / total assets.
Liabilities / assets106.9%Total liabilities / total assets.
Net debt$9.43BTotal debt - cash - short-term investments. Negative means more cash than debt.
Net debt / EBITDA5.24xNet debt / EBITDA (twelve months), when EBITDA is positive.
Working capital$1.07BCurrent assets - current liabilities.
Goodwill and intangibles / assets26.5%(Goodwill + intangible assets) / total assets.
Tangible book value-$4.62BShareholders' equity - goodwill - intangible assets.

Efficiency

MetricValueHow it is calculated
Asset turnover0.98xRevenue / average total assets.
Fixed asset turnover2.86xRevenue / average property, plant and equipment.
Receivables turnover5.59xRevenue / average receivables.
Days sales outstanding65 days365 x average receivables / revenue.
Days payables149 days365 x average accounts payable / cost of revenue.
FCF conversion-73.4%Free cash flow / net income, when net income is positive.
Capex / operating cash flow246.8%Capital expenditures / cash from operations, when that is positive.

Per share

MetricValueHow it is calculated
EPS, diluted$1.85Net income per diluted share, as reported (split-adjusted). Over the last twelve months: the four quarters summed, or net income / latest diluted shares when a quarter has no reported EPS.
Revenue per share$87.78Revenue / diluted weighted shares.
FCF per share-$1.36Free cash flow / diluted weighted shares.
Operating cash flow per share$0.92Cash from operations / diluted weighted shares.
Book value per share-$9.86Shareholders' equity / shares outstanding (diluted weighted shares when not reported).
Tangible book per share-$32.75Tangible book value / shares outstanding.
Cash per share$1.06(Cash + short-term investments) / shares outstanding.

Valuation

MetricValueHow it is calculated
Market cap$414.6MShare price x shares outstanding.
Enterprise value$9.84BMarket cap + total debt - cash - short-term investments.
P/E1.65xMarket cap / net income. Only when net income is positive.
P/S0.03xMarket cap / revenue.
P/OCF3.29xMarket cap / cash from operations, when positive.
EV/Sales0.82xEnterprise value / revenue.
EV/EBIT7.23xEnterprise value / operating income, when both are positive.
EV/EBITDA5.47xEnterprise value / EBITDA, when both are positive.
FCF yield-44.6%Free cash flow / market cap.
Earnings yield60.8%Net income / market cap (the inverse of P/E).
PEG0.01xP/E / EPS growth per year over 3 years (in percent). Only when both are positive.
What was COMMUNITY HEALTH SYSTEMS INC's revenue in fiscal 2025?

COMMUNITY HEALTH SYSTEMS INC reported revenue of $12.49B for fiscal 2025, 1.2% lower than the year before.

Was COMMUNITY HEALTH SYSTEMS INC profitable in fiscal 2025?

Yes. Net income was $509.0M, a net margin of 4.1%.

How much free cash flow did COMMUNITY HEALTH SYSTEMS INC generate in fiscal 2025?

Cash from operations of $543.0M minus capital expenditures of $335.0M left free cash flow of $208.0M.

Source: SEC EDGAR XBRL company facts. Where a company tags only year-to-date figures, quarters are worked out as differences. Where a line is not tagged it is left empty, never estimated.

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