Community Health Systems, Inc. (CYH): Lienzo del Modelo de Negocio [Actualizado en Ene-2025]

En el complejo panorama de la prestación de atención médica, Community Health Systems, Inc. (CYH) surge como una potencia estratégica, transformando cómo los servicios médicos se conceptualizan, prestan y experimentan en diversas comunidades. Al elaborar meticulosamente un modelo de negocio integral que une la innovación tecnológica, la atención centrada en el paciente y las redes regionales expansivas, CYH se ha posicionado como un jugador fundamental para abordar los desafíos de la salud, particularmente en los mercados desatendidos y rurales donde el acceso a los servicios médicos de calidad sigue siendo críticamente importante de manera crítica. .

Community Health Systems, Inc. (CYH) - Modelo de negocios: asociaciones clave

Redes hospitalarias y proveedores de atención médica

Community Health Systems opera 84 hospitales afiliados en 16 estados a partir de 2023. Los detalles clave de la asociación incluyen:

Tipo de asociación	Número de instalaciones	Cobertura geográfica
Hospitales afiliados	84	16 estados de EE. UU.
Hospitales de cuidados agudos	71	Múltiples regiones

Proveedores de equipos médicos y tecnología

Las asociaciones de tecnología estratégica incluyen:

• GE Healthcare - Equipo de imágenes médicas
• Philips Healthcare - Tecnología de diagnóstico y clínica
• Healthineers de Siemens - dispositivos médicos avanzados

Compañías de seguros y organizaciones de atención administrada

Las principales asociaciones de seguro a partir de 2023:

Proveedor de seguros	Valor de contrato	Tipo de cobertura
UnitedHealthcare	$ 450 millones	Red regional
Salud de Aetna/CVS	$ 325 millones	Cobertura de múltiples estados

Proveedores de sistemas de registro de salud electrónica (EHR)

Las asociaciones de tecnología EHR incluyen:

• Sistemas EPIC - Plataforma EHR primaria
• Cerner Corporation - Soluciones complementarias de EHR
• AllScripts - Documentación clínica especializada

Distribuidores de suministros farmacéuticos y médicos

Asociaciones clave de distribución farmacéutica:

Distribuidor	Valor anual del contrato	Alcance del servicio
McKesson Corporation	$ 775 millones	Suministro médico nacional
AmerisourceBergen	$ 650 millones	Distribución farmacéutica

Community Health Systems, Inc. (CYH) - Modelo de negocio: actividades clave

Gestión del hospital y del centro médico

Community Health Systems administra 84 hospitales en 16 estados a partir de 2023. Capacidad total de la cama del hospital de 13,100 camas. Admisiones anuales al paciente: 1.9 millones. Ingresos operativos para la gestión del hospital: $ 12.7 mil millones en 2022.

Métrico	Valor
Hospitales totales	84
Estados operados	16
Camas de hospital totales	13,100
Admisiones anuales al paciente	1.9 millones

Servicios de atención y tratamiento del paciente

Volumen anual de tratamiento del paciente: 3.2 millones de visitas ambulatorias. Visitas en la sala de emergencias: 750,000 anuales. Procedimientos quirúrgicos realizados: 215,000 por año.

• Servicios ambulatorios: 3.2 millones de visitas
• Visitas en la sala de emergencias: 750,000
• Procedimientos quirúrgicos: 215,000

Implementación de tecnología de salud

Inversión tecnológica: $ 187 millones en 2022 para infraestructura de salud digital. Cobertura del sistema de registro de salud electrónica (EHR): 100% de los hospitales administrados. Plataformas de telemedicina que atienden a 42 hospitales.

Inversión tecnológica	Cantidad
Infraestructura de salud digital	$ 187 millones
Cobertura del sistema EHR	100%
Hospitales de telemedicina	42

Gestión del ciclo de ingresos

Ingresos totales para 2022: $ 12.9 mil millones. Gastos operativos: $ 11.6 mil millones. Ingresos netos: $ 348 millones. Ingresos promedio del paciente por hospital: $ 153.6 millones.

