Community Health Systems, Inc. (CYH): Modelo de negócios Canvas [Jan-2025 Atualizado]

No cenário complexo da prestação de serviços de saúde, a Community Health Systems, Inc. (CYH) surge como uma potência estratégica, transformando como os serviços médicos são conceituados, entregues e experimentados em diversas comunidades. Ao criar meticulosamente um modelo de negócios abrangente que preenche a inovação tecnológica, os cuidados centrados no paciente e as redes regionais expansivas, Cyh se posicionou como um participante fundamental na abordagem de desafios de saúde, particularmente em mercados carentes e rurais, onde o acesso a serviços médicos de qualidade permanece criticamente importante .

Community Health Systems, Inc. (CYH) - Modelo de negócios: Parcerias -chave

Redes hospitalares e prestadores de serviços de saúde

Os sistemas comunitários de saúde opera 84 hospitais afiliados em 16 estados a partir de 2023. Os principais detalhes da parceria incluem:

Tipo de parceria	Número de instalações	Cobertura geográfica
Hospitais afiliados	84	16 Estados dos EUA
Hospitais de cuidados agudos	71	Várias regiões

Equipamentos médicos e fornecedores de tecnologia

As parcerias de tecnologia estratégica incluem:

• GE Healthcare - Equipamento de imagem médica
• Philips Healthcare - Tecnologia Clínica e de Diagnóstico
• Siemens Healthineers - Dispositivos médicos avançados

Companhias de seguros e organizações de assistência gerenciada

Principais parcerias de seguro a partir de 2023:

Provedor de seguros	Valor do contrato	Tipo de cobertura
UnitedHealthcare	US $ 450 milhões	Rede Regional
Saúde Aetna/CVS	US $ 325 milhões	Cobertura de vários estados

Fornecedores de sistemas de registro eletrônico de saúde (EHR)

As parcerias de tecnologia EHR incluem:

• Sistemas EPIC - Plataforma Primária de EHR
• Cerner Corporation - Soluções Suplementares de EHR
• Allscripts - documentação clínica especializada

Distribuidores de suprimentos farmacêuticos e médicos

Principais parcerias de distribuição farmacêutica:

Distribuidor	Valor anual do contrato	Escopo de serviço
McKesson Corporation	US $ 775 milhões	Fornecimento médico nacional
Amerisourcebergen	US $ 650 milhões	Distribuição farmacêutica

Community Health Systems, Inc. (CYH) - Modelo de negócios: Atividades -chave

Gerenciamento de instalações hospitalares e médicas

Os sistemas comunitários de saúde gerenciam 84 hospitais em 16 estados a partir de 2023. Capacidade total do leito hospitalar de 13.100 leitos. Admissões anuais de pacientes: 1,9 milhão. Receita operacional para gestão hospitalar: US $ 12,7 bilhões em 2022.

Métrica	Valor
Hospitais totais	84
Estados operados	16
Camas de hospitais totais	13,100
Admissões anuais de pacientes	1,9 milhão

Atendimento ao paciente e serviços de tratamento

Volume anual de tratamento do paciente: 3,2 milhões de visitas ambulatoriais. Visitas à sala de emergência: 750.000 anualmente. Procedimentos cirúrgicos realizados: 215.000 por ano.

• Serviços ambulatoriais: 3,2 milhões de visitas
• Visitas à sala de emergência: 750.000
• Procedimentos cirúrgicos: 215.000

Implementação de tecnologia de saúde

Investimento em tecnologia: US $ 187 milhões em 2022 para infraestrutura de saúde digital. Cobertura do sistema eletrônico de registro de saúde (EHR): 100% dos hospitais gerenciados. Plataformas de telemedicina que atendem a 42 hospitais.

Investimento em tecnologia	Quantia
Infraestrutura de saúde digital	US $ 187 milhões
Cobertura do sistema EHR	100%
Hospitais de telemedicina	42

Gerenciamento do ciclo de receita

Receita total para 2022: US $ 12,9 bilhões. Despesas operacionais: US $ 11,6 bilhões. Lucro líquido: US $ 348 milhões. Receita média do paciente por hospital: US $ 153,6 milhões.

Aquisições estratégicas e otimização de instalações

Gastos de aquisição em 2022: US $ 276 milhões. Número de instalações otimizadas: 22. Taxa de consolidação hospitalar: 7,3% ano a ano.

