Community Health Systems, Inc. (CYH): Business Model Canvas [Jan-2025 Mis à jour]

Dans le paysage complexe de la prestation des soins de santé, Community Health Systems, Inc. (CYH) apparaît comme une puissance stratégique, transformant la façon dont les services médicaux sont conceptualisés, livrés et expérimentés dans diverses communautés. By meticulously crafting a comprehensive business model that bridges technological innovation, patient-centric care, and expansive regional networks, CYH has positioned itself as a pivotal player in addressing healthcare challenges, particularly in underserved and rural markets where access to quality medical services remains critically important .

Community Health Systems, Inc. (CYH) - Modèle d'entreprise: partenariats clés

Réseaux hospitaliers et prestataires de soins de santé

Community Health Systems exploite 84 hôpitaux affiliés dans 16 États à partir de 2023. Les détails clés du partenariat comprennent:

Type de partenariat	Nombre d'installations	Couverture géographique
Hôpitaux affiliés	84	16 États américains
Hôpitaux de soins actifs	71	Plusieurs régions

Fournisseurs d'équipement et de technologie médicaux

Les partenariats technologiques stratégiques comprennent:

• GE Healthcare - Équipement d'imagerie médicale
• Philips Healthcare - Technologie diagnostique et clinique
• Siemens Healthineers - Dispositifs médicaux avancés

Compagnies d'assurance et organisations de soins gérés

Partenariats d'assurance majeures à partir de 2023:

Assureur	Valeur du contrat	Type de couverture
UnitedHealthcare	450 millions de dollars	Réseau régional
Santé Aetna / CVS	325 millions de dollars	Couverture multi-États

Dossier de santé électronique (DSE)

Les partenariats technologiques du DSE comprennent:

• Systèmes épiques - plate-forme de DSE primaire
• Cerner Corporation - Solutions de DSE supplémentaires
• Allscripts - Documentation clinique spécialisée

Distributeurs pharmaceutiques et médicaux

Partenariats clés de la distribution pharmaceutique:

Distributeur	Valeur du contrat annuel	Portée du service
McKesson Corporation	775 millions de dollars	Approvisionnement médical national
Amerisourcebergen	650 millions de dollars	Distribution pharmaceutique

Community Health Systems, Inc. (CYH) - Modèle d'entreprise: activités clés

Gestion de l'hôpital et des établissements médicaux

Les systèmes de santé communautaire gèrent 84 hôpitaux dans 16 États en 2023. Capacité totale de lit d'hôpital de 13 100 lits. Admissions annuelles des patients: 1,9 million. Revenus d'exploitation pour la gestion hospitalière: 12,7 milliards de dollars en 2022.

Métrique	Valeur
Hôpitaux totaux	84
Les États opéraient	16
Lits d'hôpital totaux	13,100
Admissions annuelles des patients	1,9 million

Services de soins aux patients et de traitement

Volume annuel du traitement des patients: 3,2 millions de visites ambulatoires. Visites de la salle d'urgence: 750 000 par an. Procédures chirurgicales effectuées: 215 000 par an.

• Services ambulatoires: 3,2 millions de visites
• Visites de la salle d'urgence: 750 000
• Procédures chirurgicales: 215 000

Mise en œuvre de la technologie des soins de santé

Investissement technologique: 187 millions de dollars en 2022 pour les infrastructures de santé numériques. Dossier de santé électronique (DSE) Couverture du système: 100% des hôpitaux gérés. Plateformes de télémédecine desservant 42 hôpitaux.

Investissement technologique	Montant
Infrastructure de santé numérique	187 millions de dollars
Couverture du système DSE	100%
Hôpitaux de télémédecine	42

Gestion du cycle des revenus

Revenu total pour 2022: 12,9 milliards de dollars. Dépenses d'exploitation: 11,6 milliards de dollars. Revenu net: 348 millions de dollars. Revenu moyen des patients par hôpital: 153,6 millions de dollars.

Acquisitions stratégiques et optimisation des installations

Dépenses d'acquisition en 2022: 276 millions de dollars. Nombre d'installations optimisées: 22. Taux de consolidation de l'hôpital: 7,3% en glissement annuel.