Adquisiciones estratégicas y optimización de instalaciones

Gasto de adquisición en 2022: $ 276 millones. Número de instalaciones optimizadas: 22. Tasa de consolidación del hospital: 7.3% año tras año.

Métrica de adquisición	Valor
Gasto de adquisición	$ 276 millones
Instalaciones optimizadas	22
Tasa de consolidación del hospital	7.3%

Community Health Systems, Inc. (CYH) - Modelo de negocios: recursos clave

Extensa red de hospitales y centros médicos

A partir del cuarto trimestre de 2023, Community Health Systems opera 84 campus hospitalarios en 16 estados. Total de camas con licencia: 12,400. Distribución geográfica:

Región	Número de hospitales	Total de camas
Estados del sur	52	7,600
Estados del medio oeste	22	3,900
Otras regiones	10	900

Profesionales de salud calificados y personal médico

Fuerza laboral total a partir de 2023:

• Total de empleados: 47,000
• Médicos: 6.200
• Enfermeras registradas: 15,300
• Personal administrativo: 12,500
• Personal de apoyo: 13,000

Tecnología y equipo médico avanzado

Gasto de capital para tecnología médica en 2023: $ 287 millones

Categoría de tecnología	Monto de la inversión
Equipo de diagnóstico	$ 112 millones
Tecnologías quirúrgicas	$ 95 millones
Sistemas de salud digital	$ 80 millones

Sistemas de información de atención médica robustos

Detalles de la infraestructura tecnológica:

• Cobertura del sistema de registro de salud electrónica (EHR): 100% de los hospitales
• Inversión anual de infraestructura de TI: $ 65 millones
• Presupuesto de ciberseguridad: $ 22 millones

Capital financiero para la expansión y modernización

Recursos financieros a partir de 2023:

Métrica financiera	Cantidad
Activos totales	$ 16.4 mil millones
Equivalentes de efectivo y efectivo	$ 742 millones
Deuda total	$ 12.6 mil millones
Gastos de capital anuales	$ 387 millones

Community Health Systems, Inc. (CYH) - Modelo de negocios: propuestas de valor

Servicios de atención médica integrales en múltiples regiones

Community Health Systems opera 84 hospitales afiliados en 16 estados a partir de 2023. El recuento total del hospital representa 13,000 camas con licencia con admisiones anuales de pacientes de aproximadamente 1,6 millones de pacientes.

Cobertura geográfica	Conteo de hospital	Camas con licencia	Admisiones anuales
16 estados de EE. UU.	84 hospitales	13,000	1.6 millones

Atención médica accesible y asequible

2023 Los datos financieros indican ingresos promedio del servicio del paciente de $ 13.2 mil millones con ingresos netos de los pacientes de $ 11.5 mil millones.

• Ingresos promedio del servicio del paciente: $ 13.2 mil millones
• Ingresos netos del paciente: $ 11.5 mil millones
• Caridad de cuidado proporcionada: $ 482 millones

Tratamiento y resultados del paciente de alta calidad

Las métricas de calidad demuestran el rendimiento de la atención al paciente en múltiples indicadores clínicos.

Métrico clínico	Tasa de rendimiento
Puntaje de satisfacción del paciente	87.4%
Reducción de la condición adquirida en el hospital	15.6%

Soluciones integradas de tecnología de salud

La inversión tecnológica en 2023 totalizó $ 287 millones, centrándose en registros de salud electrónicos y plataformas de telemedicina.

• Inversión tecnológica: $ 287 millones
• Interacciones de telemedicina: 2.3 millones
• Cobertura de registro de salud electrónica: 100% de los hospitales afiliados

Servicios médicos especializados en áreas rurales y desatendidas

Community Health Systems atiende a 35 condados rurales con programas médicos especializados.

Métricas de servicio rural	Números
Condados rurales atendidos	35
Ubicaciones del hospital rural	42
Interacciones rurales del paciente	512,000 anualmente

Community Health Systems, Inc. (CYH) - Modelo de negocios: relaciones con los clientes

Enfoque de atención centrada en el paciente

Community Health Systems opera 84 hospitales en 16 estados a partir de 2023. Los puntajes de satisfacción del paciente promediaron un 73.4% en su red de atención médica.

