Full Press Release Details
| Investor Contact: | Thomas J. Aaron | |
| Executive Vice President | ||
| and Chief Financial Officer | ||
| (615) 465-7000 |
COMMUNITY HEALTH SYSTEMS, INC. ANNOUNCES
THIRD QUARTER 2018 RESULTS WITH NET OPERATING REVENUES OF $3.451 BILLION
FRANKLIN, Tenn. (October 29, 2018) Community Health Systems, Inc. (NYSE: CYH) (the Company ) today announced financial and operating results
for the three and nine months ended September 30, 2018.
The following highlights the financial and operating results for the three
months ended September 30, 2018.
Net operating revenues for the three months ended
September 30, 2018, totaled $3.451 billion, a 5.9 percent decrease, compared with $3.666 billion for the same period in 2017.
Net loss attributable to Community Health Systems, Inc. common stockholders was $(325) million, or $(2.88) per share (diluted), for the three
months ended September 30, 2018, compared with $(110) million, or $(0.98) per share (diluted), for the same period in 2017. Excluding the adjusting items as presented in the table in footnote (h) on page 15, net loss attributable to
Community Health Systems, Inc. common stockholders was $(1.64) per share (diluted), for the three months ended September 30, 2018, compared with $(0.79) per share (diluted) for the same period in 2017. Weighted-average shares outstanding
(diluted) were 113 million for the three months ended September 30, 2018, and 112 million for the three months ended September 30, 2017.
Adjusted EBITDA for the three months ended September 30, 2018, was $372 million compared with $331 million for the same period
in 2017, representing a 12.4 percent increase.
The consolidated operating results for the three months ended September 30,
2018, reflect a 12.4 percent decrease in total admissions, and a 12.2 percent decrease in total adjusted admissions, compared with the same period in 2017. On a same-store basis, admissions decreased 2.3 percent and adjusted
admissions decreased 0.8 percent during the three months ended September 30, 2018, compared with the same period in 2017. On a same-store basis, net operating revenues increased 3.2 percent during the three months ended
September 30, 2018, compared with the same period in 2017.
CYH Announces Third Quarter 2018 Results
Net operating revenues for the nine months ended September 30, 2018, totaled
$10.702 billion, a 13.0 percent decrease, compared with $12.295 billion for the same period in 2017.
Net loss attributable
to Community Health Systems, Inc. common stockholders was $(460) million, or $(4.08) per share (diluted), for the nine months ended September 30, 2018, compared with $(446) million, or $(3.99) per share (diluted), for the same period in 2017.
Excluding the adjusting items as presented in the table in footnote (h) on page 15, net loss attributable to Community Health Systems, Inc. common stockholders was $(1.52) per share (diluted) for the nine months ended September 30, 2018,
compared with net loss of $(0.98) per share (diluted) for the same period in 2017. Weighted-average shares outstanding (diluted) were 113 million for the nine months ended September 30, 2018, and 112 million for the nine months ended
Adjusted EBITDA for the nine months ended September 30, 2018, was $1.223 billion compared with
$1.294 billion for the same period in 2017, representing a 5.5 percent decrease.
The consolidated operating results for the
nine months ended September 30, 2018, reflect a 16.5 percent decrease in total admissions, and a 16.9 percent decrease in total adjusted admissions, compared with the same period in 2017. On a same-store basis, admissions decreased
2.4 percent and adjusted admissions decreased 0.9 percent during the nine months ended September 30, 2018, compared with the same period in 2017. On a same-store basis, net operating revenues increased 2.6 percent during the nine
months ended September 30, 2018, compared with the same period in 2017.
On September 25, 2018, the Company issued a press
release to announce a global resolution and settlement agreements ending the U.S. Department of Justice investigation into certain conduct of Health Management Associates, Inc. ( HMA ) and its affiliated entities and settling qui tam
lawsuits that were initiated and pending, and known to the Company, before the Company s acquisition by merger of HMA in 2014. The Company previously recorded an estimated liability at fair value of the remaining underlying claims that are
covered by the CVR agreement as part of the acquisition accounting for HMA. This liability has been adjusted as of September 30, 2018, to take into account the settlement amount contemplated by the global settlement agreements, including
interest, of $266 million and has been reclassified as a current liability in other accrued liabilities on the condensed consolidated balance sheet at September 30, 2018. This settlement amount will be paid in the fourth quarter of 2018.