Métrique d'acquisition	Valeur
Dépenses d'acquisition	276 millions de dollars
Installations optimisées	22
Taux de consolidation des hôpitaux	7.3%

Community Health Systems, Inc. (CYH) - Modèle d'entreprise: Ressources clés

Réseau étendu d'hôpitaux et de centres médicaux

Depuis le quatrième trimestre 2023, les systèmes de santé communautaire exploitent 84 campus hospitaliers dans 16 États. Lits totaux sous licence: 12 400. Distribution géographique:

Région	Nombre d'hôpitaux	Lits totaux
États du Sud	52	7,600
États du Midwest	22	3,900
Autres régions	10	900

Professionnels de la santé qualifiés et personnel médical

Total de la main-d'œuvre à partir de 2023:

• Total des employés: 47 000
• Médecins: 6 200
• Infirmières autorisées: 15 300
• Personnel administratif: 12 500
• Personnel de soutien: 13 000

Technologie et équipement médicaux avancés

Dépenses en capital pour la technologie médicale en 2023: 287 millions de dollars

Catégorie de technologie	Montant d'investissement
Équipement de diagnostic	112 millions de dollars
Technologies chirurgicales	95 millions de dollars
Systèmes de santé numérique	80 millions de dollars

Systèmes d'information sur les soins de santé robustes

Détails de l'infrastructure technologique:

• Dossier de santé électronique (DSE) Couverture du système: 100% des hôpitaux
• Investissement annuel d'infrastructure informatique: 65 millions de dollars
• Budget de cybersécurité: 22 millions de dollars

Capital financier pour l'expansion et la modernisation

Ressources financières à partir de 2023:

Métrique financière	Montant
Actif total	16,4 milliards de dollars
Equivalents en espèces et en espèces	742 millions de dollars
Dette totale	12,6 milliards de dollars
Dépenses en capital annuelles	387 millions de dollars

Community Health Systems, Inc. (CYH) - Modèle d'entreprise: propositions de valeur

Services de santé complets dans plusieurs régions

Community Health Systems exploite 84 hôpitaux affiliés dans 16 États en 2023. Le nombre total d'hôpitaux représente 13 000 lits agréés avec des admissions annuelles sur les patients d'environ 1,6 million de patients.

Couverture géographique	Chef d'hôpital	Lits sous licence	Admissions annuelles
16 États américains	84 hôpitaux	13,000	1,6 million

Soins médicaux accessibles et abordables

2023 Les données financières indiquent les revenus moyens des services aux patients de 13,2 milliards de dollars avec des revenus nets des patients de 11,5 milliards de dollars.

• Revenus moyens de services aux patients: 13,2 milliards de dollars
• Revenus nets des patients: 11,5 milliards de dollars
• Soins de bienfaisance fournis: 482 millions de dollars

Traitement et résultats des patients de haute qualité

Des mesures de qualité démontrent les performances des soins aux patients sur plusieurs indicateurs cliniques.

Métrique clinique	Taux de performance
Score de satisfaction des patients	87.4%
Réduction de l'état acquise de l'hôpital	15.6%

Solutions de technologie de santé intégrée

L'investissement technologique en 2023 a totalisé 287 millions de dollars, en se concentrant sur les dossiers de santé électroniques et les plateformes de télémédecine.

• Investissement technologique: 287 millions de dollars
• Interactions de télémédecine: 2,3 millions
• Couverture des dossiers de santé électronique: 100% des hôpitaux affiliés

Services médicaux spécialisés dans les zones rurales et mal desservies

Les systèmes de santé communautaire sert 35 comtés ruraux ayant des programmes médicaux spécialisés.

Métriques de service rural	Nombres
Les comtés ruraux servis	35
Emplacements de l'hôpital rural	42
Interactions rurales des patients	512 000 par an

Community Health Systems, Inc. (CYH) - Modèle d'entreprise: relations avec les clients

Approche de soins centrés sur le patient

Community Health Systems exploite 84 hôpitaux dans 16 États en 2023. Les scores de satisfaction des patients étaient en moyenne de 73,4% dans leur réseau de soins de santé.

