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On January 20, 2026, CHS/Community Health Systems, Inc.

Key Takeaway: On January 20, 2026, Community Health Systems, Inc. (CHS) completed an asset purchase agreement with Huntsville Hospital Health System for approximately $459 million. The deal involves significant assets and liabilities related to Crestwood Medical Center and its outpatient services. Though CHS expects improved financial metrics reflected in the pro forma financial statements, the divestment raises questions about its broader operational strategies and future performance. Pro forma data suggest potential financial improvements but caution that actual results may differ materially.

Market Sentiment Analysis

POSITIVE FACTORS

  • CHS successfully completed a significant asset sale for $459 million.
  • The transaction allows CHS to streamline its operations and focus on core aspects.
  • The pro forma Statements indicate potential improvements to the company's financial standing.

CONCERNS & RISKS

  • The facility sold does not meet discontinued operations criteria, indicating concern over ongoing financial strategies.
  • Pro forma financial statements do not assure actual future financial performance.

Full Press Release Details

COMMUNITY HEALTH SYSTEMS, INC.
UNAUDITED PRO FORMA CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
On January 20, 2026, CHS/Community Health Systems, Inc. ( CHS ), a wholly-owned subsidiary of Community Health Systems, Inc. (the Company ), entered into a definitive asset purchase agreement (the Purchase Agreement ), with The Health Care Authority of the City of Huntsville, d/b/a Huntsville Hospital Health System (the Purchaser ), the entry into which Purchase Agreement was previously disclosed on a Current Report on Form 8-K filed by the Company with the Securities and Exchange Commission ( SEC ) on January 20, 2026. On April 1, 2026, the Transaction (as defined below) was completed pursuant to the Purchase Agreement. At the closing, Purchaser acquired substantially all of the assets and assumed certain liabilities from certain subsidiaries of CHS related to Crestwood Medical Center in Huntsville, Alabama, and its associated outpatient centers and practices (collectively, the Facility ) (the transactions contemplated by the Purchase Agreement, the Transaction ). The purchase price paid to CHS in connection with the closing of the Transaction, after giving effect to estimated working capital and before certain transaction expenses, was $459 million in cash (subject to a post-closing working capital adjustment).
The Company has determined that the operations of the Facility that was divested in the Transaction do not meet the definition of discontinued operations pursuant to Financial Accountings Standards Board Accounting Standards Codification 205 (ASC 205), Presentation of Financial Statements.
The accompanying unaudited pro forma condensed consolidated balance sheet of the Company is presented as if the Transaction had occurred as of December 31, 2025. The estimated gain on sale in connection with the Transaction is reflected in the unaudited pro forma condensed balance sheet within accumulated deficit.
The accompanying unaudited pro forma condensed consolidated statement of income for the year ended December 31, 2025 (the Pro Forma Period ) includes certain pro forma adjustments to illustrate the estimated effect of the Company's disposition, as if the Transaction had occurred on January 1, 2025. The amounts included in the historical columns represent the Company's historical balance sheet and statement of income for the Pro Forma Periods presented.
The accompanying unaudited pro forma condensed consolidated financial statements have been prepared in accordance with Article 11 of Regulation S-X and do not include all of the information and note disclosures required by generally accepted accounting principles of the United States ( GAAP ). Pro forma financial information is intended to provide information about the continuing impact of a transaction by showing how a specific transaction might have affected historical financial statements. Pro forma financial information illustrates only the isolated and objectively measurable (based on historically determined amounts) effects of a particular transaction, and excludes effects based on judgmental estimates of how historical management practices and operating decisions may or may not have changed as a result of the transaction. Therefore, pro forma financial information does not include information about the possible or expected impact of current actions taken by management in response to the Transaction, as if management's actions were carried out in previous reporting periods.
The unaudited pro forma condensed consolidated financial information is subject to the assumptions and adjustments described in the accompanying notes. These assumptions and adjustments are based on information presently available. Actual adjustments may differ materially from the information presented. The unaudited pro forma condensed consolidated financial statements are based on the historical financial statements of the Company for each period presented and in the opinion of the Company's management, all adjustments and disclosures necessary for a fair presentation of the pro forma data have been made. These unaudited pro forma condensed consolidated financial statements are presented for illustrative purposes only and are not necessarily indicative of the results of operations or financial condition that would have been achieved had events reflected been completed as of the dates indicated, and may not be useful in predicting the impact of the Transaction on the future financial condition and results of operations of the Company due to a variety of factors. These unaudited pro forma condensed consolidated financial statements and the notes thereto should be read in conjunction with the Company's financial statements for the year ended December 31, 2025, included in the Annual Report on Form 10-K filed by the Company with the SEC on February 19, 2026.
