Form 8-K
COMMUNITY HEALTH SYSTEMS INC false 0001108109 0001108109 2020-10-27 2020-10-27

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM 8-K

 

 

CURRENT REPORT

Pursuant to Section 13 or 15(d)

of The Securities Exchange Act of 1934

Date of Report (date of earliest event reported): October 27, 2020

 

 

COMMUNITY HEALTH SYSTEMS, INC.

(Exact name of registrant as specified in its charter)

 

 

 

Delaware   001-15925   13-3893191

(State or other jurisdiction

of incorporation)

 

(Commission

File Number)

 

(I.R.S. Employer

Identification No.)

4000 Meridian Boulevard

Franklin, Tennessee 37067

(Address of principal executive offices)

Registrant’s telephone number, including area code: (615) 465-7000

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):

 

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class

 

Trading

Symbol(s)

 

Name of each exchange

on which registered

Common Stock, $0.01 par value   CYH   New York Stock Exchange

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company  

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.  ☐

 

 

 


The information contained in this Current Report on Form 8-K (including the exhibits hereto) shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as shall be expressly set forth by specific reference in any such filing.

 

ITEM 2.02

Results of Operations and Financial Condition

On October 27, 2020, Community Health Systems, Inc. (the “Company”) announced operating results for the third quarter ended September 30, 2020. A copy of the press release making this announcement is attached as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated by reference into this Item 2.02.

 

ITEM 7.01

Regulation FD Disclosure

On October 27, 2020, the Company announced operating results for the third quarter ended September 30, 2020 in a press release attached as Exhibit 99.1 to this Current Report on Form 8-K which is incorporated by reference into this Item 7.01.

 

ITEM 9.01

Financial Statements and Exhibits

(d) Exhibits

The following exhibits are furnished herewith:

 

Exhibit
Number

  

Description

99.1    Community Health Systems, Inc. Press Release, dated October 27, 2020.
104    Cover Page Interactive Data File (embedded within the Inline XBRL document).

 

2


SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this Report to be signed on its behalf by the undersigned hereunto duly authorized.

 

Date: October 27, 2020     COMMUNITY HEALTH SYSTEMS, INC.
     

(Registrant)

    By:  

/s/ Wayne T. Smith

      Wayne T. Smith
      Chairman of the Board and Chief Executive Officer
      (principal executive officer)
    By:  

/s/ Kevin J. Hammons

      Kevin J. Hammons
      Executive Vice President and Chief Financial Officer
      (principal financial officer)
    By:  

/s/ Jason K. Johnson

      Jason K. Johnson
      Senior Vice President and Chief Accounting Officer
      (principal accounting officer)

 

3

EX-99.1
LOGO   

Exhibit Number

99.1

Investor Contact:         Kevin Hammons

     Executive Vice President

     and Chief Financial Officer

     (615) 465-7000

COMMUNITY HEALTH SYSTEMS, INC. ANNOUNCES

THIRD QUARTER 2020 RESULTS

 

 

FRANKLIN, Tenn. (October 27, 2020) – Community Health Systems, Inc. (NYSE: CYH) (the “Company”) today announced financial and operating results for the three and nine months ended September 30, 2020.

The following highlights the financial and operating results for the three months ended September 30, 2020.

 

   

Net operating revenues totaled $3.126 billion.

 

   

Net income attributable to Community Health Systems, Inc. common stockholders was $112 million, or $0.97 per share (diluted), compared with net loss of $(17) million, or $(0.15) per share (diluted), for the same period in 2019. Excluding the adjusting items as presented in the table in footnote (e) on page 17, net income attributable to Community Health Systems, Inc. common stockholders was $0.18 per share (diluted), compared to net loss of $(0.29) per share (diluted) for the same period in 2019.

 

   

Adjusted EBITDA was $431 million, compared with $388 million for the same period in 2019.

 

   

No pandemic relief funds from the CARES Act, PPPHCE Act or other sources of relief were recognized during the three months ended September 30, 2020, as further discussed below.

 

   

Net cash provided by operating activities was $393 million, compared with net cash used in operating activities of $(74) million for the same period in 2019.

 

   

Approximately $261 million principal amount of notes outstanding were extinguished through open market repurchases during the three months ended September 30, 2020.

 

   

On a same-store basis, admissions decreased 6.2 percent and adjusted admissions decreased 11.5 percent, compared with the same period in 2019.

Net operating revenues for the three months ended September 30, 2020, totaled $3.126 billion, a 3.7 percent decrease compared with $3.246 billion for the same period in 2019.

Net income attributable to Community Health Systems, Inc. common stockholders was $112 million, or $0.97 per share (diluted), for the three months ended September 30, 2020, compared with net loss of $(17) million, or $(0.15) per share (diluted), for the same period in 2019. Excluding the adjusting items as presented in the table in footnote (e) on page 17, net income attributable to Community Health Systems, Inc. common stockholders was $0.18 per share (diluted), for the three months ended September 30, 2020, compared to net loss of $(0.29) per share (diluted) for the same period in 2019. Weighted-average shares outstanding (diluted) were 116 million and 114 million for the three months ended September 30, 2020 and 2019, respectively.

Adjusted EBITDA for the three months ended September 30, 2020, was $431 million compared with $388 million for the same period in 2019.

Payments received by the Company through the Public Health and Social Services Emergency Fund (the “PHSSEF”), as more specifically described below, had no net impact on net income attributable to Community Health Systems, Inc. common stockholders or Adjusted EBITDA for the three months ended September 30, 2020.

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CYH Announces Third Quarter 2020 Results

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October 27, 2020

 

The consolidated operating results for the three months ended September 30, 2020, reflect a 13.0 percent decrease in admissions and an 18.0 percent decrease in adjusted admissions, compared with the same period in 2019. On a same-store basis, admissions decreased 6.2 percent and adjusted admissions decreased 11.5 percent for the three months ended September 30, 2020, compared with the same period in 2019. While volumes for the current year have not returned to pre-pandemic levels, they have improved from their lows in March and April 2020. On a same-store basis, net operating revenues increased 2.9 percent for the three months ended September 30, 2020, compared with the same period in 2019, primarily reflecting COVID-19 pandemic-induced changes in the mix of services provided and payor mix compared to the prior period.

Net operating revenues for the nine months ended September 30, 2020, totaled $8.670 billion, a 12.6 percent decrease compared with $9.925 billion for the same period in 2019.