Métrica de interacción del paciente	Rendimiento anual
Tiempo promedio de compromiso del paciente	47 minutos por encuentro del paciente
Tasa de retención del paciente	68.2%

Portales de pacientes digitales y plataformas de comunicación

Estadísticas de uso de la plataforma digital para 2023:

• Usuarios del portal de pacientes en línea: 2.3 millones
• Descargas de aplicaciones móviles: 1.7 millones
• Consultas de telesalud: 425,000 sesiones anuales

Programas de gestión de salud personalizados

Datos de inscripción de programas de salud personalizados:

Tipo de programa	Números de inscripción
Manejo de enfermedades crónicas	186,000 pacientes
Programas de atención preventiva	214,500 participantes

Servicios de atención al cliente y de defensa del paciente

Métricas de apoyo al paciente para 2023:

• Centro de llamadas de apoyo al paciente 24/7: 2.1 millones de interacciones anuales
• Tiempo de respuesta promedio: 12 minutos
• Tamaño del equipo de defensa del paciente: 285 profesionales dedicados

Monitoreo continuo de salud y atención de seguimiento

Estadísticas de atención y monitoreo de seguimiento:

Servicio de monitoreo	Rendimiento anual
Pacientes de monitoreo de pacientes remotos	97,000
Tasa de seguimiento posterior a la descarga	82.3%

Community Health Systems, Inc. (CYH) - Modelo de negocios: canales

Hospital físico e instalaciones médicas

A partir de 2024, Community Health Systems opera 130 hospitales afiliados En 19 estados. Capacidad total de la cama del hospital: 19,500 camas. Admisiones anuales al paciente: 1.2 millones.

Presencia estatal	Número de hospitales	Capacidad de cama total
Tennesse	22	3.400 camas
Alabama	15	2.800 camas
Georgia	18	3,100 camas

Plataformas de telemedicina

Consultas de salud digital: 450,000 visitas virtuales anuales. Crecimiento del uso de la plataforma: 37% año tras año.

• Duración promedio de consulta de telemedicina: 18 minutos
• Especialidades cubiertas: 24 disciplinas médicas
• Disponibilidad de la plataforma: acceso 24/7

Portales de pacientes en línea

Portal Portal Usuarios activos: 1.1 millones. Tasa de acceso de registro de salud digital: 82%.

Característica de portal	Tasa de utilización
Programación de citas	68%
Recipientes de receta	55%
Pago de facturas médicas	47%

Aplicaciones de atención médica móvil

Descargas de aplicaciones móviles: 750,000. Usuarios activos mensuales: 320,000.

• compatibilidad con iOS y Android
• Certificación de cumplimiento de HIPAA
• Características de seguimiento de salud en tiempo real

Programas de marketing directo y divulgación comunitaria

Presentaciones anuales de salud comunitaria: 85,000. Participantes del programa de bienestar: 210,000.

Programa de divulgación	Alcance anual	Demografía objetivo
Detección de diabetes	35,000	Adultos 40-65
Salud cardiovascular	25,000	Adultos 50-75
Prevención del cáncer	25,000	Adultos 45-70

Community Health Systems, Inc. (CYH) - Modelo de negocios: segmentos de clientes

Comunidades rurales y suburbanas

A partir de 2022, Community Health Systems opera 84 hospitales afiliados en 16 estados, principalmente atendiendo a los mercados rurales y suburbanos. La cartera del hospital de la compañía cubre aproximadamente 11,4 millones de personas en estas comunidades.

Segmento geográfico	Número de hospitales	Población atendida
Mercados rurales	56	7.2 millones
Mercados suburbanos	28	4.2 millones

Poblaciones sin seguro y con seguro insuficiente

En 2022, CYH informó haber servido una porción significativa de pacientes sin seguro y con seguro insuficiente:

• Pacientes no asegurados: 12.3% de la población total de pacientes
• Pacientes con seguro insuficiente: 18.7% de la población total de pacientes
• Total sin seguro/bajo seguro: 31% de la base de pacientes

Pacientes con enfermedades crónicas

Los sistemas de salud comunitarios se dirigen al manejo de enfermedades crónicas en múltiples especialidades:

Categoría de enfermedades crónicas	Volumen de paciente
Manejo de la diabetes	275,000 pacientes
Enfermedades cardiovasculares	412,000 pacientes
Enfermedades respiratorias	189,000 pacientes

Poblaciones de ancianos y envejecidos

La demografía del paciente de Cyh para las poblaciones de edad avanzada en 2022:

• Pacientes de Medicare: 42.6% de la base total de pacientes
• Pacientes mayores de 65 años: 36.4% de los ingresos hospitalarios
• Servicios de especialidad geriátrica: disponible en 72 hospitales

Mercados de salud locales y regionales

Penetración del mercado y cobertura de servicio para CYH en 2022:

Segmento de mercado	Cuota de mercado	Número de condados atendidos
Mercados locales	23.5%	214 condados
Mercados regionales	15.8%	16 estados

Community Health Systems, Inc. (CYH) - Modelo de negocio: Estructura de costos

Salarios y compensación del personal médico

A partir del informe anual de 2023, Community Health Systems informó una compensación total de empleados de $ 3.96 mil millones. El desglose incluye:

Categoría de empleado	Compensación anual
Médicos	$ 1.42 mil millones
Personal de enfermería	$ 1.28 mil millones
Personal administrativo	$ 680 millones
Personal de apoyo	$ 560 millones

Mantenimiento y operaciones del hospital

Los gastos relacionados con la instalación para 2023 totalizaron $ 892 millones, que incluyeron:

• Utilidades: $ 214 millones
• Mantenimiento del edificio: $ 328 millones
• Reparaciones de las instalaciones: $ 186 millones
• Limpieza y saneamiento: $ 164 millones

Equipos médicos e inversiones en tecnología

Los gastos de tecnología y equipos en 2023 fueron de $ 512 millones, distribuidos de la siguiente manera:

Categoría de equipo	Inversión
Equipo de diagnóstico	$ 218 millones
Tecnologías quirúrgicas	$ 164 millones
Infraestructura	$ 130 millones

Cumplimiento de atención médica y gastos regulatorios

Los costos relacionados con el cumplimiento para 2023 ascendieron a $ 276 millones, que incluyen:

• Informes regulatorios: $ 98 millones
• Cumplimiento legal: $ 82 millones
• Garantía de calidad: $ 96 millones

Costos de marketing y adquisición de pacientes

Los gastos de marketing para 2023 totalizaron $ 187 millones, con la siguiente asignación:

Canal de marketing	Gasto
Marketing digital	$ 76 millones
Publicidad tradicional	$ 58 millones
Extensión comunitaria	$ 53 millones

Community Health Systems, Inc. (CYH) - Modelo de negocios: flujos de ingresos

Ingresos del servicio del paciente

Para el año fiscal 2023, Community Health Systems reportó ingresos netos totales de $ 11.6 mil millones, con ingresos por el servicio del paciente que comprenden la fuente de ingresos primarios.

Categoría de ingresos	Cantidad (2023)
Ingresos totales de los pacientes netos	$ 11.6 mil millones
Servicios para pacientes hospitalizados	$ 7.2 mil millones
Servicios ambulatorios	$ 4.4 mil millones

Reembolsos de seguros

Los reembolsos de seguros representan un flujo de ingresos crítico, que representa aproximadamente el 65% de los ingresos totales del servicio del paciente.

• Reembolsos de seguro comercial: $ 5.1 mil millones
• Pagos de seguro de salud privado: $ 3.8 mil millones
• Pagos de organización de atención administrada: $ 2.3 mil millones

Pagos de Medicare y Medicaid

Los reembolsos del Programa de Salud del Gobierno constituyen una parte significativa de la estructura de ingresos de Cyh.

Programa	Monto de ingresos (2023)	Porcentaje de ingresos totales
Pagos de Medicare	$ 2.9 mil millones	25%
Pagos de Medicaid	$ 1.7 mil millones	15%

Tarifas de servicio ambulatorias e hospitalizadas

CYH genera ingresos a través de diversas estructuras de tarifas de servicio en múltiples modelos de prestación de salud.