In addition, certain components of the settlement payment are not considered deductible for income taxes because of recent changes to the U.S. tax code from the Tax Cuts and Jobs Act enacted in December 2017, which resulted in approximately
$23 million in deferred tax expense during the third quarter of 2018 from the write-off of the related deferred tax assets.
Commenting on the results, Wayne T. Smith, chairman and chief executive officer of Community Health Systems, Inc., said, We are pleased
with the progress we made in the third quarter, and we are encouraged by the momentum we are seeing from strategic and operational initiatives that have been implemented across our portfolio of hospitals. We are especially pleased with same store
performance in many of our core markets. We believe our overall performance will continue to improve as we complete additional divestitures and direct our investments into markets where we have the greatest opportunities for growth.
During 2018, the Company has completed nine hospital divestitures. In addition, the Company has entered into definitive agreements to sell
five additional hospitals, which divestitures have not yet been completed. The Company is pursuing additional interests for sale transactions involving hospitals, which, together with the hospitals that are currently subject to definitive agreements
and the hospitals that have been divested during 2018, had a combined total of at least $2.0 billion in annual net operating revenues and combined mid-single digit Adjusted EBITDA margins during 2017.
These sale transactions are currently in various stages of negotiation with potential buyers. There can be no assurance that these potential divestitures (or the potential divestitures currently subject to definitive agreements) will be completed,
or if they are completed, the ultimate timing of the completion of these divestitures. The Company continues to receive interest from potential acquirers for certain of its hospitals.
CYH Announces Third Quarter 2018 Results
Financial and statistical data for 2018 and 2017 presented in this press release includes the
operating results of divested hospitals through the effective closing date of each respective divestiture. Same-store operating results exclude the results of the hospitals divested in 2018 and 2017.
Information About Non-GAAP Financial Measures
Adjusted EBITDA, a non-GAAP financial measure, is EBITDA adjusted to add back net income attributable
to noncontrolling interests and to exclude the effect of discontinued operations, loss (gain) from early extinguishment of debt, impairment and (gain) loss on sale of businesses, gain on sale of investments in unconsolidated affiliates, expense
incurred related to the spin-off of QHC, expense incurred related to the sale of a majority ownership interest in the Company s home care division, expense (income) related to government and other legal
settlements and related costs, expense related to employee termination benefits and other restructuring charges, expense (income) from settlement and fair value adjustments on the CVR agreement liability related to the HMA legal proceedings and
related legal expenses, and the overall impact of the change in estimate related to net patient revenue recorded in the fourth quarter of 2017 resulting from the increase in contractual allowances and the provision for bad debts.
For information regarding why the Company believes Adjusted EBITDA provides useful information to investors, and for a reconciliation of
Adjusted EBITDA to net income attributable to Community Health Systems, Inc. stockholders, see footnote (e) to the Financial Highlights, Financial Statements and Selected Operating Data below.
Additionally, the Company has provided adjusted loss from continuing operations attributable to Community Health Systems, Inc. common
stockholders per share (diluted) and adjusted net loss attributable to Community Health Systems, Inc. common stockholders per share (diluted) to reflect the impact on earnings per share from the selected items used in the calculation of Adjusted
EBITDA. For a presentation and reconciliation of these measures, see footnote (h) to the Financial Highlights, Financial Statements and Selected Operating Data below.
Included on pages 17, 18, 19 and 20 of this press release are tables setting forth the Company s 2018 updated annual earnings guidance.
The 2018 guidance is based on the Company s historical operating performance, current trends and other assumptions that the Company believes are reasonable at this time, and reflects the impact of planned divestitures in 2018.