Net income attributable to Community Health Systems, Inc. common stockholders was $200 million, or $1.74 per share (diluted), for the nine months ended September 30, 2020, compared with net loss of $(302) million, or $(2.66) per share (diluted), for the same period in 2019. Excluding the adjusting items as presented in the table in footnote (e) on page 17, net loss attributable to Community Health Systems, Inc. common stockholders was $(0.55) per share (diluted), for the nine months ended September 30, 2020, compared to $(1.29) per share (diluted) for the same period in 2019. The change in tax valuation allowance (which was one of the aforementioned adjusting items) had a positive impact of $240 million, or $2.09 per share (diluted), on net income attributable to Community Health Systems, Inc. common stockholders, and arose from discrete tax benefits related to the release of federal and state valuation allowances on IRC Section 163(j) interest carryforwards as a result of an increase to the deductible interest expense allowed for 2019 and 2020 under the Coronavirus Aid, Relief and Economic Security Act (the “CARES Act”) that was enacted during the nine months ended September 30, 2020. In addition, payments received by the Company through the PHSSEF, as more specifically described below, had a positive impact on net income attributable to Community Health Systems, Inc. common stockholders (both on a consolidated and adjusted basis) of approximately $337 million, or $2.93 on a per share (diluted) basis, for the nine months ended September 30, 2020. Weighted-average shares outstanding (diluted) were 115 million and 114 million for the nine months ended September 30, 2020 and 2019, respectively.

Adjusted EBITDA for the nine months ended September 30, 2020, was $1.194 billion compared with $1.181 billion for the same period in 2019. Payments received through the PHSSEF had a positive impact on Adjusted EBITDA for the nine months ended September 30, 2020 in the amount of $448 million.

The consolidated operating results for the nine months ended September 30, 2020, reflect a 16.6 percent decrease in admissions and a 20.0 percent decrease in adjusted admissions, compared with the same period in 2019. On a same-store basis, admissions decreased 9.8 percent and adjusted admissions decreased 13.5 percent for the nine months ended September 30, 2020, compared with the same period in 2019. On a same-store basis, net operating revenues decreased 6.3 percent for the nine months ended September 30, 2020, compared with the same period in 2019.

No debt was issued during the three months ended September 30, 2020 and approximately $261 million principal amount of notes were extinguished through open market repurchases, resulting in a pre-tax gain from early extinguishment of debt of approximately $115 million for the three months ended September 30, 2020. For the nine months ended September 30, 2020, there was a net pre-tax gain from early extinguishment of debt of approximately $111 million.

 

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CYH Announces Third Quarter 2020 Results

Page 3

October 27, 2020

 

Commenting on the results, Wayne T. Smith, chairman and chief executive officer of Community Health Systems, Inc., said, “Our results in the third quarter reflect strong progress on strategic activities taking place across the organization and the ability of our markets to effectively meet the challenge of a global pandemic. Our hospital leaders and frontline caregivers have done a tremendous job of caring for patients with COVID-19 and for patients with other healthcare needs. We are especially pleased with efforts to quickly resume certain services that were restricted during shelter-in-place orders earlier in the year as well as our favorable results during the third quarter. While we have directed our attention and resources to managing through the pandemic, we have also remained focused on the completion of our divestiture work, investments to support growth in our markets, and margin improvement programs. These strategic activities continue to generate positive results and we remain optimistic about our opportunities for even more progress moving forward.”

COVID – 19 Pandemic:

The COVID-19 pandemic continues to adversely affect the Company’s operations and financial results for the current year due to decreases in net operating revenues driven primarily by declines in patient volumes, as noted above, and increases in expenses related to supply chain and other expenditures.

Consistent with the disclosures in the Company’s earnings releases filed on April 28, 2020 and July 28, 2020, the Company is not providing guidance in this earnings release. In this regard, the Company is not able to fully quantify the impact that the COVID-19 pandemic will have on its financial results during the remainder of 2020, but expects developments related to the COVID-19 pandemic, including the CARES Act and PPPHCE Act as further discussed below, to materially affect the Company’s financial performance.

As a result of the COVID-19 pandemic, federal and state governments have passed legislation, promulgated regulations, and taken other administrative actions intended to assist healthcare providers in providing care to COVID-19 and other patients during the public health emergency. Sources of relief include the CARES Act, which was enacted on March 27, 2020, and the Paycheck Protection Program and Health Care Enhancement Act (the “PPPHCE Act”), which was enacted on April 24, 2020. Together, the CARES Act and the PPPHCE Act include $175 billion in funding to be distributed to eligible providers through the PHSSEF. In addition, the CARES Act provided for an expansion of the Medicare Accelerated and Advance Payment Program. Various other state and local programs also exist to provide relief, either independently or through distribution of monies received via the CARES Act. The Company has been a beneficiary of these stimulus measures, although no additional net relief funds were recognized into income or otherwise impacted the Company’s results of operations during the three months ended September 30, 2020.

During the nine months ended September 30, 2020, the Company received approximately $719 million in payments through the PHSSEF and various state and local programs, including approximately $155 million in such payments received during the three months ended September 30, 2020, net of amounts that have or will be repaid to the U.S. Department of Health and Human Services (“HHS”) related to entities that are held-for-sale or that were previously divested. PHSSEF payments are intended to compensate healthcare providers for lost revenues and incremental expenses, as defined by HHS, incurred in response to the COVID-19 pandemic and are not required to be repaid provided that recipients attest to and comply with certain terms and conditions, including limitations on balance billing and not using funds received from the PHSSEF to reimburse eligible expenses or lost revenues, as defined by HHS, that other sources have or may be obligated to reimburse.

 

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CYH Announces Third Quarter 2020 Results

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October 27, 2020

 

The Company previously recognized approximately $448 million of the PHSSEF payments eligible to be claimed as a reduction in operating costs and expenses during the six months ended June 30, 2020. On September 19, 2020, HHS issued a Post-Payment Notice of Reporting Requirements (the “September 19, 2020 Notice”) which revised previous guidance and, among various changes, substantially altered the definition of lost revenues eligible to be claimed in a manner less favorable to recipients of PHSSEF funds. During the three months ended September 30, 2020, the Company’s estimate of the amount of payments received through the PHSSEF or state and local programs for which the Company is reasonably assured of meeting the underlying terms and conditions was updated based on, among other things, the September 19, 2020 Notice, the Company’s results of operations during such period and receipt of additional payments during such period. Taking into account these countervailing factors, the Company believes that the amount previously recognized of approximately $448 million remains an appropriate estimate as of September 30, 2020. However, if the facts and circumstances that serve as the basis of the Company’s estimate as of September 30, 2020 had been applied to the estimate as of June 30, 2020, taking into account the September 19, 2020 Notice, a lesser amount would have been recognized as a reduction to operating costs and expenses on such date. Amounts received through the PHSSEF or state and local programs that have not been recognized as a reduction to operating costs and expenses and otherwise have not been refunded to HHS as of September 30, 2020, are reflected within accrued liabilities-other in the condensed consolidated balance sheet, and such unrecognized amounts may be recognized as a reduction in operating costs and expenses in future periods if the underlying conditions for recognition are met.

On October 22, 2020, HHS issued an updated Post-Payment Notice of Reporting Requirements and a Reporting Requirements Policy Update (together, the “October 22, 2020 Notice”) which, among other changes, effectively reinstates the definition of lost revenues that was the basis for the $448 million of pandemic relief funds recognized during the three and six months ended June 30, 2020. Accounting principles generally accepted in the United States of America (“U.S. GAAP”) do not permit amounts recognized as of September 30, 2020 to be updated on the basis of new information in the October 22, 2020 Notice. The Company’s evaluation of the October 22, 2020 Notice is ongoing and the amount by which the approximately $271 million of PHSSEF and other unrecognized relief payments as of September 30, 2020 may be recognized as a result of the October 22, 2020 Notice is not yet known. However, based on the more favorable definition of lost revenues, the October 22, 2020 Notice is expected to result in the recognition of additional pandemic relief funds in future periods, as compared to the September 19, 2020 Notice.