• Tarifa de servicio de pacientes hospitalizados promedio: $ 15,200 por admisión
• Tarifa promedio de servicio ambulatorio: $ 3,750 por visita
• Tarifa de visita del departamento de emergencias: $ 1,850 por encuentro

Servicios de salud auxiliares y tratamientos especializados

Los servicios complementarios contribuyen con flujos de ingresos adicionales para los sistemas de salud comunitaria.

Servicio auxiliar	Ingresos anuales
Imágenes de diagnóstico	$ 620 millones
Servicios de laboratorio	$ 450 millones
Programas de tratamiento especializados	$ 380 millones

Community Health Systems, Inc. (CYH) - Canvas Business Model: Value Propositions

You're looking at Community Health Systems, Inc. (CYH) and trying to map out exactly what they promise their customers-the patients and communities-in return for their business. Honestly, the value proposition is built on scale and local presence, which is why they keep refining their portfolio through divestitures to focus on the best markets.

The core promise is delivering accessible, high-quality, comprehensive healthcare in local markets. This isn't about being the biggest nationally anymore; it's about being the essential provider where they choose to operate. For the nine months ended September 30, 2025, their consolidated net operating revenues were $9.379 billion, showing the sheer volume of care delivered across their footprint. Their full-year 2025 projection for net operating revenues sits between $12.4 billion and $12.6 billion.

This accessibility is supported by a physical footprint that, as of the latest reports following Q3 2025, includes:

• Operating 69 affiliated hospitals across 14 states.
• Maintaining over 10,000 beds across those hospitals.
• Operating more than 1,000 sites of care.

Here's a quick look at the scale of their acute care delivery system as of late 2025:

Facility Type	Count (Late 2025 Estimate)	Metric Detail
Affiliated Hospitals	69	Owned or leased facilities
Hospital Beds	Over 10,000	Total licensed beds across the system
Total Sites of Care	Over 1,000	Includes all non-hospital locations
Same-Store Admissions Growth (YoY Q3 2025)	1.3%	Indicates local market demand for core services

The value proposition includes offering full-service acute care, emergency, and specialty surgical services. You see this reflected in their same-store operational performance. For the third quarter of 2025, same-store net operating revenue grew by 6.0% year-over-year, driven by a 5.6% increase in net revenue per adjusted admission. This pricing power and volume growth in their retained core assets is what management is betting on, even as they shed assets to improve leverage; their Net Debt-to-Adjusted EBITDA improved to 6.7x at Q3 2025.

Community Health Systems, Inc. (CYH) also promises an extensive outpatient network, which is key because healthcare shifts away from inpatient stays. This network includes the other sites of care mentioned, such as ambulatory surgery centers (ASCs), urgent care centers, and imaging centers. This diversification captures revenue from less acute, often higher-margin, procedures. The focus on clinical excellence is supported by their profitability metrics; for Q3 2025, Adjusted EBITDA reached $376 million, yielding an Adjusted EBITDA margin of 12.2%, a 100 basis point expansion year-over-year.

Finally, the entire model is framed around a patient-centric care model focused on clinical excellence. While quality scores aren't in the financial reports, the operational data suggests a focus on revenue quality. For instance, total consolidated uncompensated care as a percentage of adjusted net revenue improved to 25.2% in Q3 2025, down from 28.0% in Q3 2024, which suggests better management of the revenue cycle and patient financial responsibility. The company is projecting a full-year 2025 Adjusted EBITDA between $1.5 billion and $1.55 billion, which is the financial translation of delivering on these value promises efficiently.

Finance: draft the 2026 capital expenditure plan focusing on ASC expansion by Friday.

Community Health Systems, Inc. (CYH) - Canvas Business Model: Customer Relationships

Direct service delivery through employed and affiliated physicians.

Community Health Systems, Inc. affiliates operate across a broad footprint, supporting relationships with a large base of clinical providers. As of late 2025, the Company's subsidiaries own or lease 69 affiliated hospitals and operate more than 1,000 sites of care. These sites include physician practices, urgent care centers, and ambulatory surgery centers, which are key touchpoints for direct service delivery. The total volume of patient interaction is substantial; the 2025 Community Impact Report noted more than 14.7 million patient encounters across these locations. The clinical workforce supporting these relationships is significant, with more than 57,000 caregivers and colleagues working daily. Specifically regarding physician alignment, as of September 30, 2025, Community Health Systems, Inc. had approximately 160 more employee physicians and APPs (Advanced Practice Providers) in their clinics compared to the prior year.