Community Health Systems, Inc. is one of the largest publicly traded hospital companies in the United States and a leading operator of general
acute care hospitals in communities across the country. The Company, through its subsidiaries, owns, leases or operates 117 affiliated hospitals in 20 states with an aggregate of approximately 19,000 licensed beds.
The Company s headquarters are located in Franklin, Tennessee, a suburb south of Nashville. Shares in Community Health Systems, Inc. are
traded on the New York Stock Exchange under the symbol CYH. More information about the Company can be found on its website at www.chs.net.
Community Health Systems, Inc. will hold a conference call on Tuesday, October 30, 2018, at 10:00 a.m. Central, 11:00 a.m. Eastern, to
review financial and operating results for the third quarter ended September 30, 2018. Investors will have the opportunity to listen to a live Internet broadcast of the conference call by clicking on the Investor Relations link of the
Company s website at www.chs.net. To listen to the live call, please go to the website at least fifteen minutes early to register, download and install any necessary audio software. For those who cannot listen to the live broadcast, a
replay will be available shortly after the call and will continue to be available through November 30, 2018. Copies of this press release and conference call slide show, as well as the Company s Current Report on Form 8-K (including this press release), will be available on the Company s website at www.chs.net.
CYH Announces Third Quarter 2018 Results
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
Financial Highlights (a)(b)(c)(d)
(In millions, except per share amounts)
| Three Months Ended | Nine Months Ended | |||||||||||||||
| September 30, | September 30, | |||||||||||||||
| 2018 | 2017 | 2018 | 2017 | |||||||||||||
| Net operating revenues (k) | $ | 3,451 | $ | 3,666 | $ | 10,702 | $ | 12,295 | ||||||||
| Loss from continuing operations (f), (i), (j) | (308 | ) | (88 | ) | (405 | ) | (380 | ) | ||||||||
| Net loss attributable to Community Health Systems, Inc. stockholders | (325 | ) | (110 | ) | (460 | ) | (446 | ) | ||||||||
| Adjusted EBITDA (e) | 372 | 331 | 1,223 | 1,294 | ||||||||||||
| Net cash provided by operating activities | 346 | 114 | 440 | 617 | ||||||||||||
| Basic loss per share attributable to Community Health Systems, Inc. common stockholders: | ||||||||||||||||
| Continuing operations (f), (i), (j) | $ | (2.88 | ) | $ | (0.96 | ) | $ | (4.08 | ) | $ | (3.91 | ) | ||||
| Discontinued operations | (0.02 | ) | (0.08 | ) | ||||||||||||
| Net loss | $ | (2.88 | ) | $ | (0.98 | ) | $ | (4.08 | ) | $ | (3.99 | ) | ||||
| Diluted loss per share attributable to Community Health Systems, Inc. common stockholders: | ||||||||||||||||
| Continuing operations (f), (h), (i), (j) | $ | (2.88 | ) | $ | (0.96 | ) | $ | (4.08 | ) | $ | (3.91 | ) | ||||
| Discontinued operations | (0.02 | ) | (0.08 | ) | ||||||||||||
| Net loss (h) | $ | (2.88 | ) | $ | (0.98 | ) | $ | (4.08 | ) | $ | (3.99 | ) | ||||
| Weighted-average number of shares outstanding (g): | ||||||||||||||||
| Basic | 113 | 112 | 113 | 112 | ||||||||||||
| Diluted | 113 | 112 | 113 | 112 |
footnotes, see pages 12, 13, 14, 15 and 16.