As evidenced by the issuance of the October 22, 2020 Notice, HHS’ interpretation of the underlying terms and conditions of such PHSSEF payments, including auditing and reporting requirements, continues to evolve. Additional guidance or new and amended interpretations of existing guidance on the terms and conditions of such PHSSEF payments may result in the Company’s inability to recognize certain PHSSEF payments, changes in the estimate of amounts recognized, or the derecognition of amounts previously recognized, which (in any such case) may be material.

Medicare accelerated payments of approximately $1.2 billion were received during April 2020. No additional Medicare accelerated payments have been received by the Company since such time, including during the three months ended September 30, 2020 and approximately $22 million of amounts previously received was repaid to the Centers for Medicare and Medicaid Services (“CMS”) or assumed by buyers during the three months ended September 30, 2020 related to divested entities. Effective October 8, 2020, CMS is no longer accepting new applications for accelerated payments. Accordingly, the Company does not expect to receive additional Medicare accelerated payments. Payments under the Medicare Accelerated and Advance Payment program are advances that must be repaid. As of September 30, 2020, the program required CMS to begin recouping payments 120 days after receipt by the provider although no payments were recouped during the three or nine months ended September 30, 2020. Effective October 1, 2020, the program was amended such that providers are required to repay accelerated payments beginning one year after the payment was issued. After such one-year period, Medicare payments owed to providers will be recouped according to the repayment terms. The repayment terms specify that for the first 11 months after repayment begins, repayment will occur through an automatic recoupment of 25% of Medicare payments otherwise owed to the provider during such time. At the end of the eleven-month period, recoupment will increase to 50% for six months. At the end of the six months (29 months from the receipt of the initial accelerated payment), Medicare will issue a letter for full repayment of any remaining balance, as applicable. In such event, if payment is not received within 30 days, interest will accrue at the rate of 4% per

 

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CYH Announces Third Quarter 2020 Results

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October 27, 2020

 

annum from the date the letter was issued and will be assessed for each full 30-day period that the balance remains unpaid. As of September 30, 2020, approximately $1.1 billion of Medicare accelerated payments are reflected within accrued liabilities-other in the condensed consolidated balance sheet. If the program requirements enacted on October 1, 2020, had been effective as of September 30, 2020, the Company estimates that approximately $873 million of the amount outstanding would be classified as a long-term liability.

The PHSSEF payments received to date as noted above and which the Company may receive in the future under the CARES Act and the PPPHCE Act, have been and may continue to be beneficial in partially mitigating the impact of the COVID-19 pandemic on the Company’s results of operations and financial position. Additionally, the federal government may consider additional stimulus and relief efforts, but the Company is unable to predict whether additional stimulus measures will be enacted or their impact, if any. The Company is unable to assess the extent to which anticipated ongoing negative impacts on the Company arising from the COVID-19 pandemic will be offset by benefits which the Company may recognize or receive in the future under the CARES Act, the PPPHCE Act or any future stimulus measures.

The Company completed the divestiture of three hospitals on January 1, 2020 (in respect of which the Company received proceeds at a preliminary closing on December 31, 2019), two hospitals on May 1, 2020, two hospitals on July 1, 2020 (in respect of which the Company received proceeds at a preliminary closing on June 30, 2020), one hospital on August 1, 2020, and one hospital on October 1, 2020 (in respect of which the Company received proceeds at a preliminary closing on September 30, 2020). Including one hospital sold on October 24, 2020, and two hospitals on October 27, 2020, for which aggregate proceeds of approximately $265 million were received during October 2020, a total of 12 hospitals have been divested in 2020. In addition, the Company terminated a lease and permanently ceased operations for one hospital effective September 30, 2020. The Company has entered into definitive agreements to sell a total of four additional hospitals, the sales of which are expected to be completed in the fourth quarter of 2020. There can be no assurance that these potential divestitures 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, and may, from time to time, consider selling additional hospitals following the completion of the Company’s formal portfolio rationalization strategy.

Financial and statistical data for 2019 and 2020 presented in this press release includes the operating results of divested or closed hospitals through the effective closing date of each respective divestiture or hospital closing. Same-store operating results exclude the results of a hospital acquired in 2019 and the hospitals divested or closed in 2019 and during the nine months ended September 30, 2020.

Information About Non-GAAP Financial Measures

This earnings release presents Adjusted EBITDA, a non-GAAP financial measure, which is EBITDA adjusted to add back net income attributable to noncontrolling interests and to exclude loss (gain) from early extinguishment of debt, impairment and (gain) loss on sale of businesses, expense related to government and other legal settlements and related costs, expense related to employee termination benefits and other restructuring charges, expense from settlement and fair value adjustments on the CVR agreement liability related to the Health Management Associates, Inc. (“HMA”) legal proceedings and related legal expenses, the impact of changes in estimate to increase the professional liability claims accrual recorded during the second quarter of 2019 (which estimate was further revised in the third quarter of 2019 based on updated actuarial analysis) with respect to claims incurred in 2016 and prior years and expense related to the valuation allowance recorded in the second quarter of 2019 to reserve the outstanding balance of a promissory note received from the buyer in connection with the sale of two of the Company’s hospitals in 2017, as well as income from a reduction of the valuation allowance on the outstanding balance of a promissory note from the buyer of another hospital. For information regarding why the Company believes Adjusted EBITDA provides useful information to investors, and for a reconciliation of Adjusted EBITDA to net income (loss) attributable to Community Health Systems, Inc. stockholders, see footnote (c) to the Financial Highlights, Financial Statements and Selected Operating Data below.

 

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CYH Announces Third Quarter 2020 Results

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October 27, 2020

 

Additionally, this earnings release presents adjusted net income (loss) attributable to Community Health Systems, Inc. common stockholders per share (diluted), a non-GAAP financial measure, to reflect the impact on net income (loss) attributable to Community Health Systems, Inc. common stockholders per share (diluted) from the selected items used in the calculation of Adjusted EBITDA. For information regarding why the Company believes this non-GAAP financial measure provides useful information to investors, and for a reconciliation of this non-GAAP financial measure to net income (loss) attributable to Community Health Systems, Inc. common stockholders per share (diluted), see footnote (e) to the Financial Highlights, Financial Statements and Selected Operating Data below.

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 89 affiliated hospitals in 16 states with an aggregate of approximately 14,000 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 Wednesday, October 28, 2020, at 10:00 a.m. Central, 11:00 a.m. Eastern, to review financial and operating results for the third quarter ended September 30, 2020. 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 for approximately 30 days. 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.