Unaudited Pro Forma Condensed Consolidated Balance Sheet
(In millions)
December 31, 2025
Pro Forma
As Reported Adjustments Pro Forma
ASSETS
Current assets
Cash and cash equivalents $ 260 $ 450 a $ 710
Patient accounts receivable 2,077 - 2,077
Supplies 322 (10 ) b 312
Prepaid income taxes 13 (13 ) c -
Prepaid expenses and taxes 181 (1 ) b 180
Other current assets 381 - 381
Total current assets 3,234 426 3,660
Property and equipment 8,912 (253 ) b 8,659
Less accumulated depreciation and amortization (4,409 ) 122 b (4,287 )
Property and equipment, net 4,503 (131 ) 4,372
Goodwill 3,316 (129 ) b 3,187
Deferred income taxes 50 - 50
Other assets, net 2,101 (27 ) b 2,074
Total assets $ 13,204 $ 139 $ 13,343
LIABILITIES AND STOCKHOLDERS' DEFICIT
Current liabilities
Current maturities of long-term debt $ 16 $ - $ 16
Current operating lease liabilities 110 (5 ) b 105
Accounts payable 842 - 842
Income tax payable - 34 c 34
Accrued liabilities:
Employee compensation 569 (4 ) b 565
Accrued interest 238 - 238
Other 433 - 433
Total current liabilities 2,208 25 2,233
Long-term debt 10,380 - 10,380
Deferred income taxes 25 - 25
Long-term operating lease liabilities 537 (20 ) b 517
Other long-term liabilities 891 - 891
Total liabilities 14,041 5 14,046
Redeemable noncontrolling interests in equity of consolidated subsidiaries 322 (4 ) b 318
STOCKHOLDERS ' DEFICIT
Community Health Systems, Inc. stockholders' deficit:
Preferred stock - - -
Common stock 1 - 1
Additional paid-in capital 2,185 - 2,185
Accumulated other comprehensive loss (9 ) - (9 )
Accumulated deficit (3,571 ) 138 d (3,433 )
Total Community Health Systems, Inc. stockholders' deficit (1,394 ) 138 (1,256 )
Noncontrolling interests in equity of consolidated subsidiaries 235 - 235
Total stockholders ' deficit (1,159 ) 138 (1,021 )
Total liabilities and stockholders ' deficit $ 13,204 $ 139 $ 13,343
Unaudited Pro Forma Condensed Consolidated Statement of Income
(In millions, except per share amounts)
Year Ended December 31, 2025
Pro Forma
As Reported Adjustments Pro Forma
Net operating revenues $ 12,485 $ (327 ) e $ 12,158
Operating costs and expenses:
Salaries and benefits 5,412 (123 ) e 5,289
Supplies 1,864 (63 ) e 1,801
Other operating expenses 3,424 (88 ) e 3,336
Lease cost and rent 277 (11 ) e 266
Depreciation and amortization 426 (13 ) e 413
Impairment and (gain) loss on sale of businesses, net (406 ) (185 ) d (591 )
Total operating costs and expenses 10,997 (483 ) 10,514
Income from operations 1,488 156 1,644
Interest expense, net 870 - 870
Gain from early extinguishment of debt (97 ) - (97 )
Equity in earnings of unconsolidated affiliates (9 ) - (9 )
Loss before income taxes 724 156 880
Provision for income taxes 48 54 c, d 102
Net loss attributable to Community Health Systems, 676 102 778
Less: Net income attributable to noncontrolling interests 167 1 e 168
Net loss attributable to Community Health Systems,
Inc. stockholders $ 509 $ 101 $ 610
Loss per share attributable to Community
Health Systems, Inc. stockholders:
Basic $ 3.81 $ 4.57
Diluted $ 3.77 $ 4.52
Weighted-average number of shares outstanding:
Basic 134 134
Diluted 135 135
NOTES TO THE UNAUDITED PRO FORMA CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
The following items resulted in adjustments in the unaudited pro forma condensed consolidated financial information:
a)Adjustment represents consideration received from the sale of the Facility of approximately $459 million, net of transaction expenses of $9 million.
b)Adjustments represent the elimination of assets and liabilities held for sale attributable to the Facility.
c)Adjustments represent the impact to income taxes associated with the sale of the Facility. For the twelve months ended December 31, 2025, there was income tax expense of approximately $54 million, including $7 million related to the elimination of revenues, costs and expenses set forth in Note (e) plus income tax expense of approximately $47 million related to the sale. The estimated tax effect of pro forma adjustments is calculated at the statutory rate for the respective period adjusted for discrete impacts including changes in valuation allowances.
d)Adjustments reflect a $185 million pre-tax gain ($138 million after tax) on sale of the Facility calculated as follows:
Consideration received $ 459
Less: Transaction expenses (9 )
Less: Carrying value of the Facility (136 )
Less: Goodwill allocated to sale of the Facility (129 )
Pro forma gain before income taxes 185
Provision for income taxes (47 )
Pro forma net gain on sale of the Facility $ 138
e)Adjustments reflect the elimination of revenues, costs and expenses directly attributable to the Facility. Adjustments do not include certain general corporate overhead costs previously allocated to the Facility that will have a continuing effect on the Company post-closing.

Frequently Asked Questions

What was the asset purchase price for Crestwood Medical Center?

The asset purchase price for Crestwood Medical Center was $459 million.

When was the transaction for Crestwood Medical Center completed?

The transaction was completed on April 1, 2026.

Do the operations of the divested facility count as discontinued?

No, the operations of the divested facility do not qualify as discontinued.

What financial statements are included in the pro forma report?

The report includes a pro forma condensed balance sheet and income statement.

What is the purpose of pro forma financial information?

Pro forma financial information shows the estimated impact of a transaction on historical statements.

Last updated: Apr 1, 2026