CYH Announces Third Quarter 2018 Results
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
Condensed Consolidated Statements of Loss (a)(b)(c)(d)
(In millions, except per share amounts)
| Three Months Ended September 30, | ||||||||||||||||
| 2018 | 2017 | |||||||||||||||
| Amount | % of Net Operating Revenues | Amount | % of Net Operating Revenues | |||||||||||||
| Operating revenues (net of contractual allowances and discounts) | $ | 4,333 | ||||||||||||||
| Provision for bad debts | 667 | |||||||||||||||
| Net operating revenues (k) | $ | 3,451 | 100.0 % | 3,666 | 100.0 % | |||||||||||
| Operating costs and expenses: | ||||||||||||||||
| Salaries and benefits | 1,585 | 45.9 % | 1,724 | 47.0 % | ||||||||||||
| Supplies | 565 | 16.4 % | 610 | 16.6 % | ||||||||||||
| Other operating expenses | 858 | 24.9 % | 911 | 24.9 % | ||||||||||||
| Government and other legal settlements and related costs (j) | 2 | 0.1 % | 1 | % | ||||||||||||
| Electronic health records incentive reimbursement | (1) | % | (2) | % | ||||||||||||
| Rent | 83 | 2.4 % | 93 | 2.5 % | ||||||||||||
| Depreciation and amortization | 173 | 5.0 % | 206 | 5.6 % | ||||||||||||
| Impairment and (gain) loss on sale of businesses, net (i) | 112 | 3.2 % | 33 | 0.9 % | ||||||||||||
| Total operating costs and expenses | 3,377 | 97.9 % | 3,576 | 97.5 % | ||||||||||||
| Income from operations (f), (i), (j) | 74 | 2.1 % | 90 | 2.5 % | ||||||||||||
| Interest expense, net | 256 | 7.3 % | 238 | 6.5 % | ||||||||||||
| Loss from early extinguishment of debt | 27 | 0.8 % | 4 | 0.1 % | ||||||||||||
| Equity in earnings of unconsolidated affiliates | (5) | (0.1)% | (5) | (0.1)% | ||||||||||||
| Loss from continuing operations before income taxes | (204) | (5.9)% | (147) | (4.0)% | ||||||||||||
| Provision for (benefit from) income taxes | 104 | 3.0 % | (59) | (1.6)% | ||||||||||||
| Loss from continuing operations (f), (i), (j) | (308) | (8.9)% | (88) | (2.4)% | ||||||||||||
| Discontinued operations, net of taxes: | ||||||||||||||||
| Loss from operations of entities sold or held for sale | % | (1) | % | |||||||||||||
| Impairment of hospitals sold or held for sale | % | (1) | % | |||||||||||||
| Loss from discontinued operations, net of taxes | % | (2) | (0.1)% | |||||||||||||
| Net loss | (308) | (8.9)% | (90) | (2.5)% | ||||||||||||
| Less: Net income attributable to noncontrolling interests | 17 | 0.5 % | 20 | 0.5 % | ||||||||||||
| Net loss attributable to Community Health Systems, Inc. stockholders | $ | (325) | (9.4)% | $ | (110) | (3.0)% | ||||||||||
| Basic loss per share attributable to Community Health Systems, Inc. common stockholders: | ||||||||||||||||
| Continuing operations (f), (i), (j) | $ | (2.88) | $ | (0.96) | ||||||||||||
| Discontinued operations | (0.02) | |||||||||||||||
| Net loss | $ | (2.88) | $ | (0.98) | ||||||||||||
| Diluted loss per share attributable to Community Health Systems, Inc. common stockholders: | ||||||||||||||||
| Continuing operations (f), (h), (i), (j) | $ | (2.88) | $ | (0.96) | ||||||||||||
| Discontinued operations | (0.02) | |||||||||||||||
| Net loss (h) | $ | (2.88) | $ | (0.98) | ||||||||||||
| Weighted-average number of shares outstanding (g): | ||||||||||||||||
| Basic | 113 | 112 | ||||||||||||||
| Diluted | 113 | 112 |
footnotes, see pages 12, 13, 14, 15 and 16.