 

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CYH Announces Third Quarter 2020 Results

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October 27, 2020

 

COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

Financial Highlights (a)(b)

(In millions, except per share amounts)

(Unaudited)

 

     Three Months Ended     Nine Months Ended  
     September 30,     September 30,  
     2020      2019     2020      2019  

Net operating revenues

   $ 3,126      $ 3,246     $ 8,670      $ 9,925  

Net income (loss) (f), (g)

     128        2       254        (244

Net income (loss) attributable to Community Health Systems, Inc. stockholders

     112        (17     200        (302

Adjusted EBITDA (c)

     431        388       1,194        1,181  

Net cash provided by (used in) operating activities

     393        (74     2,102        191  

Earnings (loss) per share attributable to Community Health Systems, Inc. common stockholders:

          

Basic (f), (g)

   $ 0.98      $ (0.15   $ 1.74      $ (2.66

Diluted (e), (f), (g)

     0.97        (0.15     1.74        (2.66

Weighted-average number of shares outstanding (d):

          

Basic

     115        114       115        114  

Diluted

     116        114       115        114  

 

For footnotes, see pages 15, 16 and 17.

 

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CYH Announces Third Quarter 2020 Results

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October 27, 2020

 

COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES  
Condensed Consolidated Statements of Income (Loss) (a)(b)  
(In millions, except per share amounts)  
(Unaudited)  
     Three Months Ended September 30,  
     2020     2019  
           % of Net           % of Net  
           Operating           Operating  
     Amount     Revenues     Amount     Revenues  

Net operating revenues

   $ 3,126       100.0  %    $ 3,246       100.0  % 

Operating costs and expenses:

        

Salaries and benefits

     1,365       43.7  %      1,469       45.3  % 

Supplies

     523       16.7  %      526       16.2  % 

Other operating expenses

     736       23.6  %      812       24.9  % 

Government and other legal settlements and related costs (g)

     —         —    %      26       0.8  % 

Lease cost and rent

     85       2.7  %      79       2.4  % 

Pandemic relief funds

     —         —    %      —         —    % 

Depreciation and amortization

     139       4.4  %      151       4.7  % 

Impairment and (gain) loss on sale of businesses, net (f)

     (7     (0.2 )%      (1     (0.0 )% 
  

 

 

   

 

 

   

 

 

   

 

 

 

Total operating costs and expenses

     2,841       90.9  %      3,062       94.3  % 
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from operations (f), (g)

     285       9.1  %      184       5.7  % 

Interest expense, net

     257       8.2  %      259       8.0  % 

Gain from early extinguishment of debt

     (115     (3.7 )%      —         —    % 

Equity in earnings of unconsolidated affiliates

     (5     (0.1 )%      (3     (0.1 )% 
  

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) before income taxes

     148       4.7  %      (72     (2.2 )% 

Provision for (benefit from) income taxes

     20       0.6  %      (74     (2.3 )% 
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income (f), (g)

     128       4.1  %      2       0.1  % 

Less: Net income attributable to noncontrolling interests

     16       0.5  %      19       0.6  % 
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss) attributable to Community Health Systems, Inc. stockholders

   $ 112       3.6  %    $ (17     (0.5 )% 
  

 

 

   

 

 

   

 

 

   

 

 

 

Earnings (loss) per share attributable to Community Health Systems, Inc. common stockholders:

        

Basic (f), (g)

   $ 0.98       $ (0.15  
  

 

 

     

 

 

   

Diluted (e), (f), (g)

   $ 0.97       $ (0.15  
  

 

 

     

 

 

   

Weighted-average number of shares outstanding (d):

        

Basic

     115         114    
  

 

 

     

 

 

   

Diluted

     116         114    
  

 

 

     

 

 

   

 

For footnotes, see pages 15, 16 and 17.

 

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CYH Announces Third Quarter 2020 Results

Page 9

October 27, 2020

 

COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES  
Condensed Consolidated Statements of Income (Loss) (a)(b)  
(In millions, except per share amounts)  
(Unaudited)  
     Nine Months Ended September 30,  
     2020     2019  
           % of Net           % of Net  
           Operating           Operating  
     Amount     Revenues     Amount     Revenues  

Net operating revenues

   $ 8,670       100.0  %    $ 9,925       100.0  % 

Operating costs and expenses:

        

Salaries and benefits

     4,054       46.8  %      4,499       45.3  % 

Supplies

     1,439       16.6  %      1,623       16.4  % 

Other operating expenses

     2,211       25.4  %      2,516       25.3  % 

Government and other legal settlements and related costs (g)

     4       0.0  %      35       0.4  % 

Lease cost and rent

     248       2.9  %      240       2.4  % 

Pandemic relief funds

     (448     (5.2 )%      —         —    % 

Depreciation and amortization

     424       4.9  %      456       4.6  % 

Impairment and (gain) loss on sale of businesses, net (f)

     48       0.6  %      70       0.7  % 
  

 

 

   

 

 

   

 

 

   

 

 

 

Total operating costs and expenses

     7,980       92.0  %      9,439       95.1  % 
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from operations (f), (g)

     690       8.0  %      486       4.9  % 

Interest expense, net

     779       9.0  %      782       7.9  % 

(Gain) loss from early extinguishment of debt

     (111     (1.3 )%      31       0.3  % 

Equity in earnings of unconsolidated affiliates

     (11     (0.1 )%      (12     (0.1 )% 
  

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) before income taxes

     33       0.4  %      (315     (3.2 )% 

Benefit from income taxes

     (221     (2.5 )%      (71     (0.7 )% 
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss) (f), (g)

     254       2.9  %      (244     (2.5 )% 

Less: Net income attributable to noncontrolling interests

     54       0.6  %      58       0.5  % 
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss) attributable to Community Health Systems, Inc. stockholders

   $ 200       2.3  %    $ (302     (3.0 )% 
  

 

 

   

 

 

   

 

 

   

 

 

 

Earnings (loss) per share attributable to Community Health Systems, Inc. common stockholders:

        

Basic (f), (g)

   $ 1.74       $ (2.66  
  

 

 

     

 

 

   

Diluted (e), (f), (g)

   $ 1.74       $ (2.66  
  

 

 

     

 

 

   

Weighted-average number of shares outstanding (d):

        

Basic

     115         114    
  

 

 

     

 

 

   

Diluted

     115         114    
  

 

 

     

 

 

   

 

For footnotes, see pages 15, 16 and 17.

 

-MORE-


CYH Announces Third Quarter 2020 Results

Page 10

October 27, 2020

 

COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES  
Condensed Consolidated Statements of Comprehensive Income (Loss)  
(In millions)  
(Unaudited)  
     Three Months Ended     Nine Months Ended  
     September 30,     September 30,  
     2020      2019     2020      2019  

Net income (loss)

   $ 128      $ 2     $ 254      $ (244

Other comprehensive (loss) income, net of income taxes:

          

Net change in fair value of interest rate swaps, net of tax

     —          (1     —          (3

Net change in fair value of available-for-sale debt securities, net of tax

     —          1       3        5  

Amortization and recognition of unrecognized pension cost components, net of tax

     —          —         1        —    
  

 

 

    

 

 

   

 

 

    

 

 

 

Other comprehensive income

     —          —         4        2  
  

 

 

    

 

 

   

 

 

    

 

 

 

Comprehensive income (loss)

     128        2       258        (242

Less: Comprehensive income attributable to noncontrolling interests

     16        19       54        58  
  

 

 

    

 

 

   

 

 

    

 

 

 

Comprehensive income (loss) attributable to Community Health Systems, Inc. stockholders

   $ 112      $ (17   $ 204      $ (300
  

 

 

    

 

 

   

 

 

    

 

 

 

 

For footnotes, see pages 15, 16 and 17.