Métrica de aquisição	Valor
Gastos com aquisição	US $ 276 milhões
Instalações otimizadas	22
Taxa de consolidação hospitalar	7.3%

Community Health Systems, Inc. (CYH) - Modelo de negócios: Recursos -chave

Extensa rede de hospitais e centros médicos

A partir do quarto trimestre de 2023, os sistemas comunitários de saúde opera 84 campus hospitalares em 16 estados. Total de camas licenciadas: 12.400. Distribuição geográfica:

Região	Número de hospitais	Total de camas
Estados do sul	52	7,600
Estados do Centro -Oeste	22	3,900
Outras regiões	10	900

Profissionais de saúde qualificados e equipe médica

Força de trabalho total a partir de 2023:

• Total de funcionários: 47.000
• Médicos: 6.200
• Enfermeiros registrados: 15.300
• Equipe administrativo: 12.500
• Pessoal de apoio: 13.000

Tecnologia Médica Avançada e Equipamento

Despesas de capital para tecnologia médica em 2023: US $ 287 milhões

Categoria de tecnologia	Valor do investimento
Equipamento de diagnóstico	US $ 112 milhões
Tecnologias cirúrgicas	US $ 95 milhões
Sistemas de saúde digital	US $ 80 milhões

Sistemas robustos de informação de saúde

Detalhes da infraestrutura de tecnologia:

• Cobertura do sistema eletrônico de registro de saúde (EHR): 100% dos hospitais
• Investimento anual de infraestrutura de TI: US $ 65 milhões
• Orçamento de segurança cibernética: US $ 22 milhões

Capital financeiro para expansão e modernização

Recursos Financeiros a partir de 2023:

Métrica financeira	Quantia
Total de ativos	US $ 16,4 bilhões
Caixa e equivalentes de dinheiro	US $ 742 milhões
Dívida total	US $ 12,6 bilhões
Gastos anuais de capital	US $ 387 milhões

Community Health Systems, Inc. (CYH) - Modelo de negócios: proposições de valor

Serviços abrangentes de saúde em várias regiões

Os sistemas comunitários de saúde opera 84 hospitais afiliados em 16 estados a partir de 2023. A contagem total do hospital representa 13.000 camas licenciadas com admissões anuais de pacientes de aproximadamente 1,6 milhão de pacientes.

Cobertura geográfica	Contagem de hospitais	Camas licenciadas	Admissões anuais
16 Estados dos EUA	84 hospitais	13,000	1,6 milhão

Cuidados médicos acessíveis e acessíveis

2023 Dados financeiros indicam uma receita média de serviço do paciente de US $ 13,2 bilhões com receita líquida de pacientes de US $ 11,5 bilhões.

• Receita média do serviço do paciente: US $ 13,2 bilhões
• Receitas líquidas de pacientes: US $ 11,5 bilhões
• CARIDADE DE CARITORIA DUSTRA: US $ 482 milhões

Tratamento e resultados de paciente de alta qualidade

As métricas de qualidade demonstram o desempenho do atendimento ao paciente em vários indicadores clínicos.

Métrica clínica	Taxa de desempenho
Pontuação de satisfação do paciente	87.4%
Redução da condição adquirida em hospital	15.6%

Soluções integradas de tecnologia de saúde

O investimento em tecnologia em 2023 totalizou US $ 287 milhões, com foco em registros eletrônicos de saúde e plataformas de telemedicina.

• Investimento de tecnologia: US $ 287 milhões
• Interações de telemedicina: 2,3 milhões
• Cobertura eletrônica de registros de saúde: 100% dos hospitais afiliados

Serviços médicos especializados em áreas rurais e carentes

Os sistemas comunitários de saúde atendem a 35 municípios rurais com programas médicos especializados.

Métricas de Serviço Rural	Números
Condados rurais serviram	35
Locais do hospital rural	42
Interações rurais do paciente	512.000 anualmente

Community Health Systems, Inc. (CYH) - Modelo de Negócios: Relacionamentos do Cliente

Abordagem de cuidados centrada no paciente

Os sistemas comunitários de saúde opera 84 hospitais em 16 estados a partir de 2023. As pontuações de satisfação do paciente tiveram uma média de 73,4% em sua rede de saúde.