CYH Announces Third Quarter 2018 Results
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
Condensed Consolidated Statements of Loss (a)(b)(c)(d)
(In millions, except per share amounts)
| Nine Months Ended September 30, | ||||||||||||||||
| 2018 | 2017 | |||||||||||||||
| Amount | % of Net Operating Revenues | Amount | % of Net Operating Revenues | |||||||||||||
| Operating revenues (net of contractual allowances and discounts) | $ | 14,323 | ||||||||||||||
| Provision for bad debts | 2,028 | |||||||||||||||
| Net operating revenues (k) | $ | 10,702 | 100.0 % | 12,295 | 100.0 % | |||||||||||
| Operating costs and expenses: | ||||||||||||||||
| Salaries and benefits | 4,850 | 45.3 % | 5,704 | 46.4 % | ||||||||||||
| Supplies | 1,773 | 16.6 % | 2,056 | 16.7 % | ||||||||||||
| Other operating expenses | 2,646 | 24.7 % | 2,984 | 24.3 % | ||||||||||||
| Government and other legal settlements and related costs (j) | 9 | 0.1 % | (32) | (0.3)% | ||||||||||||
| Electronic health records incentive reimbursement | (2) | % | (25) | (0.2)% | ||||||||||||
| Rent | 257 | 2.4 % | 306 | 2.5 % | ||||||||||||
| Depreciation and amortization | 531 | 5.0 % | 665 | 5.4 % | ||||||||||||
| Impairment and (gain) loss on sale of businesses, net (i) | 314 | 2.9 % | 363 | 3.0 % | ||||||||||||
| Total operating costs and expenses | 10,378 | 97.0 % | 12,021 | 97.8 % | ||||||||||||
| Income from operations (f), (i), (j) | 324 | 3.0 % | 274 | 2.2 % | ||||||||||||
| Interest expense, net | 720 | 6.7 % | 706 | 5.7 % | ||||||||||||
| (Gain) loss from early extinguishment of debt | (32) | (0.3)% | 35 | 0.3 % | ||||||||||||
| Equity in earnings of unconsolidated affiliates | (17) | (0.2)% | (13) | (0.1)% | ||||||||||||
| Loss from continuing operations before income taxes | (347) | (3.2)% | (454) | (3.7)% | ||||||||||||
| Provision for (benefit from) income taxes | 58 | 0.6 % | (74) | (0.6)% | ||||||||||||
| Loss from continuing operations (f), (i), (j) | (405) | (3.8)% | (380) | (3.1)% | ||||||||||||
| Discontinued operations, net of taxes: | ||||||||||||||||
| Loss from operations of entities sold or held for sale | % | (4) | % | |||||||||||||
| Impairment of hospitals sold or held for sale | % | (6) | % | |||||||||||||
| Loss from discontinued operations, net of taxes | % | (10) | (0.1)% | |||||||||||||
| Net loss | (405) | (3.8)% | (390) | (3.2)% | ||||||||||||
| Less: Net income attributable to noncontrolling interests | 55 | 0.5 % | 56 | 0.4 % | ||||||||||||
| Net loss attributable to Community Health Systems, Inc. stockholders | $ | (460) | (4.3)% | $ | (446) | (3.6)% | ||||||||||
| Basic loss per share attributable to Community Health Systems, Inc. common stockholders: | ||||||||||||||||
| Continuing operations (f), (i), (j) | $ | (4.08) | $ | (3.91) | ||||||||||||
| Discontinued operations | (0.08) | |||||||||||||||
| Net loss | $ | (4.08) | $ | (3.99) | ||||||||||||
| Diluted loss per share attributable to Community Health Systems, Inc. common stockholders: | ||||||||||||||||
| Continuing operations (f), (h), (i), (j) | $ | (4.08) | $ | (3.91) | ||||||||||||
| Discontinued operations | (0.08) | |||||||||||||||
| Net loss (h) | $ | (4.08) | $ | (3.99) | ||||||||||||
| Weighted-average number of shares outstanding (g): | ||||||||||||||||
| Basic | 113 | 112 | ||||||||||||||
| Diluted | 113 | 112 |
footnotes, see pages 12, 13, 14, 15 and 16.