 

-MORE-


CYH Announces Third Quarter 2020 Results

Page 11

October 27, 2020

 

COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES  
Selected Operating Data (a)  
(Dollars in millions)  

(Unaudited)

 

 
     Three Months Ended September 30,  
     Consolidated     Same-Store  
     2020     2019     % Change     2020     2019     % Change  

Number of hospitals (at end of period)

     93       103         92       92    

Licensed beds (at end of period)

     15,252       16,332         15,071       15,141    

Beds in service (at end of period)

     13,487       14,537         13,313       13,507    

Admissions

     119,146       136,926       -13.0     118,532       126,384       -6.2

Adjusted admissions

     248,279       302,805       -18.0     246,663       278,642       -11.5

Patient days

     561,050       593,746         558,234       549,963    

Average length of stay (days)

     4.7       4.3         4.7       4.4    

Occupancy rate (average beds in service)

     45.2     43.4       45.6     44.3  

Net operating revenues

   $ 3,126     $ 3,246       -3.7   $ 3,117     $ 3,030       2.9

Net inpatient revenues as a % of net operating revenues

     48.7     46.1       48.6     45.8  

Net outpatient revenues as a % of net operating revenues

     51.3     53.9       51.4     54.2  

Income from operations (f), (g)

   $ 285     $ 184       54.9      

Income from operations as a % of net operating revenues

     9.1     5.7        

Depreciation and amortization

   $ 139     $ 151          

Equity in earnings of unconsolidated affiliates

   $ (5)     $ (3)          

Net income (loss) attributable to Community Health Systems, Inc. stockholders

   $ 112     $ (17)       758.8      

Net income (loss) attributable to Community Health Systems, Inc. stockholders as a % of net operating revenues

     3.6     -0.5        

Adjusted EBITDA (c)

   $ 431     $ 388       11.1      

Adjusted EBITDA as a % of net operating revenues

     13.8     12.0        

Net cash provided by (used in) operating activities

   $ 393     $ (74)       631.1      

 

For footnotes, see pages 15, 16 and 17.

 

-MORE-


CYH Announces Third Quarter 2020 Results

Page 12

October 27, 2020

 

COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES  
Selected Operating Data (a)  
(Dollars in millions)  

(Unaudited)

 

 
     Nine Months Ended September 30,  
     Consolidated     Same-Store  
     2020     2019     % Change     2020     2019     % Change  

Number of hospitals (at end of period)

     93       103         92       92    

Licensed beds (at end of period)

     15,252       16,332         15,071       15,141    

Beds in service (at end of period)

     13,487       14,537         13,313       13,507    

Admissions

     353,875       424,214       -16.6     346,814       384,581       -9.8

Adjusted admissions

     732,770       915,514       -20.0     716,903       829,065       -13.5

Patient days

     1,627,907       1,892,873         1,598,752       1,715,201    

Average length of stay (days)

     4.6       4.5         4.6       4.5    

Occupancy rate (average beds in service)

     43.5     45.5       43.8     46.6  

Net operating revenues

   $ 8,670     $ 9,925       -12.6   $ 8,557     $ 9,136       -6.3

Net inpatient revenues as a % of net operating revenues

     49.2     47.3       49.1     47.0  

Net outpatient revenues as a % of net operating revenues

     50.8     52.7       50.9     53.0  

Income from operations (f), (g)

   $ 690     $ 486       42.0      

Income from operations as a % of net operating revenues

     8.0     4.9        

Depreciation and amortization

   $ 424     $ 456          

Equity in earnings of unconsolidated affiliates

   $ (11)     $ (12)          

Net income (loss) attributable to Community Health Systems, Inc. stockholders

   $ 200     $ (302)       166.2      

Net income (loss) attributable to Community Health Systems, Inc. stockholders as a % of net operating revenues

     2.3     -3.0        

Adjusted EBITDA (c)

   $ 1,194     $ 1,181       1.1      

Adjusted EBITDA as a % of net operating revenues

     13.8     11.9        

Net cash provided by operating activities

   $ 2,102     $ 191       1000.5      

 

For footnotes, see pages 15, 16 and 17.

 

-MORE-


CYH Announces Third Quarter 2020 Results

Page 13

October 27, 2020

 

COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES  
Condensed Consolidated Balance Sheets  
(In millions, except share data)  

(Unaudited)

 

 
     September 30, 2020     December 31, 2019  

ASSETS

    

Current assets

    

Cash and cash equivalents

   $ 1,823     $ 216  

Patient accounts receivable

     1,956       2,258  

Supplies

     337       354  

Prepaid income taxes

     50       48  

Prepaid expenses and taxes

     166       193  

Other current assets

     360       358  
  

 

 

   

 

 

 

Total current assets

     4,692       3,427  
  

 

 

   

 

 

 

Property and equipment

     9,293       9,653  

Less accumulated depreciation and amortization

     (4,003     (4,045
  

 

 

   

 

 

 

Property and equipment, net

     5,290       5,608  
  

 

 

   

 

 

 

Goodwill

     4,220       4,328  
  

 

 

   

 

 

 

Deferred income taxes

     88       38  
  

 

 

   

 

 

 

Other assets, net

     2,226       2,208  
  

 

 

   

 

 

 

Total assets

   $ 16,516     $ 15,609  
  

 

 

   

 

 

 

LIABILITIES AND STOCKHOLDERS’ DEFICIT

    

Current liabilities

    

Current maturities of long-term debt

   $ 19     $ 20  

Current operating lease liabilities

     131       136  

Accounts payable

     710       811  

Accrued liabilities:

    

Employee compensation

     580       594  

Accrued interest

     180       189  

Other

     2,009       532  
  

 

 

   

 

 

 

Total current liabilities

     3,629       2,282  
  

 

 

   

 

 

 

Long-term debt (h)

     12,860       13,385  
  

 

 

   

 

 

 

Deferred income taxes

     29       200  
  

 

 

   

 

 

 

Long-term operating lease liabilities

     523       487  
  

 

 

   

 

 

 

Other long-term liabilities

     951       894  
  

 

 

   

 

 

 

Total liabilities

     17,992       17,248  
  

 

 

   

 

 

 

Redeemable noncontrolling interests in equity of consolidated subsidiaries

     481       502  
  

 

 

   

 

 

 

STOCKHOLDERS DEFICIT

    

Community Health Systems, Inc. stockholders’ deficit:

    

Preferred stock, $.01 par value per share, 100,000,000 shares authorized; none issued

     —         —    

Common stock, $.01 par value per share, 300,000,000 shares authorized; 119,604,720 shares issued and outstanding at September 30, 2020, and 117,822,631 shares issued and outstanding at December 31, 2019

     1       1  

Additional paid-in capital

     2,005       2,008  

Accumulated other comprehensive loss

     (5     (9

Accumulated deficit

     (4,018     (4,218
  

 

 

   

 

 

 

Total Community Health Systems, Inc. stockholders’ deficit

     (2,017     (2,218

Noncontrolling interests in equity of consolidated subsidiaries

     60       77  
  

 

 

   

 

 

 

Total stockholders deficit

     (1,957     (2,141
  

 

 

   

 

 

 

Total liabilities and stockholders deficit

   $ 16,516     $ 15,609  
  

 

 

   

 

 

 

 

For footnotes, see pages 15, 16 and 17.