Métrica de interação do paciente	Desempenho anual
Tempo médio de envolvimento do paciente	47 minutos por encontro do paciente
Taxa de retenção de pacientes	68.2%

Portais de pacientes digitais e plataformas de comunicação

Estatísticas de uso da plataforma digital para 2023:

• Usuários on -line de portal de pacientes: 2,3 milhões
• Downloads de aplicativos móveis: 1,7 milhão
• Consultas de telessaúde: 425.000 sessões anuais

Programas personalizados de gestão de saúde

Dados de inscrição para o programa de saúde personalizados:

Tipo de programa	Números de inscrição
Gerenciamento de doenças crônicas	186.000 pacientes
Programas de cuidados preventivos	214.500 participantes

Suporte ao cliente e serviços de defesa do paciente

Métricas de suporte ao paciente para 2023:

• 24/7 de suporte ao paciente center: 2,1 milhões de interações anuais
• Tempo médio de resposta: 12 minutos
• Tamanho da equipe de defesa do paciente: 285 profissionais dedicados

Monitoramento contínuo de saúde e atendimento de acompanhamento

Estatísticas de acompanhamento e monitoramento:

Serviço de monitoramento	Desempenho anual
Pacientes de monitoramento remoto de pacientes	97,000
Taxa de acompanhamento pós-alta	82.3%

Community Health Systems, Inc. (CYH) - Modelo de Negócios: Canais

Hospital Físico e Instalações Médicas

A partir de 2024, os sistemas comunitários de saúde opera 130 hospitais afiliados em 19 estados. Capacidade total do leito hospitalar: 19.500 camas. Admissões anuais de pacientes: 1,2 milhão.

Presença do estado	Número de hospitais	Capacidade total da cama
Tennessee	22	3.400 camas
Alabama	15	2.800 camas
Georgia	18	3.100 camas

Plataformas de telemedicina

Consultas de saúde digital: 450.000 visitas virtuais anuais. Crescimento do uso da plataforma: 37% ano a ano.

• Duração média da consulta de telemedicina: 18 minutos
• Especialidades cobertas: 24 disciplinas médicas
• Disponibilidade da plataforma: acesso 24/7

Portais de pacientes online

Usuários ativos do portal do paciente: 1,1 milhão. Taxa de acesso ao registro de saúde digital: 82%.

Recurso do portal	Taxa de utilização
Agendamento de compromissos	68%
Reabastecimento de prescrição	55%
Pagamento da conta médica	47%

Aplicativos de saúde móvel

Downloads de aplicativos móveis: 750.000. Usuários ativos mensais: 320.000.

• Compatibilidade para iOS e Android
• Certificação de conformidade HIPAA
• Recursos de rastreamento de saúde em tempo real

Programas diretos de marketing e divulgação comunitária

Triações anuais de saúde comunitária: 85.000. Participantes do Programa de Bem -Estar: 210.000.

Programa de divulgação	Alcance anual	Demografia alvo
Triagem de diabetes	35,000	Adultos 40-65
Saúde Cardiovascular	25,000	Adultos 50-75
Prevenção do câncer	25,000	Adultos 45-70

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

Comunidades rurais e suburbanas

A partir de 2022, a Community Health Systems opera 84 hospitais afiliados em 16 estados, atendendo principalmente mercados rurais e suburbanos. O portfólio hospitalar da empresa cobre aproximadamente 11,4 milhões de pessoas nessas comunidades.

Segmento geográfico	Número de hospitais	População servida
Mercados rurais	56	7,2 milhões
Mercados suburbanos	28	4,2 milhões

Populações sem seguro e com seguro insuficiente

Em 2022, Cyh relatou servir uma parcela significativa de pacientes sem seguro e com seguro insuficiente:

• Pacientes não segurados: 12,3% da população total de pacientes
• Pacientes com seguro insuficiente: 18,7% da população total de pacientes
• Total não seguro/sub -seguro: 31% da base de pacientes

Pacientes com doenças crônicas

Os sistemas comunitários de saúde têm como alvo o gerenciamento crônico de doenças em várias especialidades:

Categoria de doenças crônicas	Volume do paciente
Gerenciamento de diabetes	275.000 pacientes
Doenças cardiovasculares	412.000 pacientes
Doenças respiratórias	189.000 pacientes

Populações idosas e envelhecidas

A demografia dos pacientes de Cyh para populações idosas em 2022:

• Pacientes do Medicare: 42,6% da base total de pacientes
• Pacientes com mais de 65 anos: 36,4% das admissões hospitalares
• Serviços de especialidade geriátrica: Disponível em 72 hospitais

Mercados de saúde locais e regionais

Penetração de mercado e cobertura de serviço para Cyh em 2022:

Segmento de mercado	Quota de mercado	Número de condados servidos
Mercados locais	23.5%	214 municípios
Mercados regionais	15.8%	16 estados

Community Health Systems, Inc. (CYH) - Modelo de negócios: estrutura de custos

Salários da equipe médica e compensação

A partir de 2023, o relatório anual, os sistemas comunitários de saúde relataram uma remuneração total dos funcionários de US $ 3,96 bilhões. O colapso inclui:

Categoria de funcionários	Remuneração anual
Médicos	US $ 1,42 bilhão
Equipe de enfermagem	US $ 1,28 bilhão
Pessoal administrativo	US $ 680 milhões
Equipe de apoio	US $ 560 milhões

Manutenção e operações da instalação hospitalar

As despesas relacionadas à instalação para 2023 totalizaram US $ 892 milhões, que incluíram:

• Utilitários: US $ 214 milhões
• Manutenção de edifícios: US $ 328 milhões
• Reparos da instalação: US $ 186 milhões
• Limpeza e saneamento: US $ 164 milhões

Equipamentos médicos e investimentos em tecnologia

Os gastos com tecnologia e equipamentos em 2023 foram de US $ 512 milhões, distribuídos da seguinte forma:

Categoria de equipamento	Investimento
Equipamento de diagnóstico	US $ 218 milhões
Tecnologias cirúrgicas	US $ 164 milhões
Infraestrutura de TI	US $ 130 milhões

Conformidade em saúde e despesas regulatórias

Os custos relacionados à conformidade para 2023 totalizaram US $ 276 milhões, incluindo:

• Relatórios regulatórios: US $ 98 milhões
• Conformidade legal: US $ 82 milhões
• Garantia de qualidade: US $ 96 milhões

Custos de marketing e aquisição de pacientes

As despesas de marketing para 2023 totalizaram US $ 187 milhões, com a seguinte alocação:

Canal de marketing	Gastos
Marketing digital	US $ 76 milhões
Publicidade tradicional	US $ 58 milhões
Alcance da comunidade	US $ 53 milhões

Community Health Systems, Inc. (CYH) - Modelo de negócios: fluxos de receita

Receita de serviço do paciente

Para o ano fiscal de 2023, os sistemas comunitários de saúde reportaram receitas líquidas totais de US $ 11,6 bilhões, com as receitas do serviço do paciente compreendendo a fonte de renda primária.

Categoria de receita	Valor (2023)
Receita total de pacientes líquidos	US $ 11,6 bilhões
Serviços de internação	US $ 7,2 bilhões
Serviços ambulatoriais	US $ 4,4 bilhões

Reembolsos de seguros

Os reembolsos de seguros representam um fluxo crítico de receita, representando aproximadamente 65% do total de receitas de serviço do paciente.

• Reembolsos de seguro comercial: US $ 5,1 bilhões
• Pagamentos privados de seguro de saúde: US $ 3,8 bilhões
• Pagamentos da organização de cuidados gerenciados: US $ 2,3 bilhões

Pagamentos do Medicare e Medicaid

Os reembolsos do Programa de Saúde do Governo constituem uma parcela significativa da estrutura de receita de Cyh.

Programa	Valor da receita (2023)	Porcentagem da receita total
Pagamentos do Medicare	US $ 2,9 bilhões	25%
Pagamentos do Medicaid	US $ 1,7 bilhão	15%

Taxas de serviço ambulatorial e hospitalar

O CYH gera receita através de diversas estruturas de taxas de serviço em vários modelos de prestação de serviços de saúde.

• Taxa média de serviço hospitalar: US $ 15.200 por admissão
• Taxa média de serviço ambulatorial: US $ 3.750 por visita
• Taxa de visita do departamento de emergência: US $ 1.850 por encontro

Serviços de saúde auxiliares e tratamentos especializados

Os serviços suplementares contribuem com fluxos de receita adicionais para sistemas comunitários de saúde.

Serviço auxiliar	Receita anual
Diagnóstico imagens	US $ 620 milhões
Serviços de laboratório	US $ 450 milhões
Programas de tratamento especializados	US $ 380 milhões

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.