Patient-centric care programs and satisfaction monitoring.

The relationship is actively managed through a focus on quality and experience metrics. One of the foundational strategic priorities for 2025 was emphasizing High-Quality Care and Patient Outcomes. The Company gathers direct feedback through a Patient Satisfaction Survey to ensure needs are met and services are improved. Leadership discussions in late 2025 confirmed an ongoing commitment to investments in quality, specifically mentioning the goal of improving both physician and patient experience.

Community engagement and local health system integration.

Community Health Systems, Inc. positions itself as a local healthcare leader, operating in 36 distinct markets across 14 states. This local integration is supported by significant financial commitment to the communities served. The 2025 Community Impact Report detailed substantial uncompensated care provided, totaling $1.2 billion in charity care, uninsured discounts, and other uncompensated care. Furthermore, the Company spent $360 million on capital investments to expand access, enhance services, and modernize facilities in 2025.

Here's a quick look at the scale of the 2025 community investment and operational footprint:

Metric	Amount/Count
Total Patient Encounters (2025 Report)	More than 14.7 million
Charity Care & Uncompensated Care (2025 Report)	$1.2 billion
Capital Investments (2025 Report)	$360 million
Total Sites of Care	More than 1,000
Affiliated Hospitals Owned/Leased	69

Digital tools for patient monitoring and chronic condition management.

The relationship extends into the digital realm through ongoing innovation. Community Health Systems, Inc. continues to invest in technologies that advance patient care. These investments include emerging technologies like AI and the expansion of telehealth and virtual care capabilities, which are now part of everyday practice for earlier diagnoses and better treatment options.

• Focus on innovation including AI.
• Investment in telehealth and virtual care.
• Goal to relieve administrative burden for caregivers.

Community Health Systems, Inc. (CYH) - Canvas Business Model: Channels

You're looking at how Community Health Systems, Inc. gets its services to patients across its markets. This is all about the physical and virtual locations where care is delivered, and as of late 2025, the focus is clearly shifting toward outpatient access points, even while maintaining a core hospital base.

Community Health Systems, Inc. operates across 14 states in 36 distinct markets as of July 2025. The delivery system is a mix of large acute care anchors and a growing network of specialized, lower-cost sites of care.

The scale of the physical footprint is substantial, but the strategic direction shows a clear push into ambulatory settings. Here's a breakdown of the key channel components:

Channel Component	Count/Metric	Data Source/Context
Affiliated Acute Care Hospitals (Owned or Leased)	70	As of July 23, 2025
Hospital Beds	More than 10,000	As of July 2025
Total Sites of Care	More than 1,000	As of July 2025
Ambulatory Surgery Centers (ASCs) - Baseline	47	Total at the end of 2024
ASCs Planned for 2025 Opening	Between 6 and 8	Plan for 2025
Freestanding Emergency Departments (EDs) - Annual Pace	Opening 3 to 4 per year	Annual pace of development

The strategy involves balancing the necessary acute care services with these more flexible outpatient options. The company is actively investing capital into these access points because they are lower dollar investments that allow for greater expansion for the same capital outlay.

The distribution and growth of these outpatient channels are critical to the near-term strategy:

• Affiliated acute care hospitals.
• Over 40 Ambulatory Surgery Centers (ASCs).
• Freestanding emergency departments and urgent care centers.
• Physician practices and occupational medicine clinics.

Community Health Systems, Inc. is seeing growth in its ASC segment, with same-store ASC cases increasing 14% in the prior year. The company also completed the acquisition of 10 urgent care clinics in Tucson, Arizona, in late 2024 to bolster its primary and urgent care funnel.

The overall patient reach through these channels is significant, with the company reporting more than 14.7 million patient encounters across its sites of care in its 2025 Community Impact Report. This shows the sheer volume Community Health Systems, Inc. handles through its diverse network.