 

-MORE-


CYH Announces Third Quarter 2020 Results

Page 14

October 27, 2020

 

COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES  
Condensed Consolidated Statements of Cash Flows  
(In millions)  

(Unaudited)

 

 
     Nine Months Ended September 30,  
     2020     2019  

Cash flows from operating activities

    

Net income (loss)

   $ 254     $ (244

Adjustments to reconcile net income (loss) to net cash provided by operating activities:

    

Depreciation and amortization

     424       456  

Deferred income taxes

     (223     (73

Government and other legal settlements and related costs (g)

     4       25  

Stock-based compensation expense

     8       8  

Impairment and (gain) loss on sale of businesses, net (f)

     48       70  

(Gain) loss from early extinguishment of debt

     (111     31  

Other non-cash expenses, net

     99       140  

Changes in operating assets and liabilities, net of effects of acquisitions and divestitures:

 

 

Patient accounts receivable

     281       82  

Supplies, prepaid expenses and other current assets

     16       40  

Medicare accelerated payments

     1,159       —    

Repayment/derecognition of Medicare accelerated payments

     (22     —    

Unrecognized pandemic relief funds

     271       —    

Accounts payable, accrued liabilities and income taxes

     (81     (242

Other

     (25     (102
  

 

 

   

 

 

 

Net cash provided by operating activities

     2,102       191  
  

 

 

   

 

 

 

Cash flows from investing activities

    

Acquisitions of facilities and other related businesses

     (1     (13

Purchases of property and equipment

     (317     (322

Proceeds from disposition of hospitals and other ancillary operations

     347       363  

Proceeds from sale of property and equipment

     4       1  

Purchases of available-for-sale debt securities and equity securities

     (68     (58

Proceeds from sales of available-for-sale debt securities and equity securities

     80       72  

Increase in other investments

     (36     (146
  

 

 

   

 

 

 

Net cash provided by (used in) investing activities

     9       (103
  

 

 

   

 

 

 

Cash flows from financing activities

    

Repurchase of restricted stock shares for payroll tax withholding requirements

     (1     (1

Deferred financing costs and other debt-related costs

     (32     (28

Proceeds from noncontrolling investors in joint ventures

     —         10  

Redemption of noncontrolling investments in joint ventures

     (4     (6

Distributions to noncontrolling investors in joint ventures

     (84     (78

Proceeds from sale-lease back

     2       56  

Other borrowings

     31       26  

Issuance of long-term debt

     1,462       2,489  

Proceeds from ABL facility

     540       25  

Repayments of long-term indebtedness

     (2,418     (2,620
  

 

 

   

 

 

 

Net cash used in financing activities

     (504     (127
  

 

 

   

 

 

 

Net change in cash and cash equivalents

     1,607       (39

Cash and cash equivalents at beginning of period

     216       196  
  

 

 

   

 

 

 

Cash and cash equivalents at end of period

   $ 1,823     $ 157  
  

 

 

   

 

 

 

 

For footnotes, see pages 15, 16 and 17.

 

-MORE-


CYH Announces Third Quarter 2020 Results

Page 15

October 27, 2020

 

Footnotes to Financial Highlights, Financial Statements and Selected Operating Data

 

(a)

Both financial and statistical results include the operating results of divested or closed hospitals through the effective closing date of each respective divestiture or hospital closing. Same-store operating results and statistical information exclude the results of a hospital acquired in 2019 and the hospitals divested or closed in 2019 and during the nine months ended September 30, 2020. There were no discontinued operations reported for 2019 and 2020.

 

(b)

The following table provides information needed to calculate earnings (loss) per share, which is adjusted for income attributable to noncontrolling interests (in millions):

 

     Three Months Ended      Nine Months Ended  
     September 30,      September 30,  
     2020      2019      2020      2019  

Net income (loss) attributable to Community Health Systems, Inc. common stockholders:

           

Net income (loss)

   $ 128      $ 2      $ 254      $ (244

Less: Income attributable to noncontrolling interests, net of taxes

     16        19        54        58  
  

 

 

    

 

 

    

 

 

    

 

 

 

Net income (loss) attributable to Community Health Systems, Inc. common stockholders — basic and diluted

   $ 112      $ (17    $ 200      $ (302
  

 

 

    

 

 

    

 

 

    

 

 

 

 

(c)

EBITDA is a non-GAAP financial measure which consists of net income (loss) attributable to Community Health Systems, Inc. before interest, income taxes, and depreciation and amortization. Adjusted EBITDA, also a non-GAAP financial measure, is EBITDA adjusted to add back net income attributable to noncontrolling interests and to exclude loss (gain) from early extinguishment of debt, impairment and (gain) loss on sale of businesses, expense related to government and other legal settlements and related costs, expense related to employee termination benefits and other restructuring charges, expense from settlement and fair value adjustments on the CVR agreement liability related to the HMA legal proceedings and related legal expenses, the impact of changes in estimate to increase the professional liability claims accrual recorded during the second quarter of 2019 (which estimate was further revised in the third quarter of 2019 based on updated actuarial analysis) with respect to claims incurred in 2016 and prior years, and expense related to the valuation allowance recorded in the second quarter of 2019 to reserve the outstanding balance of a promissory note received from the buyer in connection with the sale of two of the Company’s hospitals in 2017, as well as income from a reduction of the valuation allowance on the outstanding balance of a promissory note from the buyer of another hospital. The Company has from time to time sold noncontrolling interests in certain of its subsidiaries or acquired subsidiaries with existing noncontrolling interest ownership positions. The Company believes that it is useful to present Adjusted EBITDA because it adds back the portion of EBITDA attributable to these third-party interests and clarifies for investors the Company’s portion of EBITDA generated by continuing operations. The Company reports Adjusted EBITDA as a measure of financial performance. Adjusted EBITDA is a key measure used by management to assess the operating performance of the Company’s hospital operations and to make decisions on the allocation of resources. Adjusted EBITDA is also used to evaluate the performance of the Company’s executive management team and is one of the primary metrics used in connection with determining short-term cash incentive compensation and the achievement of vesting criteria with respect to performance-based equity awards. In addition, management utilizes Adjusted EBITDA in assessing the Company’s consolidated results of operations and operational performance and in comparing the Company’s results of operations between periods. The Company believes it is useful to provide investors and other users of the Company’s financial statements this performance measure to align with how management assesses the Company’s results of operations. Adjusted EBITDA also is comparable to a similar metric called Consolidated EBITDA, as defined in the Company’s asset-based loan facility (the “ABL Facility”), which is a key component in the determination of the Company’s compliance with certain covenants under the ABL Facility (including the Company’s ability to service debt and incur capital expenditures), and is used to determine the interest rate and commitment fee payable under the ABL Facility (although Adjusted EBITDA does not include all of the adjustments described in the ABL Facility).