CYH Announces Third Quarter 2018 Results
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
Condensed Consolidated Statements of Comprehensive Loss
| Three Months Ended | Nine Months Ended | |||||||||||||||
| September 30, | September 30, | |||||||||||||||
| 2018 | 2017 | 2018 | 2017 | |||||||||||||
| Net loss | $ | (308 | ) | $ | (90 | ) | $ | (405 | ) | $ | (390 | ) | ||||
| Other comprehensive income (loss), net of income taxes: | ||||||||||||||||
| Net change in fair value of interest rate swaps, net of tax | 2 | 5 | 26 | 8 | ||||||||||||
| Net change in fair value of available-for-sale securities, net of tax | 2 | (2 | ) | 7 | ||||||||||||
| Amortization and recognition of unrecognized pension cost components, net of tax | 1 | 1 | 2 | |||||||||||||
| Other comprehensive income | 2 | 8 | 25 | 17 | ||||||||||||
| Comprehensive loss | (306 | ) | (82 | ) | (380 | ) | (373 | ) | ||||||||
| Less: Comprehensive income attributable to noncontrolling interests | 17 | 20 | 55 | 56 | ||||||||||||
| Comprehensive loss attributable to Community Health Systems, Inc. stockholders | $ | (323 | ) | $ | (102 | ) | $ | (435 | ) | $ | (429 | ) |
footnotes, see pages 12, 13, 14, 15 and 16.
CYH Announces Third Quarter 2018 Results
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
Selected Operating Data (a)(c)
(Dollars in millions)
| Three Months Ended September 30, | ||||||||||||||||||||||||
| Consolidated | Same-Store | |||||||||||||||||||||||
| 2018 | 2017 | % Change | 2018 | 2017 | % Change | |||||||||||||||||||
| Number of hospitals (at end of period) | 118 | 133 | 117 | 117 | ||||||||||||||||||||
| Licensed beds (at end of period) | 19,684 | 22,012 | 19,558 | 19,562 | ||||||||||||||||||||
| Beds in service (at end of period) | 17,294 | 19,616 | 17,184 | 17,369 | ||||||||||||||||||||
| Admissions | 150,730 | 171,994 | -12.4 | % | 148,786 | 152,261 | -2.3 | % | ||||||||||||||||
| Adjusted admissions | 330,681 | 376,597 | -12.2 | % | 326,969 | 329,566 | -0.8 | % | ||||||||||||||||
| Patient days | 669,035 | 756,186 | 661,106 | 671,487 | ||||||||||||||||||||
| Average length of stay (days) | 4.4 | 4.4 | 4.4 | 4.4 | ||||||||||||||||||||
| Occupancy rate (average beds in service) | 41.7 | % | 41.8 | % | 41.8 | % | 42.0 | % | ||||||||||||||||
| Net operating revenues (k) | $ | 3,451 | $ | 3,666 | -5.9 | % | $ | 3,434 | $ | 3,329 | 3.2 | % | ||||||||||||
| Net inpatient revenues as a % of net operating revenues | 47.1 | % | 47.6 | % | 47.0 | % | 47.8 | % | ||||||||||||||||
| Net outpatient revenues as a % of net operating revenues | 52.9 | % | 52.4 | % | 53.0 | % | 52.2 | % | ||||||||||||||||
| Income from operations (f), (i), (j) | $ | 74 | $ | 90 | -17.8 | % | ||||||||||||||||||
| Income from operations as a % of net operating revenues | 2.1 | % | 2.5 | % | ||||||||||||||||||||
| Depreciation and amortization | $ | 173 | $ | 206 | ||||||||||||||||||||
| Equity in earnings of unconsolidated affiliates | $ | (5 | ) | $ | (5 | ) | ||||||||||||||||||
| Net loss attributable to Community Health Systems, Inc. stockholders | $ | (325 | ) | $ | (110 | ) | -195.5 | % | ||||||||||||||||
| Net loss attributable to Community Health Systems, Inc. stockholders as a % of net operating revenues | -9.4 | % | -3.0 | % | ||||||||||||||||||||
| Adjusted EBITDA (e) | $ | 372 | $ | 331 | 12.4 | % | ||||||||||||||||||
| Adjusted EBITDA as a % of net operating revenues | 10.8 | % | 9.0 | % | ||||||||||||||||||||
| Net cash provided by operating activities | $ | 346 | $ | 114 | 203.5 | % |
footnotes, see pages 12, 13, 14, 15 and 16.