You can see the strategic shift in capital allocation; as CEO Kavin Hammons noted, more dollars in 2025 and moving into 2026 will focus on these access points like ASCs, urgent care, and freestanding EDs. Finance: draft the capital expenditure allocation breakdown for H2 2025 by next Tuesday.

Community Health Systems, Inc. (CYH) - Canvas Business Model: Customer Segments

You're looking at the core patient base for Community Health Systems, Inc. (CYH) as of late 2025. This company's model is built around serving specific geographic and demographic pockets across the United States. Honestly, the numbers tell you exactly where they focus their efforts.

Patients in rural and non-urban suburban communities.

Community Health Systems, Inc. maintains a significant presence in these areas, a focus dating back to its founding in 1985. As of mid-2025, the company's subsidiaries own or lease 70 affiliated hospitals with more than 10,000 beds across 14 states. The business model centers on acquiring and managing hospitals primarily in non-urban markets. The company operates more than 1,000 sites of care in total, which includes physician practices and urgent care centers supporting these communities.

Commercial insurance beneficiaries.

These patients represent a key source of revenue, with rate growth from commercial plans contributing to revenue per adjusted admission increases in early 2025. For the three months ended September 30, 2025, net operating revenues totaled $3.087 billion. The company was encouraged by some improvement in payer mix on both a sequential and year-over-year basis in Q3 2025.

Medicare and Medicaid patients (government programs).

Government programs make up a substantial portion of the patient base, but they bring specific financial pressures. For instance, in late 2023, Medicare (including FFS and Advantage) accounted for roughly 35.8% of net patient revenues, while Medicaid was about 14.8%. A noted trend is the shift from Medicare Fee-for-Service (FFS) into Medicare Advantage, which typically pressures revenue because less is collected on MA compared to traditional FFS. Furthermore, declining Medicaid rates were cited as a factor partially offsetting revenue gains in Q1 2025. The company did benefit from incremental state-directed payments from New Mexico and Tennessee when compared to the prior year in Q3 2025.

Uninsured and underinsured populations (charity care provided).

Community Health Systems, Inc. provides significant financial assistance to those unable to pay. In its 2025 Community Impact Report, the company highlighted that it provided $1.2 billion in charity care, uninsured discounts, and other uncompensated care. This demonstrates a commitment to serving the underinsured segment within its operating markets.

Here's a look at the most detailed payer mix breakdown available, which reflects net patient revenues for the third quarter ended September 30, 2023, to give you a concrete sense of the revenue mix:

Payer Category	Net Patient Revenue (Q3 2023)	Percentage of Net Patient Revenue (Q3 2023)
Commercial	$1.5 billion	47.9%
Medicare	$608 million	19.7%
Medicare Advantage	$498 million	16.1%
Medicaid	$456 million	14.8%
Self-pay	$45 million	1.5%

You can see that commercial plans were the largest single segment, but government programs combined account for a very large piece of the pie. Finance: draft the 13-week cash flow view by Friday.

Community Health Systems, Inc. (CYH) - Canvas Business Model: Cost Structure

You're looking at the core expenses that drive Community Health Systems, Inc.'s operations as of late 2025. Honestly, for a hospital operator, the cost structure is dominated by people and the tools they use.

Labor is a massive component. For the second quarter of 2025, the average hourly wage rate saw an approximate 4% year-over-year increase, which was consistent with their expected growth range for the year. This increase, coupled with the growth in the number of employee positions, definitely puts pressure on margins. To be fair, contract labor expense was down year-over-year on a consolidated basis in Q2 2025.

Then there's the debt load. Community Health Systems, Inc. carries significant interest expense, which is a direct result of its leverage. As of September 2025, the reported long-term debt stood at approximately $10.6 billion. This figure reflects recent refinancing activities, such as the August 2025 offering of new notes to redeem older ones.

Medical specialist fees remain a persistent cost headwind. In the third quarter of 2025, these fees totaled $165 million, representing 5.4% of net revenue when excluding a specific legal settlement. Management expects continued upward pressure here, especially in radiology.