 

-MORE-


CYH Announces Third Quarter 2020 Results

Page 16

October 27, 2020

 

Footnotes to Financial Highlights, Financial Statements and Selected Operating Data (Continued)

Adjusted EBITDA is not a measurement of financial performance under U.S. GAAP. It should not be considered in isolation or as a substitute for net income, operating income, or any other performance measure calculated in accordance with U.S. GAAP. The items excluded from Adjusted EBITDA are significant components in understanding and evaluating financial performance. The Company believes such adjustments are appropriate as the magnitude and frequency of such items can vary significantly and are not related to the assessment of normal operating performance. Additionally, this calculation of Adjusted EBITDA may not be comparable to similarly titled measures reported by other companies.

The following table reflects the reconciliation of Adjusted EBITDA, as defined, to net income (loss) attributable to Community Health Systems, Inc. stockholders as derived directly from the condensed consolidated financial statements (in millions):

 

     Three Months Ended      Nine Months Ended  
     September 30,      September 30,  
     2020      2019      2020      2019  

Net income (loss) attributable to Community Health Systems, Inc. stockholders

   $ 112      $ (17    $ 200      $ (302

Adjustments:

           

Provision for (benefit from) income taxes

     20        (74      (221      (71

Depreciation and amortization

     139        151        424        456  

Net income attributable to noncontrolling interests

     16        19        54        58  

Interest expense, net

     257        259        779        782  

(Gain) loss from early extinguishment of debt

     (115      —          (111      31  

Impairment and (gain) loss on sale of businesses, net

     (7      (1      48        70  

Expense from government and other legal settlements and related costs

     —          26        4        35  

Expense from settlement and legal expenses related to cases covered by the CVR

     —          7        2        10  

Expense related to employee termination benefits and other restructuring charges

     9        —          15        1  

Change in valuation allowances recorded for promissory notes

     —          (2      —          21  

Change in estimate for professional liability claims accrual

     —          20        —          90  
  

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted EBITDA

   $ 431      $ 388      $ 1,194      $ 1,181  
  

 

 

    

 

 

    

 

 

    

 

 

 

 

(d)

The following table sets forth components reconciling the basic weighted-average number of shares to the diluted weighted-average number of shares (in millions):

 

     Three Months Ended      Nine Months Ended  
     September 30,      September 30,  
     2020      2019      2020      2019  

Weighted-average number of shares outstanding - basic

     115        114        115        114  

Add effect of dilutive securities:

           

Stock awards and options

     1        —          —          —    
  

 

 

    

 

 

    

 

 

    

 

 

 

Weighted-average number of shares outstanding - diluted

     116        114        115        114  
  

 

 

    

 

 

    

 

 

    

 

 

 

The effect of stock awards and options on the diluted shares calculation was an increase of 625,392 shares and 248,152 shares during the three and nine months ended September 30, 2020, respectively. The Company generated a net loss attributable to Community Health Systems, Inc. common stockholders for the three and nine months ended September 30, 2019, so the effect of dilutive securities is not considered because their effect would be antidilutive. If the Company had generated net income during the three and nine months ended September 30, 2019, the effect of stock awards and options on the diluted shares calculation would have been an increase in shares of 69,042 and 52,925, respectively.

 

-MORE-


CYH Announces Third Quarter 2020 Results

Page 17

October 27, 2020

 

Footnotes to Financial Highlights, Financial Statements and Selected Operating Data (Continued)

 

(e)

The following supplemental table reconciles net income (loss) attributable to Community Health Systems, Inc. common stockholders, as reported, on a per share (diluted) basis, to net income (loss) attributable to Community Health Systems, Inc. common stockholders per share (diluted) with the adjustments described herein (total per share amounts may not add due to rounding). The Company believes that the presentation of non-GAAP adjusted net income (loss) attributable to Community Health Systems, Inc. common stockholders per share (diluted) presents useful information to investors by highlighting the impact on net income (loss) attributable to Community Health Systems, Inc. common stockholders per share (diluted) of selected items used in calculating Adjusted EBITDA which may not reflect the Company’s underlying operating performance and assisting in comparing the Company’s results of operations between periods.

 

     Three Months Ended      Nine Months Ended  
     September 30,      September 30,  
     2020      2019      2020      2019  

Net income (loss), as reported

   $ 0.97      $ (0.15    $ 1.74      $ (2.66

Adjustments:

           

(Gain) loss from early extinguishment of debt

     (0.86      0.01        (0.84      0.22  

Impairment and (gain) loss on sale of businesses, net

     0.01        0.01        0.51        0.60  

Expense from government and other legal settlements and related costs

     —          0.18        0.02        0.24  

Expense from settlement and legal expenses related to cases covered by the CVR

     —          0.05        0.01        0.07  

Expense related to employee termination benefits and other restructuring charges

     0.07        —          0.10        0.01  

Change in valuation allowances recorded for promissory notes

     —          (0.01      —          0.14  

Change in estimate for professional liabilty claims accrual

     —          0.16        —          0.63  

Tax effect related to HMA legal settlement

     —          (0.13      —          (0.13

Change in tax valuation allowance

     —          (0.42      (2.09      (0.42
  

 

 

    

 

 

    

 

 

    

 

 

 

Net income (loss), excluding adjustments

   $ 0.18      $ (0.29    $ (0.55    $ (1.29
  

 

 

    

 

 

    

 

 

    

 

 

 

 

(f)

Both income from operations and net income for the three months ended September 30, 2020 and 2019, included a net non-cash gain of approximately $7 million and $1 million, respectively, primarily from impairment charges to reduce the value of certain long-lived assets at hospitals the Company has identified for sale or has sold and gains on the sale of certain hospitals during such periods. Both income from operations and net income (loss) for the nine months ended September 30, 2020 and 2019, included net non-cash expense of approximately $48 million and $70 million, respectively, primarily from impairment charges to reduce the value of certain long-lived assets at hospitals the Company has identified for sale or has sold and gains on the sale of certain hospitals during such periods. These impairment charges do not have an impact on the calculation of the Company’s financial covenants under the ABL Facility.

 

(g)

The $(0.00) per share (diluted) and $(0.18) per share (diluted) of expense for “Government and other legal settlements and related costs” for the three months ended September 30, 2020 and 2019, respectively, is the net impact of several lawsuits settled in principle during the related periods, and related legal expenses. The $(0.02) per share (diluted) and $(0.24) per share (diluted) of expense for “Government and other legal settlements and related costs” for the nine months ended September 30, 2020 and 2019, respectively, is the net impact of several lawsuits settled in principle during the related periods, and related legal expenses.