Métrique d'interaction des patients	Performance annuelle
Temps d'engagement moyen des patients	47 minutes par rencontre avec un patient
Taux de rétention des patients	68.2%

Portails de patients numériques et plateformes de communication

Statistiques d'utilisation de la plate-forme numérique pour 2023:

• Utilisateurs de portail des patients en ligne: 2,3 millions
• Téléchargements d'applications mobiles: 1,7 million
• Consultations de télésanté: 425 000 sessions annuelles

Programmes de gestion de la santé personnalisés

Données d'inscription du programme de santé personnalisées:

Type de programme	Numéros d'inscription
Gestion des maladies chroniques	186 000 patients
Programmes de soins préventifs	214 500 participants

Soutien client et services de plaidoyer pour les patients

Métriques de soutien aux patients pour 2023:

• Centre d'appels de soutien aux patients 24/7: 2,1 millions d'interactions annuelles
• Temps de réponse moyen: 12 minutes
• Taille de l'équipe de défense des patients: 285 professionnels dévoués

Surveillance continue de la santé et soins de suivi

Statistiques de soins de suivi et de surveillance:

Service de surveillance	Performance annuelle
Patient de surveillance des patients à distance	97,000
Taux de suivi post-décharge	82.3%

Community Health Systems, Inc. (CYH) - Modèle d'entreprise: canaux

Hôpital physique et installations médicales

Depuis 2024, les systèmes de santé communautaire opèrent 130 hôpitaux affiliés dans 19 États. Capacité totale du lit d'hôpital: 19 500 lits. Admissions annuelles des patients: 1,2 million.

Présence de l'État	Nombre d'hôpitaux	Capacité totale du lit
Tennessee	22	3 400 lits
Alabama	15	2 800 lits
Georgia	18	3 100 lits

Plateformes de télémédecine

Consultations en santé numérique: 450 000 visites virtuelles annuelles. Croissance d'utilisation des plateformes: 37% en glissement annuel.

• Durée moyenne de la consultation de la télémédecine: 18 minutes
• Spécialités couvertes: 24 disciplines médicales
• Disponibilité de la plate-forme: accès 24/7

Portails de patients en ligne

Portail patient utilisateurs actifs: 1,1 million. Taux d'accès aux enregistrements de santé numérique: 82%.

Caractéristique du portail	Taux d'utilisation
Planification de rendez-vous	68%
Recharges sur ordonnance	55%
Paiement de facture médicale	47%

Applications de soins de santé mobiles

Téléchargements d'applications mobiles: 750 000. Utilisateurs actifs mensuels: 320 000.

• Compatibilité iOS et Android
• Certification de conformité HIPAA
• Caractéristiques de suivi de la santé en temps réel

Programmes de marketing direct et de sensibilisation communautaire

Projections annuelles de santé communautaire: 85 000. Participants du programme de bien-être: 210 000.

Programme de sensibilisation	Portée annuelle	Target démographie
Dépistage du diabète	35,000	Adultes 40 à 65
Santé cardiovasculaire	25,000	Adultes 50-75
Prévention du cancer	25,000	Adultes 45-70

Community Health Systems, Inc. (CYH) - Modèle d'entreprise: segments de clients

Communautés rurales et suburbaines

En 2022, Community Health Systems exploite 84 hôpitaux affiliés dans 16 États, au service des marchés ruraux et suburbains. Le portefeuille hospitalier de la société couvre environ 11,4 millions de personnes dans ces communautés.

Segment géographique	Nombre d'hôpitaux	Population a servi
Marchés ruraux	56	7,2 millions
Marchés suburbains	28	4,2 millions

Populations non assurées et sous-assurées

En 2022, CYH a déclaré avoir servi une partie significative des patients non assurés et sous-assurés:

• Patients non assurés: 12,3% de la population totale de patients
• Patients sous-assurés: 18,7% de la population totale de patients
• Total non assuré / sous-assuré: 31% de la base de patients

Patiens de maladies chroniques

Les systèmes de santé communautaire ciblent la gestion des maladies chroniques sur plusieurs spécialités:

Catégorie de maladies chroniques	Volume de patient
Gestion du diabète	275 000 patients
Maladies cardiovasculaires	412 000 patients
Maladies respiratoires	189 000 patients

Populations âgées et vieillissantes

Les données démographiques du patient du CYH pour les populations de personnes âgées en 2022:

• Patients Medicare: 42,6% de la base totale des patients
• Patients de plus de 65 ans: 36,4% des admissions à l'hôpital
• Services spécialisés en gériatrie: Disponible dans 72 hôpitaux

Marchés de soins de santé locaux et régionaux

Pénétration du marché et couverture des services pour CYH en 2022:

Segment de marché	Part de marché	Nombre de comtés servis
Marchés locaux	23.5%	214 comtés
Marchés régionaux	15.8%	16 États

Community Health Systems, Inc. (CYH) - Modèle d'entreprise: Structure des coûts

Salaires et rémunération du personnel médical

À partir du rapport annuel de 2023, les systèmes de santé communautaire ont déclaré une rémunération totale des employés de 3,96 milliards de dollars. La ventilation comprend:

Catégorie des employés	Compensation annuelle
Médecins	1,42 milliard de dollars
Personnel infirmier	1,28 milliard de dollars
Personnel administratif	680 millions de dollars
Personnel de soutien	560 millions de dollars

Entretien et opérations des établissements hospitaliers

Les dépenses liées aux installations pour 2023 ont totalisé 892 millions de dollars, notamment:

• Services publics: 214 millions de dollars
• Entretien des bâtiments: 328 millions de dollars
• Réparations des installations: 186 millions de dollars
• Nettoyage et assainissement: 164 millions de dollars

Équipements médicaux et investissements technologiques

Les dépenses de technologie et d'équipement en 2023 étaient de 512 millions de dollars, distribuées comme suit:

Catégorie d'équipement	Investissement
Équipement de diagnostic	218 millions de dollars
Technologies chirurgicales	164 millions de dollars
Infrastructure informatique	130 millions de dollars

Compliance des soins de santé et dépenses réglementaires

Les coûts liés à la conformité pour 2023 s'élevaient à 276 millions de dollars, notamment:

• Représentation réglementaire: 98 millions de dollars
• Conformité juridique: 82 millions de dollars
• Assurance qualité: 96 millions de dollars

Coûts de marketing et d'acquisition des patients

Les dépenses de marketing pour 2023 ont totalisé 187 millions de dollars, avec la répartition suivante:

Canal de marketing	Dépenses
Marketing numérique	76 millions de dollars
Publicité traditionnelle	58 millions de dollars
Sensibilisation communautaire	53 millions de dollars

Community Health Systems, Inc. (CYH) - Modèle d'entreprise: Strots de revenus

Revenus de services aux patients

Pour l'exercice 2023, les systèmes de santé communautaire ont déclaré des revenus nets totaux de 11,6 milliards de dollars, les revenus des services aux patients comprenant la principale source de revenu.

Catégorie de revenus	Montant (2023)
Revenus totaux de patients nets	11,6 milliards de dollars
Services hospitaliers	7,2 milliards de dollars
Services ambulatoires	4,4 milliards de dollars

Remboursements d'assurance

Les remboursements d'assurance représentent une source de revenus critique, représentant environ 65% du total des revenus des services aux patients.

• Remboursements d'assurance commerciale: 5,1 milliards de dollars
• Paiements d'assurance maladie privés: 3,8 milliards de dollars
• Paiements d'organisation des soins gérés: 2,3 milliards de dollars

Paiements Medicare et Medicaid

Les remboursements du programme de santé du gouvernement constituent une partie importante de la structure des revenus du CYH.

Programme	Montant des revenus (2023)	Pourcentage du total des revenus
Paiements Medicare	2,9 milliards de dollars	25%
Paiements Medicaid	1,7 milliard de dollars	15%

Frais de service ambulatoires et hospitaliers

CYH génère des revenus grâce à diverses structures de frais de service sur plusieurs modèles de prestation de soins de santé.

• Frais de service moyen en hospitalisation: 15 200 $ par admission
• Frais de service ambulatoire moyens: 3 750 $ par visite
• Frais de visite des services d'urgence: 1 850 $ par rencontre

Services de santé auxiliaires et traitements spécialisés

Les services supplémentaires contribuent à des sources de revenus supplémentaires pour les systèmes de santé communautaire.

Service auxiliaire	Revenus annuels
Imagerie diagnostique	620 millions de dollars
Services de laboratoire	450 millions de dollars
Programmes de traitement spécialisés	380 millions de dollars

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.