Here's a quick look at some of the key cost figures we have for the recent periods:

Cost Category	Period/Context	Reported Amount/Metric
Labor Cost Increase (Avg Hourly Rate)	Q2 2025 Year-over-Year	4%
Medical Specialist Fees	Q3 2025	$165 million
Long-Term Debt	September 2025	$10.6 billion
Supplies Expense as % of Net Revenue	Q3 2025 (Excluding settlement)	15.0% (down 20 basis points year-over-year)
Total Operating Expenses	Q1 2025	$2.8 billion

You also have to factor in the ongoing need for capital investment. Community Health Systems, Inc. allocates funds for capital expenditures specifically targeted at facility modernization and technology upgrades. While a precise quarterly number for this category isn't always broken out in the same way as labor or fees, it's a necessary, non-negotiable outlay for maintaining competitive infrastructure.

Finally, supplies and pharmaceutical costs are a constant drain. For the nine months ended September 30, 2025, the company was focused on controlling these expenses, noting that supplies expense was down year-over-year in Q3 2025.

The key cost drivers you need to watch are:

• Labor Costs: Driven by wage inflation and staffing levels.
• Interest Expense: Tied directly to the $10.6 billion in outstanding debt.
• Medical Specialist Fees: A line item that hit $165 million in Q3 2025.
• Supplies & Pharma: Managed to keep the percentage of revenue low, at 15.0% in Q3 2025.
• Capital Expenditures: Necessary spending for facility and tech modernization.

Finance: draft 13-week cash view by Friday.

Community Health Systems, Inc. (CYH) - Canvas Business Model: Revenue Streams

The revenue streams for Community Health Systems, Inc. (CYH) are fundamentally tied to the delivery of acute care hospital services and related outpatient services across its network. Management has provided clear financial targets for the full fiscal year 2025, reflecting a strategy focused on operational efficiency and balance sheet improvement alongside top-line performance.

The company projects its consolidated Net Operating Revenues for the full 2025 fiscal year to be in the range of $12.4 billion and $12.6 billion. This projection was tightened following the third-quarter 2025 results. Furthermore, the guidance for Adjusted EBITDA for the full year 2025 has been tightened to a range of $1.50 billion to $1.55 billion. This focus on profitability is central to the current strategy. For context on the recent performance driving this guidance, here are the key financial targets:

Metric	Full-Year 2025 Guidance/Figure
Projected Net Operating Revenues	$12.4 billion to $12.6 billion
Tightened Adjusted EBITDA Guidance	$1.50 billion to $1.55 billion
Q3 2025 Adjusted EBITDA	$376 million
Q3 2025 Adjusted EBITDA Margin	12.2%

The core of the revenue generation comes from patient service revenue. This is derived from treating patients across the spectrum of care, which is segmented by the source of payment. You see revenue flowing from both commercial payers and government programs, which include Medicare and Medicaid. For the first quarter of 2025, the payer mix breakdown of net revenue showed:

• Medicare and Medicare Managed Care: 46.5% of net revenue in Q1 2025.
• Medicaid: 19.1% of net revenue in Q1 2025.
• Self-pay: 0.6% of net revenue in Q1 2025.

The company also benefits significantly from non-patient revenue sources, including supplemental reimbursement programs. Specifically, revenue recognition under new state-directed payment (SDP) programs in New Mexico and Tennessee has been a driver of same-store net revenue growth. The potential EBITDA contribution from these new SDPs was previously estimated to be between $100 million and $125 million if approved. Also contributing to non-patient revenue are one-time items, such as a legal settlement recognized in Q3 2025 amounting to $28 million.

A third, non-operational, but important, cash-generating stream is the proceeds from strategic hospital and asset divestitures. Community Health Systems, Inc. has been actively selling assets to reduce debt. The company generated over $1 billion in divestiture proceeds so far in 2025 from sales including ShorePoint Health System, Lake Norman Regional Medical Center, and Merit Health Biloxi, with Cedar Park closing soon. Further bolstering liquidity, the company signed a deal in July 2025 to sell selected assets of its ambulatory outreach lab services to Labcorp for proceeds of approximately $195 million, expected to close later in the quarter.

Finance: draft 13-week cash view by Friday.