 

(h)

At September 30, 2020, the Company had no outstanding borrowings and approximately $503 million of borrowing capacity (after taking into consideration $151 million of outstanding letters of credit) under the ABL Facility, with the ability to increase borrowings up to $1.0 billion.

 

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CYH Announces Third Quarter 2020 Results

Page 18

October 27, 2020

 

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995 that involve risk and uncertainties. All statements in this press release other than statements of historical fact, including statements regarding expected operating results, and other events that depend upon or refer to future events or conditions or that include words such as “expects,” “anticipates,” “intends,” “plans,” “believes,” “estimates,” “thinks,” and similar expressions, are forward-looking statements. Although the Company believes that these forward-looking statements are based on reasonable assumptions, these assumptions are inherently subject to significant economic and competitive uncertainties and contingencies, which are difficult or impossible to predict accurately and may be beyond the control of the Company. Accordingly, the Company cannot give any assurance that its expectations will in fact occur and cautions that actual results may differ materially from those in the forward-looking statements. A number of factors could affect the future results of the Company or the healthcare industry generally and could cause the Company’s expected results to differ materially from those expressed in this press release.

These factors include, among other things:

 

   

developments related to COVID-19, including, without limitation, related to the length and severity of the pandemic; the volume of canceled or rescheduled procedures; the volume of COVID-19 patients cared for across our health systems; the timing and availability of effective medical treatments and vaccines; measures we are taking to respond to the COVID-19 pandemic; the impact of government and administrative regulation on us; changes in net revenue due to patient volumes, payor mix and negative macroeconomic conditions; increased expenses related to labor, supply chain, capital or other expenditures; workforce disruptions; and supply shortages and disruptions;

 

   

uncertainty regarding the implementation of the CARES Act, the PPPHCE Act, and any other future stimulus measures related to COVID-19, including the magnitude and timing of any future payments or benefits we may receive or realize thereunder;

 

   

general economic and business conditions, both nationally and in the regions in which we operate, including economic and business conditions resulting from the COVID-19 pandemic;

 

   

the impact of current or future federal and state health reform initiatives, including, without limitation, the Affordable Care Act, and the potential for the Affordable Care Act to be repealed or found unconstitutional or otherwise invalidated, or for additional changes to the law, its implementation or its interpretation (including through executive orders and court challenges);

 

   

the extent to and manner in which states support increases, decreases or changes in Medicaid programs, implement health insurance exchanges or alter the provision of healthcare to state residents through regulation or otherwise;

 

   

the future and long-term viability of health insurance exchanges and potential changes to the beneficiary enrollment process;

 

   

risks associated with our substantial indebtedness, leverage and debt service obligations, including our ability to refinance such indebtedness on acceptable terms or to incur additional indebtedness, and our ability to remain in compliance with debt covenants, as well as risks associated with disruptions in the financial and capital markets as the result of the COVID-19 pandemic which could impact us from a financing and liquidity perspective;

 

   

demographic changes;

 

   

changes in, or the failure to comply with, federal, state or local laws or governmental regulations affecting our business, including any such laws or governmental regulations which are adopted in connection with the COVID-19 pandemic;

 

   

potential adverse impact of known and unknown government investigations, audits, and federal and state false claims act litigation and other legal proceedings;

 

   

our ability, where appropriate, to enter into and maintain provider arrangements with payors and the terms of these arrangements, which may be further affected by the increasing consolidation of health insurers and managed care companies and vertical integration efforts involving payors and healthcare providers;

 

   

changes in, or the failure to comply with, contract terms with payors and changes in reimbursement policies or rates paid by federal or state healthcare programs or commercial payors;

 

   

any potential additional impairments in the carrying value of goodwill, other intangible assets, or other long-lived assets, or changes in the useful lives of other intangible assets;

 

   

changes in inpatient or outpatient Medicare and Medicaid payment levels and methodologies;

 

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CYH Announces Third Quarter 2020 Results

Page 19

October 27, 2020

 

   

the effects related to the continued implementation of the sequestration spending reductions and the potential for future deficit reduction legislation;

 

   

increases in the amount and risk of collectability of patient accounts receivable, including decreases in collectability which may result from, among other things, self-pay growth and difficulties in recovering payments for which patients are responsible, including co-pays and deductibles;

 

   

the efforts of insurers, healthcare providers, large employer groups and others to contain healthcare costs, including the trend toward value-based purchasing;

 

   

increases in wages as a result of inflation or competition for highly technical positions and rising supply and drug costs due to market pressure from pharmaceutical companies and new product releases;

 

   

liabilities and other claims asserted against us, including self-insured malpractice claims;

 

   

competition;

 

   

our ability to attract and retain, at reasonable employment costs, qualified personnel, key management, physicians, nurses and other healthcare workers;

 

   

trends toward treatment of patients in less acute or specialty healthcare settings, including ambulatory surgery centers or specialty hospitals or via telehealth;

 

   

changes in medical or other technology;

 

   

changes in U.S. GAAP;

 

   

the availability and terms of capital to fund any additional acquisitions or replacement facilities or other capital expenditures;

 

   

our ability to successfully make acquisitions or complete divestitures, including the disposition of hospitals and non-hospital businesses pursuant to our portfolio rationalization and deleveraging strategy, our ability to complete any such acquisitions or divestitures on desired terms or at all, the timing of the completion of any such acquisitions or divestitures, and our ability to realize the intended benefits from any such acquisitions or divestitures;

 

   

the impact that changes in our relationships with joint venture or syndication partners could have on effectively operating our hospitals or ancillary services or in advancing strategic opportunities;

 

   

our ability to successfully integrate any acquired hospitals, or to recognize expected synergies from acquisitions;

 

   

the impact of seasonal severe weather conditions, including the timing and amount of insurance recoveries in relation to severe weather events;

 

   

our ability to obtain adequate levels of insurance, including general liability, professional liability, and directors and officers liability insurance;

 

   

timeliness of reimbursement payments received under government programs;

 

   

effects related to pandemics, epidemics, or outbreaks of infectious diseases, including the novel coronavirus causing the disease known as COVID-19 as noted above;

 

   

the impact of cyber-attacks or security breaches;

 

   

any failure to comply with the terms of the Corporate Integrity Agreement;

 

   

the concentration of our revenue in a small number of states;

 

   

our ability to realize anticipated cost savings and other benefits from our current strategic and operational cost savings initiatives;

 

   

changes in interpretations, assumptions and expectations regarding the Tax Cuts and Jobs Act; and

 

   

the other risk factors set forth in our in our Annual Report on Form 10-K for the year ended December 31, 2019, filed with the Securities and Exchange Commission on February 20, 2020, our Quarterly Report on Form 10-Q for the three months ended June 30, 2020, filed on July 29, 2020, and other public filings with the Securities and Exchange Commission.

The consolidated operating results for the three and nine months ended September 30, 2020, are not necessarily indicative of the results that may be experienced for any future periods. The Company undertakes no obligation to revise or update any forward-looking statements, or to make any other forward-looking statements, whether as a result of new information, future events or otherwise.

 

-END-